150 Boone Ln Davie County,NC Tax Parcel Report ' 0 6 Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
r Parcel Information
Parcel Number: L60000000403 Township: Jerusalem
NCPIN Number: 5756185845 Municipality:
Account Number: Census Tract: 37059-807
Listed Owner 1: Voting Precinct: JERUSALEM
Mailing Address 1: Planning Jurisdiction: Davie County
City: Zoning Class: DAVIE COUNTY R-A,R-20
State: Zoning Overlay:
Zip Code: Voluntary Ag.District: No
Legal Description: 5.001 AC WILLBOONE RD Fire Response District: JERUSALEM
Assessed Acreage: 4.97 Elementary School Zone: CORNATZER
Deed Date: 11/1998 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 002070429 Soil Types: PaD,PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding 8r Extra 11660.00
Freatures Value:
Land Value: 36310.00 Total Market Value: 47970.00
Total Assessed Value: 47970.00
l 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 O1 F Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
NC County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this webshe.
'x� L•W"ibAx.Y RSi,i.',n3s.-�vdi`""Y 4..i._4 -'E atlX.Ott,i ° ♦ r -.,i,r� ,i�s'4F:ti'. ;. i a t-. .. �a, ,- --s+%.r - :
:AUTHORIZATION NO;
1806 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
ri 48
Name'
11z"mr-1
P.O.Box .2
Name: CG+�„� ! . Mocksville;NC 27028 Subdivision Name:
Phone# 336-751-8760 t
Directions to property: ���i`gj Section: Lot:
AUTHORIZATION FOR
WASTEWATER r
SYSTEM CONSTRUCTION Tax Office PIN:#'
Qfie4Oi1 rl-- 4• O
Road Name: .�Zip:= _
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPermits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article Il of G.S..Chapter,130A,Wastewater Systems,Section..]900 Sewage Treatment and Disposal Systems)
**.*NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
j J ,moi/ f IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPIrCIA1 IST - DATE ISSUED
.�. � .8 0 6 DA IE OUNTY HEALTH DEPA R NT
,�j,. .�-�-� IMPRO EMENT AND OPERATION} TS PROPERTY INFORMATION
�mittee,s
Name: 1 , �,�; ,f ; Subdivision Name:
Directions to property "' -= f --F > "+} Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# . • -,
o o l Zip:
Road Name:
**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 S C DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE_,Q #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPES #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY ( y DESIGN WASTEWATER FLOW(GPD) NEW SITE v REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�LGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT 202 ,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
L�
' r
**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 ,
SYSTEM INSTALLED BY:
l00
/per
AUTHORIZATION NO. / OPERATION PERMIT BY: / /�r�i DATE: /
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
E=1
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 051
V(Revised),
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC
Davie County Health Department Q [ Q a
EnWi»nmenf alIfeaKfi SmWon
P.O. Box 848/210 Hospital street NOV 1 9 iggg
Mockaville, NC 27028
(336)751-8760
ENVIRONMENTAL HEALTH
***IWORTANT*** THIS APPLICATION CANNOT 8L PROCESSED UNLESS ALL THE m QUI
INFORMATION IS PROVIDED. Refer to the
� INFORMATION BULLETIN for instructions.
1. llama to be Billed !/L/4--e /f/J /" o S��f Contact Perste 46,
C
Mailing AddressPhone
_ 4w- -7
city/state/zIP A�1'4- e-c- -tl-C. 27oa b Business Phone
2. Name on Pewit/ATC if Different than Above
Mailing Address City/state/zip �-
3. application For: 44ite Evaluation ❑ Improvement Permit/ATC l�/Both
e. system to service: 0 House 4bile Home 0 Business 0 Industry ❑ other
s. if Residence: # People J # Bedrooms . 1� _ # Bathrooms v2
9/Dishwasher O Garbage Disposal �a-ahing Machine 0 Basement/Pimobing 0 Basement/No Plumbing
6. If Business/Industry/other: specify type # People # sinks
# Ccumodes # showers # Urinals # Nater Coolers
IP IWDSEAVICE: 11 Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: tl County/City 0 Well 0 Conmmnity
8. Do you anticipate additions or expansions of the facility this system Is Intended to serve! 0/Yes 0 No
If yes,what type' Tet- olor-b/c a�
•"IMPORTANIv"CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 577, On 1 ,Qcrer �WRITE DIRECTIONS(from MockrAlle)to PROPERTY:
Tax Oftice PIN: # S7,S-�v ' l�' rp qE' '1'0 n�o 4d 60/ S
Property Address: Road Name /TO ;T60-1 4-,e- sm ri l l l
City/Zip /d'foc''r• oZ7abtB' v('a see G✓i//,foo-►e /'o� o-.
If in a Subdivision provide lnformation,as follows: Lcd rdld a,
e
Name: p
Section: Block: Lot: Date Property Flagged: 9' /
This 6 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 thalI ain responsiblefor all charges Incurred from
this appilcaation. 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 4,,�4 14e,- 416
to conduct all testing procedures as necessary to determine the site sultabilihy.
DATE—//- SIGNATURE `J [.��� �• // `�
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Account No.
Revised DCHD(07/98) Invoice No. ��g
I
I
JUDY F. PRATT I RICHARD R. FOSTER
D.B. 146 Pg. 494 I D.B. 198 Pg. 332
I
I
- 0.9' I
1ER I
T9'—E --- I
75 91
V S 85.27'24' E ——————-i
646 55 v
633.10
E—N 24•
'85'2 7y S 87.20'26' E —*- 1225.20 TOTAL
W � 947,79
277.41
EDWARD R. HOLLEMAN `fl' 051
D.B. 198 P F'o J6 ^o
g. 326 0� 7 ��
x
z 66'X14' MOBILE HOME AREA = 5.001 ACRES oq�
-------- ----------- ------ (SUBJECT TO S.R. 180? R/W1
W AREA = 1.568 ACI
DENNIS C. TRITT ?
D.B. 198 Pg. 329 oN i
Ln
-.
= S 02.54158' V 268.39
569.55 25.00
668.39 TOTAL �_ 400.00
�`—N 9' N 87 05'00' V
�� S 87.05'02' E —.. -------._._
IIRON FOUND -----------'----------
G'D0 a5 I
t �• 662Q9' I
G. 1 I
DENNIS C. TRITT
I D.B. 174 Pg. 35
20' PAVEMENT I D.B. 199 Pg. 127
I
I
I
1
• = NEW IRON STAKE SET OR R/R SPIKE
IN CENTER OF RD. UNLESS OTHERWISE
,r
1, GRADY L TUTTEROW, CERTIFY.THAT UNDER PLAT OF SURVEY FORl
MY DIRECTION AND SUPERVISION, THIS MAP ,��Nnnn„��
WWAS ADE DRAWN
FROM
OANSACTUALNFIELD SURVEY CARO•.,,,, JENNIFER RE
jl / ��',V\S if~
Q:'�G 9f ;2'; REVISIONS �, 1' = 100' APPROM In
/ :O: Q ��'
.: SEAL - NOV. OS, 1998 --� MARCH 9, 1998
DRIVE LOCATI
DAVIE COUNTY HEALTH DEPARTMENT
EnvironmentalHealth Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME� �� DATE EVALUATED
PROPOSED FACILITY PRqPER1Y SIZErp 41)
G'
SUBDIVISION ROAD 17AME
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope% 121
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH f
Texture groupell
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
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: ,� EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:_ 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/ft2
DCHD(01.90)
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