163 Bare Ln Davie County, NC Tax Parcel Report (���� Friday, September 23, 201E
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WARNING: THIS IS NOT A SURVEY
� - Parcel Information
Parcel Number: G50000008601 Township: Mocksville
NCPIN Number: 5840519549 Municipality:
Account Number: 82529118 Census Tract: 37059-805
Listed Owner 1: DOWNING MICHELLE BROCK Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 725 ANSLEY COURT_ Planning Jurisdiction: Davie County
City: WINSTON SALEM Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27107-7688 Voluntary Ag.District: No
Legal Description: 15.22 AC OFF HWY 158 Fire Response District: MOCKSVILLE
Assessed Acreage: 15.00 Elementary School Zone: MOCKSVILLE
Deed Date: 1/2008 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 007420493 Soil Types: WeC,WeB,RnD,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 70940.00 Outbuilding&Extra 8210.00
Freatures Value:
Land Value: 81000.00 Total Market Value: 160150.00
Total Assessed Value: 160150.00
9�v t� 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
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
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NNC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With'Article 11 of G.S.Chapter 130a
Sanitary Sew`agge Systems Permit Number
* Name;"rf, /,%�r �l�n<<�� ,� �'�?G c/� �) 'pDate �" / "Jai NG 6995
!j`
Location
47
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms .No. Baths No. in Family �? _
Garbage Disposal YES ❑ NO
Specifications for System:
Auto Dish Washer YES 2',NO ,0-'
Auto Wash Ma shine YES NO ❑ !
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended-use nge.
L
Improvements permit by
*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 day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion J ;/�` Date �� f
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
PSV Davie County Health Department
� :51992
®
�7 Environmental Health Section
P. O. Box 665
Mocksville, NC 27028 DEC 1
------- -----
1. Application/Permit Requested By
Zb �-eeg ►, Z7o Z,9Mailing Address � �r�v�. b c�SVi f�� ��-
Home Phone , y- i,3 y -9 j S Business Phone g00' �'� oY
2. Name on Permit if Different than Above ry\'Q� N Whl'v\�R
3. Application/Permit for: ❑ General Evaluation Septic Tank Installation
4. System to Serve: ❑ House Vmobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home:Subdivision Section Lot #
❑ Basement/Plumbing
No.of People ❑ Basement/No Plumbing
No.of Bedrooms W-Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ��1 �L ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: Public ❑ Private ❑ Community
8. Property Dimensions Sewage Disposal Contractor ��//
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes YNo
If yes, what type?
'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:
g
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. I OWN the property. jam. I DO NOT OWN the property.
ked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of th Davie County ealth Department to enter upon above described
cated in Davie County and owned by Q,O� 299�
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DATE SIGNATURE
DCHD(12.90)
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
A469
Soil/Site Evaluation
NAME 6 DATE EVALUATED
ADDRESS / PROPERTY SIZE
PROPOSED FACIILTY �Z%Z• LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe % --- --
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupf-� f
Consistence ,-
Structure 1G
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 y
SITE CLASSIFICATION: EVALUATED BY: Ila 1�
LONG-TERM ACCEPTANCE RATE: y 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 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/ftz
DCHD(01-901
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