400 Frank Short RdDavie County, NC _ f Tax Parcel Report 01 is q Thursday, September 29, 2016
WA"1.NG: THIS IS NO1' A SURVEY
,Parcel .Information t: ' -
Parcel Number:
K60000001904
Township:
Jerusalem
NCPIN Number:
5757630038
Municipality:
Account Number:
4398250
Census Tract:
37059-807
Listed Owner 1:
BARNETT JOHN C
Voting Precinct:
JERUSALEM
Mailing Address 1:
400 FRANK SHORT ROAD
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:
15.849 AC FRANK SHORT RD
Fire Response District:
JERUSALEM
Assessed Acreage:
15.84
Elementary School Zone:
CORNATZER
Deed Date:
3/1996
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001860078
Soil Types: MrC2,PaD,GnB2,GnC2,EnB,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
137210.00
Outbuilding & Extra
Freatures Value:
1150.00
Land Value:
82570.00
Total Market Value:
220930.00
Total Assessed Value:
220930.00
Davie County,
1�T
l� C
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys 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
or arising out of the use or inability to use the GIS data provided by this website.
r�^
DAVIE COUNTY HEALTH DEPARTMENT��
1 IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT`S fir' 5 7 3
**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 CONSTRUCTILNI 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 138A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME �h FI/iJRf� PROPERTY ADDRESS AIJ12,�11 d ri Zd - OWDATE
LOCATION i�IA,.�� S"ifa< C 4
SUBDIVISION NAME LOT NL44BER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 4/ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes&
COMMERCIAL SPECIFICATION FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY GU>' // DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE/,A2p GAL. PUMP TANK SAL. TRENCH WIDTH rZL'� ROCK DEPTH �� • LINEAR FT.J
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
e**THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:00-1: P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT \ I SYSTEM INSTALLED BY
AUTHORIZATION NO. OPERATION PERMIT BY DATE li9le)&W
**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 FLNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
C FrT I� • l/wAL/J J�(J
•i�'�' Davie County Health Department
ENVIRONMENTAL HEALTH SECTIO,'',
P.O. Box 665 ^
Mocksville, N.C. 27028
I
f AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
�57_3.v�3�
F., ;(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 Environmental Health Section prior to
issuance of any Building
Permits.
This Fore/Authorization Number should be presented to the Davie
County:Building Inspections
Office when applying for
Building
Permits.***
NUMBER
NAMEAUTHORIZATION
DATE C lc �! �b
0 A G 9
NAME ON IMPROVEMENT PERMIT
(If different than above)
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION
s
TO CONSTRUCT WASTENATER}SYSTEM
is
..
i
FES -14-1996 11:39AM FROM 13142913289
TO
APPLICATION FOR SITE EVALUATIONIIMPROVEMENTS PER
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NO 27028
19107243860 P.02
[E@ mow
FEB 15 1996
1. ApplicaGon/Permit Requested By --_^--
Mailing Address .,. ,3b.3 Z 2 I1aAg! S D- 9 • Homo Phone 79 &29499'
e- Z-7/7-7 Business Phone 2-/Z-
2, Name on Permit if Different than Above
3. Application for. O General Evaluation XSeptia Tank Installation Permit
4. System to Serve: J house 0 Mobile home 0 Place of Public Assembly
I7 Business 0 Industry 0 Other 0 Unknown
5, 0 house, mobile horn#: Subdivision - — Section Lot ._..
No, of People
No. of Bedrooms y -- - -
No. of Bathrooms
Dwelling DimensionsW f=7'2
21/z
6. It business, industry, place of public assembly, other., Specify type
No. of People Served No. of Sinks - -
No. of Commodes No. of Urinals
No. of Lavatories
No. of Water Coolers
0 Basement/Plumbing
0 Sasernent/No Plumbing
Washing Machine
Dishwasher
0 Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: C3 Public Private 0 rommmity
8, Property Dimensions 1,5 ..: Sewage Disposal Contractor
D. Do you anticipate additions/expansion of the facility this sytem Is intended to serve? 0 Yes No
It yes, what type? , .
,NOTE: Improvements permits shall be validfrom date issued, Improvements Permits are sublet to
revoeation, Rsite plans or the intended use change. Effective October 1, 1989.
Directions to Property: 661 5AL&77t1 f)�nyp,al4ZO,Zax Of�iae PIN: ff a �7 `7— (D — �i�J
7-6 PROPTATY ADDPX$S, as fottows:
P4. 7-Z402"V L--)4 - 4.1V94X' Road Name: fR'r wwX IZA= 'ea ,
�oR11. Jus? 13 =ate` �zr �.u; 61✓ 414* r C; ry: �Iacxs �lsl '
Su$MIT A PLAT WITH THIS APAL CLITION.
/"'gRXd7 !6y A64 Revisions affective October 11 1995.
A 4-011
This is to corliry that the information provided is correct to the bast of my knowledge, and i understand I am rr spanaibls for al charges
Incurred from this application.
DA'L'E SIGNATURE
bL 1=42 $JIE Ev of IO It DQX QLt eBbVE i2E U P>�OPEATY
MUST CHECK ONE: p 1. 19M the property. X2. 1120 NOT OWN they property.
H you checked Box #2, the rest of this form MUS T be completed by the owner or a person authorised by the owner:
I hereby give consent to the authorized representativeof theDavie Cony ife th De a nt to enter upas above deaoilbed
pr"rty located in Davie .County and owned by 4
to conduct all testing procedures as necessary to mine sa ite s Suitability for and absorption sewage treatrrwnt
and disposal system
t
bcI fi F
DATE SIGNATURE
WHO IV*
Z)�
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITEA/
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring r/ Pit Cut
FACTORS
1
2 3 4
Landscape position
L•—
k,
Slope
—
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
Consistence
EKE]
Structure
Mineralogy/.'
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
�f
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: t�
LONG-TERM ACCEPTANCE RATE: 7
REMARKS:
DCHD (01-901
EVALUATED BY: Zzll
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 <:lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vc.-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
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
...........................................................
""""C:::
MOMMIMMIN '::C=
:::::::::::
iiiiiii■iii
■i'iiiiii�iiisii'iiiiiiiiiiiiiiiiiiiiiiiiiiiiii