129 Ijames Church Rd Davie County,NC Tax Parcel Report Wednesday,November 9, 2016
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WARNING: THIS IS NOT A SURVEY
_„_a_�n_•,,,• y,�.a ,,�,�, � Parcel=Information
Parcel Number: G30000002404 Township: Mocksville
=PIN-Number: _L:5820307678 Municipality: MOCKSVILLE
.Account Number: - 82523162 Census Tract: 37059-806
-Listed Owner-11: ”"CEAGANS STEPHEN G Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing.Address 1:•-- 129 BROOKWOOD TRAIL Planning Jurisdiction: MOCKSVILLE
City:: MOCKSVILLE -_.. _ Zoning Class: DAVIE COUNTY,MOCKSVILLE R-A,CB
State: NC Zoning Overlay:
2Ip.Code 27028-4870 Voluntary Ag.District: No
.Legal Description:: 5.420 AC IJAMES CHURCH RD Fire Response District: CENTER,MOCKSVILLE
-Assessed Acreage: :-5.18: Elementary School Zone: WILLIAM R DAVIE
•Deed Date:--.--- _ _8/2004 : Middle School Zone: NORTH DAVIE
Deed Book/Page: ::; . . 005640630 Soil Types: PaD,WeC,PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY,MOCKSVILLE
Building Value: 227660.00 Outbuilding&Extra 9080.00
Freatures Value:
Land Value: 59960.00 Total Market Value: 296700.00
Total Assessed Value: 296700.00
161 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limitedtothe
Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
NC/-rCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
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AMW46I�I,�ATION NO: O 5O 6 DAVIE COUNTY HEALTH DEPARTMENT
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.Environmental Health Section PROPERTY JNFORMATION
Permittee's P.O,Box 848 Fd r.Name: � � V Mocksville;NC 27028 Subvision Name:
+ Phone#:704-634-8760
�b� N . �,��r �
Directions to property: Section N� "'e o. � V"T'c Lot:
AUTHORIZATION FOR v
F' " � , �;y ► WASTEWATER Tax Office PIN:#) �p
_ SYSTEM CONSTRUCTION
i
Sd6 Road Name\_,..M� .StR Zip:` �0 �J
**NOTE**This Authorization for Wastewater System Constructio 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,13ui1ding Permits.
(In compliance with Article 11 of G.S.Chapter'130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
p '9G. IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
�'i�^A��"k 7'{J� 5f Pn,why' -.e^v ib.y�"'F-r••'•^ti' yu,.,�N •rrwt rte„ "� s;': 7•Vi�'i' ra ,..!'s} ,. .t .2 He.. _ .. .t, - - W ..
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,..� DAVIE COUNTY HEALTH DEPARTMENT
IlT� .. =' IMPROVEMENT AND OPERATION PERMITS PROPERTY•INFORMATION
1�—x'� rr ��'
Name. Subdivisio�nF NamerU :
Directions to property: ����� �'� ��-~T.��", �_�.,. 4 11 7 7 a;
Section:h;� t,�A- Lot:
w\ IMPROVEMENT
PERMIT 'y rfl
Tax Office PIN:#.1
Road Name t' Zip:
**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.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
. 4, ,s w 6• c^. }, >, _ 1, r PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE 1Any14 #BEDROOMS #BATHS '3— #OCCUPANTS --L_GARdAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT 1� �, #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZES TYPE WATER SUPPLY X1 DESIGN WASTEWATER FLOW(GPD) —� U NEW SITE V REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE1OW GAL. PUMP TANK GAL. TRENCH WIDTH 3' ROCK DEPTH olg 1j LINEAR F0 00'
OTHER ,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
3y
IMPROVEMENT PERMIT LAYOUT
T
**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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)6348760.
OPERATION PERMIT
�p�l SYSTEM INSTALLED BY:
C� N�U ibv
e
Q
AUTHORIZATION NO._ OPERATION PERMIT BY: DATE:4'2
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE 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 05/96(Revised)
. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC
Davie County Health Department ()- 6
1 Environmental Health Section ' +l 9
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760 M V
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed 8,ow e r'.5 Contact Person Rill ,do w e YS
Mailing Address 2100 114 2 fe i rf Ad- Home Phone Cif/O)
City/State/Zip 4/cdA..1 s.✓3,1](C -274/9 Business Phone Oia) .S'/9 270Z
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [bite Evaluation [►i]'Tmprovement Permit&ATC [ ]Both
4. System to Serve: [04ouse [ ]Mobile Home [ ]Business [ ]Industry [ ] Other
5. If Residence: #People_, #Bedrooms ._ #Bathrooms a� [ Dishwasher[ ]Garbage Disposal
[V�Washing Machine [ asement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other: Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: rvf county/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [V(No
If yes,what type?
PROPERTY INFORMATION REQUIRED:***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
rxowr J 1-tr 0 4404 3163 SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 1.SIVE Q-T' 8,5406 SIT ;WRITE DIRECTIONS(from Mocksville)TO PROPERTY.
Tax Office PIN: # "A OX 7.2 - 11/044 o.V `aI . Cross 1-yo . Go l Ys Ap,4 es ro
Property Address: RoadNam ed'am0C, 44u1-44 At, � �'is....rs EhuycA X J. Aodw Tjamas 44v-rch
City/Zip AlAekSvr//& , JVG 27049' nd. Aboor A ro VA A4.,ho 7'6 AA APVT ,vGwCJr
If in Subdivision provide information,as follows: Yoad 73 the /rEf' a,✓Jaf,yaw Art Toa rJ
Name: FOh E s% 07roolrG P Egg eg 15 To T/l c /e�1, CS.ya.o T►�Aar)
Section: Lot#: lt'w. C.st/ So =
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)issued hereafter are
subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. 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 U'A oe ref 44"C a ASsOe . to conduct all testing procedures as necessary to determine the site suitability.
DATE 9'//a /?A SIGNATURE 6oZVCr.�
Revised DCHD(06-96)
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t . DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
(� Soil/Site Evaluation p
NAME 1. >>�\ b W 0"RS DATE EVALUATED 1
ADDRESS °�`�� PROPERTY SIZE b Oct
PROPOSED FACIILTY Z�� LOCATION OF SITE Z�, •
Water Supply: On-Site Well _ Community Public
Evaluation ByL,EI_ Auger Boring U Pit Cut
FACTORS 1 2 3 4
Landscape position -S
Sloe Z -ISO
-11;0
HORIZON I DEPTH 01
Texture group C L C
Consistence
Structure R. C
Mineralogy '. l
HORIZON II DEPTH
Texture group
Consistence -Z
Structure B
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS SS
RESTRICTIVE HORIZON — --
SAPROLITE — —
CLASSIFICATION ,
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: S - EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: �( OTHER(S) PRESENT:
REMARKS: �� O„aZ a
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-V---.-y 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
Mineralo¢►
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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