132 Equestrian LnD,avie County, NC Tax Parcel Report Wednesday, October 12, 2016
WAK1V11V1s: '1'lil� l� 1VU1 A �UKVLY
: Parcel Information
Parcel Number: C4160A0004 Township:
NCPIN Number: 5822988419 Municipality:
Account Number: 57896000 Census Tract:
Listed Owner 1: POTTS G RAY Voting Precinct:
Mailing Address 1: 132 EQUESTRIAN LANE Planning Jurisdiction:
City: MOCKSVILLE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: LOT 4 WHIP O WILL Fire Response District:
Assessed Acreage: 5.11 Elementary School Zone:
Deed Date: 5/1996 Middle School Zone:
Deed Book I Page: 001870268 Soil Types:
Plat Book: 0006 Flood Zone:
Plat Page: 069 Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
°"��°'F Davie County,
�'o��x�c� NC
345020.00 Outbuilding & Extra
Freatures Value:
108710.00 Total Market Value:
494060.00
Clarksville
37059-802
FARMINGTON
Davie County
DAVIE COUNTY R-A
FARMINGTON
PINEBROOK
NORTH DAVIE
EnB,EnC
DAVIE COUNTY
40330.00
494060.00
No
411 data Is provided as Is wlthout warronty or guarantee of any klnd either expressed or Implied including but not limitetl to the
mplied warranties of inerchantability or fitness for a paRicular use. All users of Davie County's GIS website shall hold harmlese the
�ounty of Davin, North Carolina, Its agents, consultants, contractors or employees from any and all clalms or causes of action due tc
x arising out of tho use or Inability to use tho GIS data provided by thls websito.
IMPROVEI�NT PERMIT
DRVIE CDUNTY HEflLTH DEPRRTMENT
IMPROVEMENT PEAMIT and �ERATIDN PERMIT
+�*NOTE�* This i�prove�ent per�it DDES NOT authorize the construction or installation of a septic tank syste� or any NasteNater
syste�. RN AUTHORIZATION FDR WRSTEUATER 5Y5TEM CDNSTRUCTION �ust be obtained fro� this Depart�ent prior to the
construction/installation of a syste� or the issuance of a building per�it.
(In co�pliance with Article I1 of 6.S. Chapter 1�A, NasteNater Syste�s, Section .19@0 5ewage Treat�ent and Disposal 5yste�s)
NAME � �/�� d�I,l`�� PROF'ERTY ADDRE55 _t�% � � T�-��l �-h , �+� � d � � DATE , �i,i`'1 ��
LOCATION
SUBDIVISION NAME ������ —�' ��"`f LDT tdl�49ER '��_ 5EC. /BLDCK NUMBER
r
RESIDENTAL SPECIFICATION: BUILOING TYPE _��,� � BEDR�MS � A BATHS 1, �l � OCCLIRANTS 1-�i 6ARB4�E DISPOSAL: �No
COMt�RCIAl. 5PECIFICATIOM: FACILITY TYRE �1 PEDPLE N PEDF�LElSHIFT # 5EAT5 INDUSTRIRL NASTE: Yes/No
LOT SIZE '�,�!! TYPE WATER SUPPLY DESI6N I,�STEWATER FLOW lGPD) -1_ ��.��°1� NEN SITE !/ REPAIR SITE
SYSTEM 5PECIFICRTI�IS: TRNK SIZEr�� 6AL. F�UMP TAt�I 6RL. TRENCH WIDTH __�.�' J� R�K DEPTH ,�� LINEAR FT. D!� �
OTHER ���J�A�f� ti/�1�.+ / �+,�,� %���/i�
REQUIRED SITE MODIFICATIDNS/CONDITIDNS:
�+�{THIS PERMIT IS SUBJECT TO REVOCATIOPI IF SITE F'LAN5 OR THE INTENDED USE CHANGE. YDUR WASTERWATER SYSTEM CONTRACTOA PNJST
5EE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
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�ur�/1CF' G�
IMRRDUEMENT PERMIT BY �r� I�
�*CONTACT A REPRESENTRTIVE � THE DAVIE COIMITY HEALTH DEPARTMENT FOR FINAI. INSPECTION � THIS SYSTEM BETWEEN ,
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE A IS t7Q�4) 634-87E0.
�ERATION PERMIT
I�(^o �� ��In�
AUTHORIZATION N0. � � ��
SYSTEM INSTALLED BY ��,�►s•r►.•,
�
,— �, �.�,�"
< . � ��3� ��kYv
��
ve �So�, / �
OGERATIDN PEfUIIT BY �- DATE 5/6 V��
t�THE I5�10E OF THIS �RATION PERMIT SHALL INDICATE T�iT THE 5Y5TEM DESCRIBED ABOVE HAS BEEN INSTt�.LED IN COh�LIANCE WITH
ARTICLE I1 OF G.S. CHAPTER 130A, SECTIOM .19� "SE{� TREATMENT AND DISPOSAL SYSTEMS°, BUT SHALL IN NO WAY RE TAKEN AS A
6'UARAhiTEE T}IAT TF� 5Y5TEM NILL FI�ICTI�I SATISFACTORILY FOR AMY 6IVEN PERIOD � TIMIE.
DCHD 10/95
�i. . . . . � , . . 1 ... . . � ' . . " {1 � , � � , � , ,. � . ` . . . . � � ,
. .,
,�,.,, :.-*��.• ' Davie CountY Health Depart�ent
' _ ' � ENUIRORIMENTAI. HEALTH SECTION
� P.O. Box 66�
- - � Mocksville, N.C. c^7N28
� �;��,� �
�
AUTHORIZATION FDR WASTEWATER SYSTEM t�1STRUCTION
iI3sued in �o�pliance with Article 11 of
G.S. Chapter 130A, Wastewater 5ystessf
=�X o
***This Ruthorization For Wastewater 5yste� Construction �ust 6e issued by the Davie County Environ�ental Health Section prior to
issuance of any Building Per�its. TI115 FDY'�/fluthorization Nu�ber should be presented to the 6avie County Building Inspections
Dffice when applying for Building Gereits.*�+�
� �) ��� ' / AUTHORIZflTION t�l!(BER
NAME :� ��/�11 �' 0 _.r DATE '"�./���,��� �;�n � "? '� �
NRlE ON I�PROVQENT PERMIT tIf different than above)
5ITE LOCATI�FI
,
�� — �o�' �
i � �
COFl�1�R5ICOImITIp�15 ON RUTFI�RIIATIW TO C0�15TRUCT WASTEWRTER 5Y5TEM � r/r ��'/ r.�r�17 �,� ,�r�<r.r?� �'J P/��ii�, �', �
��� �/�;��;:���.
f�NOTICE+� THIS AUTHURIZRTIDN FOR TEWATER 5Y5TEM CDN5TRUCTIDN IS VALID FOR A PERIOD OF FIVE (�) YEAAS.
d.'��--�`� �'� �S ��,;�,��
.�
ENVIROM�ENiAL IfAL IALIST DATE
DCHD 10/95 �.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PI
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
� ���'�9- �� { �
EIVE
I�IAR - Q 1�9G
,
1. ApplicationlPermit Requested By """—"^-
Mailing Address � � f� �'^�` �✓ ' Home Phone !��' "- �� D
��'Y) �'1'12/�%„S . /1/ � `�D f �� Business Phone � �� � d� ��
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation �Septic Tank Installation Permit
4. System to Serve: � House ❑ Mobile Home � Place of Public Assembly
❑ Business p Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision _��� �- O�- W,�/t.� Section Lot #�
No. of People �
No. of Bedrooms
No. of Bathrooms � ��
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 - Sewage Disposal Contractor
BasemenUPlumbing
❑ BasemenUNo Plumbing
f�lashing Machine
� ishwasher
�Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ��Vo
� .,
If yes, what type?
❑ Communiry
�NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
PROPERTy ZN�ORMATZON IZEQUZIZEb:
Tax Of,f "sce PIN: #„�_2f Z.Z-' ��'�7� (
PROPEIZTJ ttbbRESS, as follows:
��T�3J%/��J��
�!� .
SU$MIT �t PLAT WZTH THIS APPLZCtITZON.
Izevisions effective October 1� 1995.
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 his applic tion.
��'� �� � K—r�' -ha��0 a ) �.. l�n �
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: �' 1. I OWN the property. ❑ 2. I 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
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
`Z%� � J s � ��l�.�Q� C • t�oE� '
ATE SIGNATURE
DCHD (1�93)
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME �/"lJ �/S DATE EVALUATED �!/ /�G�
ADDRESS PROPERTY SIZE _��/9 C
PROPOSED FACIILTY ,,�.��1B�f LOCATION OF SITE �,[�j� -/,l- /�,�
Water Supply: On-Site Well � _ Community Public__�
Evaluation By: AugerBoring �/ Pit Cut
FACTORS
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
CLASS.LFICATION
LONG—TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RA/TE:
REMARKS: _(�i!/�irSi _T✓ �e/ .
DCHD(01-901
�E�r���
/'r�'r��-
�---
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����F����
EVALUATED BY:
OTHER(S) PRESENT:
�,
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-Silt,y �:lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-V��-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
,iC--S7ngle grain M-Massive CR-Crumb GR-Granular ABK-AnQular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mi neralo�y
1:1, 2:1, Mixed
Notes
�iorizon depth - In inches
Depth of fili - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil w etness - Inches from land surface to free watet 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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