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399 Cherry Hill RdDavie Countv, NC Tax Parcel Report Tuesday, October 11, 2016 WAK1V11V(i: 'l�lil5 151VU1� A �UKVLY Parcel Information Parcel Number: N60000007201 Township: Jerusalem NCPIN Number: 5754480444 Municipality: Account Number: 82528055 Census Tract: 37059-807 Listed Owner 1: HURST DIANE Voting Precinct: JERUSALEM Mailing Address 1: 1326 COUNTY HOME ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 0.720 AC CHERRY HILL RD Fire Response District: Assessed Acreage: 0.58 Elementary School Zone: Deed Date: 5/2007 Middle School Zone: Deed Book / Page: 007120221 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: 0.00 Outbuilding & Extra Freatures Value: 10750.00 Total Market Value: 15250.00 _ ._ JERUSALEM COOLEEMEE SOUTH DAVIE Pc62,PcC2 DAVIE COUNTY 4500.00 15250.00 �C•7 9�,tl'/�, AII data is provided as is without warranty or guarontee of any kind either expressed or Implied Including but not Ifmited to the Davie County� Implied warranties of inerchantability or fitness for a particular use. All usen of Davie County's GIS website shall hold hartnleas the N^ County of Davia, North Carolina, its agents, consultants, eontractors or empioyees from any and all claims or causes of action due to np� Nq'� (� or arising out of the use or inability to use the GIS data provided by this website. �., � _ _, .;;- , .. _ �h '" " .. ., , ,;� 3.r�-49 � �.�� • , � �.�uTHORiz.ATcor�r No: ��'� DAVIE COUNTY HEALTH DEPARTMENT D�Xa �'' �-, F� �Environmental Health Section PROPERTY INFORMATION �:.': .�-`= 'y Perm�ttee'ti �� tif,{ �r" P.O. Box 848 Name:� , �'�f�f1�' ='�� r-r:Ei:��'> Mocksville, NC 2702E Subdivision Name: —��- �� + �� . ; : . � Phone # 336-751-8760 Directions to property: ��+ f;� r f� �l Section: Lot: ) �./ AUTHORIZATION FOR WASTEWATER .�' �.'�: "`�� '�:�� _ � ��! }' ' SYSTEM CONSTRUCTION Tax Office PIN:#� 1'�a �- r' L} �F y�" � �`� .=:�p,�,r' �� 7� �' Road Name•�-^:....ln:�1 �p: **NOTE** ThisAuthorization for Wastewater System Conswction MUST BE ISSUED by the Davie County Environmental Health Seciion prior [o issuance of any Building Pem�its. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ,� `�' �� „ ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ✓� '� %> .��CS,) ►�� , �.� � �� IS VALID FOR A PERIOD OF FIVE YEARS. , , i: ,.. � ,�..r F } ENVIRONMENTAL HEALTH SPECIAUST DATE ISSUED , �. �s,,, „ . .... ,- � j': � � - - . .. . �, 3 .,b: q9 ��I ` , . � _ - �� ' �� n�� L� ;,� 1=�- �. ..� � --.: '� � � � - DAVIE CUUNTY HEALTH DEPARTMENT , '��' �i--�'�` � i IMPRO�EMENT AND OPERATION PERMITS PROPERTY �NFORMATION Permit��s,! �,� - � � , - Name.: ,- ,r`F+ * r'D r��i�� .��`si`, �,� � Subdivision Name: � •- ^- Directions to property: �" � f Section: Lot: ,� � : - _ . �PERMIT � �,`�.�`",�'�-"�� e>-�;-� _ � • � f ° � �� Tax Office PIN:#�.� t� r= � c� �� _ �''��d �� . � .,r'`� �'' Road Name. _ 3 �� ;� > ip. �.-i � **NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater sys�em. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the constructio�nstallation of a system or the issuance of a building pernut. (In compliance with Arficle 11 of G.S. Chapter 130A, Wastewater Systems; Section .1900 Sewage Treatment and Disposal Systems) r` ; �;..• y,-� ***NOTTCE*** THLS PERMIT LS SUBJECT TO REVOCATION IF SITE �-_- r/';:, •,� , '.-; � � �✓"�.� ,�, .' �"'-�»,J � - �"�%'� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFIIS PERNIIT BEFORE INSTALLING THE SYSTEM. RESIDENfIAL SPECIFICATION: BUILDING TYPE �# BEllROOMS �� # BATHS /, _S�ti OCCUPANTS � GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOTSIZE �� /� � TYPE WATER SUPPLY �{L DESIGN WAS'I'EWA'I'ER Fi,OW (GPD) ,� NEW SI'I'E� REPAIR SI'I'E I, ,, _ / �; � SYSTEM SPECIFICATIONS: TANK SIZE �QD� GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH � LINEAR FT. ..�,.�� OTEiER �%' � �%�" / r / �%'r' ' GJr%��/' i 1..� / c// !� i'/ �'� REQUIRED SITE MODIFICATIONS/CONDITIONS: ��'� IMPROVEMENT PERMIT LAYOUT ; ��,F ��'�' /�� rl�l:�`�t�� /��f, ��is� b y �� s� s tr' ` i ��,�� %� � 1 , � �w 6�- C1 *"`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 i ) SYSTEM INSTALLED BY: %'�"- 4--1 a � AUTHORIZATION NO. _1'� OPERATION PERMIT BY: DATE: / •'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE ll OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) I , � t APPLICATION FOR SITE EVALUATION/IMPROVEMENT PEflMIT & ATC �7 2 , • Davie County Health Deparbnent �� Q u t5 .� . � Environment�/Hea/tfi Sert3on ' P.O. Box 848/210 Hospital street JAN `�� Mocksville, NC 27028 (336)752-8760 ENVIRONh1ENTAL HEALTN �**IP�ORTANT*** THI3 APPLICATION CANNOT �E PROC.ESSED LJNLE33 ALL THE INFORMATION I3 PROVIDED. Refer to the INFORMATION BOLLETIN for instructions. 1. Name to be Hiiled �.�[0�.�(/l��/�%iI/.,,L[¢��lJ Gontact Person ,{��2Z(vt��(,(,Zdd-�/ Nailinq Addreas � 8a�e Fhone �� y_ �� / City/state/2IP �. 2 Businesa Ph�n� 1/ �� 2. tiame on Pezmit/ATC if Difterent Lhan !lailtnq Addreaa City/State/Zip V� 3. Applicatioa Sor: � 3ite Evaluation 0 Improve:oent Permit/ATC Both 4. system to servlce: 0 Aouse �' Mobile Home s. if Residence: / People 1 0 Business 0 Industry 0 Other � Sedrooms � � Bathrooms �_ 0 Diahwasher 0 Oarbaqe Diaposal 0 liashing Hachine 0 Baaement/plumbinq 0 Basement/No Plumbing 6. I! Bnaine�s/Induatry/other: Specify type # Peaple # SinYa • Co�odea # Shorrera � Urinals � Nater Coolers IF EOOD3ERVICE: � 3eats Estim$ted iiater Usage (galiona per day� 7. Type of Water supplp: `�' Connty/City � iiell 0 Coamtuttity e. Do you anticipate addition� or eipausions of the facility t6is ayatem is intended to acrve! ❑ Ye� 0 No If yes, w6at type' "*'IMPORTANT"" CI.IENTS 11lUST C011lPLETE TNE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either s PI.AT or S1TE P1.AN �IlUST BESUB�l11TED 6y the client with THIS APPLICATION. Property Dimenaiona: 3/7 a-��-� WRITE DIREGTIONS (from Mocl�svilie) to PROPERTY: Ta: Otiice PIN: # �� 7 �� g`cr7r 7' � �p D/�_ � �� r-- Prnperty Addresa: Road Name %�' -o-�l,✓ag�-,a'�:�.a.u�� / �,* �� '" � c�tyiz�p z.7e a..� a� l s-t � e��7 8-�-_. I( in a Subdivision provide iaformation, a� followa: � o �%d ��• Name: �/l • � , Section: Biock: Lot: Date Pr�nperty I�lagged: /�// Thi� is to certifp t6at the informatioo provided is corr+ect to the best of my knowledge. I underatand that any permit(a) issued bereafter are subject to suspension or revocation, if the aite plan� or inteaded use change, or it the inform�tion submitted in thia application ia falsitied or c6anged I, a/so, anderstand that I am rrsponsible jor all cbarges i�curred fiom this applicotion. I, 6ereby, give consent to the Aut6orized Repreaentative ot t6e DAvie C°j'aty He th epartmeot to euter upon above described property located in Davie County and owoed b�� `�i� l9 �t/L� �— to conduct all teating procedurea as necesaary to detecmine the aite auitabilin-. DATE I— S' ! R SIGNATURE ,'.C,�.2��C ,,�5� - 7TIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all oi t6e tollowiug: Evsting �nd proposed p�roperty lines and dimensions, atructures, setbacka, and aeptic locations). Revised DCHD (07/98) Account No. 3 Invoice No. � � �� Gs JS �1• � �� SITE pINE RIDGE RD. CHERRY HLL RD. OXWOOD CHURCH RD. LOCATION MAP (rrrs) -�'o PK ��R �Ep � su O a- N o� BOXWOOD CHURCH RD. $ c�9} (S.R. 1829) r1� Z cJ R � !M Fp R Sp� � �� / / � � �\ � REBAR FD. LEGEND PROPERTY LINE — ----- ADJOININ6 PROPERTY LINE —E—E—E— EASEYEN7 LINE NIp NEWI.Y SET IRON PIPE EIP EXISTING IRON PIPE pp POMER POLE RBF REBAR FOUND �SF IRON STAKE FdJND Riµ RAILNOAD H R - � M C� a rn N m � W � j c�� SQ\�j RI� �Q / NOTES: � I, THIS PROPERTY IS SUBJECT TO ANY AND ALL RICHT(5)-OF-WAY AND OR FASEMENT(S) WHICH MAY OR AIAY NOT BE OF RECORD PS OF THE � o�� oF rHis suRVEr. 8�61 Q� ps . S4, 1 q_ lv �5� �0'�W' OO 2. THIS PROPERTY �S NOT �OGTED IN A SPECUL FLOOD HAZARD ARE/` �.�Zyv SQ\K �. /S DETERIAMm FRON FLOOD INSURANCE RATE MAPS. SEE COMMUNRY- ��cl Rli P \ n� PANEL NUA6ER 370308 0125C, WITH A DATE OF � 2- � 7'93 . 1 . . ✓ G�+ , P� �� 3. NEW LOT 'B' IS TO BE CONVEYED TO RICHARD A. CARSON � �, ��.� \ FROM ROGER TENOR SMOOT WHICH WAS A PART OF TAX 0 � Q.�81 Q i PARCEL 72. fj6 3� y�� N� �� \ oO�O�� 4. NEW LOT 'A' IS TO BE CONVEYED TO ROGER TENOR N ,� ��, �(. SMOOT FROM RICHARD A. CARSON WHICH WAS A PART OF 0�� oq�� c�GRA�Q� TAX PARCEL 72.01 oo0'O �9��'� �S � 5. NEW LOT 'C' IS THE REMA�NDER OF TAX PARCEL 72.01 • � AFTER NEW LOT 'A' WAS SOLD OFF. ` Z`�_ S k�6,� �9 6p O NIP % �'�� • Oj 6 r � � m (� ! SQ�K� 5� PRG� E� ,00� F- � `�;a° � N �P pGR 3 p �DO l q r?'� 592, QG• �,yo0 oO0 NEW PARCEL?� �� z ,� �0� S �� (0.178 ACRE) y tn EIP � �, \ � d� � B— S 83°00'00"W 161.25' ti,A , 6' 6. NEW LOT 'B' AND NEW LOT 'C' ARE TO BE EVENTUALLY CONVEYED TO DEXTER MOCK FROM RICHARD A. CARSON ROGER TENOR SMOOT II PARCEL 72 x DB. 181 PG. 586 II x _x�X� x N 83°00'00"Ex 311.46' � (T1E LINE) OLD IRON ROD Fp, qT WIRE FENCE CORNER DANIEL B. MILLER AiW �EOLA S. MILLER PARCEL 75 DB. 62 PG. 173 I, ROWLLD LEE OXENDIN� DO CERi1FY THAT THIS PUT WhS PREPARm UNDER MY DIRECTION AND SUPEIiVISYON FROM AN ACTUAL FlFLD SURYEY PREFORYm UNDER W DIRECTOIN AND SUPERVISION, AND IS TRUE AND CORRECf TO THE BEST OF LIY KNOWLFDGE AND BEUEF . N1NNE55 MY ORICINAL SIGNATURE, REGISTRATION NUUBER, AND SEAL THtS Z� DAY OF -f .. P . 19 7L . � - �^ � 60 0 60 120 180 GRAPHIC SCALE — FEET A SURVEY FOR RICHARD A. CARSON A/W EZELL P. CARSON ( SHOWING THREE DIFFERENT PROPOSED CONVEYANCES ) TAX MAP TOWNSHIP COUNTY STATE DATE N-6 JERUSALEM DAVIE N. C. 6-7-96 e�ocK RONALD LEE OXENDINE SCALE SURVEYING i " = so' . . , • ' � DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section SECTION LOT ' SoiUSite Evaluation APPLICANT'S NAME G� S�O� DATE EVALUATED �/,�.��9� PROPOSED FACILITY � PROPERTY SIZE �/i4G SUBDIVISION ROAD NAME C�'��Y/� l�� ' -�/ Water Supply: On-Site Well Community Evaluation By: Auger Boring v Pit Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Suucture Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION:_� LONG-TERM ACCEPTANCE RATE: Public �� Cut EVALUATION BY: OTHER(S) PRESENT: REMARKS: _ �/� �GII �f' l L�l�"�� 11� C� �� C�� /Gr�' DCHD (O]-90) LEGEND Landsca�e Position R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Tenace 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky SP - Slightly plastic P- Plastic VP - Very plastic tructure SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angulaz 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 ■■�■��■�■��■■�■■�■■■��■■■■�■��■■ ■��■�■��■■�■■��■■�■■ ■��■�■�■■��■��■�■��■■��■ ■��■��■ ■��■ ■■�■��■��■��■��■��■�■��■ ■��■�■��■��■��■��■��■��■ ■■��■�■��■��!■�■�■■�■■�■�■��■ ■■�■��e■��■�■■�■�■■■��■�■��■■■ ■��i��\��■ ■��■■��■■��■■�■■��■■��■■��■■ ■��■��■��■��■■�■��■■��■ ■■��■■�■��■��■��■ ■��■ ■��■ ■■�■��■��■��■�■■�■�■��■��■��■■ ■��■��■��■�■��■�■�■��■��■��r��■��■ ■�■��■■��■�■■��■■��■��■��■��■■�■ ■��■�■�■��■��\��■��■��■�■��■��■■ ■��■��■ ■��■��■■��■■�■�■�■��■■�■�■�■��■��■ ■■��■ ■��■ ■��■ ■■��■ ■■■�■ ■��■ ■■��■ ■�■��■�■�■��■�■■�■��■ ■■��■��■��■�■■�■■■ ■�■��■�■�■■■��■��■�■■��■��■�■��■��■��■�■��■�■■■ ■��■��■��■■��■��■��■��■��■��■■■■�■��■■�■■■■/�■ ■�■��■��■��■ ■�■��■��■�■��■■��■�■�■��■��■��■�■■��■�■��■ ■��■��■��■��■��■��■��■��■��■��■��■ ■��■e��■��■��■��■■��■��■■��■■��■�■■■ ■��■ ■��■�■��■��■��■�■��■■ ■��■��■�■�■�■■�■■■�■�■s��■■■ ■�■��■■��■��■��■■■��■■��■ ■��■��■■■■��■��■��i.�■ ■��■��t��t�� ■�■��■■��■�■�■��r. ■�■■��■�■�■��■��■■��■��■ ■��■��■��■■�■�■��■��■�■��■ ■■■�■��■��■■�■�■��■��■■ ■��■��■■��■■�■�■■■��■��■ ■��■■��■�■��■��■■�■■■■��■ ■��■��■��■��■�■��■ ■��■��■��■��■��■ ■■■ ■■■ ■�■ ■■■ ■■■ ■�■ ■�■ ■�■ ■■■ ■ ■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■�■ ■��■ ■�■�■�■��■■�■�■��■ ■�■��■�■■�■��■ ■��■�■��■��■■��■ ■■��■■��■�■��■�■■ ■ ■ ■��■ ■��■ ■��■ ■■■■ ■�■■ ■�■■ ■��■ ■■■ ■■■ ■■■ ■■■ ■�■ i ■ ■ ■ ■ ■ ■