147 Hickory Drive Lots 3-3A Section 3 (2)Davic%County, NC Tax Parcel Report g �� Monday, October 10, 2016
203
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261
31
243
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229
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
278
T
I
260
MOCKSVILLE
Land Value:
Total Assessed Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
J5150A0007 Township: Mocksville
5747175654 Municipality:
42592000 Census Tract: 37059-805
KENNEDY JOEY C Voting Precinct: SOUTH MOCKSVILLE
147 HICKORY DRIVE Planning Jurisdiction: MOCKSVILLE
NC
27028-4211
LOTS 3-3A SOUTHWOOD ACRESSECTION 3
2.06
i
Davie County,
coL x�. NC
8/1984
001240221
0004
141
178410.00
18450.00
197940.00
Zoning Class: MOCKSVILLE GR,OSR
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
MOCKSVILLE
Elementary School Zone:
MOCKSVILLE
Middle School Zone:
SOUTH DAVIE
Soil Types:
GnC2
Flood Zone:
Watershed Overlay:
MOCKSVILLE
Outbuilding & Extra
1080.00
Freatures Value:
Total Market Value:
197940.00
c�co
'DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
•IN OTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name Date—2 > N_ 8198
Location % �/ -� � / r �- r ---
Subdivision
—
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
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Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30.9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
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System Installed by
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Certificate of Completion�G Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Subdivision Name
;- L//' <'"'
�' ' `
Lot No. Sec. or Block No.
Lot Size _`_
—
House
Mobile Home ---- Business _—__ Industry
No. Bedrooms -}
— No.
Baths ��%'
No. in Family_;__ -!l — Public Assembly Other
Garbage Disposal
YES
p NO
Specifications for System:
Auto Dish Washer
YES
NO
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Auto Wash Ma^hine
YES
NO
❑
Type Water Supply
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
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Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30.9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
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System Installed by
G
F
Certificate of Completion�G Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Departmenti
+� 0� , �.
Environmental Health Section
0• P. O. Box 665 JAN - 5 1994
Mocksville, NC 27028
1. Application/Permit Requested By �� �� �. \L r r11- � I
Mailing Address /32 1�r.0 �,.,� Home Phone -6 LA o
\N- Business Phone (0 L-1. 5 �5
2. Name on Permit if Different than Above
3. Application for: General Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: '2� House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
��� oTs —
5. If house, mobile home: Subdivision ����� o, �� ��� Section H�r�k« Lot #���
❑ Basement/Plumbing
No. of People
No. of Bedrooms
No. of Bathrooms�a-
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 �� m arP �elt Sewage Disposal Contractor
a Basement/No Plumbing
® Washing Machine
l� Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0 No
If yes, what type?
❑ Community
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
l
�• 1
U
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
incurre from this application.
1 �, `-
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: y(� 1. 1 OWN the property. ls� W 2. 1 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'� y
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and di posal system.
DATE SIGNATURE
DCHD (1193)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME K. 'Vz dl
51
ADDRESS
PROPOSED FACIILTY , 4/0 qr�
DATE EVALUATED
PROPERTY SIZE �Ae
LOCATION OF SITE ZC' �✓ :�G�/'
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring !/'-
Pit
Cut
FACTORS 1 2 3 4
Landscape position L Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group e -
Consistence
Structure AbKL /
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: EVALUATED BY: _14,2 /Z
LONG-TERM ACCEPTANCE RATE: E� OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS-Footslope 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-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
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
DCHD(01-901
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• - Davie County XealPi Department
and Nome .11ealtli Ayency
210 HOSPITAL STREET I P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634.5985
January 26, 1994
Joey Kennedy
Rt. 9, Box 691
Mocksville, NC 27028
Re: Site Evaluation
Southwood Acres/Hickory St.
Dear Mr. Kennedy:
AB requested, a representative from this office visited the aforementioned
site on January 25, 1994. Based upon the information provided on the
application for a site evaluation and after the evaluation was completed, the
site was found to be provisionally suitable for the installation of an on-site
sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure(s)