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118 Dartmouth Ln Davie County,NC Tax Parcel Report �,,� � Monday, September 26, 2016 64, 1371 1361 11 1349 , _1339 119-' 118 I 71 1 WARNING: THIS IS NOT A SURVEY .Parcel Information Parcel Number: 130000006902 Township: Mocksville NCPIN Number: 5728577858 Municipality: Account Number: Census Tract: 37059-806 Listed Owner 1: Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: Planning Jurisdiction: Davie County City: Zoning Class: DAVIE COUNTY R-A State: Zoning Overlay: Zip Code: Voluntary Ag.District: No Legal Description: Fire Response District: CENTER Assessed Acreage: 1.00 Elementary School Zone: MOCKSVILLE Deed Date: / Middle School Zone: SOUTH DAVIE Deed Book/Page: Soil Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: I,v All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the O O1�F Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davis,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. -i,-.. .. SrF.'tu,.,vt.:,te'Va.,. •x..e.hv 'r 1 ';r:' '';'x'-'•'tivs zee: SD - DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance•With Article II of G.S.Chapter 130a Sanitary Sewage System Permit Number Name s Date �f.162e/W NO 6714' / Location Subdivision Name Lot No. Sec..or Block No. Lot Size House ✓ Mobile Home _� Business Speculation No. Bedrooms No. Baths—,4 — No. in Family Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma.hine YES NO ❑ �J�X3X�°7 11 Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. �l 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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by. v' Certificate of Completion /PCZ Date 3 Z16) *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DAVIE COUNTY HEALTH DEP 7M01 NT f IMPROVEMENTS PERMIT AND .CERTIFIC TCOMPLETION *NOTEAssued in Compliance With Article I I of G.S.Chapter 130a Sanitary Sewage Systems Permit Number Nam e, ,,,i• _`�C'IiW'-lCJ7���, Date /��/�.� _ N° U,71 4 Location /'� A/";��-;i 1�,��/�' ✓���.�/� — �s✓�i�' flry �.9 � .5�. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION "NOTEAssued in Compliance With Article 11 of G.S.Chapter 130a 4 Sanitary Sewage Systems / Permit Number Namei�ir'.�,:�/. � i�. � 7`�s ��:"�✓lf Date = �`�/ N2 6209. Location v Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business Speculation No. Bedrooms No. Baths '`� No. in Family _ Garbage Disposal YES ❑ NO ©' Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma.hine YES NO ❑ Type Water Supply 'This,permit Void if sewage system described below is not installed within 5 years from date of issue. This'permit is subject to revocation if site plans or the intended use change. J 'i 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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by W at � � J ego' Ia o w ' d r ^ r e Certificate of Completion � Date .The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of-time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT • 'r' Davie County Health Department FEB 5 ' Environmental Health Section RECEIVED P. 0. Box 665 Mocksville, NC 27028 1 . Application/Permit Requested By D ce V1 1, P S C L't/f / Mailing Address R r -�L X 3 ,6 , -724d C k5y111C- Home Phone 6 3 •Z,3. 3 Business Phone b 3 41 66-7 7 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation /Tank Installation 5. System to Serve: r/House u Mobile Home 0 Business 0 Industry0 Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Loth i No. of People Dwelling Dimensions Z6 / 9 68 No. of Bedrooms 3 Basement/Plumbing No of Bathrooms �_ Basement/No Plumbing EJ Washing Machine /ishwasher 0 Garbage Dispusai 7. If business, industry, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers JOWT .0 8. Type of water supply: Public rivate @010C 0mmuni.ty 9. Property Dimensions P A ✓ oX L K- 14. Sewage Disposal Contractor T'i� - ;Lreel G o ipj 5 7-rwC rl6 ft e-9 An 11 . Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes r Vo If yes, what type? 1�4 *NOTE: Improvements Permits shall be valid for a period of S . years from date issued. Improvements Permits are subject -�.J to revocation, if site plans or the intended use change. Effective October 1, 1989. 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 Signature A/k/IV 6 t-v' e,5 p" cyIt'e- ce Ge � Directions to Property : ' (' 1%1 ✓e Go w w cv v cYio 6"-' iv Yf U� e " 4 / a e r- t7 r.✓ o f ✓ 2 eS, G f �l m L n q� o DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: R`r DATE RECEIVED 6 V k/ (office use only) ye no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conductall testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. J DATE SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following:. Owner only O ners designated representative Anyone requesting results — Only those listed below r DATE SIGNATURE DCHD(11/84) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section f Soil/Site Evaluation NAME SC�w��� DATE EVALUATED [/c� s �� ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water.Supply: On-Site Well Community Public Evaluation By: Auger Boring .el� Pit Cut FACTORS 1 2 3 4 Landscape position Z_ Sloe % 2 2 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence y 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: >( EVALUATED BY: LONG-TERM ACCEPTANCE RATE: LZ OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Footslope 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 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 DCHD(DI-901 ■■■■see■■.■■e■..■■e■■..■■■eeeN.■eee■.■■..■■.■.■■.■■■.■..■■■■■■'�■�■ ■■o■■■■■■■Nee■■■■■■■■mm■■ecce■.■ ■■■eeeoeee.■Neeeee.■■■mooNoe■■e■ ■■eee■■■■■oeo.■■M■■o■omee■■■■■oe�eeee■■■■.■e■■..■.■■■e■■.■eee.■.■ ■ee■ee■■■■■■■Mee■■eeeeee■eee.■■eoeMe■■.■■■.ee■■■e■■.■eM.■.■.eME■■■ ■■■■■■■■■■■■eME■■■■eee■■■.■■.■■■..■■■.■.■.■■.■■.■.■■■■.■..■■.■■■■■ ■■■■■■■■.■■.eee■■■■.■ecce■■e■..■■N■■■■■.■■.■■■■.■■.■.■■■■..■..■■■■ ■eeeeee■■.■■■■■■■■e..■..■..■■N■■■■■■■■■■■.■■.■■.■■■■.■.■■■■■.■.■■ ■■■mmme■eeeoo■■e■■.■e■■e.■■eeeee ■■■■.■■■■■..■.■■■■.■.■...■.■■■■■ ■e.■■ecce■■■■■■e■■.eee.■■■.■■■■e�eM■■■■■■.■■.■■■..■■■■.■■■■e■■.■■ ■■.■.■■■.■eee■eee■■■■■eee■eee■■■..■■Nee■■■eee■..■■■■■■■■.■■■.■.■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■e■■■■■■.■■.■.■eee.■■■■..■.■■eeeeeee■■.■..■■.■■.■■■■■.■■■■.■/!■■ ■.■■■■.■■■■■■■■■..■■eee■.■..■■.■■e■.■■.■..■..■.■..■■■■■■/■■■.■■■■■ ■.■..■■.eeeee■■■■■■■eeeee.■.■■/.�■.■.■■■.■.■■■■■■■■■■.■.■.■i■.■.■ ■■■■■■■neeeeeee■■mmmeeemmemmmee�eeeeeeeee■■■ee..ee■.■■.■.■.e�■■■ ■■■e■■■■.■....e.eMeeM.e■■ee■■■.■ ■■.■■.....■■.ee...eeeeeeeeee.■■■ Nee■■eeeeeeeeee■■■e■■e■ecce■eeeee■eeeeem■■■■■.■■...■■■■.■■■ecce■ ■ .................................................................. ■■■.■■■■.■....■■■.■■■ecce.■■■eee ■.■eeeeeeeeeeeeeeeeeeee■e■eeeee■ UMMEMEN MENNEN MENNEN MENNEN MENNENMMIMiiiSEEMMEMEEMMEME ■■.■■.■■.■........■.■■■■rim..■■■■..■■■■■■■..■�■.■.■■■■■■■■■■■■■■■■■ ■e��e■■e■Nee■■eeeeee■e■��..■.■�.■■..■■.�■ee.►r■.e.■■.■■.■■.■■■e■e■e■ ■ecce■■■..■■■.■...■....■■■ecce.■ ..■■!■■..■■■■w■■e■ ■e■■ ONE ■■. ■..■■eee■Me■■■......■■.■■■■.■■■■�■.■■■.1111■.■■■■■■.■.■■■■■■■■ MEN iiiiiiiisiiiiiisiiiiiiiii■iiiiiiiiiiiiiiiiiiii�ii=iii■iii�iiiiii'�i iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii:iiiiiiiii�=�■iiiii�iiiiiiii= ■■■■■■■■.■■■■■■■■■■■�■■■■■■■■■■■■was■■■■■■■■■■■■■■■■■■■■■■■■■■.�■■■■■ ■■■■■■■ ■■■ ■■■iM■■ ■■■■■■■■■■...rs�■■■■■■■■■■■■■■.■■■■■..■ ■■■■■ ■■.■■■■ ■■■ ■■■■r, ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■u■■■■.■■ ENEMEM: ::::::::: .....■■emmemmm■emmemmmmmmeemeee■ ■eNme.eeeemmmmmeeemeeeeemmm=MOEN .................................................................. ■eeeee..■...■.■.■■.eeeeee■eee■eee■..■■■■eeeee.ee■■EMeeeee■■.eeeee■ ■■■■■.eee■.■■....■...■■..■.....■■■■...■■..■■■.■■■■■■t■■■■�■■.■■■/■ ■■.■■■.EeeeeeeeMeeeeeeee■■Nee■■eeeeeeeeeee■.eMee■Nee■Me■ ■eeeeeee ■eeeee.■■..■eeE.eMe■ ■eee■■■■e■■■e■■■■.■■.■■.Nee■■.■■.■■..■.e.■.■■ ■.■■e.e■■■■eeeeeeeeeee■.■■eee■E■�■■e■■...■■.■■■■.■..■e.■■■■■.■■■■ ■■■■ccemmemmecec■ee■Eeemmecemm■■eee■ec■Mmem■■■m■m■■■■emme■e■■■■■.■ ■e■■■eeeeee■■■■■■■■em■■e■mmmeeee■■memmmmm■■■mmemmemm■■eeeeeeeeeee■ ■■eee■e■■■■e■■■.■■■■■■■e■■■■■.■..■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■..■■■■.■■■■■■■■■.■■■■■■■■.■■■■■■M■.■■■■■■■■■■■■■■.e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■..■■■■■■■■■■■■■■■■■■ ■■■■■e■■e■N■■e■■cee■■Me■■eemmmmmue■■■■■eee■■■■■■■■■■■M■■■■■■■.■■■ ■■e■ee■■eee■M■■M■e■■Ne■■■■■e■■M■ ■■■■■■■e■■■■■■ee■■■■e■■■■■■■■e■■ NEEMeee■■eee■■■c■■■eee■■■■■■e■■u■■■■■■.■■■■■.■■■■■■■■e■.■■■■.■■.■