3819 Hwy 601SParcel #: N60000006302
Davie County, NC - Basic Estate Search
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Parcel #: N60000006302
Account #: 82526628
5801
Owner Information
4,50CI
Tax Codes
15,63CI
Market:
HOSCH RUFUS
ssessed:
ADVLTAX - COUNTY T
Deferred:
Unqualified
.O. BOX 2447
5,000
FIREADVLTAX - FIRE TAX
06 2006 WD
Unqualified
ALISBURY NC 28145
6,000
Property Information
Township
Land (Units/Type): 1.060 AC
JERUSALEM
ddress: 3819 S US HWY 601
Deed Information
Local tonin
Pate: 06/2006 Book: 00668 Page: 0392
Plat Book: Page:
Le al Description
PIN
OT 3 A W HOSCH
5754370184
Property Values
Building:
5801
BXF•
4,50CI
Land:
15,63CI
Market:
20 71
ssessed:
20,71CI
Deferred:
Unqualified
Sales Information
No. Book Paye
Month Year Instrument
Qual/UnQual
Improved
Price
. 00056 0157
10 1954 WD
Unqualified
Vacant
0
t 00526 0105
12 2003 WD
Unqualified
Improved
5,000
t 00668 0392
06 2006 WD
Unqualified
Improved
6,000
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oNTVI�
®rio
Davie County Web Site
All Information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountyne.gov/itsnet/View.aspx?prid=1478370 8/2/2016
• DAME COUNTY HEALTH DEPARTMENT L
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account M 990001577 Tax PIN/EH M 5754-37-0184
Billed To: James Hosch Subdivision Info:
Reference Name: Location/Address: 601 S.-27028
Proposed Facility: Residence Property Size: see map
**NOTE**'TliIsgmprovement/Operation Permit DOES NOT authorize the construction 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type A #People �_ #Bedrooms c2 #Baths
Dishwasher: Garbage Disposal: Washing Machiney� Basement w/Plumbing: Basement/No Plumbing: 171
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 13
Lot Size Type Water Supply AZ�Zl Design Wastewater Flow (GPD) Site: New Cl"' Repair 11
System Specifications: Tank SizeGAL. Pump Tank GAL. Trench Width ���Rock Depth Z -L Linear Ft
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Ej
Environmental Health Specialist's Signature: L��'�/ Date:
P �
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990001577
Tax PIN/EH #: 575437-0184
Billed To: James Hosch
Subdivision Info:
Reference Name:
Location/Address: 601 S.-27028
Proposed Facility: Residence
Property Size: see map
ATC Number: 2723
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONS UCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
Iw
Septic System Installed By:
Environmental Health Specialist's Signature :
DCHD 05/99 (Revised)
Date: J `z�-zV t/
APPLICATION FOR SITE EVALUATION/IMPROVEMENY PERMIT & ATC
Davie County Health Department FEB i 4 2001
EnWtvnmeafal Health Seciion
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
ENVIRONMENTAL HEALTH
(336) 751-8760 DAVIE COUNTY
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED I
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed —moot I e S )-� S G/1 Contact Person % G�
Mailing Address nS6 O Home Phone l O Lf
City/State/ZIP �N LIS /5 u Q Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/state/Zip
3. Application For: XSite Evaluation ❑ Improvement Permit/ATC /Both
4. system to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms # Bathrooms
❑ Dishwasher ❑ Garbage Disposal Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other:
# Commodes
Specify type
# Showers
# Urinals
# People # Sinks
# Water Coolers
IF FOODSERVICE: # Seats Estimated Water /'Usage (gallons per day) y�
7. Type of water supply: ❑ County/City Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? Yes ❑ No
If yes, what type? 4- � 1 b d c �� �! � l yb �-.f- H
***IMPORTANT*** CLIENTS MUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: %oo , `}, 3 0 o '
Tax Office PIN: # S75 Y- 3 7- 01 r 7�
Property Address: Road Name (0 v I S
City/Zip
D --7o
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
%s (s e .S 0;4-4bk.;�-4,/=IC
C ei✓t^, 14- r( I r
Date Property Flagged:
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. 1, 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
to conduct all testing procedures as necessary to determine the site suitability.
DATE D SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
C ....-S c�!
Date(s):
Client Notification Date:
EHS:
Revised DCHD (07/99)
Account No.
c2Invoice No.
DAVIE COUNTY HEALTH DEPARTMENT
t .
.
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
PROPERTY INFORMATION
Account #:
990001577
Tax PIN/EH #:
5754-37-0184
Billed To:
James HosCh
Subdivision Info:
Reference Name:
Location/Address:
601 S.-27028
. Proposed Facility:
Residence
Property Size: see map Date Evaluated:�Z7
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring
Pit
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position -L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure /
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 i ,
SITE CLASSIFICATION: 1
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY: D
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 05/99 (Revised)