793 Sain Rd Lot 1 Davie County,NC I Tax Parcel Report Monday,December 19, 2016
i )i
15 4�
I
i
i
I
i
i
I
I
793 j
801
i 811
' r
SAIN RD 82c1
r r
f I
f SAI,N IRI)
766 ,
774
-_. --— f—---- - -------- ----- ------ _.___. - —-----------
WARNING:
----WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H607OA0001 Township: Mocksville
NCPIN Number: 5759039716 Municipality:
Account Number: 82526247 Census Tract: 37059-805
Listed Owner 1: WILLIS MELANIE P Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 793 SAIN ROAD 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 1 DUTCHMAN ACRES Fire Response District: MOCKSVILLE
Assessed Acreage: 0.50 Elementary School Zone: MOCKSVILLE
Deed Date: 4/2006 Middle School Zone: SOUTH DAVIE
Deed Book I Page: 006561021 Soil Types: GnB2,MsD
Plat Book: 0006 Flood Zone:
Plat Page: 005 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding 8r 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 webslte.
77 �,�+f ,•y'+; fi L,'��, � t f '4 r ,t,��Y`i. a` , ', -`y .. 'J� -r s.•;.� � •-+"1
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of GS:-Ghapter�130a
,,Sanit" ews#em� 6 J� Permit Number
Name r
i.Ji� Date 7 2.0 5
Location
Subdivision Name J /7"T Lot No. Z1 Sec. or Block No.
Lot Size House Mobile Home-- Business Speculation
No. Bedrooms .No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑
Auto Dish Washer YES NO E] �jPjc� a ' r stem:
`FNy
Auto Wash Ma;hive YES NO ❑ G�l>X �X
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.
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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-59LL85.
Final Installation Diagram: S st m Installed bYZ6 i
�Lr/f
//,>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.
• ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME u /.0%IZ4 ' DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTYLOCATION OF SITE
Water Supply: On-Site Well / Community Public
Evaluation By: Auger Boring (/ Pit Cut
FACTORS 1 2 3 4
Landscape position G 21
Slope % —
HORIZON I DEPTH
Texture group
Consistence
Structure
MineralogX
HORIZON II DEPTH t r F
Texture group C ,
Consistence i 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 RATEI la ,
SITE CLASSIFICATION: _ EVALUATED BY:
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 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 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
........................... ......................................
..................................................................
■■■■■■■■.■■.■■■■■■■■■■.s■■M■■.■■■■ ■■■■■■.■■■N■i■MM=MME■■■■■.■■.■
■■■■■.■■■■■■■■■■i■■■MMM.■■■M.■M. /../■//iM ■.■■/■■■//■■■■■///■//■
■■■.■■.■..■■.■■■N■M■■■■■.■■■MMM.■■■.■.......■..■.■■■.■.■...■■.■■
iiiiii�iiiiii�iiii'ii��i�■iii iiiiiii�iiiiiii MIMMENMEMNON
■■■■■■M■■■■M■.■■■M■■■.■■/t■■■■■■■■■■■M.■1/MMM■■■M.M■.■.■■■■■■■■■■■■■
■.■■.■■■■■■■N■■■■■M■i.■IIMM■■MMM..M..■.It. ■...... H■...■.■MMM■■M■
■/■■■//■■.■M■■■■O.■■■■i■���■.■■■■■...:■", ■■OEM■■■■■ MI■■M■■■■.■MM.■■
■■./M■■■■■■■//..■■■■//■■V■.■��ti�fi��i■/n-IMMINME
■ ■ ■■■■■■■■■■M■■■
■■■■■■MM■■N■■■■M■M■■■■M■■■■■■■■ .. MEMMMENO
■■ .■■■ no ■ ■■ MEMEME■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■ MEMO■■■■■■■ ■MM■
■■■■■■■■■■■■■■■■■■■■■■N■ ■■■■■■■■■.■■■■■■■■ ■ ■ ■■MM.■■ ■■MM■M ■
■■■■■.■■.■■■M■■.■..MM....�MEN■M■■■■■M■■■■MH.■.■ MM■M.M■M■MM■■■■■
ME 0
■■■■■■■M.■■■■.■■■■■■■■■■■■■■■■■■�M.■■.NMMM■ ■.■M.■■■■■M.■■■■.
■■■■■H■■■■M■■■■■■■■■■.M■.■■■■..M...�M■.■�M ■.■■■M■..■H.■■■■
■■■■■MEM IM■C'■.■■■.�........................ ...�........_.�..
■■■■MMM■ ■■■ .......................... .... . .. MEMMM■NEM■ ■■
■■■O■■■■■■■■■/O■■■■■■■■/.■■■■■■■ ■■■/E■■ ■■■■E■/■H/MM■■/■■/ .■■■
■■■MM■■iO.■i///M■.■■■M■■.■N■■/■.//■■///M MO.■ ■■■■■■■■ ■■■■M■■■
■■■■.M■■.■M.■■■■■■■■■■■■■ ■■■■M■■■■.■NMM ■H■�aM.■■■■.■�MMNMM■■
.................... ■............................................
EMEMMEMMEMEME MIKE MUMMEMMEMOMMEMEM
...................................... ...........................
..................................................................
�■■■ ■.■■■EMEMMEMMME■N.■■■■■■■■■■■■■MEMMENMEMEMEMEME■■■■■�i/■■■/■■■■■//M■■■/O■/■■■■MH■/■■
■■■■■M■/M■■■■/M//.■M■■■.M■■■/■O ■■M.■■//M//M■■/M.■M.■.■■■■■M■■■■
' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P I (� 2 OW
[E County Health Department L5 O v [5
Environmental Health Section
P. O. Box 665 JUN _ 9 1J)P3
Mocksville, NC 27028
i
1. Application/Permit Requested By
Mailing Address qo('C' /�'/ '1 A-,
Home Phone 3 `t'' 3-7 t Q Business Phone �3`1'' -7 2y-0
2. Name on Permit if Different than Above 1 �Z. -►z��_'
3. Application/Permit for: ❑ General Evaluation Septic Tank Installation
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People El/Basement/No Plumbing
No. of Bedrooms 3 2 Washing Machine
No. of Bathrooms Z 2--6ishwasher
Dwelling Dimensions ❑ 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: ❑ Public ElPrivate El-e6mmunity
8. Property Dimensions /0� {' Pte(/ Sewage Disposal Contractor ID
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes M W
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 tot best of m knowled e, and I understand I am responsible for all charges
incurre from this application. J
DATE NATUR
CONSENT FOR SITE EVALU ION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fanddisposal
ECK ONE: 1. I OWN the property. ❑ 2. 1 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 deter i e said 'te's uit ity for a ground absorption sewage treatment
system.
� - DATE WATURE.
DCHD(12-90)