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369 Lakeview RoadDavie County, NC' Tax Parcel Report Tuesday, January 17, 2017 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 1614OA001401 Township: Shady Grove NCPIN Number: 5758847653 Municipality: Freatures Value: Account Number: 46903620 Census Tract: 37059-804 Listed Owner 1: MANGAN JACK E Voting Precinct: WEST SHADY GROVE Mailing Address 1: 373 LAKEVIEW ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-7368 Voluntary Ag. District: Legal Description: 5.00 AC LAKEVIEW RD Fire Response District: CORNATZER - DULIN Assessed Acreage: 5.04 Elementary School Zone: CORNATZER Deed Date: 7/1988 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001440275 Soil Types: EnB,GaD,MsC,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Davie County, All 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 orfttness for a particular use. All users of Davie County's GIS webslte shall hold harmless the F-A7 NCor County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to arising out of the use or inability to use the GIS data provided by this website. � _�� ti .r'.i4:, ._n ,r, ,_ .._.. ( .4 'tilt ,, ;a,. ..•, v .. -.. „ r e.. _ .. ., , : ,.. ..�,'._,.. \ , ALCThORIZ4T10N NO: 1545 DAVIE BOUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: _ Mocksville, NC 27028 Subdivision Name: p Phone, # 336-751-8760 Directions to property: rti`.- l/ -i �-i/"Section: Lot: AUTHORIZATION FOR WASTEWATERAV SYSTEM CONSTRUCTION Tax Office PIN:#� - C viC� 1 i Road Name: t ;+/ zip: Al 1/01q, **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 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848 NEW PHONE NUMBER: Mocksville, NC 27028 EFFECTIVE MARCH 22, 1998 (704) 634-8760 336 751-8760 APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed MA N& 14 r Contact Person TRc.k N1AA)C 1gAJ Mailing Address 313 LA KL: ✓l L w It(7 Home Phone 3,U 992 I DS City/State/Zip ock.sJ1 "L 1'V. L. ;-Z01 E�— Business Phone /VIA 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [ ] Site Evaluation City/State/Zip [ ] Improvement Permit & ATC 4. System to Serve: [)? House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other ['Both 5. If Residence: # People_1_ # Bedrooms__ # Bathrooms_ [g Dishwasher [ ] Garbage Disposal [ ] 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: pa County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [fid No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***-)V4qM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 5 A CRE S WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 51s" 8 - I _ - mt; We o% RT 4!!� y E IST 1'o C c -n ri y 7,e rL Ry Property Address: Road Dame L r4xL3tllaw go 7"u nn/ Lw Rr T"e LA kC VMA) RD City/Zip k42Cks V ILLIE N. C. ;(RPPriwe iow AA Ty 0.N (loess LAk60adw If in Subdivision provide information, as follows: PR o PoSGa 'SITE- fU oR 1 'FF o F 3?3 Name: N o jB G 9t.L p}N,D y Do w t LL BF Section: Lot #: ✓ A cm A r S m 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 DATE 7 Revised DCHD (06-96) to conduct all testing procedures as necessary to determine the site suitability. THIS AREA MAY $E USED FOR DRAtVINC YOUR SITE PLAN: DAVIE COUNTY HEALTH DEPARTMENT 0- IMPRO' VEMENT AND OPERATION PERMITS PROPERTY INFORMATION ,. Permittee. IS.* , Name:,' ..,'�; �,/ Subdivision Name: Directions to property; f✓.. Section: Lot: IMPROVEMENT PERMTf Tax Office PIN:#. a� - `� r -o - - r'�- , Road Name: r II/ 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' f ***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 TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ,: '7 C TYPE WATER SUPPLY /,?o DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE-A?A?—GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /� LINEAR FF.�/ d Cl OTHER 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 AUTHORIZATION NO. OPERATION PERMIT BY: (/� DATE: /o **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 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) N DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME 17 A) DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE / 3•¢�' SUBDIVISION ROAD NAME 1,4,bay e &,-- Water Supply: Evaluation By: On -Site Well Community Auger Boring ✓ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % ` HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC 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 1 1175f LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: (.7/a , x0 xc LONG-TERM ACCEPTANCE RATE: , o2 _ REMARKS: r LEGEND DCHD (01-90) Landscape Position EVALUATION BY: -&, V 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 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 ■■ ■EM■ ■ON■ ■■N■ ■■M■ ■OE■ ■EM■ ■■M■ ■■E■ ■EM■ ■EM■ soon ■EM■ ■■M■ ■ON■ ■EM■ ■■M■ ■ON■ ■■M■ ■ ■ ■OE■ ■■N■ ■ ■ ■ON■ ■ NONE ■■M■ ■■■■E■ ■E■■M■ ■E■■■■ MEMO ■ ■■N■ ■E■ ■E■ ■E■ ■E■ ■ ■O■■ ■■M■ ■EM■ ■EM■ ■EM■ ■■M■ ■ON■ ■EM■ � _�� ti .r'.i4:, ._n ,r, ,_ .._.. ( .4 'tilt ,, ;a,. ..•, v .. -.. „ r e.. _ .. ., , : ,.. ..�,'._,.. \ , ALCThORIZ4T10N NO: 1545 DAVIE BOUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: _ Mocksville, NC 27028 Subdivision Name: p Phone, # 336-751-8760 Directions to property: rti`.- l/ -i �-i/"Section: Lot: AUTHORIZATION FOR WASTEWATERAV SYSTEM CONSTRUCTION Tax Office PIN:#� - C viC� 1 i Road Name: t ;+/ zip: Al 1/01q, **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 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848 NEW PHONE NUMBER: Mocksville, NC 27028 EFFECTIVE MARCH 22, 1998 (704) 634-8760 336 751-8760 APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed MA N& 14 r Contact Person TRc.k N1AA)C 1gAJ Mailing Address 313 LA KL: ✓l L w It(7 Home Phone 3,U 992 I DS City/State/Zip ock.sJ1 "L 1'V. L. ;-Z01 E�— Business Phone /VIA 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [ ] Site Evaluation City/State/Zip [ ] Improvement Permit & ATC 4. System to Serve: [)? House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other ['Both 5. If Residence: # People_1_ # Bedrooms__ # Bathrooms_ [g Dishwasher [ ] Garbage Disposal [ ] 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: pa County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [fid No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***-)V4qM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 5 A CRE S WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 51s" 8 - I _ - mt; We o% RT 4!!� y E IST 1'o C c -n ri y 7,e rL Ry Property Address: Road Dame L r4xL3tllaw go 7"u nn/ Lw Rr T"e LA kC VMA) RD City/Zip k42Cks V ILLIE N. C. ;(RPPriwe iow AA Ty 0.N (loess LAk60adw If in Subdivision provide information, as follows: PR o PoSGa 'SITE- fU oR 1 'FF o F 3?3 Name: N o jB G 9t.L p}N,D y Do w t LL BF Section: Lot #: ✓ A cm A r S m 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 DATE 7 Revised DCHD (06-96) to conduct all testing procedures as necessary to determine the site suitability. THIS AREA MAY $E USED FOR DRAtVINC YOUR SITE PLAN: DAVIE COUNTY HEALTH DEPARTMENT 0- IMPRO' VEMENT AND OPERATION PERMITS PROPERTY INFORMATION ,. Permittee. IS.* , Name:,' ..,'�; �,/ Subdivision Name: Directions to property; f✓.. Section: Lot: IMPROVEMENT PERMTf Tax Office PIN:#. a� - `� r -o - - r'�- , Road Name: r II/ 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' f ***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 TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ,: '7 C TYPE WATER SUPPLY /,?o DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE-A?A?—GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /� LINEAR FF.�/ d Cl OTHER 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 AUTHORIZATION NO. OPERATION PERMIT BY: (/� DATE: /o **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 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) N DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME 17 A) DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE / 3•¢�' SUBDIVISION ROAD NAME 1,4,bay e &,-- Water Supply: Evaluation By: On -Site Well Community Auger Boring ✓ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % ` HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC 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 1 1175f LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: (.7/a , x0 xc LONG-TERM ACCEPTANCE RATE: , o2 _ REMARKS: r LEGEND DCHD (01-90) Landscape Position EVALUATION BY: -&, V 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 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 ■■ ■EM■ ■ON■ ■■N■ ■■M■ ■OE■ ■EM■ ■■M■ ■■E■ ■EM■ ■EM■ soon ■EM■ ■■M■ ■ON■ ■EM■ ■■M■ ■ON■ ■■M■ ■ ■ ■OE■ ■■N■ ■ ■ ■ON■ ■ NONE ■■M■ ■■■■E■ ■E■■M■ ■E■■■■ MEMO ■ ■■N■ ■E■ ■E■ ■E■ ■E■ ■ ■O■■ ■■M■ ■EM■ ■EM■ ■EM■ ■■M■ ■ON■ ■EM■