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Davie County, NC Tax Parcel Report I� Tuesday, September 27, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Parcel Information .
Parcel Number.
G30000007209
Township:
Clarksville
NCPIN Number.
5820441132
Municipality:
Account Number:
82532308
Census Tract:
37059-801
Listed Owner 1:
CRUZ NOEMI
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
P.O. BOX 1563
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAME COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
OFF HWY 601
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.56
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
9/2010
Middle School Zone:
NORTH DAVIE
Deed Book f Page:
008360590
Soli Types:
PcC2,CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
0.00
Outbuilding & Extra
7190.00
Freatures Value:
Land Value:
15390.00
Total Market Value:
22580.00
Total Assessed Value:
22580.00
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Davie County, NC
AB data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. A9 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 or arising out of the use or inability to use the GIS data provided by this website.
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-50
u I�OIUZA oNAD, DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittees" J P.O. Box 848
Name: f�� l �f d Mocksville, NC 27028 Subdivision Name:
Phone #: 7047634-8760 I
Directions to property: i�% /l% ' /�'' I ,✓� Section: Lot:
AUTHORIZATION FOR
WASTEWATER
% r /s? ✓flip/ �/,�.«.'` %r7 Pr 1(� x Office PIN:
SYSTEM CONSTRUCTION : Tax 93 p�
Road Name C .fi�i%f.:'.�"ip: �0
**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 with Article l I of G.S. Chapter 130A, Wastewater Systems, Section.1900 Sewage Treatment and Disposal Systems) "
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMEN J[I HEALTH S �'CIALIST
DATE ISSUED
\� `Y � -i'RM .µ.v . �, kl i:.'4 ,� .,��;\�+ *`�. v�:_k '1V �• �.. } vl .bf,,.k - - .. .. r -. ...: ■ 1i.�/s,}_
�Ad ^- DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PRi�I�rT�
PROPERTY INFORMATION
,
Permlttee's - /y If //�� j)1 /(���/
Name ; ,-- Subdivision Name: •
Ditections to,property: ti' 'i� ' �+�'_�`% Section: Lot:
r
IMPROVEMENT ?
PERMIT
Tax Office PIN:# .)
i
Road Nme:l�».:f'°r*`�'"' Zip: t
**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
y° ,s :Gs �c •,: p,a f ,y'j PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE OIL # BEDROOMS ,—'? # BATHS % # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE; TYPE WATER SUPPLY < <l DESIGN WASTEWATER FLOW (GPD) NEW SITE I REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Z6D0 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ,
LINEAR FT.,M06 �
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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 THEDOF INSTALLATION. TELEPHONE # IS (704) 634-8760.
// s
OPERATION PERMIT L
v
BY: J L rM4^ �JGG/V/✓
AUTHORIZATION NO. I J E I OPERATION PERMIT BY: 1 M1"V"' DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT S TEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREA NT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
7
1�
41, .
BY: J L rM4^ �JGG/V/✓
AUTHORIZATION NO. I J E I OPERATION PERMIT BY: 1 M1"V"' DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT S TEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREA NT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A 136" THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: �� C 1 WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
Tax Office PIN: # Y� ySJ 1
arm �o� Nam �o
Property Address: Road Name nn / v
araYbn
Le
City/Zip E2��' f ✓ l ' V 1 t/
If in Subdivision provide information, as follows: 1
/0 4) K 46—bZ 4�
Name:
1
Section: Lot #: �
1
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
as necessary to determine the site suitability.
DATE 'Y ' ? 9 SIGNATUREy "tel
Revised DCHD (06-96)
YOU MAY USE THE BACK OF THIS FORM FOR PRAWINC YOUR SITE PLAN.
conduct all testing procedures
1 MIA
. .
APPLICATION FOR SITE EVALUATIONAMPR I NT PERMIT & ATM1
Davie County Health Departm 17 08
�7W
Environmental Health Sectio
P. O. Box 848
;
e
(at
Mocksville, NC 27028 EE+'YI;101:"r7lfAl NERLT}
Ip
( DAVIE COUMy
(336)751-8760
�e,914
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1.
Name to be Billed
a 1,a C- r U.Z Contact Person _5-1a
1 2
Address
00' 0 x �7 Home Phone x.36
-
Mailing
► l p -3 ;
_
City/State/Zip
MQf& G1' 1l -F �_ (� Q af Business Phone
2.
Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3.
Application For:
®' Site Evaluation ❑ Improvement Permit & ATC
.0-*'B-oth
4.
System to Serve:
❑ House 1' Mobile Home ❑ Business ❑ Industry ❑ Other
5.
If Residence:
# People �_ # Bedrooms_ #
Bathrooms 1
❑ Dishwasher
❑ Garbage 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: H� County/City ❑ Well
❑ Community
8.
Do you anticipate additions or expansions of the facility this system is intended to serve?
fly' Yes ❑ No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A 136" THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: �� C 1 WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
Tax Office PIN: # Y� ySJ 1
arm �o� Nam �o
Property Address: Road Name nn / v
araYbn
Le
City/Zip E2��' f ✓ l ' V 1 t/
If in Subdivision provide information, as follows: 1
/0 4) K 46—bZ 4�
Name:
1
Section: Lot #: �
1
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
as necessary to determine the site suitability.
DATE 'Y ' ? 9 SIGNATUREy "tel
Revised DCHD (06-96)
YOU MAY USE THE BACK OF THIS FORM FOR PRAWINC YOUR SITE PLAN.
conduct all testing procedures
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT,
Soil/Site Evaluation
APPLICANT'S NAME
PROPOSED FACILITY
SUBDIVISION
Water Supply:
Evaluation By:
On -Site Well Community
Auger Boring Pit
DATE EVALUATED
PROPERTY SIZE
ROAD NAME AXroV i'�
Public C---'
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II 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 RATEI IEEE]
SITE CLASSIFICATION: ks
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (O1-90)
EVALUATION BY: Ill
OTHER(S) PRESENT:
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
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
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1836
The Davie County Tax Administrat
Office assumes no liability for any
information contained on this ma
Public information sources should
consulted for verification of
information.
April 16, 1998 3:07 PM
Parcel Identification Number
5820-44-4045
`A
April 16, 1998 3:07 PM
Parcel Identification Number
5820-44-4045