246 Deacon Way Lot 8 Davie County,NC Tax Parcel Report Monday,December 19, 2016
21
262 56
24G
265
226
259
2.06
01'V
247----
?
2 3 1�9 4X
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K503OA0008 Township: Mocksville
NCPIN Number: 5747567554 Municipality:
Account Number: 5154250 Census Tract: 37059-805
Listed Owner 1: BAUGHMAN FARON SCOTT Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 246 DEACONS WAY Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5182 Voluntary Ag.District: No
Legal Description: LOT 8 DEACONS RIDGE Fire Response District: JERUSALEM
Assessed Acreage: 3.77 Elementary School Zone: CORNATZER
Deed Date: 511996 Middle School Zone: WILLIAM ELLIS
Deed Book I Page: 001870534 Soil Types: EnB,CeB2,MsD
Plat Book: 0006 Flood Zone:
Plat Page: 061 Watershed Overlay: DAVIE COUNTY
Outbuilding&Extra
Building Value: Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
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 Iftness for a particular use.All users of Davie County's GIS websfte Mall 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
161 NC or arising out of the use or Inability to use the GIS data provided by this website.
_ ..►, DAVIE COUNTY HEALTH DEPARTMENT
t'� r 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
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 .1980 Sewage Treatment and Disposal Systems)
NAME *Ttz+a i s w a o TtrQ:S-1kvZvROPERTY ADDRESS `' "'' "' "t DATE
LOCATION 015 oN Q \&,m P.tj vo p C - 0 0
SUBDIVIS�NAME� NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE o v!. # BEDROOMS # BATHS� # OCCUPANTS � GARBAGE DISPOSAL: Yes Jq!
COMMERCIAL'SPECIFICOIDN: FACILITY TYPV-- r" # PEOPLE # PEOPLE SHIFT +.5.# SEATS INDUSTRIAL WASTE:,Yes/No
a
LOT SIZE �.1 ..'7YPE WATER,SUPPLY <Co�Nat' DESIGN WASTEWI;TER.FLOW (GP-4),- 6 DIkEW�PITE%` REPAIR'SITE
SYSTEM SPECIFICATIONS.',T SI EJOob;"6A1.. Pt I�TPJX GAL. TRENCH WIDTH ROCK DEPTH I�+�` LINEAR FT QOs
OTHER',
a s 4r
REQUIRED SITE MODIFICATIONS/CONDITIONS
***THIS PERMIT IS SUBJECTJO REVOCATION IF SITE PLANS QR THE INTENDED USE CHANGE. YOUR STERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE,SYSTEM.
o VSA
IMPROVEMENT PERMIT BY _..
**CONTACLA,-EPRESENTATIVE OF THHE'DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:3079:3i-A.M. OR 1:00-1:30 P.M. ONJHE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8768.
OPERATION PERMIT :- ".... IS STEM INSTALLED BYy" �• �P`�
aw= e
F� � ► �-
IJP -_ oo-�
fuc�!
AUTHORIZATION NO. 00110 OPERATION PERMIT BY DATE 'q r y
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF B.S.' CHAPTER 130A, SECTION .1900 -SEWS 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 10/95
-.�.:; _:r±� i= S,-.,.,. n:i r r y�wti„ ''�.-r•.,-�.rsf�ra.{-•, ,''.tr .:f:!; . -�.m� .r,. a.... .. .'.. .. . ,. . '' '
Xa
`' Davie County Health Department
C
ENVIRONMENTAL HEALTH SECTIIVV
P.D. Box 665 j
Mocksville, N.C. 27028,.
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
• (Issued in compliance with 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.***
C, AUTHORIZATION NUMBER
NAME Q�.` o a a� �o cc�eS�Nc. DATE n �.
NAME ON IMPROVEMENT PERMIT (If different than above) "
SITE LOCATION Q.(NL o Q- 0� O
COMMENTS/CONDITIO�YON AUTHORIZATION TD CONSTRUCT WASTEWATER SYSTEM A� ►
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONENTAL HEALTH SPECIALIST DATE
1 DCHD 10�>9'�
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department I.
'O Environmental Health Section
' d P. O. Box 665
Mocksville, NC 27028
/ gem,,,1. Application/Permit Requested By 7r3-c�'/��f a+J, a e
Mailing Address ZTOD .7 AaTh �y Home Phone
Business Phony b��of 0 _
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation a'geptic Tank Installation Permit
4. System to Serve: eHouse ❑ Mobile 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 �qq 0 WWashing Machine
No. of Bathrooms d�-�a' Er Dishwasher
I'
a.,
Dwelling Dimensions 7a ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type €;
No. of People Served No. of Sinks
c,
No. of Commodes No. of Urinals :
t
No. of Lavatories No. of Water Coolers p
is
No. of Showers �/' Water Usage Figures
L�
7. Type of water supply: Public�i ❑ Private ❑ Community
8. Property Dimensions b �C Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes VNo
If yes, what type? !
( 4
'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.
REQUIRED: l
Tax Office PIN # {
Directions to Property:
V ^�\ Road Name
— ��' !,
�—Box i6 (if available)
City i
f
!
f
I:
This is to certify that the information provided is correct to the est of my knowledge, andi undorstand I am responsible for all charges
incurred from this ap lication. t.
�� cl
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED 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 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.
9
i
M
DATE SIGNATURE
I
DCHD(1193) ,
• DAVIE COUNTY HEALTH DEPARTMENT '2c'
4
• Environmental Health Section
Soil/Site Evaluation
NAME L, • O`= ell DATE EVALUATED 01:77_C;V 192
ADDRESS PROPERTY SIZE
1 LOCATION OF SITE /
PROPOSED FACULTY
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit ✓ Cut
FACTORS 1 2 3 4
Landscape position �-
SloeZ
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
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 —
SITE CLASSIFICATION: _ P_ C EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: eJ?/9XI r /te% /���1'�/.Y®.✓�
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
Mi neraloizy
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