247 Deacon Way Lot 13 Davie County,NC I Tax Parcel Report Monday, December 19, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K503OA0013 Township: Mocksville
NCPIN Number: 5747563004 Municipality:
Account Number: 28378000 Census Tract: 37059-805
Listed Owner 1: GADDY TOMMY RAY Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 247 DEACON 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 13 DEACONS RIDGE Fire Response District: JERUSALEM
Assessed Acreage: 3.21 Elementary School Zone: CORNATZER
Deed Date: 4/2003 Middle School Zone: WILLIAM ELLIS
Deed Book I Page: 004750459 Soil Types: CeB2,MsD
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 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
101 NC or arising out of the use or Inability to use the GIS data provided by this websIte.
DAVIE COUNTY HEALTH DEPARTMENT
oG 1.
IMPROVEMENTS PERMIT AND. CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems I Permit Number
Name— sf n i r. G�d�S�S��Date N2 7511
Location 7L.,1-1n--1,,5e,- �i< ,✓ l c✓�r�/�r>»i✓ �� —
Subdivision Name&696; Lot No. /P Sec. or Block No.
Lot Size House L_ Mobile Home _ Business -- Industry
No. Bedrooms No. Baths _ — No. in Family _ Public Assembly Other
Garbage Disposal YES ❑ NO 0--
Specifications for System:
Auto Dish Washer YES NO ❑
Auto Wash Ma^hine YES NO ❑ �y
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
r
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this 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:704-634-5985.
Final Installation Diagram: System Installed by
t
_ 4Co.
`Certifica Dat'Thesigning of this certificate shall indicate thatbed above has been installed in compliance with
the standards set forth in the above regulation, bue 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
Mocksville, NC 27028
t r
1. Application/Permit RegVested By
Mailing Address�- Home Phone
Business Phone
T
2. Name on Permit if Different than Above a k asses
3. Application for: ❑General Evaluation Septic Tank Installation Permit
4. System to Serve: O House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Othe ❑ Unknown
5. If house, mobile home: Subdivision 1: Section Lot #
❑ Basement/Plumbing
No. of People 3 ❑ Basement/No Plumbing
No. of Bedrooms Washing Machine
No. of Bathrooms f8 Dishwasher
Dwelling Dimensions 3 / 7 U ❑ 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: 0/Public ❑ Private ❑ Community
8. Property Dimensions Sewage Disposal Contractor _/
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes LTJ No
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:
6,-) � 5- �X �
-- - 02aCG � U` ( 0
/0
This is to certify that the information provided is correct tothe est of my knowledge, and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. I OWN the property. 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 oft avis C,punealth De ment to enter upon above described
property located in Davie County and owned by a4
to conduct all testing procedures as necessary to deter ine said site's s itability fo a gr( absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD(1/93)
s DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME S/i %'Y_'r'o DATE EVALUATED 7F
ADDRESS PROPERTY SIZE raC
PROPOSED FACIILTY �b� LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group9
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: EVALUATED BY:
LONG-TERM ACCEPTANCE R TE: ° OTHER(S) PRESENT:
REMARKS: �� ` ` - r�11�
oor
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)
I�[ LTAR - Long-term acceptance rate - gal/day/ft2
DCHD(01-901
- DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE ���
PROPOSED FACIILTY ��z LOCATION OF SITE
Water Supply: On-Site Well Community
Public l�
Evaluation By: Auger Boring .,/' Pit [/ Cut
FACTORS 1 2 3 4
Landscape position
Sloe % .2
HORIZON I DEPTH
Texture group sll.L r L
Consistence
Structure
Mineralogy
HORIZON II DEPTH •�/ s/ �f �i�r �t
Texture group
Consistence i
Structure S e SGl
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: //"/Z
LONG-TERM ACCEPTANCE RATE: / 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 ,:lay 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
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