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193 Dance Hall Rdr q Davie County, NC Tax Parcel Report �) Tuesday, September 27, 2016 Parcel Number: C40000006403 NCPIN Number. 5833824048 Account Number: 82513089 Listed Owner 1: COOK JAMES A JR Mailing Address 1: 193 DANCE HALL ROAD City: MOCKSVILLE State: NC Zip Code: 27028-0000 Legal Description: 6.82 AC DANCE HALL RD Assessed Acreage: 6.15 Deed Date: 9/1999 Deed Book/Page: 003130182 Plat Book: NORTH DAVIE Plat Page: MrB2,EnB,MsC Building Value: 101780.00 Outbuilding & Extra 7680.00 Freatures Value: Land Value: 69670.00 Total Market Value: 179130.00 Total Assessed Value: 179130.00 WARNING: THIS IS NOT A SURVEY Davie County, NC Pa�ceCftiforhiati6ri Township: Farmington Municipality: Census Tract: 37059-802 Voting Precinct: FARMINGTON Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: DAVIE COUNTY OD Voluntary Ag. District: No Fire Response District: FARMINGTON Elementary School Zone: PINEBROOK Middle School Zone: NORTH DAVIE Soil Types: MrB2,EnB,MsC Flood Zone: x Watershed Overlay: - LO cli 8977 N 17(0- Davie County, NC l 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. 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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: issued in Compliance With Article 11 of G.S. Chapter 130a Iq?) ��Nce`l, Sanitary Sewage Systems Permit Ncu�mber Name L:Z--' �- S _ Date �i N2 7 6 G 9 Location R,o Subdivision Name Lot No. Sec. or Block No. Lot Size �a House Mobile Home _l/� Business _- Industry No. Bedrooms r.1__: No. Baths — No. in Family Public Assembly L Other NO E]Garbage Disposal YES p Specifications. for System: Auto Dish Washer. YES ❑ NO ❑ 1 PC) o,� Auto Wash Ma -.hive YES`❑ NO ❑1 w+ x 3 ► X ` �,, _ _p� Type Water Supply 'This permit Void if-sewag"ystem described below is not installed within 5 years from date of issuer This permit is subject to re` ocation if ite plans or intended use'ehange: r i t Improvements permit by .. *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram:,\ ; System Installed by Certificate of Completion D to 'The signing of this certificate shall indicate that the system desc ibed above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way a taken as a guarantee that the system will function. satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Po & 4 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision 3U% 15 1994 IBJ C� Home Phone Business Phone B`Septic Tank Installation Permit (Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown No. of People No. of Bedrooms No. of Bathrooms ��-- Dwelling Dimensions / L), Y 7 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks No. of Urinals Section Lot # ❑ BasemenUPlumbing ❑ Basement/No Plumbing 9 Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public I VPrivate ❑ Community 8. Property Dimensions Sewage Disposal Contractor RI 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? El Yes LK No If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to ProPerty: 1 L oO.rft " This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. DATE IGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE:ll�i. I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE DCHD (193) DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation / NAME DATE EVALUATED - ADDRESS 5 �P\��`s PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well l/ Community Public Evaluation Bylt�, Auger Boring !� Pit Cut FACTORS 1 2 3 4 Landscape position Slope % - ,o HORIZON I DEPTH `� u Texture group Consistence Structure MineralogX HORIZON II DEPTH h H Texture group Consistence Structure 5 k SB51 Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON ^' --- SAPROLITE -- -- CLASSIFICATION IZE LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: 'S LONG-TERM ACCEPTANCE RATE: _ REMARKS: �nT �"� "� \ DCHD(01-901 EVALUATED 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 Moist VFR-Very friable FR -Friable FI -Fina► 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 watef 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 ■■N■ ■■E■ ■OE■ ■ �. � � � �� ... �;o� ' APP ICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT -.____�.�.. i : • i:;. ': ,t ;� : 'i Davie Co nty Health Department � d��: �; ;�..1 �:� � � � � `f Enviro� ental Health Section �1�� ' � �� ' � ��,�� , `,� P. o. Box sss ��s ; � �j"1 /J� � ��1� �/h� Mocksvitle, N.C. 27028 �/�` C�N3TRUCTIO SH�L NOT 6EGIN UNTIL IMPROVEMENTS PERMIT HAS /�J � �� / �P i� EdAR 1 0 lyy� d ISSUED. � ll , Home Phone � �1. Permit Requested By � �c � Business Phone 99�=//,�� 2. Address 3. Property Owner if Different than Above t"i0��r LU�rs� jl�o�'�.rcV� Address ��✓ � 4. Permit To: a) Install� Alter Repair ' b) Privy Conventional Other Type Ground Absorption ' c) Sub-Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home '�Business Industry Other b) Number of people � 6. aJ If house or mobile home, state size of home and number of rooms. House Dimensions Bed Rooms� Bath Rooms 2- Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water-using fixtures: commodes lavatory _ dishwasher urinals showers sinks garbage disposal washing machine 8. a) Type water supply: Public Private��Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions �L.��'� ��' /�9-� r�-S b) Land area designated to building site c) Sewage Disposal Contractor � 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best Qf my k �-�'- 9� Date Owner OWNER IS SOLELY RESPONSIBLE FOR COMPLIA�E WITH ALL STATE AND LOCAL LAWS Allow 5 days for p cessing Directions to properry: l�g �: ��--5 � ,�.� � � m,; ti ��- /<� ��vL � l � � I,�� , i�� / . �� / ' ��f / � OCHD (6-82) a( e .� � ��9 rye � �--�.� �� rY� o � /�5 % � � /I �� C� � l�'l� �7 �J 6� �i( �e r-� , / I►i ;,/ •'_�ij� � � '' ' ' pAVIE COUNTY HEALTH DEPARTMENT r,.�., � , • Environmental Health Section ' Soil/Site Evaluation NAME _ C.� .� �� DATE EVALUATED �` 13 - �J 3 ADDRESS S 4.'�� PROPERTY SIZE �J � �� PROPOSED FACIILTY �' �� `�` LOCATION OF SITE �� \�� Water Supply: On-Site Well �/ Community Public Evaluation By� �L Auger Boring �/ Pit Cut FACTORS 1 2 3 4 __�_ ____ 7 � Landscape position ,�' S � S Slope 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineraloqy HORIZON III DEPTH Texture ¢roun 5tructure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure MineraloRy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSZFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LON G-TERM REMARKS: _ DCHD(01-90� 'ANCE RATE: i�: '�:�; �� 0�� 1��"1�� '�� ._. . _�,_. ��'� s S' EVALUATED BY• _ \ �o�-� `��-�� 0 .� � e J OTHER(S) PRESENT: ��as.�. � o� aQ �a�. i� .S . V o�s.,.. ��, �• � cRo 1c...v�•. 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[t�► 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 watef or inches from land surface to soil colors with chcoma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ■��■�r�■■�■ ■��■■��■ ■■■■■■��a ■��■■��■��■ ■�■��■■��■■ ■��■��■ ■�■��■■■��■ ■��s■��■ ■■��■��■ ■■�■■■��r�■�■ ■■■�■��■ ' - ; � • j � � - �Dar�ie Coun .�fealtfr� �De ar�ment , �y _ fi �en and .7�ame .7fealt 9 cy 210 H05PITAL STREETI P.O. BOX 86S MocKsvi��e. N,C. 27028 . . PHONE: 1704) 834•8985 _ Apri1 1.3� 1993 Hubbard Realty Attn: Gray F'otts Rt. 8� Box 2-8�00 Advance, NC 27006 , Re: Site Evaluation For: Retty 5pry Dance Hall Rd. — �� Acres � Dear Realtor: As requested, a representative from this offire visited the aforementioned site on April 13, 1993. The lower part of the lot was classified uns��itable. The upper^ par�t of the site was fo�md provisionally suitaGle for� the inatallation of a ground absorption sew�ge system. If you have any questions, pleaae feel free...t4'cont�ct this office. Sincerely� \�� ' • Charles E. Little, R.S. Environmental Health Section CL/wd Encl osur,e