574 Boxwood Church Rd Davie County,NC Tax Parcel Report Monday, September 26, 2016
! 487
144 ~`til 3822
3819
132
3835`~ ..'4pri + — ---
..,,
523
521
3872 I�
r � I
0 552.. ���-____._—
rr --
r 3890 569
574
__....._....
..,� ---�--._
585 CHUNN LN -`
�'• 3923 108 128
12 j 12 6_j i—J
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: 0600000055 Township: Jerusalem
NCPIN Number: 5754360537 Municipality:
Account Number: 8300331 Census Tract: 37059-807
Listed Owner 1: MAYFIELD BRYON K Voting Precinct: JERUSALEM
Mailing Address 1: 574 BOXWOOD CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 6 AC HWY 601 Fire Response District: JERUSALEM
Assessed Acreage: 5.30 Elementary School Zone: COOLEEMEE
Deed Date: 5/2011 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 008580833 Soil Types: PaD,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 50240.00 Outbuilding&Extra 9000.00
Freatures Value:
Land Value: 44840.00 Total Market Value: 104080.00
Total Assessed Value: 104080.00
I,v 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
NC or arising out of the use or inability to use the GIS data provided by this website.
i� - ek, 1 -) i.•_:r c. -:..- y -y-'L.,..2/ .:.rtv... _ .y::r...,.:.r.r.:,. I '? --, e"s '—
!Pet�cxfttee's-''1 .., �A6 DAVIFCOUNTY HEALTH DEPARTMENT
Name: �' _ `l Lt Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property: `�'�' i Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760-
Section:- Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION -
AUTHORIZATION NO: 002789 A Road Name: —7'7 y
**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 ith-Article I I of'S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
f" �IfECIALISr
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRO ME T`A EAJ DATE IS U
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS—Z—#BATHS-#OCCUPANTS GARBAGE DISPOSAL:Yes or No
1
COMMERCIAL SPECIFICATION: FACILITY TYPES i #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLYC L 'DESIGN WASTEWATER FLOW(GPD) f NEW SITE REPAIR SITE /
SYSTEM SPECIFICATIONS: TANK SIZE_---GAL. PUMP TA�NJK GAL. TRENCH WIDTH'�*� ROCK DEPTH N LINEAR FT.
OTHER �ic reb ,5/'7 �` .+..-1 1 t3✓ d 1
REQUIRED SITE MODIFICATIONS/CONDITIONS: �1+J 1 L/.+✓ cam"'" I l I �"' L IJ�'S
IMPROVEMENT PERMIT LAYOUT
'7-0r L
e,
7z �8,
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
tV
Q�IC� q '�
AUTHORIZATION NO. ` OPERATION PERMIT BY: 2
DATE: Jbk
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS ES ED OV A BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT D DISPOSAL SYSTE ',BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEOERIOD OF TIME. a
DCHD 02/02(Revised)
-'�� —i t` '«J-iF1,!'i.ii`,�5 -_ �,_--�..•ti Y�t''^'4•T'± ",+y w,.:, �}1/.=y..Y,.y Ti_���\,;y ��, 1 .. P•1'. a»t •�• ,,;•1,. a..lT -+f,iwa,: ,l.• a- j y :'
DAVIE COUNTY HEALTH Dg6j-Tn /07
�ArAName:� {-h�i. 1� /_Vy'+ Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property: Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760 Section: Lot:
- AUTHORIZATION FOR
• WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 002789 A Road Name: ' l 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 Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying
O for Building Permits.
(In compliance)VOArticle 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
IL
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
"' IS VALID FOR A PERIOD OF FIVE YEARS.
jc
ENVIROi+I ENTAL` EALTH SPECIALI T'� DATE IS E)S
x ,{ RESIDENTIAL-SPECIFICATION:BUILDING TYPE H #BEDROOMS_ , #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE i #PEOPLE #PEOPLF/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY 1 DESIGN WASTEWATER FLOW(GPD) f" (�NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTHN ALINEAR FT.
OTHER—
C,
THER �.l /� j` 1
J
REQUIRED SITE MODIFICATIONS/CONDITIONS: �� T_ (/N ( �C �V�'�'
IMPROVEMENT PERMIT LAYOUT
r Q,,JT
1-I RAL
�r
-7-vTA t_
Z
r�
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
{
Qui Cl ST[) N4AFhE-U-14
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
o�
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS ES ED VEAS EEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT A D DISPOSAL SYSTEM `,BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN•PERIOD OF TIME. j- / /�
DCHD 02/02(Revised) .=l+ ZZ ?1 (OU t1`7
w N a -
3532 - ry
y i
1 +I� 4�1 .-
574 ' .569
.. .. `..a _ 139
2152
j f 139
s5}�}.N �
k �054�
FCH U 1\1 N L'i
Ul 6 1 e ' 4
� ' —' ,� ,. � --..-.r � 242
..J. �' of M -� v
•A) u w y J41CO
n �
* 'E, 0 0809 . 29 3869 :.l�^ �g2 CO
2
781
12
w ` *..�;1i�. _ -._�� _(]/� n ., . _ .ter `�"' _� r�`� •_ r�.ae�.` �l`_ ._. �:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON H DEPTH
Texture group
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 J
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
Yet'
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 05105(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME / 'ti PHONE NUMBER Gil( (IJUy�
ADDRESS SV7 �n C Wt4BDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY-k40"e(-NUMBER BEDROOMS 2- NUMBER PEOPLE SERVED Z
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge.and t I understand I am responsible for I charges incurred from this application.
r
SIGNATURE OF OWNER OR AUTHORIZED AGENT ed
Rev.1/93