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111 Draughn Ln 1 Davie County, NC Tax Parcel Report t (� (p �r Monday, September 26, 2016 149 r t #` 137 f 681 s- f' 123 1 644 671 +i tt WARNING: THIS IS NOT A SURVEY _ Parcel Ifformation-= ..... _ . .. ...._ _.._ --_. ... ._. _ Parcel Number: K50000008304 Township: Jerusalem NCPIN Number: 5747615557 Municipality: Account Number: 8303573 Census Tract: 37059-807 Listed Owner 1: DANIELS JULIA IRENE HACK Voting Precinct: JERUSALEM Mailing Address 1: 103 DRAUGHN LN 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: 2.000 AC WILL BOONE RD Fire Response District: JERUSALEM Assessed Acreage: 1.93 Elementary School Zone: CORNATZER Deed Date: 6/2014 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009591062 Soil Types: PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 40360.00 Outbuilding&Extra 4500.00 Freatures Value: Land Value: 19880.00 Total Market Value: 64740.00 Total Assessed Value: 64740.00 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 r'pU Nq; NC or arising out of the use or inability to use the GIs data provided by this website. ' -'-y i 'Y't's'i:s r y.r�.tl al..s. y.ri't'Y ;. :fv.:.'� :`3 vir...,.. y a.- - "!` ..T'y"1:,,�,a,s.... �+a- :-( .mss. .v f� . AOTHORIZATIQN NO: 1 9 V 6tf 6AVIE'COUNTY HEALTH DEPARTMENT = ` Environmental Health Section PROPERTY INFORMATION �M- P�rlriittee"s � �-�,, i P O.`Box 848 Name: / V Mocksville,NC 27028 Subdivision Name: Phone# 336-751,8760 Directions to property: 5 70 E uarka�N Section: Lot: r, AUTHORIZATION FOR 'F J >,i , 1111. f�;t f,1+~ WASTEWATER - w / SYSTEM CONSTRUCTION Tax.Office PIN:# - - 101-"4 r,IN if4vbr1,4 L.J Road Name:17��►.Cr�1.0 t-� Zip:�G��2�cf **NOTE*.*This Authorization for:Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building-Permits.This Form/Authoriiation Number should be presented to the Davie County.Building Inspections Office when applying for Building Permits. (In compliance ith_Amcle I l of G.S.Chapter.130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) j ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ='' 1 2 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRO EA TH�PEC pLIST. DA E 1 UED P&J - "''' > 66 'DAME COUNTY HEALTH DEPA(RTME T P _ - .---�. �f.- 4-•.. . .'IMPROVEMENT AND OPERATI �P� PROPERTY INFORMATION �� 1- Name: _ .'' �'►t,.a~• t .� ,r Subdivision Name: ' Directions to property: " " Section: Lot: IMPROVEMENT. 4- J. PERMIT Tax Office PIN:# _ Road Name: .. r -:.:r ' �.�� Zip;y, **NOTE*.*This Improvement Permit DOES NOT authorize the construction or installation 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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) . ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ^sJ PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER '— SYSTEM CONTRACTOR MUST_SEE THIS PERMIT BEFORE ENVIRONMENTAL HEALTH SPECIALIST DA I SUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE M 1-1 #BEDROOMS #BATHS 2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT _ #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPL� r4 S�DESIGN WASTEWATER FLOW(GPD)�7Q NEW SITE-L— REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ��,rROCK DEPTH Z-, LINEAR FT. OTHER , REQUIRED SITE MODIFICATIONS/CONDITIONS:, l0► 06C �P G14G�/�j,4,t, O,�J C.^)MIA_ IMPROVEMENT PERMIT LAYOUT*rj'PPR0VEb EFFLUENT FILTER* *RISER(S) I b" .BELOW FINISHED GRADE* M. O nn>: �n.c�t c, HCOS (.0 111' N-�t. (t o3V QtX_�,J L 11) s l� �T_ q0 tit lA[LVGt **CONTACT A REPRESENTATI E d TH DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPESTEM BETWEEN 8:30-9:30 A. 1: -1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS l 6 W- 7 G0 OPERATION PERMIT SYSTEM INSTALLED BY: S ' �� 11 o AUTHORIZATION NO. '"" OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE M DESCRIBED ABO HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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. DCHD 05/96(Revised) }i.¢ w&k o� COMPLAINT FORM DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION —7 Pate Received Name of Complainant • Received By L 1;1 Address Telephone Complaint tAf P ("7 A 8 0 y t.s S -e LA-y/0 iL[9 Lt.ti o{ V !,S 61-_, S t' 4 to. t �L ti rj 0 � d Person Responsible for Complaint c r--A AZe SS Lem Address a-/ w t L I o 0 ',j a Telephone Directions to Complaint a+ L r r✓ 4. �.-S Lei?2 `r t,L 2f -0 w s \ Date Investigated S f Investigated By 4s Complaint Justified Complaint Not Justified J Action Taken11 �t i'E 't3Y�. l4 �-�-� �^l �,�t�n�L'� cd- S. tJ I--,Cyr t: ch QQ S mut. Date Environmental Health Staff Signature (DCHD 1/85) T DAVIE COUNTY HEALTH DEPARTMENT .IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION' ": `NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a 10 1 0 Sanitary Sewage Systems Permit Number Date NNo 6095 ame 1� � �, ' � � -- t�� J �� Location �� 6 �'� 3 — —, ��.\ s�;, ����, J C _;'( � t"4 r �` Y Subdivision Name Lot No. Sec. or Block No. Lot Size ^L) House Mobile Home _� Business Speculation No. Bedrooms No. Baths No. in Family \ Garbage Disposal YES ❑ NO ©� Specifications for System: Auto Dish Washer YES p NO - Auto Wash Machine YES NO Type Water Supply r, t.) i v _ o tt T trpit Void if sewage system descked below is not installed within-5 years from date of issue. f�,)Ttfia e it is sub'ect to revocation if site•plla Rs or the i' to d d use"change . nC� eG , j 1 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. n Final Installation Di gram: System Installed by _. Q u 0 �Gv Certificate of Completion .1�+ Date I f "The signing of this certificate shall indicatefthat 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 satisfactgrily for any given period of time. �. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT • Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, NC 27028 1 . Application/Permit Requested By ,Z2Z/ Mailing Address �' lel ,�c�X Home Phone ����� '—��d Business Phone 74 Fr /ZZ! 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation rl' A/Tank Installation S. System to Serve: House Mobile Home 0 Business Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lots No. of People _ Dwelling Dimensions / .2 X6 6 No. of Bedrooms Basement/Plumbing No. of Bathrooms vzz Basement/No Plumbing (Washing Machine J Dishwasher 0 Garbage D:ispusai 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: e/Public 0 Private 0 Community 9. Property Dimensions —l�� X ,230 10. Sewage Disposal Contractor 11 . Do you anticipate additions/expansions of the facility this system is intended to serve? f'Yes 240 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 responsible for all charges incurred from this application. Date Signature Directions to Property : A DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation C; p NAME A ftr �cc� DATE EVALUATED ADDRESS S '� `T'\�'Q PROPERTY SIZE J 0 0 PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well Community Public_ Evaluation By:�! 'L, Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position S -s S Slope % O-4 0 2 0- HORIZON I DEPTH 6" Texture groupC1� S e L S C4 C Consistence V Structure G V, Q, G Mineralogy HORIZON II DEPTH . � tA-1 Texture groupC C Consistence Structure Mineralogy HORIZON III DEPTH Texture .group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS 55 S SS -5s RESTRICTIVE HORIZON SAPROLITE — — CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: . LANG-TERM ACCEPTANCE RATE: - L0 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 Mineralo[ty 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 } ,� DA VIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PeI5Llita�ets Name: L.r •; Subdivision Name: Directions to property: r` `aµ` Section: Lot: IMPROVEMENT r PERMIT Tax Office PIN:# Road Name l r Zip: **NOTE**This Improvement Permit DOES NOT authorize the construction or installation 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) '•_ ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE 1 �l. PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE D SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY ^� DESIGN WASTEWATER FLOW(GPD)-`ter^C`' NEW SITE REPAIR SITE ' 1kSYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH '{ ROCK DEPTH w LINEAR FT. OTHER 1 �^ REQUIRED SITE MODIFICATIONS/CONDITIONS: eL�t" )0 a r`�r i Cwj / ti)cj/mt. 4,,j IMPROVEMENTPERMITLAYOUT*A AROV EFFLUENT FILTERS RISER IB) I Cs" BELOWFIrdI�t:Ei? to '� i� 1 Lit' -1110 P,j l Vii. **CONTACT A REPRESENTATI E d�TH DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTIMpy� YSTEM BETWEEN 8:30-9:30 A . 1: -1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#I(� "1 l�i�76��� OPERATION PERMIT SYSTEM INSTALLED BY: 5 1 yo \ 1 lot -L� �n AUTHORIZATION NO. �n" OPERATION PERMIT BY: DATE: i **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY M DESCRIBED ABO 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. DCHD 05/96(Revised) y P. DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION 7�1 I/ APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) NAME t)wy �I.►tT PHONE NUMBER ADDRESS 02--, SUBDIVISION NAME LOT# DIRECTIONS TO SITE .cq DATE SYSTEM INSTALLED I NAME SYSTEM INS TA LED UNDER TYPE FACILITY 0��� NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY L7N SPECIFY PROBLEM OCCURRING DATE REQUESTED d,0 INFORMATION TAKEN BY This is to certify that the information provided is oorreet to the best of my knowledge.and that I understand 1 am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rsv.1193 wCev- $Y V"Y M.IUx ` 100