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162 Deacon Way Lot 3 � 1 Davie County,NC Tax Parcel Report Monday,December 19, 2016 i r 178 L7 A 193 162 l r' r I i 114 < 242, WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: K5030A0003 Township: Mocksville NCPIN Number: 5747655546 Municipality: Account Number: 82515566 Census Tract: 37059-805 Listed Owner 1: STAKELY GERALD D SR Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 162 DEACONS WAY Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-5183 Voluntary Ag.District: No Legal Description: LOT 3 DEACONS RIDGE Fire Response District: JERUSALEM Assessed Acreage: 2.03 Elementary School Zone: CORNATZER Deed Date: 9/2000 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 003460030 Soil Types: PaD,PcC2,CeB2 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: 9 tl� 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 webaite 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 �o U N Ca NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNT' HEALTH DEPARTMENT y oU IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION , l� :`30 *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage System' Permit Number Name Date �� ''� G 7412 Location Mx, �P � /IrZr y /� �*"Y ✓� /�fi'�:_.r., �r'�- Subdivision Name , �1211-lr Lot No. `.� Sec,-0 Block No. Lot Size ��f House Mobile Home Business'_.._— Industry No. Bedrooms _ ! — Baths _� No. in Family Public Assembly Other / Garbage Disposal YES ❑ NO 2' Specifications for System: Auto Dish Washer YESNO ❑ Auto Wash Ma thine YES W NO p` Type Water Supply 'This permit Void if sewage system described below is not installed within 5'years from date of issue. Thi§ permit is subject to revocation if site plans or the intended use change. Ys ti R -J ps WPB r, 1 tyQ 7� t Improveme is permit b �t Ila–�Y *Contact a representative of the Davie County Health Department for final inspection of t Is system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number 704-634-598 . Final Installation Diagram: EV SystemInst lied by Q D d F .. Y .. Certificate of Completion' . _ Date 'The signing of this-certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO waybe taken as a guarantee that the system will function satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 r F C E 0 V� Mocksville, NC 27028 JAN 1 81994 1. Application/Permit Requested By r --/ _-- Mailing Address e �sX _ Home Phone-116�- /%D Business Phone 9yD - '72 z12, 2. Name on Permit if Different than Above 3. Application for: ❑General Evaluation MCeptic Tank Installation Permit 4. System to Serve: 0,-House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry 0 Other ❑ Unknown 5. If house, mobile home: Subdivision 5' Section Lot# 3 ❑ Basement/Plumbing No.of People ❑ Basement/No Plumbing No. of Bedrooms -3 [B"Washing Machine No. of Bathrooms CEJ Dishwasher Dwelling Dimensions x ❑ 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: 03"Public ❑ Private ❑ Community 8. Property Dimensions A, g /�'G� Sewage Disposal Contractor / 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? El Yes ETNo If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: This is to certify that the information provided is correct to the b t o_f my knowledge, and I un erstan m responsible for all charges incurred from this application. DATE SIGNATURE FtaonCONSENT Q SITE EVA UATI N TO BED NE ON ABOVE DESCRIBED PROPERTY d ECK ONE: 1. I OWN the property. ❑ 2. I DO NOT OWN the property. ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: ve consent to the authorized representative of the Davie County Health Department to enter upon above described cated in Davie County and owned by all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment al system. DATE SIGNATURE DCHD(1193) ` DAVIE COUNTY HEALTH DEPARTMENT y Environmental Health Section f Soil/Site Evaluation NAME SGt/j`l'N GIr90 n DATE EVALUATED ADDRESS PROPERTY SIZE f�C 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 L, L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure /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 RATFJ SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RA R! OTHER(S) PRESENT: REMARKS: eP42 �'P �� 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 o`er f 1 Environmental Health Section Soil/Site Evaluation NAME u' �r' DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY �"�' LOCATION OF SITEurlr� r Water Supply: On-Site Well Community Public Evaluation By: Auger Boring j/ Pit Cut FACTORS 1 2 3 4 Landscape position -4:, Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH f r Texture group Consistence Structure K f ll 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: // / EVALUATED BY: O LONG-TERM ACCEPTANCE RATE: - �j 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 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) ■■■■■■■.■■■■■■■■■■■.■/■■..■■■.■.■..■■■�..■■■■■■■.■■.�..■■ NEON■■■ ............NN.■..■■■■■.■■.■■NICE■■N■HE�EN■■EE� HENNE■ mono■■■■ ......................................... .■.■■. ■W■■O■■.■■■■■■■■ ...............r■■■■\�■■/■■■n■N■■/■■.■■I�E•iii:■'''�■� iE'�■iCiiC'=liiiiiil',� ■■■■N.N..EE■■■EEE■EE11■.■■■EI.E■■■EEEE■E��EEEEE■E�� E■■E■EEE■■OME■■■ I ■O■■■■■C■.■■.. ■ ......■.....■■......I■■NNN..I■NN■■■■■ ■OE■E■HONE N■■EE■EN■■■E■■■■ ■■..■■NNN■N■E■■■E■■EI■E■NEE■I■N■■■■■■E■■■E■O MEN■ ■ ■ENNE' HN■...■ ■■N.■.■■■■■.■■■..■■.11.■■■■■It■■■.■■ ENNH ■�NONE ■ ■ EI■ .E■N■■E■ ..............■...E■11■■.■.EII■■N■��ENRON�HE■■ ■MENN■■■O■O■ENE■ ■■■■■HE■■■■■EEEEEE■11■EEE■E'.EEEEEEEE=E■■■I�EE■ i ■E■O■■■ON■■■■■■■■ mommumm NONEMEN ommommsmommoon MENNEN ...........■EEENN■■■I■N.■■■EOE■■■■■■E■HESE MmmMMMMM �....�.... .......... ...............................l.■■■HMMEMMUM ■E■■�C■■N■O■■■r■■�E■■OMEE■ ■■■■■■■..■■.....t■r■1�■E■/■■,Esu■■■..■■■■■tE���������■.■■NH■■■■■■■ O/OO�■■■.■■■.■■■■.■■■■.■■.■.■■■■ ■■■.■/■■■■■■■■.■■■■■■■■■■■■■■■■■