204 Houston RdDavie Countv. NC
Tax Parcel Reoort I b JD Thursday. September 29. 2016
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All 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
77 Parcel Information
Parcel Number:'
M60000002801
Township:
Jerusalem
NCPIN Number:
5755542435
Municipality:
Account Number:
8301744
Census Tract:
37059-807
Listed Owner 1:
WERBECK MARILYN
Voting Precinct:
JERUSALEM
Mailing Address 1:
204 HOUSTON ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
42.281 AC HOUSTON RD LIFE ESTATE
Fire Response District:
JERUSALEM
Assessed Acreage:
41.21
Elementary School Zone:
COOLEEMEE
Deed Date:
312012
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2012EO322
Soil Types: PaD,WeC,WeB,PcB2,PcC2,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
147910.00
Outbuilding & Extra
Freatures Value:
1240.00
Land Value:
216810.00
Total Market Value:
365960.00
Total Assessed Value:
181630.00
[a]
All 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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;AUTjIPRIZATION No: 10 DAVIE C LINTY HEALTH DEPARTMENT
- Environmental Health Section ,; PROPERTY INFORMATION,
Permittee 's P.O. Box 848
Nam 6;: Mocksville, NC 27028 Subdivision Name:
xhone # 336-751-8760
Directions to property: lt�� -�"1� Section: Lot:
--- AUTHORIZATION FOR
ry
WASTEWATER Tax Office PIN:# rt �7S!7 Sq
SYSTEM CONSTRUCTION
Road Name::tySTv-��p:
**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 Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of , .S. Chapter 130A, Wastewater Systems, Section '1900 Sewage Treatment and Disposal Systems)
IL
r° ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
Z 2 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM AL HEALTH SPEC -1 T DATE I SU D
DCHD 05/96 (Revised)
�h F"
APPLICATION FOR SITE EVAUTATION/IMPROVEMENT PERMIT do AlQ vY 9
Davie County Health Department
` Environmental f/e O Section ��p
i P.O. Box 848/210 Hospital Street NOV 1 8 t.77D
Mockaville, NC 27028
(336) 751-8760 ENVIRONMENTAL HEALTH
DAVIE COUNTY
***n1PCRTANT*** THIS APPLICATION CANNOT Ba PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PRqVIDED. Refer to the IN/FORMATION BULLETIN for instructions.
1. Umm to be Billed L Contact Person
!tailing Address phoneA '17A
***IMPIt .RFANT*** CLIENTS AtUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITT'ED by the client with THIS APPLICATION.
Property Dimensions: 20D (CAF&SJWRITE DIRECTIONS (froth Mocknille) to PROPERTY:
Tax Office PIN:
Property Address: Road Name No6ndl RD 00
city/zip m0e4w-up , 9700?9
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
Date Property Flagged: AY'- F�
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 ibis application Is falsified or changed I, also, understand that l amu responAblefor all charges Inured from
this appiic tion. 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 ky 12PAC A/ A IAIRRar'('K
to conduct all testing procedures as necessary to determine the site witabVita. Ali
[7��/�f �Ii �Te�:7.Y�J� �I/l.Ih LFL►�/�J,'A//!Il/LIN���:
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
pmpecty lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. g�
Invoice No. ��
City/state/ZIP / 7M.X 5yL L(iG . IV, L. o4-
/!KeU Business Phone
2.
Name on Permit/ATC if Different than Above JAIRU-Al
I.
R
Mailing Address�1T �T �� &NA) (,fir
City/state/Zip ( ag 4 ! l
3.
Application For: Site Evaluation
kmrove=ent Permit/ATC Both
4.
system to Service: House 0 Mobile Home
0 Business 0 Industry 0 Other
s.
If Residence: # People
# Bedroom_ # Bathrooms
- � Dishwasher 0 Garbage Disposal *Washing Machine 175Bas�t/Plumbing 0 Basement/No��Plunbiinng
!J
!!!!!if/
6.
Business/industry/other: specify type
#.People # sinks
# Coankodes # showers
# Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7.
Type of water supply: _I(County/City
0 Well 0 Community
e.
Do you anticipate additions or expansions of the facility this system is Intended to serve! 0 Yes ANO
If yes, what type'
***IMPIt .RFANT*** CLIENTS AtUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITT'ED by the client with THIS APPLICATION.
Property Dimensions: 20D (CAF&SJWRITE DIRECTIONS (froth Mocknille) to PROPERTY:
Tax Office PIN:
Property Address: Road Name No6ndl RD 00
city/zip m0e4w-up , 9700?9
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
Date Property Flagged: AY'- F�
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 ibis application Is falsified or changed I, also, understand that l amu responAblefor all charges Inured from
this appiic tion. 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 ky 12PAC A/ A IAIRRar'('K
to conduct all testing procedures as necessary to determine the site witabVita. Ali
[7��/�f �Ii �Te�:7.Y�J� �I/l.Ih LFL►�/�J,'A//!Il/LIN���:
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
pmpecty lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. g�
Invoice No. ��
M \
N \
o�
UP CA \
�r
r► \
JACK JOHNSON
'QB.90 PG. 284
S 39° 27' 57" E
S 36° 24' 01" E
M , k, a �
GERALD B. WILKE G /�
2�
D.B. 119 PG. 32
D. B. 125 PG. 338
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' TAKEN FROM DB.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
SECTION LOT
APPLICANT'S NAME DATE EVALUATED l 1 (30' S
PROPOSED FACILITY O J S� PROPERTY SIZE
SUBDIVISION ROAD NAME tAoJS�,� p�
Water Supply: On -Site Well Community Public ✓
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
- (0
-
Texture groupL
e
L
Consistence
5
♦
r SS '-
Structure
k
�,
Mineralogyt:
►
: 1
HORIZON II DEPTH
— Z
-72,
CA 14-20
Texture groupG
Consistence
$[-.1510
Structure
e_
le—
e—Mineralo
Mineralogy
HORIZON III DEPTH
Z'-1 ' 2
27,
I Se - Z
Texturerou
+t
Ck
.r$
Consistence
S
5
r s
Structure
Mineralogy
HORIZON IV DEPTH
22 .-t} •6
Texture group
CA
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
O•
D .
SITE CLASSIFICATION: i EVALUATION BY:<<?:r;-^--�
LONG-TERM ACCEPTANCE RATE: b' OTHER(S) PRESENT:
REMARKS: V4 `� C� FnoiTt.toS {�QD�j/l�vl}1 '7tTp 1���ic S+••I4 h FR_o.... i�v� D
LEGEND t�ttL �a�3� -10P� ,N. P 't o P_t Oct
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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