661 Cherry Hill RdDavie County, NC . Tax Parcel Report Tuesday, October 11, 2016
WARNING: TIIIS IS NOT A SURVEY
Parcel Information
Parcel Number: M60000004601 Township:
NCPIN Number: 5755778930 Municipality:
Account Number: 82529250 Census Tract:
Listed Owner 1: WILLIAMS JAMES L Voting Precinct:
Mailing Address 1: 661 CHERRY HILL ROAD Planning Jurisdiction:
City: MOCKSVILLE Zoning Class:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27028-0000 Voluntary Ag. District:
3.563 AC CHERRY HILL RD Fire Response District:
3.56 Elementary School Zone
6/1989 Middle School Zone:
001480823 Soil Types:
Flood Zone:
Watershed Overlay:
35510.00 Outbuilding & Extra
Freatures Value:
36200.00 Total Market Value:
°�°°'�' Davie County,
n�UN�C� 1rC 1
80030.00
Jerusalem
37059-807
JERUSALEM
Davie County
DAVIE COUNTY R-A
JERUSALEM
. COOLEEMEE
SOUTH DAVIE
WeB,PcB2,PcC2
DAVIE COUNTY
8320.00
80030.00
No
All data is provided as is without warranty or guarantce of any kind either expressed or implied including but not limited to the
implied warrenties of inerchantability or Titnoss for a particutar use. All usen of Davie Countys GIS website ehall hold harmless the
County of Davie, North Carolina, its agents, consultants, controctors or employees from any and ail elaims or causes of action due to
or arising out of tho uso or inability to use the GIS data provided by this website.
?J�X'd
AUTHORI7.AT�ON 1v0: O 9 4 Z� DAVIE COUNTY HEALTH DEPARTMENT
��< '' • � Environmental Health Section PROPERTY INFORMATION
Permittee;�f�� � P.O. Box 848
%�'ar�J�
N�tne: ' •� � Mocksville, NC 27028 Subdivision Name:
, . �. ` , � -//v'=
,•�`"r'.'i'� j t'r Phone #: 704-634-8760
Directions to property: �'� Section: Lot:
AUTHORIZATION FOR dp
WAST'EWATER Tax Office P:#.�7�'� .'7 - o/ 3�
SYSTEM CONSTRUCTION
'E►�1'l�►
Road Name: f � �• ' . �
I**NOTE** This Authoriza6on for Wastewater System Construction MUST BE ISSLJED 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 c�mpliance with Article 11 of G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�Gf �' ` � � -. ,�`�.-� �;'',� ;!= ,�''- �✓� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
cr , r ,
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
j,,... � �" _ / :
. .:. ... :: ,. � ,_ . .. ,
� � . �. : _ .. ��A��
� t ,::�; � ;DAVIE COUNTY HEALTH DEPARTMENT ��
': �,��-�`=�`-' �``� Jr i IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
, Pernuftee:s � t t : ; ��) . ', � ".,• �
- � Nan�: ����j�' �W/', ��,5 � Subdivision Name: �
_ .
, Directions to property: �- q�. • -'' Section: Lot:
" � ' IIVIPROVEMENT
: :,�� PERNIIT Tax Ofiice PIN:# _hJ'1 �� . _ .`% r� - ;�a �
*
Road N
**NOTE** This Improvement Pernut DOES NOT authorize the construction or installatian of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUGTION must be obtained from this Department prior to the
constructio�nstallation 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)
��' ***NOTICE*** THIS PERMIT LS SUBJECT TO REVOCATION IF SITE
•, .r �-, .;' ;; ' PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACl'OR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFTCAT'ION: BUILDING TYPE !%,�r� # BEDROOMS .�✓r' # BATHS �. # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICAI'ION: FACILII'Y TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
! �'',e/
LOT SIZE �J!` TYPE WATER SUPPLY ��F' DESIGN WASTEWATER FLOW (GPD) d=�>" � NEW SITE� REPAIR STTE
SYSTEM SPECIFICATIONS: TANK SIZE %� I GAL. PUMP TANK GAL. TRENCH WIDTH ��� ROCK DEPTH �� LINEAR FT. ?�„�
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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: � ��
M,. •1-I�, �
Z _ _ ���/ .
AUTHORIZATION NO. �� OPERATION PERMIT BY: ' �t� I.���T_ DATE: � l�
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAP'TER 130A, SECI'ION .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 OSN6 (Revised)
��
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
' Davie County Health Department ( � � � a � �
' Environmental Health Section I D
P.O. Box 848 �
Mocksville, NC 27028 i '�.�.. — 3 �9�7
� (704) 634-8760 i
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES�Hi
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed ��/YI�S L-.. L�r JL� /�i-/!7 5 Contact Person �j�}'i'�i E.S �� �/ t- � f/�m.5
Mailing Address � �i� � /�/e �l' / L.� �� Home Phone 9�� " 7 /�!J ✓ 7U � �
City/State/Zip �i�G�(�/ �. L � . N• G • � %O� Business Phone �%� `� — �o � �' � �:� �
2. Name on PermibATC if Different than Above /v ���
Mailing Address City/State/Zip
3. Application For: [] Site Evaluation [] Improvement Permit & ATC �Both
4. System to Serve: [] House [] Mobile Home [] Business [] Industry [] Other
5. If Residence: # People� # Bedrooms�_ # Bathrooms�_ [�] Dishwasher [] Garbage Disposal
/'
[� Washing Machine [] BasementlPlumbing [] Basement/No Plumbing
6. If Business/Other: Specify type .NC� !l� � # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
n.
If Foodservice: # Seats Estimated Water Usage (gallons per day) /�i l/-t�
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 � No
If yes, what type?
EITHER A PLttT On SZTE PLfIN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A:�OF THE PROPERTY MUST BE
SUBMITTED WITH T �S APPLICATION.
Property Dimensions: � � WRITE DIRECTIONS (from V�Iocksville) TO PROPERTY:
Tax O�ce PIN: #S'7 S�- %% - %-3 ; �01 S' ' cy l3 e�'k'Ta�.,:�; A_p
Property Address: Road Name���%�T ��- � �� �C 7'�e c� ,� �/5 ��. /i' e R R V N � 1/
City/Zip�%%2C_��//�.�.� . /V� ; '�v►RrJ i; � �tr'T' �..3 ��-'I � i:R �f sJ�i�
If in Subdivision provide information, as follows: �� 7��`� � ? rJ � H o u� �r c� pl �e ��
�
Name: �
�
�
Section: Lot #: �
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 incuned 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_�.�a�:� •:�? �1��� --� to conduct all testing plocedures as necessary to determine the site suitability.
DATE 7— � �- �I'rJ SIGNATURE� ._.�,} �- Li�.,�L.l�e:--�
Revised DCHD (06-96)
THZS AREA Mtl� $E USEb �OR blZttIVZNC JOUR SZTE PLAN:
� . .. '� �� � , DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section SECTION LOT
SoillSite Evaluation
APPLICANT'S NAME �/ ���� DATE EVALUATED s��J'�" �7
PROPOSED FACILITY ��G`�' PROPERTY SIZE � t� ��
SUBDIVISION ROAD NAME /�m � �
Water Supply: On-Site Well � Community
Evaluation By: Auger Boring ✓. Pit
FACTORS
Landscape position
Slope %
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 RATE
SITE CLASSIFICATION: �)
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
1 2
L �
r r -Yp +`
1 /�
c�
'�'/
� /C S �L
:-/ /. �/
�
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 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
MineraloQv
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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N�C=NAIL � CAA
t�OTE � aLL AR�AS tNCLUi;ED RO�tO RIC•N�
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TOTAL A,REA = 5.754 �aCk�S rr�x ��:a� : n�-6 Pa�c�i 46.0� �
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AUTxoRi�aTiorr rro:. q^� e� DAVIE COUNTY HEALTH DEPARTMENT ���-(,(J;/iJJq� �
"' i J� f�,�,/�_/ Environmental Health Section PRi O_ PERTY INFORMATION
,,. �pj���J
PerfnitEee's ' �C�il �� f���/�7� P.O. Box 848 �� i •
Name: �'�';s��° =--xr- Mocksville, NC 27028 Subdivision Name:
" ,r T , j� ! Phone #: 704-634-8760
Directions to property: / r�.��. %1 �i 1.� l!�" �" Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:#� �� - �
Road Name`. � � Zip: a� I��
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pemuts. 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)
ENVIRONMENTAL HEALTH
�'/.�.��'� �
DATE ISSUED
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALm FOR A PERIOD OF FIVE YEARS.
,�_ , , .
',�� .. . - . : : . , _ � . � =�o-v
_ - � �, � �' DAVIE COUNTY HEALTH DEPARTMENT ��y���S(,{Jillifl/1'IS � �
� ` �, �
- �s•'�&''� `" � ,/ �; �.� IIVI ROVEMENT AND OPERATION P�RMITS PROPERTY INFORMATION `
Pe�it�'e��'.'"`t'..�.:.-'',���� 11 C�f1 ��:/",e'Jf�',o �.IQ- __._.__.._. .�� � P� �r (1^�'��ai�1
�.�< <_
Name"" �"�-�� � '�'� ~ Subdivision Name:
.�� y. ' ;..,.f:,,:�.:. �_ t:::,_
- -il- �
� ' i-3irections to property: : `� ,-�' r .�; ,� ��= � ✓ Section: Lot:
� ` Il14PROVEMENT '�;. �
.,� $ ._...� s ,-r,r .-�,
PE�T Tax Office PIN:# ..� ��".� _� - .`�
�, / , y �7
Road Name: �"-� f� % Zip: �.� ��- � j
**NOTE** This Improvement Permit DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AITTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Arkicle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/� ��,1 f!�� l,, f,, e ,!, ***NOTICE*** THLS PERMIT IS SUBJECT TO REVOCATION IF SITE
,�'. % /. 14..
� �t`;,� �f ,.y�;' F y� o;� � �!��, ,�� , , . , ,r ,� ,�' „�f� , PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH $PECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE Tf�S PERMIT BEFORE
INSTALLING Tf� SYSTEM.
RESIDENTIAL SPECIFICAT'ION: BUILDING TYPE /�.� # BEDROOMS �L # BATHS �# OCCUPANTS �f GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFI' # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE !% C TYPE WATER SUPPLY �E� DESIGN WASTEWATER FLOW (GPD) '��� G' NEW SITE_[� REPAIR SITE
�- �' i
SYSTEM SPECIFICATIONS:. TANK SIZE /On O GAL. PUMP TANK GAL. TRENCH WIDTH S'% ROCK DEPTH ,:� LINEAR FT. '1/<?fJ
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
� „�....�,�,�
�......-.---
*"`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.
OPERATION PERMTf
AUTHORIZATION NO. _ � � �
SYSTEM INSTALLED BY:
5 �� 1-\. ��
40� ov I
. \_ �op �
�c �
�oo
�oo � �c.3lA' � �
OPERATION PERMIT BY:
DATE: 'S I L % �
"`*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA'� THE SYSTEM DESCRIBED ABOV� jg� BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAP'fER 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)
�„, APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMI __ �
, Davie County Health Department ;, �
Environmental Health Section
P. O. Box 848
Mocksville, NC 27028
('�`iS����
(336)751-8760 L
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS -
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed ��i%/�eT�"► V�J�'e'� �'��
Mailing Address V�� r� / 1(�tJf,� (o U� �02%7�
City/State/Zip ,,�O�GKS l/ e //� , /�/� �7� � Business Phone _
Contact Person l�e�� Ur �Oh/ 77�'
Home Phone �� `�����
2. Name on PermidATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ,� Site Evaluation ❑ Improvement Permit & ATC � Both
Qv�.b� u.��d�
4. System to Serve: ❑ House � Mobile Home ❑ Business ❑ Industry 0 Other
5. If Residence:
� Dishwasher
# People � # Bedrooms � # Bathrooms �
❑ Garbage Disposal � Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type # People
# Commodes # Showers # Urinals
If Foodservice: # Seats Estimated Water Usage (gallons per day) _
7. Type of water supply: ❑ County/City � Well
# Sinks
# Water Coolers
❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Yes � No
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P��� THE PROPERTY MUST BE
, SUBMITTED WITH THIS APPLICATION.
Property Dimensions: %� ���d X� • � a� -
Tax Office PIN: # J'�'1 � � - _�_ - �13 U
Property Address: Road Name ��e(�U I� (� I 1`�
City/Zip 1�loc���� � I I�, a� o�-�
� If in Subdivision provide information, as follows:
Name:
Section:
Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
/� I ��„�C, -l-n
rr
11
co,�►ne
� l l Rd - le
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 ��m'�� �— � W� �� 1 Q VYl S to conduct all testing procedures
as necessary to determine the site suitability.
DATE � � � � / � SIGNATURE ' I Y 1 • l�.l d � O �� �E
��d,� ,�/m� � �
Revised DCHD (06-96) � �� �+ Q� �`
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Scale:1" _ •'••'`•""• April 06,1999 4:37 PM
R' ,` . DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
� Soil/Site Evaluation
NAME � DATE EVALUATED S ����G
ADDRESS PROPERTY SIZE lJ9 C
PROPOSED FACIILTY � LOCATION OF SITE ��//r/nsr �Yo�,, ..,
Water Supply: On-Site Well /� Community Public
Evaluation By: AugerBoring Pit Cut
FACTORS 1 2 3 4
Landsca e osition �.
Slo e 7.
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH Q �t '�
Texture rou '
Consistence � �
Structure i( h!
Mineralo
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSZFICATION
LONG-TERM ACCEPTANCE RATE _
SITE CLASSIFICATION:
EVALUATED BY:
LDNG-TERM ACCEPTANCE RATE: c v.� 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-Tenace FP-Flood plain H-Head slope
Texture
S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt
SI�L-Silty �:lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moiat
VFR- V;;.ry 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
,iC-Single grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Min eralo�y
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 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 (01-901
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