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414 Frank Short RdDavie Countv, NC 4 Tax Parcel Report Thursday. September 29. 2016 161 Davie County, �T 1\ C Parcel mfofmation Parcel Number: K60000001903A Township: Fulton NCPIN Number: 5757649313 Municipality: Account Number: 41246000 Census Tract: 37059-807 Listed Owner 1: JONES KEITH L Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 126 CATTLE WAY Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5272 Voluntary Ag. District: No Legal Description: 99.96 AC FRANK SHORT RD Fire Response District: FORK,JERUSALEM Assessed Acreage: 99.96 Elementary School Zone: CORNATZER Deed Date: 8/1997 Middle School Zone: WILLIAM ELLIS Deed Book/ Page: 001970143 Soil Types: MrC2,PaD,GnB2,GnC2,MsC,RvA,ChA,BuB,WATER,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 200320.00 Outbuilding & Extra 25120.00 Freatures Value: Land Value: 290750.00 Total Market Value: 516190.00 Total Assessed Value: 287260.00 161 Davie County, �T 1\ 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 harmlssthe 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. ,� lath AUTHORIZATION NO: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's ' P.O. Box 848 Name: Mocksville, NC 27028 Subdivision Name: {�; J Phone #: 704-634=8760 Directions to property: ff AA ll.'50c (LT" Qfl Section: Lot: AUTHORIZATION FOR �} WASTEWATER Tax Office PIN:# %a7 L/ TI SYSTEM CONSTRUCON f Q/lnitt'k C.i JtJ � `►�:�F� � 1 Road Name: ran,49 '-�NCC'TZip: 2--70Z2 _ **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/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and, Disposal Systems) NOTI *** CE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. EF,4WR69Kt5XrfiEALfH SPRIXLIST DATE ISSUED •�"'i �r'c',"'# r�,_.-.�r-��.<:'F�•`a-yes. q; s ",.,��, _jy..#p.,'s'�._» —t :.p _ , f.., .. ,. .. _.. .- .,-�. / `_ DAVIE COUNTY HEALTH DEPARTMENT `.y 1370 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION :Name:. i'7 Directions to property: , d F'(,Aa 11 -1104,0- LID IMPROVEMENT PERMIT crc 1414 Subdivision Name: h, Section: Lot: Tax Office PIN:# -2+ 5 7i - 6,0 -`� 51 5 Road Name: 8`4411 Zip:Z,71,'7 **NOTE** This Improvement Permit DOES NOT authon`ze 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 l l.of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE } . , --•_„ >- 00) { "'f PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER 'SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIROfVMHEALTH SPECIALIST DATE ISSUED f Q�hySTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE W2 Al BEDROOM3_# BATHS _5Y, # OCCUPANTS_ GARBAGE DISPOSAL: Yes or >�o COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE J 4' �D.1rYPE WATER SUPPLY O L.- DESIGN WASTEWATER FLOW (GPD) NEW SITE .� REPAIR SITE �1 tt / SYSTEM SPECIFICATIONS: TANK SIZE AL. PUMP TANK GAL. TRENCH WIDTH I ROCK DEPTH 1Z LINEAR Fr. OTHER 71 STS $+HT1 orJ fL �=S REQUIRED SITEMODIF!CATIONSICONDITIONS: IN.ST4U— (0j /46.)RQJ2 . �� S l bF� tLr.+�=. ks=C P SCJ% d0T d,. IMPROVEMENT PERMIT LAYOUT /C)01 Imo, P&y 01>~ 'Io 'J 00Q 0 P F ICS i FG2 F2.. Per r5a>� X 3u'' )'r-1 Z 11 **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 SYSTEM INSTALLED BY: U • �.qol 14o' �/ /-het Frbnt AUTHORIZATION NO. 1370 OPERATION PERMIT BY: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT SYS3ESCRIBED 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 P 9 O V Davie County Health Department Environmental Health Section Gy A% 13 1998 P. O. Box 848 Mocksville, NC 27028° ,ylTll NiN (336)751-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS//� 077 ALL THE REQUIRED INFORMATION IS PROVIDED. 'T 1.. Name to be Billed !f6 'i 1Contact Person Mailing Address k L' Home Phone =. � % 0 City/State/Zip Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/�Statp 3. Application For: C9' Site Evaluation Imp }ovemeuPermit & ATC ❑ Both 4. System to Serve: U House 5. If Residence: # People '.., ❑ Mobile Home -4- O Dishwasher ❑ Garbage Disposal 6. If Business/Other: Specify type # Commodes # Showers If Foodservice: # Seats ❑ Business ❑ Industry # Bedrooms UI' Washing Machine 7. Type of water supply: ❑ County/City ❑' Basement/Plumbing # Urinals ❑ Other # Bathrooms ❑ Basement/No Plumbing # People # Sinks Estimated Water Usage (gallons per day) ell # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes ®"No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A Pkb&W THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: /04. sty' A Tax Office PIN: #S757 - tQ - Property Address: Road Name �� &.4" Y 5 tett xr 4b City/Zip If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY- ROPERTY: '/ 0/' tj 'L15rV- _.. 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 Davie County Health Department to enter upon above described property located in Davie County and owned by l S 13dP_ fa /f ;ro& :; S to conduct all testing procedures as necessary to determine the site suitability. DATE q-13_ 7ng SIGNATURE Revised DCHD (06-96) YOU MAY USE THE 13ACK OF THIS FORM FOR DRAWINCI YOUR SITE PLAN. f 7362 MAW 13W)7 i •0202 •Y -jQ k A66A 9313 sa ,, Y 600 0038 t 112 Y (7.73Ai � s fl 4115 Scale:1'= 1313 April 13,1998 9:27 AM DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME I DATE EVALUATED PROPOSED FACILITY _I_-1Ja`i PROPERTY SIZE �0"T•j�D�c'Q`�S SUBDIVISION ROAD NAME al4aei_ Water Supply: Evaluation By: On -Site Well Auger Boring Community. Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position I— L Slope % 11,70 HORIZON I DEPTH r Texture group Consistence ` Structure S 6 L Mineralogy; HORIZON II DEPTH LIS Texture groupvssn< ConsistenceStructure L Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION:S LONG-TERM ACCEPTANCE RATE: REMARKS: f-0 a*cb DCHD (01-90) EVALUATION BY: �ZbJC��4T OTHER(S) PRESENT: "'Ir A`) I 4& v1-,��90erA1j '1� GmnJC.A.JS .F, I i�✓s� 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 Wet NS - Non sticky NP - Non plastic FR - Friable ' FI - Firm VFI - Very firm EFI - Extremely firm I SS - Slightly sticky S - Sticky SP - Slightly plastic P - Plastic VS - Very Sticky 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 ■ENE■E■ ■E■EME■ NEWSMEN ■■■ME■■ ■■■■■■■ ■■■MMM■ ■■■■■■■ ■■E■■■■ ■E■■MM■ ■EM■■E■ ■MEMS■■ ■■■ME■■ ■■■NOME ■■E■■■■ ■■EE■ ■■■■■ ■E■■■ i i ■■■■■■E■■■■N■■■■■■ ■■■■■■■NEE■EE■■■■■ ■■O■EEM■■■E■■M■■■■ ■■■■MEM■■■■■■■■E■■ ■■■■■■■■■■■■EEE■■■ ■E■MEM■■■N■MEM■■■■ ■■■■■■■■■■EEEE■■■■ ■■■■E■■■■■■■■■■■■■ ■■■■NOME■■■■■■EN■■ ■■■■■■■MM■■■■■■EE■ ■■■■■■■OEEE■■M■ME■ ■■■■■EMEE■■■■M■■■■ ■■■■■■ME■EE■■■EO■■ ■■■■■ME■■■■■■■E■■■ ■■■MEM■■■■■■■ME■■■ ■M■■E■E■EE■■■MEE■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ STAMEN ■E■■■ ■■E■■ ■■EM■ ■■■E■ ■E■■■ OMENS ■■■■■ ■■■■■ ■■■■■EE■■■■E■■■ ■■■■■■■■■■■■■■■ ■■■■E■■■■E■■■■■ ■■■■N■■■■■M■■■■ ■■■■■■■■■■■EE■■ ■E■■■MO■■■E■■■■ ■■E■■MEM■■■■■■■ ■E■■■■MM■■■■EN■ ■■■■■EE■■■■EM■■ ■■■■OE■O■■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■EMM■■■■ ■EME■■EE■■MN■E■ ■■E■■■■ME■■■■M■ ■EE■■■E■■■■■M■■ ■■■■MEMO■■■■EE■ ■■■■OE■■■OMM■■■ ■■ME■■■E■■■■E■■ ■■MME■■M■■■EME■ ■■■N■■■■E■■■E■■ ■E■■■EE■ME■M■ ■RNTEM■/1Emmmw ■NI■AWEEZ"l!WEam ■aurum■i■EEN■ ■■■M■■■EMME■■ ■EMM■■EMEMMM■ E■EM■MNONE ■■■■■■ ■■■N■■ ■■■■■■ ■■■M■■■M■■IIMVI/, ■■■■■■■■NEIIEn a ■■E■■■■■■■11■■■ ■■EM■■E■■■11■HM ■■■■ME■■E■Ilocal ■■■■■■■■■■ll■ww ■■■■ ■■N■NIEE■ ■■M■�M■■■N1■■■ ■E■■■E■■■■NI■E■ ■■■■M■E■■■R,I■■■ ■O■■E■■■■NNIME■ ■■■■E■■■EMMR■■ ■■■■E■■■EM■F9M ■MM■■E■■■raMMM ■■E■uM■■■■Iii MEMO ■E■RRS■■ ■■■EE■■■&:■..d■ ■■■ MEMO NONE ■■E■ SEEM ■O■■ ■O■■ NEON SOME ■■M■ ■EM■■■EE■■■■■ ■■E■■■EM■■■E■ ■■■E■■■EE■■■■ ■■E■■■■M■■■■■ ■■■E■■■EM■■E■ ■E■EE■■EE■■E■ ■E■■■■■■EN■■■ ■■■E■■■E■■■■■ ■EE■■E■■■■■■■ ■■■■■■■■■■■■■ ■E■■■E■■■MM■■ ■■EE■■EM■■EE■ M■■O■■MEN■■■■ ■■■■■MMM■■■■■ 0