140 Dreamhaven LnDavie County, NC Tax Parcel Report OgSD, Thursday, September 29, 2011
9 Kv ♦", 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
cpUN NC or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
ParcelInforination �
Parcel Number:
G30000002403
Township:
Mocksville
NCPIN Number:-:
5820203804
Municipality:
Account Number:
- -79639000
Census Tract:
37059-806
Listed Owner 1:
WILLIAMS MARC L
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
140 DREAM HAVEN LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
5.65 AC IJAMES CHURCH RD
Fire Response District:
CENTER
Assessed Acreage:
5.62
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
5/1996
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001870451
Soil Types:
PaD,PcC2,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
137690.00
Outbuilding & Extra
Freatures Value:
1960.00
Land Value:
63380.00
Total Market Value:
203030.00
Total Assessed Value:
203030.00
9 Kv ♦", 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
cpUN NC or arising out of the use or inability to use the GIS data provided by this website.
**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 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME 1111' (�C w 1 `, 191 PROPERTY ADDRESS S • !nU /` °` v2 It, ;W DATES 1 -9
LOCATION ye& C �
SUBDIVISION NAMEo est gRba� �,�a��a�l LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE bis a # BEDROOMS # BATHS •T # OCCUPANTS �1 GARBAGE DISPOSAL. Yes No
COMMERCIAL `SPECIFICATION " FACILITYIrYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:�Vesfft
LOT SITE •`o GssQa TYPE WATER SUPPLY jo DESIGN WASTEWATER FLOW (GPD) 3 b� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS. TANK SIZE GAL. `PUMP TANK sGAL. TRENCH WIDTH 3 ROCK DEPTH I�" 'LINEAR FT.
OTHER
REOUIRED SITE MODIFICATIONS/CONDITIONS:
*"THIS PERMIT IS SUBJECT•TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANE. YOUR WASTERWATER SYSTEM.CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT 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 THE DAY OF'INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYST�M INSTALLED BY ti
f ,
io o IS
T
AUTHORIZATION NO. O OPERATION PERMIT BY oN; ` DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.1O/95
1 .
.4
IMPROVEMENT 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 THE DAY OF'INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYST�M INSTALLED BY ti
f ,
io o IS
T
AUTHORIZATION NO. O OPERATION PERMIT BY oN; ` DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.1O/95
` r i� _ � � 4 .. �, L - y
ti` �J L •• ; � J C :'! f ;.; v ! nil ,;- :,; ti
_ . i••..'` _ y :' ,
***NOTICE*** THIS AUTHORIZATION
Davie County Health Department 1st
(5) YEARS.
._ .►'�� t
z ;\
ENVIRONMENTAL HEALTH SECTION
40
P.O. Box 665 re -:u, ..
0o. Q Q
Mocksville, N. C. 27028
DATE t
-DCHD 10,/95
AUMIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmentaloealth Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie Count` -?Building Inspections
Office when applying for Building Per1mits.*** C; �%
W 1� y f1� i� #0 v� TION NU/'.9ER
NAPE Act C—tl1 1 A ears DATE 7� FV613 2
k. .;
NAME ON IMPROVEMENT PERMIT & different than above)
SITE LOCATION
O?RZ
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM 1�k\ VZ.
***NOTICE*** THIS AUTHORIZATION
FOR -WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE
(5) YEARS.
40
ENVIRONMENTAL HEALTH SPECIALIST
DATE t
-DCHD 10,/95
r x.._ r_ --�,�•:: � .w,
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v .i � >. ,: r-' l n _a If ... .,�s e,
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address aG�� ���0,^A Home Phone
Business Phone `lav 1 o q aSS
2. Name on Permit if Different than Above
3. Application for: general Evaluation ,Septic Tank Installation Permit
4. System to Serve: ). House ❑ Mobile Home 1AS ❑ Place of Public Assembly
❑ Business ❑ Indus ❑ Other _ Unknown
'
5. If house, mobile home: Subdivision F4 R 2c c 1St_ '*\T � Section Lot #
No. of People
No. of Bedrooms 3
No. of Bathrooms �t
Dwelling Dimensions
$ -6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: Public ❑ Private
8. Property Dimensions 3�Iy�-�'-,3� C -3A Sewage Disposal Contractor
❑ Basement/Plumbing
❑ Basement/No Plumbing
Washing Machine
9 Dishwasher
Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes )Q No
If yes, what type?
❑ Community
'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.
Directions to Property:
F"&k . ptioc.KsV(U-a/ TA" Hull. 6401 oJobtl{
ch.. 3.. Wat '1'p tS/hwucs
-'C.-fit„)
Q J.A 1W1 (S -toe: z# -4r,-anJD UA VAUatD �/llyew/1 y
oo L&C-Tl Ar-Ilosj J4bVJF-- @etc -DING
Tax Office PIN:
PROPERTY ADDRESS, as follows:
Road Name: cL4J=1-Cn) t t:`( t,WN/Q+0, 2440
City: fupc�cSU(LGc GnlVt/ten�.!'
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
S t-ce is Locut'CSD I;N 'rOZ* cxtJTaA- 0-- S'•6 pm*6 Tk4cg- 016 Jwwdx) i
0.0 jLl a -r S C`bc OF- lwTo TtEa Wae DJ,
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.
?—S'-76 � �- 9-- In) %111GA1J0ne%Z
DATE t SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ';. 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
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 GALA Le- C. G (LL(A rmnx A o h to (ltO' t- _ L tCtj &LIJUJ
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
? —X-- M \
(L�
DATE w SIGNATURE
DCHD (1193)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME\�`d�'Qcc� W DATE EVALUATED
ADDRESS �' � PROPERTY SIZE 6 - L GWQa
PROPOSED FACIILTY OV SQ LOCATION OF SITE N o V'�
Water Supply: On -Site Well _ Community Public 1/
Evaluation ByMI Auger Boring Pit 1I-1 Cut L---,
FACTORS
1
2
3 4
Landscape position
Sloe Z
-
v- u
a' Ru
HORIZON I DEPTH
�"
(o '
Texture group
Q (_l-.
L
Consistence
VT
Structure
g.
C
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
J -S.
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
—
SAPROLITE
�-
CLASSIFICATION
S
,S
S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: _ \11� IS
LONG-TERM
REMARKS: _
DCHD (01-901
NCE RATE:
EVALUATED BY: w
OTHER(S) EENT:
� a
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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Ve.-y 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
3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mi neralo¢y
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
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3
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to
ro
EUGENE BENNETT,ET AL, o M
D.B. 184 PG. 792 m
Z
15
EUGENE BENNETT,ET AL, I_IJAMES CHURCH ROAD"
D.B. 184 PG. 792 I S. R. 1307
t
1 ,
t
1
N 09P 18' 00" E -# i existing iron
63450 --------
1 '
FOREST BROOK
S� PLAT BOOK 6
PAGE 137,138
20' paved
En 11
La m 0 14
� AREA = 5.657 A RES N
�y ( INCLUDES S.R. 1307 R/ .) rn 00
0
10T 0 . d t.—M m
'II
vec�,�
375.00 TOTAL
D�6existing iron N 09° 18' 00" E existing iron
350.00 25-00' S 80°42' 00 E
1000.00 30.00
I new iron S 09° 18 00 W I r/r spike near CL road
i
I 13
EUGENE BENNETT,ET AL, �-------- MARC L. WILLIAMS &
I D.B. 184 PG. 792 I SURVEY
FOR KAREN L. RICHARDSON
I, GRADY L TUTTEROW, CEPT'EY THAT UNDER
; •••••••• =
100 APPROVED BY
•�G\$TSCALE: DRAWN BY
Y DIRECTION A*`'^Tc +�4p 4/30/96 GRADY L. TUTTEROW DJC
- uY DATE:
AS DRAWN FROM y�l _ SE ,
rl
_
BY TUTTEPQW SJRVE-f G CO. I = L-2527 _
• Q:
REGISYRED SURVEYOR L 2527 i -,qOY iU��;•``�
N1ti411�L�R'l�lRAlT NO. 11116A•17)(17
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1
I
t
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i!
I
1
,
new iron
3
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EUGENE BENNETT,ET AL, o M
D.B. 184 PG. 792 m
Z
15
EUGENE BENNETT,ET AL, I_IJAMES CHURCH ROAD"
D.B. 184 PG. 792 I S. R. 1307
t
1 ,
t
1
N 09P 18' 00" E -# i existing iron
63450 --------
1 '
FOREST BROOK
S� PLAT BOOK 6
PAGE 137,138
20' paved
En 11
La m 0 14
� AREA = 5.657 A RES N
�y ( INCLUDES S.R. 1307 R/ .) rn 00
0
10T 0 . d t.—M m
'II
vec�,�
375.00 TOTAL
D�6existing iron N 09° 18' 00" E existing iron
350.00 25-00' S 80°42' 00 E
1000.00 30.00
I new iron S 09° 18 00 W I r/r spike near CL road
i
I 13
EUGENE BENNETT,ET AL, �-------- MARC L. WILLIAMS &
I D.B. 184 PG. 792 I SURVEY
FOR KAREN L. RICHARDSON
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