310 Frank Short RdDavie County, NC
Tax Parcel Report Iaol Thursday, September 29, 2016
161 Aildataisprovided 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 fora 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
-Parcel Information' -
Parcel Number:
K600000019
Township:
Jerusalem
NCPIN Number:
5757534216
Municipality:
Account Number:
82530817
Census Tract:
37059-807
Listed Owner 1:
SHORT MICHAEL
Voting Precinct:
JERUSALEM
Mailing Address 1:
125 HEMLOCK ST
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:
20.308AC FRANK SHORT RD
Fire Response District:
JERUSALEM
Assessed Acreage:
19.22
Elementary School Zone:
CORNATZER
Deed Date:
5/2009
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
007940682
Soil Types: MrC2,MrB2,PaD,GnB2,GnC2,EnB,MsC,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
91290.00
Total Market Value:
91290.00
Total Assessed Value:
91290.00
161 Aildataisprovided 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 fora 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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L'HOR�Z�,'�ION NO. ��� C� J DAVIE. COUNTY HEALTH DEPARTMENT
- �� . ^� .�;., • . ' ,
r �"; Enviro�ket�tal Health Section PROPERTY INFORMATION
.F�rmittee's � r.-�� � �iA /3_!9 �P.O: Box 848 ' _
, '1�Iame: ="�- � '""! —'''� '' C �� Mocksvi11e; NC 27028 Subdivision Name:
. � : ` ,� 1 j Phone #: 704-634=8760
�Directions to property: .+`'✓'fJ���a"� % �C,� Section: Lot:
� . ' > , AUTHORIZATION FOR :
_ SYSTEM CO STRUCTTON Tax Office PIN:#+�� :� .-w� --���
Road Name: „e ���. ,.��� "� �Q� �.
**NOTE** This Authorization for Wastewater System Construc6on MUST BE ISSLJED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Fom�/Authorization Number should be presented to the Davie County Building Inspections '
O�ce when applying for Building Permits. .
(In compliance with Articlell of G.S. Chapter 130A, Wastewater Systems; Secdon .1900 Sewage Treatment and Disposal Systems) '
' ,, � " " � . ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�;% ,��+y,6_� fi �,- �� ''�'����r 51� IS VALID FOR A PERIOD OF FIVE YEARS. .
' ; ENVIRONMENTAL HEALTH SPECIALIST : DATE ISSUED � ' ` �
y '1 '0 % DAVIE COUNTY HEALTH DEPART E.ST a'
T ROVEMEIIAND OPERATION PERMITS PROPERTY INFORMATION
i
Nine"-- Subdivision Name:
Directions to property;
Section: Lot:
IMPROVEMENT
'PERMIT Tax Office PIN:#,#� 0/ -c�-
'4 � t7
Road Name: � •, �ip• �
**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
` j PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
` r ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 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) NEW SITE /— REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Lb�GAL. PUMP TANK GAL. TRENCH WIDTH _S ROCK DEPTH _l -- LINEAR FT. �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
I
lot Ott
r
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH D PARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DA OF ST LLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
�'�fS I/ dSYST0 I INS tt�j,L D BY:
AUTHORIZATION NO. OPERATION PERMIT BY: & 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 05/96 (Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
Davie County Health Department
- Environmental Health Section
P.O. Box 848 D
d Mocksville, NC 27028 FEB — 2 19,263
) (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed -Tt'.,J t r�kU s S Contact Personq,.,Ss
Mailing Address a b h Home Phone // y�y�
City/State/Zip \� y c- s� �� , e �C Q -10 of Business Phone ! A.
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip 1
3. Application For: [Y] Site Evaluation [ J Improvement Permit & ATC [y'Both�
4. System to Serve: [y] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People S # Bedrooms 9 # Bathrooms c�/fa [)I Dishwasher [ ] Garbage Disposal
[�(] Washing Machine [�J Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
-
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [ ] County/City V] Well [ J Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes No
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **OXTVW OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 3 . 3 a t L' WRITE DIRECTIONS (from Mocksville TO PROPERTY:
Tax Office PIN: #S..-1 5.� - 'y�) i/'� \ ; t1 JP
Property Address: Road) ame V- a [-,\I,
S �7 ► mac' �r i �( n `J
City/zip mD�. o�);��e, r1(' iD��i; &M) tou 6y)
If in Subdivision rovide information, as follows:
Name:
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 Dgip County Health Department to enter upon above described property located in Davie County and owned
by 11 104SMo )d�'+- ���conduct all testyglprgcedures as necessary to determine the site suitability.
-Q / 99 SIG
Revised DCHD (06-96)
THIS Al•'G,l MAY BE USED FOR DRAWING YOUR SITE PLAN:
�I
N 50' 04'26" E
358.94
S 21'18'50" E
I 190.24
' MP
N 58' 12' 53" E
158.03 '
I N 74' q3' 41" E
25G.19
/ S 23' 57' 20" E
N 69' 10' 18" E ---_j 1157.02 total)
113.59 /
N 69'10'18" E 1f MF
6.01 / 153/
141.71
NIP
N 82144 52 " E AREA = 3.000 ACREZ
INCLUDES S.R. 1803 R/W MP
lJ
�i�—S 4S6 �,/
MP MP "
N82'II'E�/
72..11 o4 �
/+ \ N 3p� My d
N 81' 47' 17" E ---� / OX 6G
46.62 /3'S/e
Mor4rITE foio.W MP S MF
I W7�
R � 6�•9� I
N 81. 47 17". E
6U7 AgMS
%N 8I. 47' 17" E aO° INCL S.R. 1803 R / W n a• u• w /
61 .17 °
/NIP \� 82.10 TOTAL
\� ` �
\N 81. 47' 17" E / 'y °d. �OC. po,
\ 135.00
N
EZPP
.m
EP 4
io�o/' NP
v
yG6
/ q
O�6`i,oIF G' E,Q
1 G66>- S,Q
MP
s 7229
N 80' 55
25.
r 5 04'
S 78
— 5 12
5 762
MP ` g
% \S 7591
MP
& C1%
o1
IF
INCLU
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME
PROPOSED FACILITY
SUBDIVISION
Water Supply:
On -Site Well Community
Evaluation By: Auger Boring 1,,-' Pit
DATE EVALUATED azzylvz)
PROPERTY SIZE // )A
ROAD NAME
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH +- r
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
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: c
REMARKS:
DCHD (01-90)
EVALUATION BY: A"I
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 - 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
I 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
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APPUCA110N FOR SITE EVAI-VAIRIN/IMPROVEMENT PERMIT do ATC
Davie County Health Department
.. Env/ronmenta/ Heath Swoon
P.O. Box 848/210 Hospital Street / Zo 7
Mockaville, NC 27028
(336)751-8760
***ZWORTM"** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the I,fNE'ORMATIOfN��BUnL]L�E(�TIN for/ instructions. (`
1. Same to be Billed /yl�t�P,� P rr f fS f 0i villi k M0�-tics�Yaot_
Person�
�,
Mailing Address Home phone /
City/state/LIP # a7�g - .��
Business phone
2. name on Permit/ATC if Different than Above
Mailing Address
3. Application For: U Site Evaluation
city/state/Zip
Or "rove meat Permit/ATC
0 Both
4. system to service: 14/House 0 Mobile Home 0 Business 0 Industry 0 Other
s. If Residence: # People j # Bedrooms # Bathrooms
Q/Dishwasher q Garbage Disposal tYNashing !Lachine I(Basement/Plumbing 0 Basement/No Plumbing
6. if Business/Industry/other: Specify type
# Caamodes # showers # Urinals
# People # sinks
# Nater Coolers
IF FOODSERVICE: 11 Seats Estimated Nater Osage (gallons per day)
7. Type of water supply: (I County/City lg well 0 Community
s. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes 0 No
If yes, what type?
"AIMPORTANTP" CLIENTS DIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: ) Q lU (10 WRITE DIRECTIONS (from Mockrdlle) to PROPERTY:
Tax Office PIN: . F T- r% - — 0 / [ o inn I ` > V1 14T- i) n
Property Address: Road NameFrank-/,�Short
city/zip �LkS�d JC aM,6 oo t' nL �Sh 'rE Fd',2
If In a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
Date Property Flagged:
This Is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
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 1, also, understand t/bat I am raponsible for all charges Incur rd f vm
this appiicxtson. 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 conductt all testing procedures as necessary to determine the die ility.
n
DATE I - - "/ `7 SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE P clude �Ibeo�w g and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No.
Invoice No.