183 Dover Ln Davie Ct)unty,NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
T. Parcel Information ..--------
Parcel
,Parcel Number: K40000001101 Township: Mocksville
NCPIN Number: 5727656974 Municipality:
Account Number: 69791060 Census Tract: 37059-801
Listed Owner 1: SPELL CURTIS J Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 183 DOVER LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-4140 Voluntary Ag.District: No
Legal Description: 1.000 AC OFF TOWERY RD Fire Response District: MOCKSVILLE
Assessed Acreage: 0.99 Elementary School Zone: MOCKSVILLE
Deed Date: 4/1992 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001630426 Soil Types: MrB2,EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 205610.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 12190.00 Total Market Value: 217800.00
Total Assessed Value: 217800.00
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 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.
60 DAVIE COUNTY HEALTH DEPARTMENT !�
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
w *NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a (4Np�
"Sanitary Sewage Systems r �J�,/; `permit Number
Name1ir �,�/��f% :�,,�, ,'i '�,;'� Date N2 6197
Locationt �/ All
! ` Vis` ._
Subdivision Name Lot No. Sec. or Block No.
Lot Size '�'>`�' House Mobile Home _ Business Speculation
No. Bedroomssl'" _ No. Baths _ No. in Family _
Garbage Disposal YES ❑ NO ,p' Specifications for System:
Auto Dish Washer YES p NO ❑ �,�� � f �rtr! -'l '
Auto Wash Machine 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.
1~
r
' 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 ��
/J c�
Certificate of Completion `- �? Date - U -
*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.
APPI� CATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
'.,
Davie avie County Health Department OCT
51 Environmental Health Section REC£
P. 0. Sox 665
Mockoville, NC 270 6WA
1 . Application/Permit Requested By cit Pl � �l �2 L
Mailing Address 20, • b 60 C- Utl ,e• Z?���
Home Phone I/ tel ) 7c/' 8�� ! Busines" hones 634`�S�J�-
2. Name on Permit if Different than Above -�►rzCwrzr►s �' t�'D�` ' '� �ut���
3. Property Owner if Different than AboveAIULI�-
4. Application/Permit For: 0 General Evaluation S/Tank Installation .
5. System to Serve: House ��) Mobile Home 0 Business
L Industry u Other 0 Unknown
6. If house, mobile home: Subdivision. Sec. Lot#
No. of People 3 Dwelling Dimensions
No. of Bedrooms Basement/Plumbing
No. of Bathrooms 12 _ ` Basement/No Plumbing
0 Washing Machine J Dishwasher 0 Garbage Disposal
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 /
B. Type of water supply: n1v Public 0 Private 0 Community
9. Property Dimensions
10. Sewage Disposal Contractor
11 . Do you anticipate additions/e pansions of the facility this system is
intended to serve? 0 Yes o
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.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am sponsible for all
charges incurred from this applicati n.
Date Signature
ytI. �:_"
A--
Direct io s to Property :
D2IV
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: DATE RECEIVED
(office use only)
Or Ll
yes 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 from7DO L Cnn&t't M 1 AW 4 , 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.
ayes .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 disposals stem.
Id q L
DATE SICK AT E
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
— Owner only
— Owners designated representative
Anyone requesting results
Only those listed below
2. ,5-CL &��
a-Z -9d
DATE SIG AT E
DCHD(11/84)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY 1 LOCATION OF SITE 0��
Water Supply: On-Site Well Community Public- �--�
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position e- I L
Slope %
HORIZON I DEPTH
Texture group L
Consistence
Structure
Mineralogy
HORIZON II DEPTH d 11y
Texture group
Consistence i
Structure r /1
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: / y 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
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(01-901
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation c7
NAME < DATE EVALUATED
ADDRESS PROPERTY SIZEe-
PROPOSED FACIII,TY LOCATION OF SITE Q/ / JZk c-4 6)U,
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope Z
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
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY:
LANG-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
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:i, 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(01-901
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