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1293 Junction Road Lot 21i t Davie Countv. NC Tax PnrrPi RPnnrt Wednesday, January 4, 2017 Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: LOT 21 GRANT HEIGHTS .73 Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 0.66 Elementary School Zone: 12/2013 Middle School Zone: 009450577 Soil Types: 10 Flood Zone: 371 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: COOLEEMEE COOLEEMEE SOUTH DAVIE GnB2,GnC2 DAVIE COUNTY No All data is prodded as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to they^ Davie County, I d Implied warranties of merchantability or fitness for a particular use. All users of Dade County s GIS website shall hold harmless the County of Dae, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC _ ` or arising out of the use or Inability to use the GIS data prodded by this website. —N -- WA"I1Nli: THIN IN INU'1' A NUKVL+' Y Parcel Information Parcel Number: M401OA0021 Township: Mocksville NCPIN Number: 5726904122 Municipality: Account Number: 82516538 Census Tract: 37059-801 Listed Owner 1: SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN Mailing Address 1: PO BOX 738 Planning Jurisdiction: Davie County City: COOLEEMEE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: LOT 21 GRANT HEIGHTS .73 Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 0.66 Elementary School Zone: 12/2013 Middle School Zone: 009450577 Soil Types: 10 Flood Zone: 371 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: COOLEEMEE COOLEEMEE SOUTH DAVIE GnB2,GnC2 DAVIE COUNTY No All data is prodded as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to they^ Davie County, I d Implied warranties of merchantability or fitness for a particular use. All users of Dade County s GIS website shall hold harmless the County of Dae, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC _ ` or arising out of the use or Inability to use the GIS data prodded by this website. —N -- y �/x e AUTHORIZATIO14 NO: d715 O.15 DAVIE COUNTY HEALTH DEPARTMENT 3' y Environmental Health Section PROPERTY INFORMATION Permittee' ���'P.O. Box 848 Name: Ivocksville, NC 27028 Subdivision Name: /Qf Phone #: 704-634-8760 Directions to property: .iJ Gi•/1OK f/�� Section: Lot: P AUTHORIZATION FOR (� / WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#�- j rf - ice/: Road NamefQ, r C_' i)jtw�c: Zip: c. ' **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 l l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) J ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION f �G / c i r ,< ' ✓ jf �� 1 �%%/` ' IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEATH SIECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's Name f,1,6J t Directions to property: ,: �_ 1 f (f j ak6 Z T�• Subdivision Name: Section: ,/ Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name', -'-,i 74;` t ; 3l R1 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) ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE al # BEDROOMS -r' # BATHS # OCCUPANTS - GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT k # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE � TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE %d GAL. PUMP TANK GAL. TRENCH WIDTH -52, ROCK DEPTH %off LINEAR FT. :7e9 !-% REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT v **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 AUTHORIZATION NO.� 1 I OPERATION PERMIT BY: SYSTEM INSTALLED BY: �> F N. H('5' 0/rte.-q- THE 2 THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA THE SYSTEII�] WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREXIMENT AN GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR XWY GIVEN DCHD 05/96 (Revised) OF TIME. DATE: 4-1 r 11 HAS BEEN INSTALLED IN COMPLIANCE S", BUT SHALL IN NO WAY BE TAKEN AS A In APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 i4AR - 51997 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed T r 6. -SPIILI'Y)An/ Contact Person P7':�oi Yfitcn Mailing Address on my 130y Home Phone (Q?4/' O t%717 City/State/Zip ELLE rnE�. n/G 6270 14 Business Phone 2. Name on Permit/ATC if Different than Above L-lS 6600E Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: ❑ Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ❑ Site Evaluation ❑ House Mobile Home City/State/Zip improvement Permit & ATC ❑ Both ❑ Business ❑ Industry ❑ Other # People _,a_ # Bedrooms # Bathrooms ❑ Garbage Disposal U Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing Specify type 6i iia # People # Sinks 7. Type of water supply: # Showers # Urinals # Seats Estimated Water Usage (gallons per day) 01"County/City ❑ Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes dNo PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1r)('2' x on -S!5, 1 WRITE DIRECTIONS (from # 9 0 1Mocksville) TO PROPERTY: Tax Office PIN: e5r - Z RnJ LEEK OL✓ Property Address: Road Name ,- AJO-7T- hAi R& 1 1 `7 0NO-ITOA) )Q16. OFF City/Zip M 95U -' p L� ZVC 2702 12U If in Subdivision provide information, as follows: Name: ( Qm-r 1 64EP7— Section: Lot #: Q�! 1 1 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 s;5AU-1 L A5,cTI U » A AJ to conduct all testing procedures as necessary to determine the site suitability. DATEeyn5 22 SIGNATURE Revised DCHD (06-96) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME - PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring I Pit ✓ SECTION_ LOT DATE EVALUATED <7/�. ,i'"I PROPERTY SIZE ROAD NAME , Public r/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Z_ Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence / Structure I , 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: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: � kz OTHER(S) PRESENT: 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 clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm 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 SC - 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 ■ ■■MESE■ ■■M■■■■ ■■M■■■■ ■■N■■ ■NEEM MEMO■ ■N■■■ ■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■ENEEM■■■■MEEM■EE■■E■ ■■■■N■E■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■E■■■MEMENNE■■■■N■EE■ ■■■■momm ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■Ne■■■■■■MME■O■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■atEN■■■■ONE■■■MNEo■MNMMONMEEMEMMMMMNEE■MM■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■EE■■E■■NEEM■■E■EEEEEEMNEEEEOE■MM■■M■■NEE■■■ ■■■■■■M■E■■■■■■■■■■■■■■■■■■Ess■■■■■■■■■■■ss■■■■■■ ■■■■■ ■■■■■ ■■■O■ ■■■N■ MEMO■ ■■■■■ ■■NO■ ■■■■■ ■■ ■■■■■M■ ■■NEEM■ NEEM■■■ SEEM■■■ ■■■■N■■ ONES■■■■ ■■■■NEEM ■■N■■■■■ ■■■■■O■■ ■■NOME■■ ■■■O■■■■ ■■ESN■■■ sono■■■■ ■■■■ ■■E■ ■N■■ moms i i ■