163 Cable LnDavie Coux�ty, NC Tax Parcel Report Tuesday, October 11, 2016
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WARNING: TIIIS IS NOT A SURVEY
Parcel Information
Parcel Number: L40000003411 Township:
NCPIN Number: 5736634751 Municipality:
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Jerusalem
Account Number: 56826750 Census Tract: 37059-807
Listed Owner 1: PHILLIPS STEVE A Voting Precinct: COOLEEMEE
Mailing Address 1: 177 CABLE LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-5105 Voluntary Ag. District:
Legal Description: 1.40 AC CABLE LN Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book I Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
o"°'°'F Davic County,
�o�;N�� NC
1.30 Elementary School Zone:
5/1997 Middle School Zone:
001940849 Soil Types:
Flood Zone:
Watershed Overlay:
43850.00 Outbuilding & Extra
Freatures Value:
17370.00 Total Market Value:
65720.00
JERUSALEM
COOLEEMEE
SOUTH DAVIE
GnB2,MsD
DAVIE COUNTY
4500.00
65720.00
No
II data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not Iimited to the
nplied warrenties of inerchantability or fitness for a particular use. All usen of Davie County's GIS websita shall hold harmiess the
ounty of Davie, North Carolina, i[s agents, consuitants, contractors or employees from any and all claims or causes of actfon due t
r arising out of the use or inability to use the GIS data provlded by this weGsite,
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AUTxQRizaTiorr rro: O S 2 6 DAVIE COUNTY HEALTH DEPARTMENT
-'" "� "-� r Environmental Health Section PROPERTY INFORMATION
�ermittee's � /� P.O. Box 848
� Name: ���/;:. �' 6"'�%��.% 1�' Mocksville; NC 27028 Subdivision Name:
� � Phone #: 704-634-8760 r`� i� }�- �-"
Directions to property: �`` �.T'�� �t? �,,�`%'��a-� Section: �at�"'
AUTHORIZATION FOR r�
WAST'EWATER Tax Office PIN:# ���?- L� �- F���
SYSTEM CONSTRUCTION
Road Name: �..Gi. ���.- ��l • Zip: f r � , �� '
**NOTE** This Authoriza6on for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
, to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pernuts. �
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�,`� �1' ��,, �; �,; �- �„ V �� ` ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,�•'�[� � �s` ,.:�� � .,rr � _ ...� .�' ' �/' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED •
_ , � ������ ,
!�� r`;; ��� ��, DAVIE COUNTY HEALTH DEPARTMENT
w.; IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
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� Pt�rmittee's ,,;�: �;
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Namc:� .,�i''�'' : > ;� � %%' --- _ Subdivision Name:
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Directions to property: �'� tP����;��'`t ���'�'+'�'?-- Section: Lvt:'
� IlVIPROVEMENT �r. "� ,.�, � d�' ,,,,,f
PERMiT Tax Office PIN:#�" ��' ��"_ �-, .;:,a _ ,.x� �
Road Name: f ..�';t (_;,�; __. �...!`�. Zip: ,.� ���� �i:;
**NOTE** This Improvement Pernut DOFS 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
constcuction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
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..:"+° j : ��ft1.� %�5�....� � Ff.,�` r +:' �y..• . _ '../ � C�* %
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
***NOTICE*** THIS PERNIIT LS SUBJECT TO REVOCATTON IF SITE
PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING Tf� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS �� # BATHS � # OCCUPANTS _,� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFf # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY �l DESIGN WASTEWATER FLOW (GPD) �-r �� NEW SITE v REPAIR SITE
SYSTEM 3PECIFICATIONS: TANK SIZE L�4� GAL. PUMP TANK GAL. TRENCH WIDTH ��= ROCK DEPTH � LINEAR FT. �'�
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**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 (704) 634-8760.
I OPERATION PERMIT
SYSTEM INSTALLED BY:_�-�7�1�c�..�_I�� � �.1�Nv'��
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AUTHORIZATION NO. � �� � OPERATION PERMIT BY: ��^—"'" —"` DATE: � �9 - ��
**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 OS/96 (Revised)
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• APPLICATION FOR SITE EVALUATION/IMPROVEMENT
. Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
tMIT & ATC
���0��
D
APR � 71997
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****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES5ED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed��s, ��s_�,�,. \�; C� S Contact Person ��c�v=�,�, Q�� �� � R s
Mailing Address °� `1 �v C ��\ E it'C�t�:w- Home Phone '�1 oy, -- `�'� � - 1� �'1 �
City/State/Zip rn oc�<<:, ` \�c_ �'�� � .'��a",� Business Phone �'l OV — ��''3� -��L�x, � �-�,� `� � �
2. Name on PermiVATC if Different than Above
Mailing Address
3. Application For: �Site Evaluation
City/State/Zip
�}-.Improvement Permit & ATC �Both
4. System to Serve: [] House j�Mobile Home [] Business [] Industry (] Other
5. If Residence: # People �_ # Bedrooms ` # Bathrooms� [] Dishwasher [] Gazbage Disposal
'� Washing 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 [j�No
If yes, what type?
EITt1Elt tt PLAT OR SZTE PL.�N
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** �IaA�'OF THE PROPERTY MUST BE
SUBMITTED WITH T,�IIiS APPLICATION.
Property Dimensions: �� 5�' �3 X�� r � WRITE DIRECTIONS (fmm ��locksville) TO PROPERTI':
Tax O�ce PIN: # Sr1 � - �03 - �_ ; � d � ,S �� l"��t/��D�!4�1 �d � �1 �c
Property Address: Road Name ' � GI �� �/�'1i %� '�cJ J`7i4N� � j j� J Tvt�u ��.
z a�s�`�g ;� � I�t � c� c'�i61t ��9 nit oN J.rf¢
City/Zip 'C1C\��c.��..`, �\Q ��,�- , �10 � a- lC �
If in Subdivision provide information, as follows: � "�'c� de� c� CN� '�D O/�
Name: ��� 1n��%h 96���N 4� l�/�, �� e $inr�/ � wicJe
��,}' � / ( j�
SeCt1011: �#: :/1 i�i � �/"'�b r l� �D%�9 e ���O�O.SeU J J��- 1 Ai v��
�-�o f ii/�o � l,e G l� N.
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
Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned
by �f t'v� � C 19 �� l yN ��1 �� �li �5 to conduct all tes ' es as necessary to determine the site suitability.
DATE � - � 7'� g % / SIGNATURE � � .� ����
Revised DCHD (06-96)
TH I S AIZEft Mtt J 13E USEb �'OR blttt �V I NC� JOUI� S Z TE f'LAN :
�
- r``� �� DAVIE COUNTY HEALTH DEPARTMENT
�• .
� Environmental Health Section SECTION LOT
� Soil/Site Evaluation
APPLICANT'S NAME ,,�! ��S DATE EVALUATED � '� �
PROPOSED FACILITY � 1� PROPERTY SIZE ����'
SUBDIVISION
Water Supply: On-Site Well Community
Evaluation By: Auger Boring r� Pit
FACTORS
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
HORIZON II DEPTH
Texture group
Consistence
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
HORIZON IV DEPTH
Texture group
Consistence
Structure
1 2
L L
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE � ,
SITE CLASSIFICATION: /" �
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (O1-90)
ROAD NAME
Public � !�—�
Cut
3 4 5 6 7
EVALUATION BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R- Ridge S- Shoulder L- Lineaz 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 firtn 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
Mineraloev
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 - gaUday/ft2
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