985 Deadmon Rd Davie County,NC Tax Parcel Report 5s� Monday, P September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K60000000505 Township: Jerusalem
NCPIN Number: 5757139320 Municipality:
Account Number: 82522902 Census Tract: 37059-807
Listed Owner 1: SETTLE TIMOTHY E Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 985 DEADMON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R A
State: NC Zoning Overlay:
Zip Code: 27028-5147 Voluntary Ag.District: No
Legal Description: 6.000 AC DEADMON RD Fire Response District: JERUSALEM
Assessed Acreage: 5.99 Elementary School Zone: CORNATZER
Deed Date: 6/2004 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 005560150 Soil Types: PaD,GnB2,PcB2,EnB,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 123640.00 Outbuilding&Extra 810.00
Freatures Value:
Land Value: 34270.00 Total Market Value: 158720.00
Total Assessed Value: 158720.00
161 All data Is provided as Is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie Countys 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
NCor arising out of the use or Inability to use the GIS data provided by this webshe.
DAVIE COUNTY HEALTH DEPARTMENT
r Environmental Health Section
P.O.Bog 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT DA `
Account #: 990001023 Tax PIN/EH#: 5757-23-1753
Billed To: James Garwood Subdivision Info:
Reference Name: James Garwood Location/Address: Deadmon Road-27028
Proposed Facility: Residence Property Size: 6 Acres
**NOTE*Nt 'br p 23ement/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 /T #People #Bedrooms #Baths_
Dishwasher: 25"" Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:❑
Lot Size Type Water Supply Design Wastewater Flow(GPD) SX� Site: New 2'0'Repair❑
System Specifications: Tank Size/,41,2Z_GAL. Pump Tank GAL. Trench Width�z Rock Depth Linear RZO
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF 6 K BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.****
E� /
Environmental Health Specialist's Signature: Date:
DCHD 05/99(Revised)
r f '
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Bog 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 990001023 Tax PIN/EH#: 5757-23-1753
Billed To: James Garwood Subdivision Info:
Reference Name: James Garwood Location/Address: Deadmon Road-27028
Proposed Facility: Residence Property Size: 6 Acres
ATC Number. 2356
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED 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 WASTEWA CONSTRUCTION IS VALI FO A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: i Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation 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.
Septic System Installed By: ` ,
Environmental Health Specialist's Signature: Z V" Date:
DCHD 05/99(Revised)
M
M APPLICATION FOR SITE EVALAUITION/IMPROVDAENT PERMIT&ATC
Davie County Health Depaftent
Envf onment d NwIt h Seddon W ' 3 2000
P.O. Box 848/210 Hospital Strut
Noaksville, NC 27028 ENVIRONMENTAL LTH
1336)781-8760 DAVI
***ri�Qlt et THIS ApPLICII'1im C=OT BB MMAM UNLCSS 71LL TSS ACQUIRED
Z 9MMIMI IS PROVIDED. Refer to the MTOMM1011 BU=TIH for instructions.
1. "no to be :Tiled .� t C<`3 • E-�! �' `h Contact person S 11 C%
ailinQ dddsess ?uo,erfl 'r c '0 m me �S`l —`7317
Ie
a. Mammr on 1.salt%aso if Different than
tiailiaq address _ +CitYistat./iiP
a. 1 WIcat.ion tor: O8ite !valuation 0 Improveamut Pessait/ATC I'I'8oth
e. systea to servioem D/House 0 Nobile Home 0 Business 0 Industry 0 Other
a. If Residence: f People _� a Bedrooms 1 Batbroome o2
er Diehwesha: 0 Oazba" Disposal B'Ieasunq wwdAm O Dseenant/plumbiug 0 saeewhnt/90 alumbiaq
e. 29 8u@Lness/Sa&mstrr/ohne: spwAtr type people f sinks
I Commodes # sho"Ve • urinals t# Yater Coolers
it IMSSRVICE: h Seats =stiaated water Usage (gallons Per day)
7. Type of water sappiy: 0 County/City W well 0 ComMaity
e. Do you anticipate addition or expeadons of the bcWty this system Is intended to serve? e'Ye.ll` 0 No
Uyes,whattype? t it Fig12
**4JMPOR7ANT&**CLIENTSMMtbMPLETETHE JWVDEDPROPERTYINFORMATIONREQUEST®
BELOW. Either a PtAT or SITE PLAN MUSTRESUBABIM41 the client with THIS APPLICATION.
Prope imenaionss /7.73 X&70-(v/K9/P7-40 947 WRiTEDutwnONB(km Mocknue)toPROPERTY:
Taz 0Mcs PIN: N.S-x'-,23 1-7,S73 44-m V la b 1 -Sn 4214,, Lt,-ri- rdV
Property Addrew: Road Nameb t%t4)?TI10tJ i?t�, bc2gL k1t W Ph -- Z Int zLK 16_
cityrnp Mbe-rSif i U-F a 7RAP / D4&YyAf—Ar-t5T-12�-ztq
If in a Subdivision provide information,as follows: E 4S
Name: &C,,5
Section: Blocks Lots Date Property Flagged:
This Is to certify that the Information provided Is correct to the but of my knowledge. I understand that any permit(:)
taaued hereafter are subject to suspension or revocation,U the site plans or intended no cbauge,or if the information
submitted in this application Is falsilied or changed. 1,also,anderstaad that 1 an responsible for all charges lncuffedf om
this app&adou. I,hereby,ghv consent to the Authorized Representative of the Davie Coon H 10h Departipent
to enter upon above described property located In Davie county and m►ned byne51 f�Reb7�Q�7
to conduct all testing procedures as necessary to determine the site suitability.
DAT"r". SIGNATURE
IS
THAREA MAYBE USED FOR�WING YOUR SITE P (Include all of the following: Existing and proposed
property hues/and diimeusions, structures, setbacks, and se tic locations
-h H mksC�o R 4�t�S ► Site Revblt Charge
Date(t)s
C�
Client Notification Date:
EHS:
Account No.
� Rsvbed T)CHD(07/99) �_ / Invoirs No.
X0,.3
(�(z."13
DAME COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990001023 Tax PIN/EH#: 5757-23-1753
Billed To: James Garwood Subdivision Info:
Reference Name: James Garwood Location/Address: Deadmon Road-27028
Proposed Facility: Residence Property Size: 6 Acres Date Evaluated:
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
HORIZON I DEPTH
Texture group
Consistence
Structure'
Mineralogy
HORIZON II DEPTH
Texture group �i
Consistence i
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: EVALUATION BY: �U
LONG-TERM ACCEPTANCE RATE: 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-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
ois
VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firth
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)
LIAR-Long-term acceptance rate-gal/day/ft2
DCHD 05/99(Revised)
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