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Davie County,NC Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J60000002007A Township: Mocksville
NCPIN Number. 5757178943 Municipality:
Account Number: 8304065 Census Tract: 37059-807
Listed Owner 1: DALTON CHARLES N Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 249 HEMLOCK STREET 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: 5.37AC OFF DALTON LOT 10 LIFE ESTATE Fire Response District: FORK
Assessed Acreage: 5.31 Elementary School Zone: CORNATZER
Deed Date: 612014 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2014EO605 Soil Types: MsB,ChA MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 30990.00 Total Market Value: 30990.00
Total Assessed Value: 30990.00
161 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 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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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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
,i/!construction/installation of a system or`the issuance of a building permit.
(In coipliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME PROPERTY ADDRESS rr (j DATE
LOCATION _ t. tsrr� 'P` v �� �� 6 N' S `�"'
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE o # BEDROOMS _j_ # BATHS • # OCCUPANTS GARBAGE DISPOSAL: Ye /No
COMMERCIAL. SPECIFICATION:FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE ,-�4TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE � REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE)W O GAL. PUMP TANK GAL. TRENCH WIDTH r ROCK DEPTH LINEAR FT. C)()1
OTHER K
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. J.
/O4,'
•.. 100,
IMPROVEMENT PERMIT BY
**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 (704) 634-8760.
OPERATION PERMIT "" SYSTEM INSTALLED BY f f
•7• /
7
' c?P .
it �?
AUTHORIZATION NO. ION-PERMIT-B. t6. DATE
**THE ISSUANCE OF-THIS OPERATION PERMIT SHALL,INDICATE-THAT',THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .f90i 'SEWAGE TREATMENT AND-DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION S TISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
"DCHD: 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERh IV
Davie County Health Department APR 1 7 1996
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By ' ` 1OAAA 5 A UN
Mailing Address CO$ JJ-AA-t C+. Home Phone 7t K 63fy Sew
CLLLGIp, .C, 70Z� Business Phone
2. Name on Permit if Different than Above
3. Application for: a General Evaluation alSeptic Tank Installation Permit
4. System to Serve: ❑ House ErMobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms 3 2-Washing Machine
No. of Bathrooms 2• f C•�-Dishwasher
Dwelling Dimensions 2'8 X(,4 . ❑ Garbage Disposal
6. if business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: (Public ❑ Private ❑ Community
CIA8. Property Dimensions" Q�� �� G' F���Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes a-No
If yes, what type?
"NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
PROPERT11 INFORMATION REQUIRED:
Directions to Property: NAY Gy LA54 3 M�7es v Tax Office PIN: #5'l S'7-1? -A9 Y 3
C-2pff vA4 6,e=*,t7 +Cavv;N#«tj .fie 4A,a :1>Ai4&y PROPERTY ADDRESS, as follows:
lrp% -7 Z4 �i,�♦ ON7:4Mow- &.P /���Q. .3�v /'/i: Road Name: T-40/ /����I.
City: M�ry'F�syr/C� MCI
�4/
07 C>A14VAf'$ /�lo^> t "A?e S
7� 4'AN SU MIT A PLAT WITH THIS APPLICATION.
Let-r �� S%yN d/�Tv ✓/aJ Ko.4el• (>� Revisions effective October 1, 1995.
This is to certify that the information provided is correct to the b of my knowledge, and I understand I am responsible for all charges
incurred from this ap�llication._
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIB D PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. 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 represent i e of the Davie County Health Department to enter upon above described
property located in Davie County and owned by( Al. -4- -)),4 NvAt
to conduct all testing procedures as necessary to determi said site's suita " for a ground absorption sewage treatment
and disposal ystem.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
-aSoil/Site Evaluation /
NAME ��y�¢c�bS -� A\ \d� DATE EVALUATED
ADDRESSy ��`z PROPERTY SIZE
PROPOSED FACIILTY ' � '� LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position ___5 .S
Slope % D
HORIZON I DEPTH
Texture group S'C e
Consistence "L V
Structure C ��
Mineralogy : I
HORIZON II DEPTH
Texture groupc\ C
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS 9�s
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATIONF
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �)- S_ EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: . 4 OTHER(S) PRESENT: �`• ��� ��
REMARKS: �-
S 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 :lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vc.-y 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
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Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
' Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance w�th Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building(Permits.*** ` /,
E �a tm RS F . U P��o N DATE � —� - !� � 'AUTHORIZAT0 31
3ER
NAT
NAME ON IMPROVEMENT PERMIT (If different than above) `V
SITE LOCATION 1;b'A\t°tJ
`�O VA
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**00TICEM THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
i %
ENVIRONMENTAL HEALTH SPECIALIST DATE
DCHD 10/95