184 Dover Ln c
t
Davie County,NC Tax Parcel Report Lei q Monday, September 26, 2016
134
�00
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K40000001102 Township: Mocksville
NCPIN Number: 5707658977 Municipality:
Account Number: 8303397 Census Tract: 37059-801
Listed Owner 1: DICKINSON WILLIAM BRANT III Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 184 DOVER LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 1.00 AC OFF DOVER LN Fire Response District: MOCKSVILLE
Assessed Acreage: 1.02 Elementary School Zone: MOCKSVILLE
Deed Date: 4/2014 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009550944 Soil Types: MrB2,EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY 1
Building Value: 141210.00 Outbuilding&Extra 5020.00
Freatures Value:
Land Value: 12190.00 Total Market Value: 158420.00
Total Assessed Value: 158420.00
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 Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�oU ty4� NC or arising out of the use or Inability to use the GIS data provided by this website.
JP
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME����y ��fl fzel PHONE NUMBER
ADDRESS 3 SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE YVA644
cPV. `
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY � l NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED /p��.Z/ 0 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1 f 93
rWg�DO'Cl '6/Og6 �qo lrjy;�-
" +F'U DAVIE COUNTY HEALTH DEPARTMENT �1 a t
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:.Is'sued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems �Z1ar�=; �✓ s�f�; ;� __�� Permit Number
f.
Name Date --- f e/ W N2 61. 94
Location 1 ,', ss%r, "�f�' J, �/r" .^' ,�f" .y� ���o.,✓�`•r . �-7` ,�'�
bovef
Subdivision Name Lot No. Sec. or Block No.
Lot Size Ae %2 �' House L'"� Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family —37
i
Garbage Disposal YES ❑ NO p'' Specifications for System:
.Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑ / r
Type Water Supply r _ �f�'/�...�i�/o� �"•�/'�
*This permit Void if sewage system described below is not installed w'thin 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use cange.
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
EA
f
r0
O A
O ,p
Certifi at of Comp etioa C1 • Date �, V
*The signing of this certificate shall indicate that thes stem described above has beerr4ipstalled in compliance with
the standards set forth in the above regulation, but shall in lway be t o guarantee that the system will function
satisfactorily for any given period of time. 'Y.�"1
�y
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
�V( � Davie County Health Department QCT 2 s Wo
E vironmental Health Section REQ
I P. 0. Box 665 /
/ J i�l Mo ksville, NC 270 r t,L�'aA
�� -1 ,
�, P rollCut
Q
1 . A l axon/Permit Requested By YZ
Pp
Mailing Address 1'C1 • b 60 vtI tee• z Z)
Home Phone 91 � 7c/` 8�� Busines hone �3��s3a- ��c � 5�
2. Name on Permit if Different than Above
L"
3. Property Owner if Different than Above�4� �A 1g11US
4. Application/Permit For: 0 General Evaluation S/Tank Installation
5. System to Serve: House ��� Mobile Home 0 Business
fIndustryu 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 Z Basement/No Plumbing
0 Washing Machine 0 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
8. Type of water supply: Lp/public 0 Private 0 Community
9. Property Dimensions �-C-
10. Sewage Disposal Contractor
11 . Do you anticipate additions/e pansions of the facility this system is
intended to serve? 0 Yes 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.
This is to certify that the information provided is correct to tree
best of my knowledge, and I understand I am ponsible for all
charges incurred from this applicati n.
Date Signaturs
Direct io a to Property :
C"4"'
A
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
�► / Soil/Site Evaluation
NAME ��;1/l:L,�/� DATE EVALUATED
ADDRESS PROPERTY SIZE /
PROPOSED FACIILTY /-b" LOCATION OF SITE �Pn'1i,A
Water Supply: On-Site Well Community Public [�
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L L
Slope Z L
HORIZON I DEPTH G
Texture groupf-'�-
Consistence
Structure
Mineralogy
HORIZON I.I. DEPTH 410
Texture group
Consistence i
Structure
Mineralogyt
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: S EVALUATED BY: /4 4' !
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
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
■..■■■.e...e......e■■...■■.■■..■ ■..........e��......■■.■Gee■...■■
■■.■...n■.....■■■■...■■■■..■■■. ■■■........■��r■........■■■.■■ ■■■
............................................................■.....
UMMEMEN MOM::: MEMNONisMEMNON C:C:::i1MEMNONC:::CCMEMNONi�
.........■........................................................
■./■■...■..■.■.....■■■...■..■■■■�imom MOM
.....e.....■.......■■ ■.■■
■.........■■.■■■■■■.■..■■■■■■■■■■e■■■■■...■.■■_■■_■..■■■.�■■■■■■■■
MENEM ■ ■ ■�iiiiiiii=
so
MEEMEME MEN ME
................................ .................................
■.■......................■■e...■■.■■.....It....■..�i:1!11J[oi'■.e■■■■■■.■
■■■■..■..■■■....■.■.■■■■■..■...■iii//LY.....►.■.......■■e.■e■.■■.■.■
■■.■■■.■■■.■.■...■..■■.■...■.■ren■■■.a■.....■....■■..■..■..■■...■■