880 Greenhill RdDavie County, NC
Tax Parcel Report63J
1 Wednesday. September 28, 2016
Parcel Information
Parcel Number:
J30000002002
Township:
Mocksville
NCPIN Number:
5727481783
Municipality:
Account Number:
29238700
Census Tract:
37059-801
Listed Owner 1:
GINTHER TANYA K
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
880 GREENHILL ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
2.343 AC GREENHILL RD
Fire Response District:
CENTER
Assessed Acreage:
2.34
Elementary School Zone:
MOCKSVILLE
Deed Date:
2/2015
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
009800716
Soil Types: GnB2,GnC2,MsD
Plat Book:
12
Flood Zone:
Plat Page:
26
Watershed Overlay:
DAVIE COUNTY
Building Value:
163710.00
Outbuilding & Extra
Freatures Value:
4990.00
Land Value:
28040.00
Total Market Value:
196740.00
Total Assessed Value:
196740.00
9 t e stnAll 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
�o NC or arising out of the use or inability to use the GIS data provided by this website.
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AUTHORIZA� ION NO: 1 6 35 DAVIE C LINTY HEALTH DEPARTMENT
xEnvironmental Health Section PROPERTY INFORMATION
Permittee''s y P.O. Box 848
Name. ( �C L % AtJVlr t -,:V iia- -Mocksville, NC 27028 Subdivision Name:
/
Phone �� # 336-751-8760
Directions toproperty: C Section: Lot:
AUTHORIZATION FOR �f v
_ad 0J,
J. L c: �111.I �:L~ l,� l S- ' WASEM EWATER , Tax Office PIN:# S' 727
f
..�-�"` '-lbaDlJS -1 Road Name: )eC6-J Eip: t
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building-Perinits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In corrtpliance with Article 11,o f G S Chapter. 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .
-' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
A IS VALID FOR A PERIOD OF FIVE YEARS.
VIR N EN AL HEALTH PEC DATE ISSUED
{N" i � y��'".R':M^'ri-"'6 `ryr„•'� - : 1 F`Yv.M^ 1 r+ -A v �, � -.: '�—_y,�r w -i a v. 1"„y.� �'rn {.IyadwM � ;..
��, ;+ w�� ��� �,, � �-023 �� � /P>• ''ls' `/�•�
E -”' . DAVIE OUNTY HEALTH DE PA T
`IMPROVEMENT AND OPERATION P RMITS PROPERTY INFORMATION
a
Termitte
insA� 'r
ll
Name:, tT_�F �.r��'!`�T11 Subdivision Name: i
Directions to�roperty: . d 7 t �` � Section: Lot:
�.; tIMPROVEME
ILL, l� � � ' PERMIT NT. Tax Office PIN: -727 €! 6
1 Road Name C-CLCA f I 1 L1 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 Departmenfpoor 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
';""� ✓ t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
^E IRON _--MALTII SPE ST DA` ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
S
IN TALLING THE SYSTEM.. ,
RESIDENTIAL SPECIFICATION. BUILDING TYPE �� # BEDROOMS_ #BATHS- #OCCUPANTS y . GARBAGE DISPOSAL: Yes or�IC�o�
L)
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT'� # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE; L' TYPE WATER SUPPLY �N &DESIGN WASTEWATER FLOW (GPD}. /�� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE'' �'� GAL. PUMP TANK GAL. TRENCH WIDTHc ROCK DEPTH Z LINEAR Fr.�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: I1 `� ! ALL, O�'J (�V/j I DZ) _ ��� I �' D �r PI�UI • L ln�(:
AUTHORIZATION NO. v OPERATION PERMIT DATE: V
*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH DESCRIBED ABO HAS BEEN INSTALLED E CONIPLIANCE
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)
_t x,
DAVIE OUNTY HEALTH DEPART EW
TMPRO EMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittde
Name: < d`. [ C:41'A' ;0 �9 ` ti .' Subdivision Name:
..Directions to property: Section: Lot:
y IMPROVEMENT s
PERMITTax Office PIN:#L7..1 , p, p /`'.
�. .° ♦, i °.w ,.,t` 3 �o _ 1..,.tf A4 7 Road Name. Ir-ZIp_ s
**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 I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
r "`""` " ..•,4***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
'i �� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALT14 SPECIALIST y .r DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1100 # BEDROOMS # BATHS- # OCCUPANTS `GARBAGE DISPOSAL: Yes oro,
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL^WASTE: Yes or No
LOT SIZE G- 1= TYPE WATER SUPPLY A/'rYDESIGN WASTEWATER FLOW (GPD)-�L'� NEW SITE REPAIR' ITE
SYSTEM SPECIFICATIONS: TANK SIZEGAL. PUMP TANK GAL. TRENCH WIDTH _ ROCK DEPTH LINEAR FT. _Q
OTHER
p �
REQUIRED SITE MODIFICATIONS/CONDITIONS: It�STA�-L �� C btJTayQ Ki�t:l ��' d �r[ 1 k +/
01 • L InjL
IMPROVEMENT PERMIT LAYOUT
30
� c
C,
"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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
L $1 8a
1
s •r
lt
0
7)
'n •
AUTHORIZATION NO. , v2� OPERATION PERMIT Y: DATE: I-!
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TW I ESI DESCRIBED ABO HAS BEEN INSTALLED 14 CO PLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOW Y BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
t� A Q.. -/
APPLICATION FOR SITE-,E!%L-7ATION/IMPROVEMENT PERMIT & ATC
1 Davie County Health:Department
`�yFnvironmental Health Section II @ R
M P. O. Box 848 U
Mocksville, NC 27028... A. 2 .2 4�
-
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSID Uig ,1h1ENTAL HEALTH
ALL
THE REQUIRED INFORMATION IS PR DAVIE MMM
1. Name to be Billed 0,kAaLs wd/ I W ll �_T_v\Aa Contact Person
Mailing Address :: X49 Home Phone 3-Z? p — l S ('-`'t sq�i
City/State/Zip \ IAC', C 7�I �� V��–i�� Business Phone 5Pffy-)2,
2. Name on Permit/ATC if Different than Above
Mailing Address
l a PCVQ---,_-,
City/State/Zip
WRITE DIRECTIONS (from
3. Application For:
❑ Site Evaluation
❑ Improvement Permit & ATC
U -1 h
4. System to -Serve:
U/House ❑ Mobile Home ❑ Business ❑ Industry
❑ Other
Property Address: Road Name Q��1xl
A-1
A
5. If Residence:
# People
# Bedrooms
# Bathrooms
Dishwasher
❑ Garbage Disposal
Washing Machine ❑ Basement/Plumbing
❑ Basement/No' Plumbing
6. If Business/Other:
Specify type
# People
# Sinks
# Commodes # Showers # Urinals
If Foodservice: # Seats Estimated Water Usage (gallons per day)
# Water Coolers
7. Type of water supply: b/County/City ❑ Well
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 *** APJb
W THE PROPERTY MUST BE
.SUBMITTED WITH THIS APPLICATION.
Property Dimensions:
l a PCVQ---,_-,
)1
WRITE DIRECTIONS (from
Tax Office PIN: # � - .� -
ty Q
,– I £J 3
1
1
Mocksville) TO PROPERTY:
Property Address: Road Name Q��1xl
A
1
nn
City/Zip
1
� t
If in Subdivision provide information, as follows:
1
Name:
1
1
Section: Lot #:
1
•
1
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
as necessary to determine the site suitability.
DATE \ \���� O SIGNATU/
Revised DCHD (06-96)
YOU MAY USE THE BACK OF THIS FORM FOR DRAWING YOUR SITE PLAN.
conduct all testing procedures
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REVISIONS
SCALE-
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nA'E, FEB. 12, 1998
100
50 0 100
200
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`
300
LYING
IN THE MOCKSVILLE
COUNTY OF OAVIE, NORTH
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. • ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME (�'I ��1 , PAVA
PROPOSED FACILITY
SUBDIVISION _
Water Supply:
Evaluation By:
On -Site Well /
Auger Boring ✓
Community
Pit
DATE EVALUATED 1) I
PROPERTY SIZE
ROAD NAME�?�
Public
FACTORS
1
2
3 4 5 6 7
Landscape position
L
Slope %
L
HORIZON I DEPTH
r�p
Texture group
G L
Consistence
j
I_llasL
Structure
Mineralogy`
HORIZON II DEPTH
Texture groupe
Consistence
Structure
L
G
Mineralogyl'
HORIZON III DEPTH
Texture group.l
Consistence
r
Structure
Mineralogy1
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: / y
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY: N3—,ff 8!tI
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 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
DCHD (01-90)
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