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1255 Junction Road Lot 17Davie County, NC Tax Parcel Report Wednesday January 4. 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS IS NOT A SURVEY Parcel Information M401 OA0017 Township: Mocksville 5726901591 Municipality: 82516538 Census Tract: 37059-801 SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN PO BOX 738 Planning Jurisdiction: Davie County COOLEEMEE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: DAVIE COUNTY CZOD Land Value: . Total Assessed Value: 27014-0000 Voluntary Ag. District: LOT 17 GRANT HEIGHTS 1.46 ac Fire Response District: 1.46 Elementary School Zone: 8/2011 Middle School Zone: 008660452 Soil Types: 10 Flood Zone: 371 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No COOLEEMEE COOLEEMEE SOUTH DAVIE GnB2,GnC2 DAVIE COUNTY i 9�n�ial�`All Davie County, data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the r'pUx.t� NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to data by or arising out of the use or Inability to use the GIS provided this website. ✓Xv AUTHORIZATION NC: 0 5 3 2 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Perm`tteP.O. Boz 848 Name: J' I�/1�l Mocksville, NC 27028 Subdivision Name: if'l9/l✓7�/}�%9/I / Phone #:704-634-8760 Directions to property: ti:1,!%v a .:.' "!� Section: Z Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - pp.!� - Road Name: �GI9C�Oh ^UZi P�— **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) '` f : l;' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PermitEee's . % n Name':", /Subdivision Name: Directions to property: 2� �' i" �` Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#: "T ) j Road Name: 4,,r h Tc-Zip: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ? # BATHS .: j # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE lle TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) . NEW SITES REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE % / GAL. PUMP TANK GAL. TRENCH WIDTH_ ROCK DEPTH LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT BY: AUTHORIZATION NO. �L OPERATION PERMIT BY: �P� DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMI�{ C ' Davie County Health Department U r Environmental Health Section P. O. Box 848 OCT — 3 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �. Contact Perso 7. Mailing Address D i�c� �� Home Phone City/State/Zip ( �!'X-e e� n A -7 y M Business Phonet Of -I aV ` a 5 2. Name on Permit/ATC if Different than Above �` b�L�.2� L6 Mailing Address P0 r73 ,,— City/State/Zip 3. Application For: ❑ Site EvaluatioEl Improvement Permit & ATC El Both 4. System to Serve: ❑ House ��ile Home ❑ Business ❑ Industry 0 Other 5. If Residence: # People ,3 # Bedrooms J-- # Bathrooms ❑ Dishwasher ❑ Garbage Disposal LP -Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type (JM # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 6 County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes VIN 0 If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 104a,00' X,30%. 9I I WRITE DIRECTIONS (from � / ( 1 Mocksville) TO PROPERTY: Tax Office PIN: # 5' /� l� - � d - � 1 . 1 Property Address: Road Name 1 p1 city/zip 1 If in Subdivision provide information, as_follows: 1 1 Name: I Section: Lot #: 1 I 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by as necessary to determine the site suitability. DATE D3 -/ o SIGNATURE Revised DCHD (06-96) conduct all testing procedures DAVIE COUNTY HEALTH DEPARTMENT •�' Environmental Health Section `7 Soil/Site Evaluation NAME / ADDRESS / PROPOSED FACIILTY �lG_ DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well Community Public /l_� Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Ax Sloe R HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 6 Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: n oA- 1--- E VALUATED BY: lryir/G4 LONG-TERM ACCEPTANCE RATE: b -1 OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+--. -y friable FR -Friable FI -Film VFI-Very firm EFI-Extremely firm Wet NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic Structure 3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:1, 2:1, Mixed Notes horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■..■..■■■.■..■■■■■.■.■■■■..■.■.■■...■■■■ ■■.■■■.■■■..■■■ ■ NOON ■■..■■■■■■.■■■■■■.■■■■■■.■■■■■■■ NOON■■■ ■■ ■■■■.■■..■■■■■■■■■■■■ ■■■..■.■■.■.■.■■■■■■■■■...■■■■■■■■....■....■...■■■■■..■..■...■■■■■ ................................■.........C....■...�■■■■■.■■■■■■■ .................................................... 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