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332 Michaels Road Lot 7Davie Countv. NC - Tax Parcel Report Mondav, February 13, 2017 WARNING: "1'HIS IS NOT A SURVEY O r vt� All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �T County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to l� nDU N� C or arising out of the use or Inability to use the GIS data provided by this website. Parcel Information Parcel Number: M5020A0007 Township: Jerusalem NCPIN Number: 5746107791 Municipality: Account Number: 82520734 Census Tract: 37059-807 Listed Owner 1: JORDAN SUSIE N Voting Precinct: COOLEEMEE Mailing Address 1: 332 MICHAELS ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-6722 Voluntary Ag. District: No Legal Description: LOT 7 SALLIE ACRES Fire Response District: JERUSALEM Assessed Acreage: 0.69 Elementary School Zone: COOLEEMEE Deed Date: 4/2003 Middle School Zone: SOUTH DAVIE Deed Book / Page: 004760584 Soil Types: WeB,GnB2 Plat Book: 0006 Flood Zone: Plat Page: 159 Watershed Overlay: DAVIE COUNTY Building Value: 46700.00 Outbuilding & Extra 1350.00 Freatures Value: Land Value: 20000.00 Total Market Value: 68050.00 Total Assessed Value: 68050.00 O r vt� All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �T County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to l� nDU N� C or arising out of the use or Inability to use the GIS data provided by this website. \AUTHORIZATION NQ: r 15 0 DAVIE COUNTY HEALTH DEPARTMENT c Environmental Health Section PROPERTY INFORMATION ) ermittee's P.O. Box 848 / • A o Name: .t}'ffr- s't� Mocksville, NC 27028 Subdivision Name.ti't' ,• r-ai 3 F Phone #: 704-634-8760 Directions to property: f%Z%' - % " Section: - Lot: AUTHORIZATION FOR r/ WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION Road Name:ip �wA **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 {� , i!'r 5e, , 1.. � IS VALIDFOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Name:..:. Subdivision NametG 11A.,- Directions to property: _ }lrP' : , ,ft' f•�' « Section: p Lot: I11WROVEMENT PERMIT Tax Office PIN4 0 R - __ 33 Z /1/IICftGC�c.�S ��• Road Name % Ap� w ea�►p LE** 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 constructionlmstallation of a system or the issuance of a building permit. pliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ,. ***NOTICE*** Tms PERMIT IS SUBJECT TO REVOCATION EF SITE j�..� } SY�S'TEM �R MUST SEE THIED. USE S YOURWASTEWATER BEFORE A� ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 3G1 -I TYPE WATER SUPPLY � DESIGN WASTEWATER FLOW (GPD)6() NEW SITE_ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEha—GAL. PUMP TANK GAL. TRENCH WIDTH _f�l ROCK DEPTH 14 LINEAR FT. Zy / REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT 11 1 **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) 6348760. OPERATION PERMIT SYSS ALLED BY: AUTHORIZATION NO. �h<b 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. L/l.R✓ ujfm kRGYNW) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMITrEDECI @ �' a Davie County Health Department Environmental Health Section P. O. Box 848 97 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS �� ALL /THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Poi✓ �c S Contact Person Mailing Address P 0 v OX -739 Home Phone -704- -294--,2-(4--7 City/State/Zip Oo o bee ni ee IV l 0t 4-- Business Phone��� �0�—a c� 2. Name on Permit/ATC if Different than Above Mailing Address �City/State/Zip 3. Application For: ❑ Site Evaluations M"' Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House W Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms Dishwasher ❑ Garbage Disposal WWashing 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) 9 7. Type of water supply: " County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: / X &02 Tax Office PIN: # L Property Address: Road Name 1 V l wl `r/�" k 0-4 City/Zip V Il(o�Ui I l e a7o� 8 If in Subdivision provide information, as follows: -�-- Name: Vs �Q,bi lila i Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY- (,,) o 1 S -% P tlh* .L/ o-� -7 1 W P2cahk 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 o `", ✓ L �rnQ N to conduct all testing procedures as necessary to determine the site suitability. DATE / 2- Lq7 SIGNATURE Revised DCHD (06-96) " •, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIrOi �' i Davie County Health Department Env'ronm ntal Health Section ,�.. 2 11995 P. O. Box 665 Mocksville, NC 27028H 1. Application/Permit Requested By ` oh 'U 'asry_-SJze��C• r �i /oil Mailing Address��r_,i•. Home Phone to fitg 33 _ MT0 �5 /� Business Phone k 7 ;7- �J 2. Name on Permit if Different than Above 3. Application for: General Evaluation ElSeptic Tank Installation Permit 4. System to Serve, ®f'/House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown i n s�%vf•�1s 5. If house, mobile home: Subdivision -`' ''T e�-� G�Q� Section Lot # 91 7. 8. 9. ,? ❑ Basement/Plumbing No. of People No. of Bedrooms No. of Bathrooms fa - Dwelling Dimensions %DO If business, industry, place of public assembly, other: Specify type _ No. of People Served goo s�r-,4- No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures _ Type of water supply: A -Public ❑ Private Property Dimensions ,�d O �7y s% �Q©� Sewage Disposal Contractor _ Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ If yes, what type? ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ .Garbage Disposal Yes "o ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: PI / r 4-S �a s This is to certify that the information provided is correct to the best of my knowledge, incurred from thi a plication. _ DATE I understand I am responsible for all charges SIGNATURE ¢` CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED F?ROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representativ of the De�wwe Co my Health f�artment to enter upon above described property located in Davie County and owned by 6 i s c, Foe -n, esv;'ce�, to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. C 2 �/�--� J DATE DCHD (1103) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME 77 ADDRESS PROPOSED FACIILTY� g�e DATE EVALUATED V� PROPERTY SIZE X12Dp LOCATION OF SITE z717in1l"aal Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit _1__' Cut FACTORS 1 2 3 4 Landscape position I-- .I— Slope Slo e Z `1 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG Consistence i - 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 L SITE CLASSIFICATION: �S EVALUATED BY:X61/f LONG-TERM ACCEPTANCE RATE: i % 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 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 -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 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