155 Boone Farm Rd r
Davie County, NC Tax Parcel Report 0 Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: 130000003504 Township: Calahaln
NCPIN Number: 5728181974 Municipality:
Account Number: 8303074 Census Tract: 37059-801
Listed Owner 1: LEMUS JOSEFINA Y Voting Precinct: NORTH CALAHALN
Mailing Address 1: 155 BOONE FARM ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20,H-B
State: NC Zoning Overlay:
Zip Code: 27028-4106 Voluntary Ag.District: No
Legal Description: 1.00 AC BOONE FARM RD Fire Response District: CENTER
Assessed Acreage: 1.00 Elementary School Zone: MOCKSVILLE
Deed Date: 1/2014 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009480228 Soil Types: PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 50600.00 Outbuilding Extra
Freatures Value: 3070.00
Land Value: 20100.00 Total Market Value: 73770.00
Total Assessed Value: 73770.00
�v All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 iuDavie 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 Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT J (K).0 U
�:- IMPROVEMENTS PERMIT AND CERTIFICATE- OF COMPLETION
N
' OTE:Issued in Compliance�With Article 11 of G.S.Chapter 130a 1S�T� ,
nt��r� y k
Permit Number
anitary Sewage Systems
-7�+
Name, ,.p�, t2 Q � CJ > eJ� Date v r w t N2 I C7 0
Location �• I � � �
Tye
Subdivision'Name Lot No. Sec. or Block No.
Lot Size I ` � - House Mobile Home —T Business ---'Indust
No. Bedrooms �_.No. Baths -'3— No. in Family — Public Assembly Other
1 Garbage Disposal YES p NO M/ Specifications for Systems
Auto ish Washer YES NO p 0 U o
Auto Wash Ma thine YES NO ❑
-� X
U 3 �
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 change:
T1
1
Su^
V �N\ 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.,
1:00-1:30 P.M.or 4:30-5:00 PM.on day of completion.Telephone Number:704-634-5985.
Final Installation Diagram: System Installed by
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Certificate of Completion Date
'The signing of this certificate shall indicate that the system described above hays 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 PERMIritu)'"ti
r- Davie County Health Department . iu �
Environmental Health Section ? 199
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By Lf-�Sz QL Ln 0 L.J
Mailing Address N �Pb C-C-S4: � � Home Phone( 4) 34- ti
Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation eptic Tank Installation Permit
4. System to Serve: P House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No.of People Aasement/No Plumbing
No. of Bedrooms (/ Q'Washing Machine
No. of Bathrooms D 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
No. of Showers Water Usage Figures
7. Type of water supply: OLP
❑ Private ❑ Community
8. Property Dimensions /_OLP r Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �lo
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: (a4 t-t.� VS+ aAajAoct
�(
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 appli ation.
DATE StdNATURE
CONSENT FOR SITE EVALUATION TO BE DONE QN ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. 1 OWN the property. � 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 the av' ounty I h Department to enter upon above described
cated in Davie County and owned by W.
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DATE SIGNATUR
DCHD(1193)
` A • DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation Q
NAME DATE EVALUATED _ 4 94
ADDRESS PROPERTY SIZE �p�� p
PROPOSED FACIILTY \� -� LOCATION OF SITE 1J n-G�
Water Supply: On-Site Well Community Public
Evaluation Bye Z I-, Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position 5- S' s
Sloe Z
HORIZON I DEPTH
Texture group C L CL_ C L_ C�
Consistence V I -G L Z
Structure r_ V_ C
Mineralogy 1 ' 1 S 1
HORIZON II DEPTH 1.4o1
Texture groupG C
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS X-S S s
RESTRICTIVE HORIZON — —
SAPROLITE -- — —
CLASSIFICATION S.
LONG-TERM ACCEPTANCE RATEI 0 O
SITE CLASSIFICATION: ` � EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: s OTHER(S) PRESENT:
REMARKS: e �s - 1 • ` �4 C`�� - S ac�a 11 -�T�n
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-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
DCHD(01-901
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