114 Deacon Way Lots 1-2 Davie'County,NC Tax Parcel Report. Monday,December 19, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K5030A0002 Township: Mocksville
NCPIN Number: 5747657338 Municipality:
Account Number: 8304959 Census Tract: 37059-805
Listed Owner 1: SECHRIST CHRISTOPHER ALAN Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 114 DEACON WAY 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: LOTS 1-2 DEACONS RIDGE Fire Response District: JERUSALEM
Assessed Acreage: 2.24 Elementary School Zone: CORNATZER
Deed Date: 4/2015 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009870395 Soil Types: PaD,Ce132
Plat Book: 0006 Flood Zone:
Plat Page: 060 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
1:01
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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A I RIZATION NO: 5 5A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
ermittee's P.O.Box 848 /
Name: Z47//9�,ey e �rr�// Mocksville,NC 27028 Subdivision Name:
Phone# 336-751-8760
Directions to property: �'l.9/r'•,r +�` f Section: J� Lot: -40
AUTHORIZATION FOR '
WASTEWATER ,
SYSTEM CONSTRUCTION Tax Offi PIN:# -
R a Nrame: tet- j zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPernuts,This Form/Authorization Number should be presented to the Davie County;Building Inspections
Office when applying for Building Permits.
(In compliance with Article 1 L of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
-'' ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. '
ENVIRONMENTAL HEALTH SPE ALIST DATE ISSUE15
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. � i 6 5 DAME COUNTY HEALTH DEPARTMENT . .*
f�fa IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
ier tteels ¢,
t Dame: Subdivision Name: f'
"Directions to property: f '` /' < Section: M. Lot:
"ROVEMENT 7
PERMIT Tax Qfy& q PIN:# ?
/ /77
Road Name A Z,' /Zip:
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An
AUTHORIZATIONFOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the .
construction/mstallation of a system or the issuance of a building permit
(In compliance with Article I I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
, ,, , ;j r , 'r f ',,, ,✓ { i f PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
~
ENVIRONMENTAL HEALTH SPEOIALIST DATE ISSUE SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
.
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #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�r� DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 412b GAL. PUMP.TANK GAL. TRENCH WIDTH/ ROCK DEPTH ,,LINEAR Fr.,!�dd
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:'
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT F�ILjE ..-*$I s1: ,{,S IF Ca' BREOWFIIISH ? GRADE*
roll
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(45Tf4
(MG)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. Z� OPERATION PERMIT BY: DATE:
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
APPLICATION FOR SITE EVAWAIION/IMPROVEMENT PERMIT 1� C l5
i Davie County Health Department
Environmental HMO SeWon
" P.O. Box 868/210 Hospital Street v�
Mocksville, NC 27028
a Ax rr
(336)751-87601
***IlWORTANT*** THIS APPLICATION CANNOT EE PROCESSED UNLESS ALL THE REQUIRED
INFORMATXON IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
Ram to
1. Nabe Billed R, W aH ne Ru sseL( "
Contact person �H T\e Rt S'S C,
Mailing Address 8 I&AA mo Yl Od Bae pie S 1-n 1115
City/state/LIP / ac-Q-I DA$ Business photo ,lam 3 kS_8 319 q
Z. Name on Permit/ATC if Different than Above
Mailing Address City/state/Lip
s. Application For: U Site Evaluation 0 Improvement Permit/ATC $' Both
4. system to service: X House 0 Mobile Rohm U Business 0 Industry U Other
S. It Residence: # People 2`3 # Bedrooms -3 # Bathrooms 2
U Dishwasher ArGarbage Disposal .�'Nashing Machine U Basement/Pltubing 0 Basement/No Pinabing
5. If Business/Industry/other: specify type # People # sinks
# Commodes # shovers # Urinals # Nater Coolers
IF FOODSERVICE: Seats Estimated stater Usage (gallons per day)
7. Type of water supply: County/City 0 well 0 Community
e. Do you anticipate additions or expausious of the facility this system Is intended to serve? 0 Yes 39V0
If yes,what type'
***IMP0RTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions:* 2 6 ces WRITE DIRECTIONS(from Mocknille)to PROPERTY:
Tai Office PIN: # s'1`F'? - � ''7 3 38 d:'eo'I (�� ( 5
Property Address: Road Name "bP-Q �a +tom
� -
CitylZip 1^�1ocKsv111� ,tic. a-�va� 1 e$-E ,,-40If in a Subdivision provide information,as follows: \,R'
Name: -he�kGVS LA/
Section: Block: Lot: 2 Date Property Flagged: ��z 5�/4q
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 I,also,andastand that l am reVronsiblefor all charges brcunwd from
this application. I,hereby,give consent to the Authorized Representative of the Davie County Health Departmen
to enter upon above described property located in Davie County and owned by Pc,s o e 5�1c'- Vel- sseU
to conduct all testing procedures as necessary to determine the site sus tT.
DATE q&d17 9 SIGNATURE P"tA
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include aR of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
2(98
Account No. 1441
Revised DC D(07/98) `j �- Invoice No.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED l-
ADDRESS PROPERTY SIZE yA4
PROPOSED FACIILTY �6l1{P LOCATION OF SITE
Water Supply: On-Site Well Community Public L/
Evaluation By: Auger Boring Pit ✓ Cut
FACTORS 1 2 3 4
Landscape position I- ,I-
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure f /l
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: r--'j EVALUATED BY: /ala,
LONG-TERM ACCEPTANCE RATE- 7 OTHER(S) PRESENT:
REMARKS: �� /��Aao T/l� '4i 61" 10'r'a 9'�`I��✓f
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(01-901
,' .
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME V C DATE EVALUATED ���-9�
ADDRESS PROPERTY SIZE SAG
PROPOSED FACIILTY ,/`u- LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe % .2
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
Consistence r
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 r
SITE CLASSIFICATION: _ /'J EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: a
EGEND
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 watef 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