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132 & 142 Delanos Ln Lot 16Davie Countv. NC Tax Parcel Renort Tuesday. January 3. 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 NOTA SURVEY COOLEEMEE Parcel Information SOUTH DAVIE M401 OA0016 Township: Mocksville 5726904594 Municipality: DAVIE COUNTY 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-A,R-20 NC Zoning Overlay: DAVIE COUNTY CZOD 27014-0000 Voluntary Ag. District: No LOT 16 GRANT HEIGHTS 1.59 ac Fire Response District: COOLEEMEE Land Value: Total Assessed Value: 1.59 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450577 Soil Types: GnB2,GnC2 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9t v r� All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the i Davie County, ( Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS webs@e shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC Jls or arising out of the use or Inability to use the GIS data provided by this website AUTHORIZATIOT'�fNO: -41.535 DAVIE OUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee 's / P.O. Box 848 A• Name: _x0eE 40mgoruzzi Mocksville, NC 27028 Subdivision Name: f Phone # 336-751-8760 �r , i' /� Section: Lot: / 42 Directions to property: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#'``��`-p SYSTEM CONSTRUCTION Road Name: r , 61(� .. P d **NOTE** This Authorization for Wastewater System Construction MUST BE4SSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization dumber should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 8 . ft ���%/'•s ;i ,/'° ' IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTIJ DEPARTMENT 2. IMPRO E4kNT AND OPERATION PERMITS PROPERTY INFORMATION ,-:Perrrz:Itte .. , Name:`/ '- 4� Subdivision Name d r r' Directions to property: Section: Lot: IMJX PROVEMENT PERMIT 4 Tax.Office PIN: . 'r.� f'.• _ f ,. I, _ f Road Name �— .t r l�°� :: ice, °� l Lip. -Q 1 f 6 **NOTE** This Improvement Permit DOES NOT authorize the construction installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM C�CTION must be obtained from this Department prior to the construction/installation of a system or the issuance of wiling permit:' •,, (In compliance with Article 11 of G.S. Chapter 130A, Wastewatet yystems, Section .1900 Sewage Treatment and Disposal Systems) ***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 # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY Ci DESIGN WASTEWATER FLOW (GPD) �G U NEW SITE Y' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH --7c/ ROCK DEPTH_ LINEAR FT. �yG OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 (336)751-8760. OPERATION PERMIT \ � SYSTEM INSTALLED BY: 1 � 1 /v AUTHORIZATION NO. DTE: , .� \ .OPERATION PERMIT BY: -T pQ�i/ A **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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) , 4 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 JUN - 3 1993 ENVIR0'A1E11Tf,L Hr"11119 DRE COUMY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed r%1a h Contact Person o Mailing Address 00 a( 7(J Home Phone` a �� City/State/Zip 0061&M& " "(, ��0�"l - Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: 4/Dishwasher City/State/Zip ❑ Site Evaluation U Improvement Permit & ATC ❑ Both ❑ House C►YMobile Home ❑ Business ❑ Industry ❑ Other # People # Bedrooms 3 # Bathrooms a ❑ Garbage Disposal EL/Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # Commodes If Foodservice 7. Type of water supply: # Showers # Seats at/County/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ 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 a --No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: Tax Office PIN: # 1 1 qo - - )4594 1 Property Address: Road Name 1 City/Zip 1 If in Subdivision provide information, as follows: 1 1 &-Kam4- / I ' 1 Name: Section: Lot #: l 1 1 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: 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 �� 0. 4 """� to conduct all testing procedures as necessary to determine the site suitability. r Q DATE L� 11 SIGNATURE Aaegk:!!:� 'atg� Revised DCHD (06-96) `f C -An vz� APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation On -Site Well Community Auger Boring Pit DATE EVALUATED PROPERTY SIZE ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 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: LONG-TERM ACCEPTANCE RA' REMARKS: DCHD (01-90) EVALUATION BY: 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 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION Soil/Site Evaluation APPLICANT'S NAME _ i ' /��%� DATE EVALUATED / PROPOSED FACILITY/7` / JPROPERTY SIZE 15 SUBDIVISION % �✓� l l ;l2 21-) ROAD NAME Gi�JL'7 ✓ �� Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit L1 Public e--__ Cut FACTORS 1 2 3 4 5 6 7 Landscape position ,L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 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 i` LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: 0 LONG-TERM ACCEPTANCE RATE: Z �K REMARKS: LEGEND DCHD (01-90) Landscane Position EVALUATION BY: /` I L/ OTHER(S) PRESENT: 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 blockv 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 - 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District: No LOT 16 GRANT HEIGHTS 1.59 ac Fire Response District: COOLEEMEE Land Value: Total Assessed Value: 1.59 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450577 Soil Types: GnB2,GnC2 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: a7iAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, S Implied warranties of merchantabllity or fitness for a particular use. All users of Davie County's GIS website shall hold harmless thei County of Davie, North Carolina, its agents, consultants, contractors or employees from anyandagdalmsorcausesofactiondueto ^NC���� or arising out of the use or Inability to use the GIS data provided by this website. AUT "JZATION NO:1DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee'sP.O. Box 848 Name: ' : {' Mocksville, NC 27028 Subdivision Name: ! c Phone # 336-751-8760 / Directions to property: ^�f/�C` a') t Section: Lot: t�.f AUTHORIZATION FOR WASTEWATER Office ffice : '"`a- rte'! SYSTEM CONSTRUCTION TaPIN#`/ Road Name: —4,1 . / lv�Zip Lc , **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) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION L�/.6/ ' f IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED Irl ;•nk f4�+ S rr •-�♦ . .., � J'. .. .:, 1 :ilk'; .... �., -.. . _ K /�D j DAVIE OUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Peffnittee's Name: -.,1 �'� r :;" Jt js'�f_ Subdivision Name:.'�a���'j i Directions to property: �� ifrjCl t �L • Section: Lot:r _= P . r IMPROVEMENT ERMIT Tax Office�,IN:*. Road Name: I '',,/' %�'.fiJZip: **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) ***%7nr fVr*** rVMQ Df: D1UWr 7C QTM TV11 r T!1 DV%1nd"AgrTn%7 YV CTtT. w '`.,✓/ J - r;�, r ;, PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE _ N # BEDROOMS _,7 # BATHS 2 # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY Ko4Q DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE J SYSTEM SPECIFICATIONS: TANK SIZE &dGAL. 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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: ©W t AUTHORIZATION NO. OPERATION PERMIT BY: 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 PERMIT� RQ 'W R T Davie County Health Department Environmental Health Section P. O. Box 848 1 JUN — 3 1993 Mocksville, NC 27028 (704) 634-8760 ENVIRONMI.ENTAL HEALTH ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person Mailing Address PO 00y 1t/O Home Phone City/State/Zip I.CJoliC m''ee ` "c a-)O'�L Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: �Citty/State/Zip Ll Site Evaluation Cb/improvement Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House UP/Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms a %6ishwasher ❑ Garbage Disposal UY Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: C9/County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 41" No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:1 WRITE DIRECTIONS (from q0 1 Mocksville) TO PROPERTY: Tax Office PIN: # ----��;; " 1 17 c;oF Property Address: Road Name CJSV1c474 h 1 City/Zip 1 If in Subdivision provide information, as follows: 1 kao h--6 1 Name: 1 / 110o 1 Section: Lot #: 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 Qof�the Davie County Health Department to enter upon above described property located in Davie County �,Sa,Q,, and owned by li� � ryk a-�`� to conduct all testing procedures as necessary to determine the site suitability. W 'OI le , DATE SIGNATURE Revised DCHD (06-96) �I 4e�ct-. � CA,z✓. -0 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS f PROPOSED FACIILTY A DATE EVALUATED , /W PROPERTY SIZE - A40t?&y2 + . LOCATION OF SITE�".Iz-1, l n e Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit- Cut FACTORS 1 2 3 4 Landscapeposition_____ Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group' Consistence Structure S / Mineralogy i .l 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: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 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 <;lay loam• SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vc.-y 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 3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineraloey 1:1, 2:1, Mixed Notes llorizon 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 ■■■■■■■■■■■■.■■m■■■■■■■.■■■..■■.■■■■■■■■ ■■■OEME/■■■E■E■■ ■EMMMMMMMMMMMMMMMMMMMMM E■■■■ ■■■■■■■■■■■■■■■■■■/■■■■■■■■■■■■■■■■■■■■■■■■■EEEEME■E■SOME E■E■M111 ...........................................�......■■ ■EM■■■■.ME■E■ ...............■................■......■.. ...■■...�.■■■■.■■■.■■■ ................■...........................■....■■� ■OENEN Emmm■mE■■ ................................ ■■■ENNEEMEN■■Em■ME■E0NM■N■N■Nom■ ■■■■■■■■■■■■■m■■■■■■■■■.■■■■■.■■■■■■■■..■EE■■■ ■EENO MH�■MM■MMNM■ ■■■■■■■■■■■■■■.■■■■M■■■■■N■■■.■■■■■■■■■.■ OMNI ENE EMEM■ ■■ ■■■■■/■■■■.■■■■■.■■■■.■■■■■■■■■■■■■.■■■.�■■. .�■ ■��■■.I.M■■■■.■I.. 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