150-152 Down Yonder TrailDavie County, NC Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: L40000003003 Township:
NCPIN Number: 5736747837 Municipality:
Account Number: 43794000 Census Tract: 37059-807
Listed Owner 1: LAGLE SUSAN D Voting Precinct: COOLEEMEE
Mailing Address 1: C!O SUSAN LAGLE EASTER Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-0000 Voluntary Ag. District: No
Legal Description: 6.01 AC GLADSTONE RD Fire Response District: JERUSALEM
Assessed Acreage: 6.05 Elementary School Zone: COOLEEMEE
Deed Date: 3/1997 Middle School Zone: SOUTH DAVIE
Deed Book I Page: 001930508 Soil Types: PcB2,PcC2,Ce62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Jerusalem
Building Value:
Land Value:
Total Assessed Value:
225790.00 Outbuilding & Extra
Freatures Value:
37430.00 Total Market Value:
263220.00
DAVIE COUNTY
0.00
263220.00
9 PX�i�, All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not Iimited to the
Davie County� implied warranties of inerchantability or £tness for a particular use. AII users of Davfe County's GIS website shall hoid harmless the
County of Davte, NoRh Carolina, its agents, consultants, contractors or employees from any and all clatms or causes of action due to
��L� x�'4 N� or arising out of the use or Ina6ility to use the GIS data provided by this we6site.
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ATJT,HOI�ZATION NO: O� 6 S DAVIE COUNTY HEALTH DEPARTMENT
'"� '" j Environmental Health Section PROPERTY INFORMATION
p�" Pernriittee's P.O. Box 848
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Name: �. ,�.�/J//� _�t� � Mocksville, NC 27028 Subdivision Name:
� Phone #: 704-634-8760
Directions to property: �+: � r �-,% Section: Lot:
AUTHORIZATION FOR r� � �/ r/
SYSTEM CO ST UCTION Tax Office PIN:# �!�(�+- f��� -��� I
Road Name: �2J)i �'��1-�'r'�iP• !—��
**NOTE** 'This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pernuts. �
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�� �! ,+l� � �' i,�"" ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
� } � � � � ' % �'� ��4 - ,..5,1'�J i r? % IS VALID FOR A PERIOD OF FIVE YEARS. �
,7`� !:` ��.tt.:�'. �I; 1/ f,- � h %`i—
ENVIRONMENTAL HEALTH S ECP IALIST DATE ISSUED
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�,, ; �-y' ,��'; ` � -- _ DAVIE COUNTY HEALTH DEPARTMENT
�� " �," ; Y�"_ _, IMPROVEMENT AND OP�RATION PERMITS PROPERTY INFORMATION
Perinittee's �( �; ,,� ,,f . . �
Name: '�....�' /d ..'�'�,�e� �"..�c�«''r_^. . �'r"-' Subdivision Name:
a �,�;,
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Directions to property: ��` ��'�'.�>,� � 1 � *: � �;f` � .%,� /r Section: Lot:
� � IlVIPROVEMENT
_ PERNIIT '� r' .- t"t �! � ;,;. , , �
Tax Office PIN:# � ���r- / r _ � {� � �
,r '� " � r
Road Name:�c� a, s � � ):� y � �t,� r-� P; ' �? ,�/' `� ;
�:.�
**NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An
ALTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Deparnnent prior to the
. construction/'mstallation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** TiIIS PERMIT LS SUBJECT TO REVOCATION IF SITE
� �` f' ..� , •:f`r, ' - _':' f <- ` ; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER . .
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING TI� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �,a # BEDROOMS .'� # BATHS �# OCCUPANTS �-% GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILTI'Y 1'YPE # PEOPLE # PEOPLFISHIFT # SEATS INDUSTRIAL WAST'E: Yes or No
LOT SIZE � TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) :'� .� NEW SITE 1/ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE � ai(� GAL. PUMP TANK GAL. TRENCH WIDTH � 5�'� � ROCK DEPTH /:% LINEAR FT. ���' �
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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0
**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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
I OPERATION PERMIT
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SYSTEM INSTALLED BY: � L� �\�`
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AUTHORIZATION NO.�� ��
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OPERATION PERMIT BY:
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I1 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 WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
,� - .� APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC�,�
� - Davie County Health Department � �, � '� '�� �
� Environmental Health Section � '
� P.O. Box 848 �
� 2199�
Mocksville, NC 27028 MAY
� (704) 634-8760 �.�._:,,.�� t�:;
���'�IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED U'
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed .S �. a� v� � �- a. a%�', Contact Person � k 5 0� r, � 0.. 4� e.
Mailing Address f � �o �5;, 5 Home Phone .2 ��'`'� 2 4 I ___
City/State/Zip C � o I e e r►n �� . N C 7 Q �� Business Phone —
2. Name on PermidATC if Different than Above �-c� � J � e c �c�s �� �' Sr .S �S a v� �• ��, q I e.
Mailing Address �d ,� O k 5 City/State/Zip C o o� c c,.�,� �� ,/l� C .2 7Q /`�
3. Application For: [] Site Evaluation [] Improvement Permit & ATC [X] Both
4._ System to Serve: � House [] Mobile Home [] Business [] Industry [] Other
5. If Residence: # People�_ # Bedrooms_� # Bathrooms�_ [] Dishwasher [] Garbage Disposal
� Washing Machine [] Basement/Plumbing [] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers ,
If Fo�ervice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: �County/City [] Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [�C] No
If yes, what type?
E Z THER A PLtIT OR S Z TE PLftN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A�%�'4�OF THE PROPERTY MUST BE
, 3z� , 23� ' SUBMITTED WITH T APPLICATION.
.
Property Dimensions: �� • SS (]C � X( 9�. 53 X, z6�,10; WRITE DIRECTIONS (from ocksville) TO PROPERTY:
Tax Office PIN: # S ? 3 � - % �'I � - �S 3 ! ; S.. � I S a „�.-{-� �-o � � � � � -i-ocn e � �
Property Address: Road Name �lio w v� �e w.ale r�j— �. � : � � O d'� a M� 1 e
�
City/Zip l� n r �la�,r : � � p .2 �a 2 � ; ; S �.r � co � ��'
� � i t'�
If in Subdivision provide information, as follows: � ���� i s A-� �� J7.• J� a�D o v�
� `I
Name: � r- 2 4 �..'� o.�. �o �,.�r� '1 d h� e r�r �
�
�
Section: Lot #: ;
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. 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 _S.. to..,� � L. o�,a � to conduct all testing procedures as necessary to de e�e t� sui bility.
DATE S — % — 9 % SIGNATURE ,�) �..00.,...� o�n._q ! ��'��� �c�Q1"�'
Revised DCHD (06-96)
THZS AREA AWIJ $E USE2) �'OR ,bIZ�l1VZNC� JOUIt SZTE PL.ttN:
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME �C� ��
PROPOSED FACILITY ��f i9 /�-f' i_
SUBDIVISION
Water Supply: On-Site Well Community
Evaluation By: Auger Boring Pit
FACTORS 1 2
Slo e %
HORIZON I DEPTH • •
Texture rou .L f ,
Consistence v�'o �
Structure
Mineralo
HORIZON II DEPTH -`
Texture rou C
Consistence �
Structure � l�
Mineralo
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence '
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SIT'E CLASSIFICATION: �
LONG-TERM ACCEPTANCE RATE: i
REMARKS:
DCHD (01-90)
.cf:�
� S
DATE EVALUATED � 1...� � /�%
PROPERTY SIZE l� �'
ROAD NAME t�J�%;.�a/ v] ��tr.--
Public
Cut
3 4 5 6 7
N
s6 � I �G�
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; �- r / ;-
I : ! /• i
EVALUATION BY:
OTHER(S) PRESENT:
LEGEND
Landsca.pe 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
Mineraloev
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of iill - In inches
Restrictive horizon - Thickness and inches from land surface
Saproli[e - 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 - gaUday/ft2
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