119 Cable Ln Davie County,NC Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: L400000034 Township: Jerusalem
NCPIN Number: 5736537884 Municipality:
Account Number: 82527333 Census Tract: 37059-807
Listed Owner 1: SEAMON REVOCABLE LIVING TRUST Voting Precinct: COOLEEMEE
Mailing Address 1: 119 CABLE LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 4.65 AC CABLE LN Fire Response District: JERUSALEM
Assessed Acreage: 4.02 Elementary School Zone: COOLEEMEE
Deed Date: 12/2006 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 006900503 Soil Types: MrC2,GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 113500.00 Outbuilding&Extra 17870.00
Freatures Value:
Land Value: 28280.00 Total Market Value: 159650.00
Total Assessed Value: 159650.00
9 t•wI� All data is provided as Is without warranty or guarantee of any idnd 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 Countys GIS website shall hold harmless the
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
r'oC pS NC or arising out of the use or Inability to use the GIS data provided by this website.
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A THORIZATION NO: ' 0:42 s DAVIE COUNTY HEALTH DEPARTMENT
117J
Environmental Health Section PROPERTY INFORMATION
+Permittez �' " P.O.Box 848
Name: � /3 `'; � / Mocksville,NC 2702E Subdivision Name-
/y Phone# 336-751-8760
Directions to property:' /r+� f t �t° ii�t Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# �
SYSTEM CONSTRUCTION I ry
Road Name: �i✓.r` C�Zip; �fd" l�
**NOTE**This'Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Buildin'-Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when"applying for Building Permits:
(In compliance with Article l l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
' ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�,,�� �"�/�``� " Il IS VALID FOR A PERIOD OF FIVE YEARS.
��� ✓',rte ;�'..�" �' ,
ENVIRONMENTAL HEALTH SPECIA IST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
Perm ttee�`S'
..-' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Name:'" ` s� `) f ' 'a:",r� "/� Subdivision Name:
a T:
Directions to property: /'f ra' !` f'✓: �° :; Section: Lot:
IMPROVEMENT
PERMIT Tax Office
Road Name: mil f Zip:
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECI9L.IST DATEISSUED'D SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE AI #BEDROOMS ,7#BATHS #OCCUPANTS_�GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE . TYPE WATER SUPPLY LU�`� DESIGN WASTEWATER FLOW(GPD) NEW SITE + REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEO%GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH icr LINEAR FT.jQD
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUEUTi FILTER* *RISERCSI IF G" BELOW FINISHED GRADE*
"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 m
SYSTEM INSTALLED BY:
10
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT CRLBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05196(Revised)
APPU AIION FOR SITE EVAUlA710N/IMPR0VEMENT PERMIT&AIC —' T�
Davie County Health Department D R Q W R
Eminvamenfal Kealtfi S&Won
P.O. Box 848/210 Hospital Street WR -2 9 I
Mockoville, NC 27028
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL 'XIIE"RE MIXED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
Ham 1. Mato be Billed e
o h(� `N . �)'e to rn o' Contact person 22 /� i �' ioAT e mm-
Mailing Address `q �1QI�.��f� Some Phone d3(D-':n4 . V-a 0CPI--
City/State/ZIV 1 ' rja,Ski t"-Q- Me, .. A /l)STP Business Phone-3 (10 -751 51 - 496/6
Z. Name on Permit/ATC if Different than Above
)lalling Address City/State/Zip
3. Application For: ISite Evaluation 0 Improvement Permit/ATC JI( Both
4. system to service: 0 House X Mobile Home 0 Business 0 Industry Q Other
S. If Residence: # People _� # Bedrooms _ # Bathrooms _
0 Dishwasher 0 Garbage Disposal Washing Machin 0 Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/other: Specify type # People # Sinks
# Commodes i Showers # Urinals i Nater Coolers
IF FOODSERVICE: Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: 0 County/City well 0 Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes )(No
If yes,what type?
*"*IMPORTANT'*" CLIENTS AIUSTCOAIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT yor SITE PLAN MUST BESUBA111 TED by the client with TRIS APPLICATION.
Property Dimensions: SZLAyt Ct1A P AM"-0—
TITE DIRECTIONS(from Mocksville)to PROPERTY:
Tax Office PIN: #
Property Address: Road Name �./gAJ;e-IS '-Rd '- J%X%+PASs We wWa M661. NiiO 4Ke7oliNiV„
City/ZipM6C&uJkJ4L97029 `tache r��}�-I-. �,o saon.l m�(��u wheare Cable_I.fl►ve. 11
If in a Subdivision provide information,as follows: ADRN't A .`f�e.Rro¢e,�� b�eywluh� iS
Name: aGYOSSe_Yolad �fioY�n`�he PON ONN��� ,
owtiesshou�s�,f�oinrtNS-{he proptfj,
Section: Block: Let: Date Property flagged: 63- :Z - qR
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit($)
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 frons
this appl eadon. I,hereby,give consent to the Authorized Representative of th D e County Health Department
to enter upon above described property located in Davie County and owned by 4'
to conduct all testing procedures as necessary to determine the site suitability.
DATE oma- 1 /"I SIGNATURE PddX A. A.
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).
t
i
Account No. 7 /
Revised DCHD(07/98) invoice No. ���
of ��
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VVI `XIII' law
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME "0 DATE EVALUATED
PROPOSED FACILITY fYl/4 PROPERTY SIZE 3
SUBDIVISION ROAD NAME '
Water Supply: On-Site W 11 Community Public
Evaluation By: Auger Boring b� 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 1l
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: 1/ l EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:
OTHER(S)PRESENT:
REMARKS:
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
Mineraloev
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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MEMNONMEMNON :C:::C :::::: MONSON ::::::i�
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