173 Dance Hall RdDavie County, NC Tax Parcel Report 1 A � Tuesday, September 27, 2016
.............._..._.,_,....__. ANCE HALL RD � I z i DANCE HALL RD
-------,PANCE __.. DANCE HALL RD i''
................_,_.....,................,�_. _
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0 8977
210
A
101
Davie County, NC
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcertnforrriatio
Parcel Number:
C500000003
Township:
Farmington
NCPIN Number:
5833818977
Municipality:
Account Number:
12700000
Census Tract:
37059-802
Listed Owner 1:
CAMPBELL ROGER
Voting Precinct:
FARMINGTON
Mailing Address 1:
173 DANCE HALL ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-6202
Voluntary Ag. District:
No
Legal Description:
6.10 AC DANCE HALL RD LOT 4
Fire Response District:
FARMINGTON
Assessed Acreage:
5.92
Elementary School Zone:
PINEBROOK
Deed Date:
7/1975
Middle School Zone:
NORTH DAVIE
Deed Book/Page:
000960272
Soil Types:
MrB2,EnB,MsC
Plat Book:
0004
Flood Zone:
x
Plat Page:
149
Watershed Overlay:
-
Building Value:
27420.00
Outbuilding & Extra
440.00
Freatures Value:
Land Value:
59450.00
Total Market Value:
87310.00
Total Assessed Value:
87310.00
101
Davie County, NC
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implied warranties of merchantability or fitness for a particular use. All 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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ALi�THORIZATQN N0- '16 5 8A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permi Lee's P.O. Box 848
Name: � l / Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: Z�WA I/,I l VOil Section: Lot:
AUTHORIZATION FOR r^
WASTEWATERelp
SYSTEM CONSTRUCTION Tax Office PIN: r'� - -�
Road Dame: Zip: ZZO
**NOTE** This Authonzaiion for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of an Building -Permits. This Form/Authorization
y gPe Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 1 I 'of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
t G 3�'/%` IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
1
�_•:--- 6 5 8A DAVIE COUNTY HEALTH DEPA T T
IMPROVEMENT AND OPERATION P IT PROPERTY INFORMATIONof
E
{es � /
'� f Subdivision Name.
n
Directions to property:' /�i!J�Rl;'t� / rr` - Section: Lot:
IMPROVEMENT t
PERMIT Tax Office PIN:#'.; ' -
Road aJme »: ,%' �'� % Zip: �O
**NOTE** This Improvement Permit DOES NOT authorize the construction or. installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYST A4 CONSTRUCTION must be obtained from this Department prior to the '
constructionhi stallation of a systeih or the issuance o a building permit.;
(In compliance with Article l l,of G.S. Chaptdl36A, Wastewatet, Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** TIM PERMIT IS SUBJECT TO REVOCATION IF SITE
1, r.�?;', ;) , , , 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 # BEDROOMS_# BATHS a'Z # OCCUPANTS ?"I_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE .# PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE9. q TYPE WATER SUPPLY �'DESIGN WASTEWATER FLOW (GPD) NEW SITE 4/ REPAIR SITE
,/
SYSTEM SPECIFICATIONS: TANK SIZEZ�GAL. PUMP TANK - GAL. TRENCH WIDTH <� ROCK DEPTH/d LINEAR FT. �/Od
OTHERC2
AG(' Il �iiL V UA
REQUIRED SITE MODIFICATIONS/CONDITIONS:
DCHD 05/96 (Revised)
� PLICATION FOR SITE EVAUTATION/IMPROVEMENT PERMR do AT
§9'ep Davie County Health Department
: Eavironmenfa/ Health Section
�*
P.O. Box 848/210 Hospital Street NOY 1 7 1998
f Mockaville, HC 27028
(336) 751-8760 ENVIRONMENTAL HEALTH
V
DAVIE COUNTY
***D1P0RTANT*** THIS APPLICATION CANNOT' BE PROCESSED UNLESS ALL THE REQUXPZD
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. llama to be Billed 1-1 1 T I I .I I I 1 l .14'M h I. 10 !LY Contact person
Nailing Address --I-) c' -n CSL. bt k /.l Hems phone e
City/State/ZIP LC S2i�rX
Business N=4- t 10 -
2. Name on Permit/ATC if Different than
Nailing Address
3. Application For: J41*1slite Evaluation
4. system to service: ❑ House Mobile Home
a. If Residence: # People Z
City/State/Zip
Z�h 4 141A,L
0 Improvement Permit/ATC C // $/d
lb ��
0 Business 0 Industry ❑ Other 1411P
# Bedrooms 2 # Bathroom 2
Dishwasher 0 Garbage Disposal )( Washing Machine 0 Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/other: Specify type # People # Sinks
# Commodes
# showers # urinals # Water Coolers
Ir FOODSERVICE: 11 Seats Estimated Water Usage (gallons per day)
7. Type of water supply: 0 County/City A Well ❑ Community
e. Do you anticipate additions or eipauslons of Me facility this system is intended to serve! ❑ Yes IYlvo
If yes, what type'
** *IMPORTANT** * CLIENTS MUST CVAfPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: -Z X eDIRECTIONS (from Mochsville) to PROPERTY:
7fTa:Office PIN. g
Property Address: Road Name /Jea llc[ - T�► V'o �� f o 7Lv �� 1,f flioN
City/ZipoS / 0g Ar�l
q` , �c� �o GJ YO �rucl �urnJ ,r r5 `�
If in a Subdivision provide information, as follows: T ey at ep v/a 'p'.4lee 17/� 11 aAJ
Name: �r _
Section: Block: Lot: Date Property Flagged:
a-25�-s
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, aW, understand that I arra responsible for all charges Incurred from
Nods opyUcadon: 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- e e 5
to conduct all testing procedures as necessary to determine the site bilitr.
DATE 1-� �- -- l� SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inc ude all of the following: Existing and proposed
property lines and dimensions, structuT setbacks, and septic locations).
7�
Revised DCI1D (07/98) 1
ICCI
Account No. _ A q3
Invoice No. ���
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME L ,tri' // DATE EVALUATED !2 -
PROPOSED FACILITY PROPERTY SIZE �� C
SUBDIVISION ROAD NAME
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring_i / Pit Cut
FACTORS 1 .2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH ` e - r
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: 12/'ev s- >-- e N
DCHD (01-90)
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
Mois
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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December 7, 1998
Amy M. Campbell
173 Dance Hall Road
Mocksville, NC 27028
Re: Site Evaluation/Dance Hall Road
Tax Office PIN: #5833-93-2568
Dear Client(s):
As requested, a representative from this office visited the aforementioned site on
December 7, 1998. Based upon the information provided on the Application for Site
Evaluation and after an evaluation was completed on the site, the site was found to be
provisionally suitable for the installation of an oversized, modified on-site sewage system
Before an Improvement Permit/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
jeO4640A &. i��A .
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/wd
Enclosure(s)