196 Cable LnDav,ie County, NC
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Tax Parcel Report
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Tuesday, October 11, 2016
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WARNING: THIS IS NOT A SURV�Y
Parcel Information
Parcel Number: L400000034 Township: Jerusalem
NCPIN Number: 5736537884 Municipality:
Account Number: 82527333 Census Tract: 37059-807
Listed Owner 1: SEAMON REVOCABLE LIVING TRUST Voting Precinct: COOLEEMEE
Mailing Address 1: 119 CABLE LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 4.65 AC CABLE LN Fire Response District:
Assessed Acreage: 4.02 Elementary School Zone:
Deed Date: 12/2006 Middle School Zone:
Deed Book / Page: 006900503 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
113500.00 Outbuilding & Extra
Freatures Value:
28280.00 Total Market Value:
159650.00
No
JERUSALEM
COOLEEMEE
SOUTH DAVIE
MrC2,GnB2
DAVIE COUNTY
17870.00
159650.00
�V � All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not Iimited to the
O�",• F Davie County, implied warrantias of inerchantabi�ity or Fitness for a paRicular use. Ail users of Davin Countys GIS website shall hold harmiess tha
County of Davie, NoRh Carolina, its agents, consultants, contractors or empioyees from any and all claims or causes of actfon due to
nOU�x.t'� NC or arising out of the use or inability to uso the GIS data provided by this website.
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IMPAOVEMENT PERMIT
DRVIE COIINTY HERLTH DEPARTMENT
IMPRDVEM�N�T PERMIT and OPERATION PEAMIT
+�*NDTE+�+� This i�prove�ent per�it DDES NOT authorize the construction or installation of a septic tank syste� or any wasteNater
syste�. AN AUT�RIZATIDN FOR NRSTEWATER 5Y5TEM CONSTRUCTI�J �ust be obtained fro� this Depart�ent prior to the
construction/installation of a syste� or the issuance of a building per�it.
iIn co�pliance r►ith Article il of 6.5. Chapter 130A, Nastewater Syste�s, 5ection .1900 SeHage Treat�ent and Disposal 5yste�s)
NAME � �rnn RR�ERTV ADDRE55 �� �flr✓� —a ��a � DATE r���/f ��r �
IOCATION _�l?1S__�Ly�'%! ` �1����� .v.'c��i�%`� /�jJC .!J�'i1".5--/�' /l�/`1��.r� � �f ���
5UBDIUI5IDP1 NAl� LDT MA�44BER SEC. /BLOCI( Nlq�iBER
� .13•A1.
RESIDENTRL 5PECIFICATION: BUIL�ING TYPE , l�i� i BEDROOFIS �3 ! BATHS �# DCCt�'ANT5 � 6ARBl�E DISPOSAL: Yes f(�y
C�RCIflI. SPECIFICATI�1: F�ILITY TYPE # PEOPLE # PEDE�LE/SHIFT #�RTS INDUSTRIAL NASTE: YeslNo
,�i _0 3-13-`i�
LOT SIZE __1� TYPE WpTER SUPPLY �� DESI6N I�STEWRTER FLOW ifiPD1 se��^" _ tdEW SITE )L/� REPAIR SITE
5Y5TEbl SPECIFICATIDNS: TANK 52ZE �� 6AL. F�IiMP TRt�( 6RL. TAENCH WIDTH ,�._s�./'� A�K DEPTH .� LINEAR FT. �L►3-9L�
OTNER
REQUIRED SITE MODIFICATIOh15/CD�IDITIONS:
*�*THIS �RMIT IS SUBJECT TO REVOCATION IF SITE �ANS OR THE INTENDED USE CHANGE. YDUR WASTERWATER SYSTEM CONTR�TOA h�1ST
SEE THIS PERb1IT BEfORE INSTALLING THE SYSTEM.
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3-�3- 9b �'`'
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IMRRDVEMENT PERMIT BY /��+,0/
�*CONTACT A REPRESENTATIVE �' THE DAUIE C�NJTY F�ALTH DEPARTMENT FOR FINAI. INSPECTION � THIS SYSTEM AETWEEN
8:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (7Q4I 634-8760.
�ERATION PERMIT
SYSTEM INSTALLED BY
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�.. AUTHORIZATION N0. � OPERATION PEf�IT BY _��C—Y�'G� DATE /�
+��THE ISS'U�ICE DF THIS �ERATIOPI PERMIT SHALL INDICATE TF�T THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COi�I.IANCE WITH
ARTICLE 11 OF G.5. CHAPTER 130A, SECTION .19� "SEWf� TREATMENT AND DI5PDSAL SYSTEMS°, BUT SFINLL IN NO WAY 6E TAKEN AS A
6UARANTEE THAT TF�E 5Y5TEM WILL Fl�TIOPt SATISFACTO�ILY FOR FUIY 6IVEN PERIOD � TIMIE. �
DCHD 10/95
�— . . .. . ♦ . . . .:{� r:♦- - . . , .� —r. . .
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~ `� � �'��` Davie County Health Depart�ent
*r .�;.�,.,,:-
a - ENVIROMMENTAL HERLTH SECTION
� ' �n P.O. Box 665
"J Mocksville, N.C. 27028
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AUTHORIZATION FOR {�ASTEWATER SYSTQI Ca1STRUCTIOH
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tIssued in corpliance with Rrticle 11 of
G.S. Chapter l30A, Wastewater 5ystems?
�+��This Ruthorixatian For Wastewater 5yste� Construction wst be issued by the Davie County Environ�ental Health 5ection prior ta
issuance of any Building Per�its. This For�/Authorization Nu�ber should be presented to the Davie County Building Inspections
Office when applying for Auilding �+er�its.**+�
� � � / � / � AllTFDRIZflTION t�1�ER
rr,n f a �r t�� nATE /I>.%✓b''! �S i v � ;� �, ?�
NAlE ON IMPROVQEa(T PERMIT {If different than above)
SITE LOCFITI�i
COMfNT51fANmITI�15 ON RUTH�RIZRTI0�1 TD CONSTRUCT IJASTENATER SY5TEM
+�NOTICE� 7HIS AUTHURIZATION FOR WATER SYSTEM CONSTRUCTIDN I5 VALID FOR A F'ERIDD OF FIVE (5) YEAR5.
" r..iC/�/r� .J aC.�iL� f �, !fE'� � .c �
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ENVIRON�ENTRL Ff.AL1}I SPECIALI�T DATE
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, DCHD 10/95
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1. Application/Permit
Mailing Address
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APPLICATION FOR
��� a� ���
1\°� C.�bl� �.�a�ve_ Home Phone ���' oZO�% � o2.eZs�-
\``0�-�\SV ��,2.� N.C+ . Business Phone 1��' 1D3�' ��D ��
2. Name on Permit if Different than Above s� rn'e-
3. Application for:
4. System to Serve:
❑ Business
❑ General Evaluation
❑ House
❑ Industry
5. If house, mobile home: Subdivision
� Septic Tank Installation Permit
� Mobile Home ❑ Place of Public Assembly
❑ Other
No. of People �
No. of Bedrooms �
No. of Bathrooms 1
Dwelling Dimensions �� %� � 5
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
Na of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
No. of Water Coolers
❑ Unknown
Section Lot #
❑ BasemenUPlumbing
❑ BasemenUNo Plumbing
� Washing Machine
O Dishwasher
❑ Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public • � Private � 4 ❑ Community
a. �roperty �imensions %�Rl'� Sewage �is'�sal Contractor /r ,<� /� �
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �No
If yes, what type?
''NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvement3 Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
I Directions to Property:
!�-TA K� �o I So u�h �o �t�Cv�llou5�. Rc� .�'o
-Nn�: r�1n-� oN o�he,r s��e. �.�aK�wo�d
`f'n�e.� .�TAY�e���1 N i�s Kci . �'�12� t i�%,�".
� o�o w����. �-h� Ra . Y� O�c 0� � AN ►�S
ct� .(,C.�b�e. �•ANe. on� -�-he. I�.� ,) F; rs�-
hous.� oN �h� I�,�� . N arne� an rn��lboy� ,
YtiUYL'1�1Y liV1V1tC1A11VN K�IjUlK
�, �J 'PG
Tax Office PIN �%_-s-7_x� _s�._
Road Name �z6�C ,�u,�J�
Eox �� (if available)
City /�ac�sdi�/��
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 application. �
� � ` �O — ! � U (�t.t' �C.I.C`. c�,
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: A� 1. I OWN the property. O 2. I DQ NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representa iv pf the Davie County Health�epartment to enter upon above described
property located in Davie County and owned by _ OhN �1. ��A�ri�=�A S2A�MCT`ti�
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system. .
_/� - �o - 95 ��ru ,6! .���►�., oc
DATE SIGNATURE
DCHD (1/93)
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• ` • DAVIE COUNTY HEALTH DEPARTMENT
' �- ' Environmental Health Section
' Soil/Site Evaluation
NAME JG',�l��i" DATE EVALUATED /�/ 1�` �
ADDRESS PROPERTY SIZE `� ��
PROPOSED FACIILTY LOCATION OF SITE C- G�'�� � �u
Water Supply: On-Site Well v _ Community Public
Evaluation By: Auger Boring � Pit Cut
FACTORS 1 2
Landsca e osition �i
S lo e 7. � �--
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH ��- � �
Texture rou
Consistence �
Structure
Mineralo
HORIZON III DEPTH
Texture rou
Consistence
Structure
MineraloAy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZC
SAPROLITE
CL�SSIFICATION
TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �� EVALUATED BY: �-��
LDNG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMAR KS:
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-Siltv �;lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Si1tY clay C-Clay
CONSISTENCE
Moist
VFR-V+�-y friable FR-Friable FI-Firn� 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
.iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-AnQular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Fiorizon 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 wate�' 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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