182 Bills Way Davie County, NC Tax Parcel Report 4- d 0 Friday, September 23, 201 f
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: D60000007201 Township: Farmington
NCPIN Number: 5852933823 Municipality:
Account Number: 39750750 Census Tract: 37059-802
Listed Owner 1: JAMES PHILLIP MELVIN' Voting Precinct: FARMINGTON
Mailing Address 1: 182 BILLS WAY Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 6 AC RAINBOW RD Fire Response District: SMITH GROVE
Assessed Acreage: 5.87 Elementary School Zone: PINEBROOK
Deed Date: 1/2016 Middle School Zone: NORTH DAVIE
Deed Book/Page: 010100195 Soil Types: EnB,ChA,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 44770.00 Outbuilding 8r Extra 2010.00
Freatures Value:
Land Value: 54120.00 Total Market Value: 100900.00
Total Assessed Value: 100900.00
4 t1� 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
cOUN Si NC or arising out of the use or inability to use the GIS data provided by this website.
VAUTHORIZATION NO: Q 6 U 9 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
4P rmiq ' P.O.Box 848 -
Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760
Directions to property: a, Section: Lot:
N1 AUTHORIZATIONFOR
OR b0,t
\� .– C\.� �`� Tax OfficePIN:#fi
CONSTRUCTION
CONSfRUC
Road Name:x),3 Zip'�1—�uu r S
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior 1 f r
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)
C D ***NOTICE***THISAUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE nl- 6rT BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes,o No
COMMERCIAL SPECIFICATION:FACILITY TYPE• #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE`1 ct» TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
1 p �
SYSTEM SPECIFICATIONS:TANK SIZE �C O GAL PUMP TANKL.p �GATRENCHWIDTH ROCK DEiPTH p LINNEAR FT,y,.r�+_+
OTHERS ei? � 5 s-J�Xo'' .1' -R�iRA Jn��+
REQUIRED SITE MODIFICATIONS/CONDITIONS:
� e
IMPROVEMENT PERMIT LAYOUT ,
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CL e�S
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:3 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)6348760.
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OPERATION PERMIT -� 1�� 2 70 Q
4a SYST�] INST ED BY: •—'J —n>`i�..k ��ri k�
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AUTHORIZATION NO.')LdCI OPERATION PERMIT BY: L DATE: _
i
**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 05196(Revised)
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LiUTHORIZATION NO: ' 0609 DAME COUNTY.HEALTH DEPARTMENT f Ob .a 0
Environmental Health Section PROPERTY INFORMATION
+ *Pernntte6' P.O Box 848.
lame. '. 1 \E? p,c es Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760
Directions to property:-1 E F ,,CIT.- Section:. Lot:
AUTHORIZATION FOR
\fir. ��4� '" tTh WASTEWATER Tax Office PIN: 2..:-, _
SYSTEM CONSTRUCTION
A Road laaW &11Sme-i-� ` Zip
**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 I 1 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
r e- ria
_ DAME COUNTY HEALTH DEPARTMENT " F
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
�Permitte � y, _.-
1tQanf :: Subdivision Name:
Directions to property: Section Lot:
IMPROVEMENT _
PERMIT Tax Office PIN:# / -
Ijl C, Road me p
:--s- 1
-�----,-�'ti gi ;
**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)
***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 - 6t"!BEDROOMS #BATHS:_#OCCUPANTS _GARBAGE DISPOSAL:Yes,o No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE C,crsy TYPE WATER SUPPLY QJ0 DESIGN WASTEWATER FLOW(GPD) �� NEW SITE V REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEb0 0 u
`�� GAL. PUMP TANK GAL. TRENCHWIDTH ROCK DEPTH�,p� LINEAR FT.�Q�
OTHER \��a s J 9 ..! -R
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
`N
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CD
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:3 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)6348760.
OPERATION PERMIT a 1� � �0 4
44 SYSTt INST ED BY: JJi�....�,r
(> o
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AUTHORIZATION NO.Q t109 OPERATION PERMIT BY: V 9•D 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)
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• APPLICATION FOR SITE•EVALUATION/IMPROVEMENT PERMIT&ATC
.',-. Davie County Health Department [E OW L5
- Environmental Health Section D
P.O. Box 848 DEC 2 1996
Mocksville,NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
/�
1. Name to be Billed- F) / �� t , ont Person iq�
Mailing Address Home Phone 7 7-f" D
City/State/Zip 74 Z Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [ ]Site Evaluation [ ]Improvement Permit&ATC oth
4. System to Serve: VI-House [bile Home [ ]Business [ ]Industry [ ]Other
5. If Residence: #People #Bedrooms_ #Bathrooms - [dishwasher[ ]Garbage Disposal
V?<�hing 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: [ County/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes KTf o
If yes,what type?
PROPERTY INFORMATION REQUIRED:***IMPORTANT***A FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: WRITE DIRECTIONS(from Mocksville)TO PROPERTY:
Tax Office PIN: #q B.TL -V
Property Address f a' o-ad N 6' R/ J
City/Zip u o 4 ?-
If in Subdivision provide information,as follows: N 7'/`4
Name: ;
WD
Section:�'1 h 1E, tt#rte # 7-2- t T
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
Rep re entative of the Davie County Health De artment to enter upon above described property located in Davie County and owned
by / O/,- &C4 nduct all test procedures as necessary to determine the site suitability.
DATE Y2 -3 SIGNATURE
Revised DCH (06-96)
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation q
NAME ►A DATE EVALUATED
ADDRESS 5 A'c"j`E' PROPERTY SIZE ��
PROPOSED FACIILTY �- ° ^-� LOCATION OF SITE02 V4
Water Supply: On-Site Well Community Public
Evaluation Bye L- Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe % 'CR- S0ck_ 15 �
HORIZON I DEPTH (0 1, &
Texture group $C t, S c L 5 C L
Consistence F Z r-_N_ _
Structure C 1z.
Mineralogy :1
HORIZON II DEPTH
Texture group
Consistence 71
Structure
Mineralogy1•.
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS S S
RESTRICTIVE HORIZON — -
SAPROLITE —
CLASSIFICATION •S S ,S
LONG-TERM ACCEPTANCE RATE2 2
SITE CLASSIFICATION: p'S EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHERS P SEN 2,
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 :lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vt-_.-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
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bj' • �y� .APPLICATION FOR-SITE E,VALUATIONAMPROVEMENTS PERMIT
+
Davie County Health Department
W
p� / Environmental Health Section \��. %A71
s�v'' ((� 2 P. O. Box 665
Mocksville, NC 27028 w V V C� ,�• f
1. Application/Permit&quested By
Mailing Address C Home Phone nn
Business Phone 09 rfLH
2. Name on Permit if Different Pan Above
3. Application for. M General Evaluation 0 Septic Tank Installation Permit 7"�_X' '
4. System to Serve: ❑ House E obile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other / ❑ �Unknown
5. If house, mobile home:Subdivision Section!iA__lAVP E
❑ Basement/Plumbing
No.of People ❑ Basement/No Plumbing i
No. of BedroomsWa Ing Machine
No.of Bathrooms Dishwasher
Dwelling Dimensions ❑ 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 1
I
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 a-No
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.
j
a Directions to Property:
`71r?fF�L I
i
4
This is to certify that the information provided is correct tot bes of e,and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE_N ABOVE DESCRIBED PROPERTY
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 MUS be completed by the owner or a person authorized by the owner:
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
to:conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD(1/93)
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• n
' DAVIE COUNTY HEALTH DEPARTMENT n
Environmental Health Section /"Y 'R,Soil/Site Evaluation .
NAME 0 6X\-s- DATE EVALUATED H .1
ADDRESS �'Cn o PROPERTY SIZE C� '\
PROPOSED FACIILTYLOCATION OF SITE d 1
Water Supply: On-Site Well _ Community Public
Evaluation By:ek• Auger Boring l� Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope 2
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 17,911
Texture group
Consistence
Structure
Mineralogy .P / --
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 ACCEP ACE ATE: 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 ;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
Mineralog
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
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