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315 Country LnDavie Countv, NC Tax Parcel Report Wednesdav, October 12, 2016 WAK1V11V(s: '1'Hl� l, 1VU1 A JUKVLY ' Parcel Information Parcel Number: H40000006401 Township: NCPIN Number: 5739326035 Municipality: Mocksville Account Number: 82523739 Census Tract: 37059-806 Listed Owner 1: SPURLOCK WESLEY S Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 315 COUNTRY LANE Planning Jurisdiction: MOCKSVILLE City• MOCKSVILLE Zoning Class: MOCKSVILLE GR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 1.000 AC COUNTRY LN Fire Response District: Assessed Acreage: 0.95 Elementary School Zone: Deed Date: 12/2004 Middle School Zone: Deed Book / Page: 005860418 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 165580.00 Outbuilding & Extra Freatures Value: Land Value: 28700.00 Total Market Value: Total Assessed Value: 208760.00 °�^'°'F Davie County, �ot�N�' NC No MOCKSVILLE MOCKSVILLE SOUTH DAVIE Gn62 MOCKSVILLE 14480.00 208760.00 All data is provfded as is without warranty or guarantee of any kind either expressed or Implied Including but not limlted to the Implied warrentins of inerchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the County of Davle, North Carolina, Its agents, consultants, contractors or employees from any and aIl claims or causea af actlon due to or arising out of the use or inability to use the GIS data provided by thls website. _ - ,,�; � �DAVIE COUNTY HEALTH DEPARTMENT �� ` �� '��' :`,+t'� c'r i'��' ;'.�, .: :i''! .. .n Environmental Health Section PROPERTY INFORMATION - � ; u ,-'7 ,�,^ P.O. Box 848 Directions to property:—�. f� ��'" �'. %� �; Mocksville, NC 27028 Subdivision Name: .� J.J �, }? ,. � �-_ , ��' � .; f1� Phone #: 336-751-8760 " ,� 1 -::' �' : r F ': : , i�/ „ , Section: Lot: AUTHORIZATION NO: �' '� � �a A AUTHORIZATION FOR WASTEWATF.R Tax Office PIN:# SYSTF,M CONSTRUCTION Road Name: Zip: **NOTE** This Authorization for Wastewater System Conswction MUST BE ISSUED by the Davie County Environmenta] 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 Pennits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �� ti+ ,f -'' i: ,� ,..I' ,�f' / ***NOTICE*** THIS AUTHORI7.ATION FOR WASTEWATER CONSTRUCTION i..' . r f ��..i . /,r f.. 1� �� Jr" r �' % � ` s�� .....�! � , � . . � � !` ./ } .5l '"� «. � ,+'_ , " � � IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENfIAL SPECIFICATION: BUILDING TYPE �,1. # BEllROOMS �# 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 DESIGN WASTEWATER FLOW (GPD)'�.� NEW SITE REPAIR SITE /.--�"� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH �� LINEAR Ff: � OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: _ IMPROVEMENT PERMIT LAYOUT �--- , . � c'' 6%!' .�.�,/rs" /�► j � ,�: j/ �°,��' T�-`J�, � f T' ,�r�,�� **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 SYSTEM INSTALLED BY: � �' � � � �,. .;, , �: �� ,� � AUTHORIZATION NO. C�_ OPERATION PERMIT BY: DATE: -� �� f*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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. �n ovo2 �v��a� o • � DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ...� . APPLICATION FOR IMPRO�CEMENT PERMIT (REPAIR) NAME ��i..�� l1 n �� ^� PHONE NUMBER ADDRESS �ls ��v1 f--�r�._v SUBDIVISION NAME ,%�-(J L-/C� � �� LOT # DIRECTIONS TO SITE___ C4-� / p�-� � J ��,1� ��--- � Co�.� L _c� f �� DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I underatand I sm responsible for ell chargea incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 .` DAVIE COUNTY HEALTH DEPARTMENT ' • , • . Environmental Health Section . P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 � (336)751-87C►0 Account #: 990000678 IMPROVEMENT/OPERATION PERMIT Billed To: Pennington 8� Company Realtors Reference Name: p e a!� �� 6�e ^^ ��"E'� �' Proposed Facility: Residence 1� d � �J �/`� z_._� Tax PIN/EH #: 5749-45-17Q1 Subdivision Info: Location/Address: 315 Country Lane-27028 Property Size: 5.044 acres ATC Number. 3135 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type J7 #People �#Bedrooms �#Baths �_ Dishwasher: XJ Garbage Disposal: ❑ Washing Machine� Basement w/Plumbing: ❑ Basement/No Plumbing: 0 Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply G b Design Wastewater Flow (GPD) � Site: New� Repair ❑ System Specifications: Tank Size � GAL. Pump Tank Other: Required Site Modifications/Conditions: / GAL. Trench Width c�lo � Rock Depth /.% ��Linear Ft.��D INIPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF G" BELOW FINISHED GRADE. ****NOTICE: Contact a representative ofthe Davie County Health Department for final inspection ofthis system between 8:30 a.m. to 930 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (33G)751-87G0.**** � � / , � � � Environmental Health Specialist s Signature: � �� Date: �� % Z� DCHD OS/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-87G0 Account #: 990000678 Bilied To: Pennington 8� Company Realtors Reference Name: p�b5.� �l ��', �.,�.,�,., �osed Facility: Residence ATC Number: 3135 Tax PIN/EH #: 5749-45-1701 Subdivision info: Location/Address: 315 Country l.ane-27028 rfoDefiY s�ze: �.u44 acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION � r **NOTE** T'his Authorization for Wastewater System Construction MLJST BE ISSLTED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of , G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT C NSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health SpecialisYs Signature: �• CdGC 3'�I i- Date: 'L�� QZ CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on ImprovemendOperation Permit 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. p , � �6X3x1�� Septic System Installed By: v� � l'V ,�� i Environmental Health Specialist's Signature :� G�f� } Date: ,S �� DCHD OS/99 (Revised) t� �,,, APPLICATION FOR SiTE EVALUATION/IMPROVER9El'�IT PL-f36�1i� & • Davie County Heaith Department Environmenta/Hea/th Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***IMPORTANT*** THIS APPI,ICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFOF2MATION BUI,I,ETIN for instructions. 1. Name to be Billed �Q� V �:suu c�y Contact Porson ��y2�(�-(M�F" ___ ___ Mailinq Address �� U� ir ( Q �� Home Phone City/State/ZIP �/�,l S(�:�IP� A��n IIusiness Phone 2. Name on Permit/ATC if Different than Above �LY `Q �� P�.�'1Z9'�.J Mailing Address City/State/Zip 3. Application For: C�Site Evaluation �provement Permit/ATC 8 Bbth 4. System to Service: /� House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other V� 5. If Residence: # People ' # Bedrooms �_ # Bathrooms 1 I� DishKasher LI Garbage Disposal j%i�Washing Machine CI Basement/Plumbing II Basement/No Plumbing � 6. If Business/Industry/Other: Specify type # People N Sinks N Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Esti.mated Water Usage (qallons per day) 7. ZYipe of water supply: �County/City ❑ Well ❑ Community _ � 8. Do you anticipatc additions or cxpansions of thc facility this system is intcndcd to scrvc? L7 Ycs �f No v \ If ycs, what typc? ***IMPORTANT*** CLIEN"I'S MUSTCOMPLETETHE REQUIXED PROPERTY INrORMATION RGQUGSTCD BELOW. Eithcr a PLAT or SITE PLAN 1V1,(JST BESUBMI77'ED by�tl�c clicnt �r•ith 1'I11S Al'I'LICATION. Property Dimensions: y�J// . Tax O�cc PIN: # S T" 7��7�l�� Property Address: Road Namc ,3/� �u+�,�z� � � City/Zip �(.{(�CQS1J,'��'L��Z.� If in a Subdivision providc information, as foltows: lYame: Section: Block: Lot: +VT�L'Yl; DIIti:CI'IONS (from h1ocicsvillc) to PRO1'GR'1'1': l0l ��,�1 C� C� , � 12 c,�-_ 31S .(ll.t,. � -L. � Datc Property Flaggcd: (J / � ��'�� This is to ccrtify that the information provided is correct to the best of my knowlcdge. I undcrstand tliat any permit(s) issued hercafter are subject to suspension or revocation, if the site plans or intendcd usc ci�angc, or if tl�c information submitted in this application is falsified or changed. I, also, underslrutd t/tnt 1 cr�u responsible for ull c/rrrrges inrurred jroiu this applicalion. I, hereby, givc consent to tlic Authorizcd Represcntativc of tl�c Uavi County Hcalt Uc •irtnicul to cntcr upon abovc dcscribcd property locatcd in Davic County and owncd by � r _._. to conduct all testing procedures as necessary to detcrmine the site suitability. DATE �J�' �lD 'Q"~�-- SIGNATU1tE_� I �/`��v`� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAIY (Includc atl of tt�c following: �xisting and proposcd property lincs and dimcnsions, structures, setbacks, and scptic locations). Sitc Rcvisit Cl�argc Datc(s Clicnt Notification Datc: EHS: Revised DCHD (07/99) `-_ Account No �' � � Invoicc No. �9�� -- - � -� - .� IRS ^--�.. , ��_ .. Foint D 14.M1:' ��" E1P �, �nd � I O� V � � I �` , } N —a �� il TQX LOt GG o.sao a�:��. �, �-1 ' �__----- . w��a� � i.�i/�„ F"nd Point - . _.--�----T-_ -�'"_.._ IR � � _-___ —.— -- _— '-- i - --- � - --- _ , i L-_� � \ IRS ��r=��- � wiu �._--- ^" � �� `.'. . - �, i �. �-�'^ .. - ---- ..._.T-...�. -r L-�, _ .. _..__-- �- .. _. _. � -- � �- ^ � � � I � � ' �� '� Parcel 1 �'� '�� Part of Tax Lot 64 i � ' � i _ ' � 0.7(i3 Acras -1 � - i � i � _.__._--- i , � �i � i �rick Walk i . _ .. . .. . .. .. ..i ' t""._.._.._.._.._ � 1 i r.il �,I�Hd 1" _ ' � '. .� � (�alCI1 --,4--�'—. I1 11 i ` 1 1� ()i10�lii�o/Y O� � ��' /�� _ IJrick I�I,•i�se Crwel Dm�e ? "0=4� � � �___'''�—� �' �_.__i., ,.,�.,_.. � irnme �('� �o I,e aenrnv:A �,- 1 � `\� �` �� 1 �. � • � ` `1 � �.� � � 1 '_.� ,,• 1 \ ICi�` �'n,,,��_�e �; � ! _ r - L-9 �'�=.---^'" l,+`�', ,, , , , _ , ,. . ,, ,. s � '" /�—/ ' . . .,.. � � , �\ � `�-=--- i �.. _. � __'�' P--�xcel 1 Pai of Tax Lot 64 � .044 Ar.ics h/- � hrla Fnd Paint B � _ t � .� , , �, , , .. . ., �, � � DAVIE CUUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990000678 Billed To: Pennington 8� Company Realtors Reference Name: Proposed Facility: Residence Property Size: PROPERTY INFORMATION Tax PIN/EH #: 5749-45-1701 Subdivision info: Location/Address: 315 Country Lane-27028 5.044 acres Date Evaluated: �.2�� Water Supply: On-Site Well Community Evaluation By: Auger Boring � Pit 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 r n�.Tr_ T�D11if nrr�mrnr SITE CLASSIFICATION: � LONG-TERM ACCEPTANCE RATE: � / REMARKS: Public � Cut EVALUATION BY: 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 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 Mineralo�v 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 - gallday/ft2 DCFID OS/99 (Revised) ■ ii ■■ ■ ■��■ ■■�■ ■■�■ ■�■■ ■��■ ■■�■ ■��■ ■��■ iiii ■��■ ■��■ ■�■■ ■��■ ii ■■ ii ■■ ■H■■ ■�■■■ ■��■■ ■��■ ■��■■ �ii�■ ■�■■■ ■��■ ■■��■ ■�■�■ ■��■■ ■��■■ �� ■■■�- ■ ■�■a ■ ■■��■ ■■��■ ■��■ ■■��■ ■�■��■ ■■��■ ■ ■■��■ ■■■ ■ ■�■��■ ■��■ ■ ■ ■�■■ ■��■ ■■�■ ■■■■ ■��■ ■ ■��■■■ ■��■ ■��■��■�■ ■�/■��■�■ ■■��■ ■■��■��■ ■�■■��■ ■��■■�■ ■��■��■ ■�■■■ ■�e■■ ■ ■�■ ■�■ ■��■��■ ■��■��■ ■��■��■��■ ■��■■��■��■ ■■■�/��■��■ ■��■��■ ■�■■��■ ■��■�■��■ ■■��■�■■�■��■ ■�■��■■� ■��■ ■��■ ■��■■��■■ ■��■�■■■��■ ■■■��■■�e ■��■■�■��■ ■�■��■��■ ■��■ ■�■■��■��■��■■ ■��■■��■ ■��■��■ ■��■��■��■��■ ■��■ ■■��■�■ ■�■��■■��■ ■■■��■■■��■��■ ■��■■■��■��■ ■��■��■�■ ■��■��■ ■■�■■��■■■ ■��■��■■ ■��■��■��■ ■��■�■■■��■��■ ■��■��■��■■■�■ ■��■��■■��■��■ ■■■��■■��■■ ■■■■�■■■■��■�■■ ■�■■�■■■��■■��■ ■■��■■■�■■��■ ■��■ ■��■��■■��■■�■ ■�■��■■■��■ ■■��■��■��■ ■�■■�■■�■��■ ■�■��■■■��■��■ ■�■■�■■�■�■ ■�■■��■ ■■■ ■�■ ■�■ ■■■ ■■■