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217 Deacon Way Lot 15 Davie County,NC Tax Parcel Report Monday, December 19, 2016 226 25 11 9 206 ;' �i'�/ t f j 194 239f 1 217 78 193 162 C-161 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: K503OA0015 Township: Mocksville NCPIN Number: 5747557788 Municipality: Account Number: 74375000 Census Tract: 37059-805 Listed Owner 1: TURRENTINE BAPTIST CHURCH Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 613 TURRENTINE BAPTIST CHURCH Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 15 DEACONS RIDGE Fire Response District: JERUSALEM Assessed Acreage: 3.15 Elementary School Zone: CORNATZER Deed Date: 12/1999 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 003220226 Soil Types: PcC2,CeB2 Plat Book: 0006 Flood Zone: Plat Page: 061 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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 agdaimsorcauses afactiondue to Fo- NC or arising out of the use or Inability to use the GIS data provided by this websIte. DAVIE COUNTY HEALTH DEPARTMENT bU IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIOA *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems n Permit Number Name —S �� alt,," \Zn,� — Date - E' N2 7 6 0 9 Location Subdivision Name .�A -'Q'h� „P Lot No. Sec. or Block No. Lot Size _ " House Mobile Home —T.Business -- Industry No. Bedrooms :No. Baths _°2 No. in Family ? _ Public Assembly Other Garbage Disposal x YES E:] NO ; ; (� Specifications for S Auto Dish Washer YES;[g� NO ❑ 000a.,, 4 _ Auto Wash Ma^hine YES' "`NO ❑ C)d Type Water Supply *This permit Void if sewage system descn , elow is not installed within 5 years from date of issue. This ermit is subject to revocation if si lans a intended use change. y t' e Y S N a � 1 Ilk Improvementspermit by — -- ' *Contact a represen alive of the Davie County Health Department or final inspection-of st'm between 8:30-9:30 A.M., 1:00-1: OP. 4: 0-5:00 P.M.on day of completion.Telephone r: 04-634-598 . ,1 Final Instal ationiag am: G Syste f al y (7T 0 vJs' 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 way be 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 � � c Environmental Health Section U Q MocksviIIe, NC 27028 JUH 13 1994- --------------- 1. Application/Permit Requested By ce !12f 1 e-- 4� Mailing Address :S60 5 lla1 h -5-7L7L Home Phone 1 /� o e-pC s V I ,-f- X/ /� )-0�-� Business Phone 2. Name on Permit if Different than Above /Y a�{i' j'oh D 19/ 3. Application for: ❑General Evaluation 2-9-eptic Tank Installation Permit 4. System to Serve: douse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision eQ�6 S lkfjq Section Z _ Lot # 13' ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ff"Washing Machine No. of Bathrooms 1 eDishwasher Dwelling Dimensions 30� D ❑ 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: Erpublic ❑ Private ❑ Community 8. Property Dimensions Cy . 3 C'.1 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes eNo 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: / f c� a / s Ion �� This is to certify that the information provided is correct to the b st of my knowledge, and I understand I am esponsible for all charges incurred from this application. l� /3 — C'j Lf DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: @� I OWN the property. ❑ 2. I 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 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME C ,( f H 0 DATE EVALUATED ADDRESS NIJ PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE :� n Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit 6� Cut FACTORS 1 2 3 4 Landscape position G Sloe Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t 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 / L / SITE CLASSIFICATION: eS EVALUATED BY: LONG-TERM ACCEPTANCE RATE: / T OTHER(S) PRESENT: REMARKS: .oc� g/,� r- �i� 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-Finn VFI-Very fine 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 i 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 HD(01-901 ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section \ Soil/Site Evaluation NAME \ nn DATE EVALUATED ADDRESS PROPERTY SIZE d• 0 � 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 s 5 -S _54 Sloe % SF T7 -77`7"►b TIT. HORIZON I DEPTH 4 ' 0 Texture group \r Consistence Structure R Mineralogy -7,•\ \'•t 1'.1 HORIZON II DEPTH Texture groupC Consistence 7S 1-- Structure Mineralogy �•1 I 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S S S S SS RESTRICTIVE HORIZON SAPROLITE — CLASSIFICATION ,5 S. S• LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: '� EVALUATED BY: LONG-TERM ACCEPTANCE RA E- � _ OTHER(S) PRESENT: N �'Q 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 3C-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1, 2:1. 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