163 Jamestowne DrParcel #: I60000001003
Davie County, NC - Basic Estate Search
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Parcel #:I60000001003
Account #:82516046
Owner Information
Tax Codes
363,340
HRISTIANSEN SUSAN L& CALHOUN DEMPSY R
VLTAX - COUNTY TA
hADVLTAX
Land:
163 JAMESTOWNE DRIVE
- FIRE TAX
501,480
MOCKSVILLE NC 27028
501,480
Property Information
Townshi
Land (Units/Type): 16.270 AC
SHADY GROVE
[Address: 163 JAMESTOWNE DR
Deed Information
Local Zoning -�
Date: 12/1992 Book: 00166 Page: 0691
Plat Book: Page:
Legal Description
PIN
15.688 AC OFF JAMESTOWNE
5758797784
Property Values
Building:
363,340
BXF:
20,740
Land:
117,400
Market:
501,480
Assessed:
501,480
Deferred:
Page 1 of 1
o01 tik
Davie County Web Site
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00166 0691 12 1992 NW Unqualified Improved 0
2 00150 0279 08 1989 WD Qualified Vacant 49 000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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All information on this site is prepared for the Inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the Information. All Information contained herein was created for the Davie County's Internal use. Davie County,
Its employees and agents make no warranty as to the correctness or accuracy of the Information set forth on this site whether express or
Implied, in fact or in law, Including without limitation the Implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1458048 9/29/2016
AUTHORIZATION NODAVIE COUNTY HEALTH DEPARTMENT
_.
Environmental Health Section PROPERTY INFORMATION
Permittee's / P.O. Box 848
-Name:. p��y(� / ,o rT ••: Mocksville, NC 27028 Subdivision Name:
j 336
Directions to property: r. i 7:�i %Jt� Phone # -751-8760 Section: Lot:
_ - /) AUTHORIZATION FOR
�4% /,+'/p i✓ r WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
`A
Road Name: Zip:
**NOTE** 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 CountyBuilding Inspections
Office when applying for Building 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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL EALTH EC ALIST. DATE ISSUED , /
�-'v'.•.-i res>-�-� - ,.�-,-. r.�a�ei „-, _.:,... .._ _ _ ,:`., - _
'DAVIE COUNTY HEALTH DEPARTMENT �Z�� 3- • a E
- IMPROVEMENT AND OPERATION PEVITS PROPERTY INFORMATION
I -Permittee's) �1
•Name. Subdivision Name:
Directions to property:` Section: Lot:
IMPRO�EMENT
r: ;r,'�; ''�r PERMIT Tax Office PIN:# - -
Road Name: 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
constructionfinstallation 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
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 _ / # BEDROOMS 7 # BATHS 7. 3- # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �s /fir TYPE WATER SUPPLY/�� DESIGN WASTEWATER FLOW (GPD) a_ NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -W ROCK DEPTH "LINEAR FT. .
a ca'
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF)Tj;W44YSIGEIN
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) Nfetr311-e76j
OPERATION PERMIT
f�SYSTEM INSTALLED BY:
Su�
L4
Q� T
3
AUTHORIZATION N0.1 OPERATION PERMIT BY: DATE:
"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)
0
p 4'-NwT 1.,'--7' ,«.:,,-.i♦,.,,,;y:t ''w�l;L-�;.:}T R Qi:t•i-L .,; �
;AUTHORLZ IQV NO: 4 DAVIE COUNTY HEALTH DE T
a M v '
Environmental Health Section PROPERTY INFORMATION
Permittee., P.O. Box 848
Name: , Mocksville,NC 27028 Subdivision Name:
Phone#,336-751-8 760
`Directions to property: Section: Lot:
AUTHORIZIATION FOR
SYSTEM CONSTRUCTION
Tax Office'PIN:# 5 _ -
Road Name: Zip,
**NOTE**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.: ,
(In compliance with Article I I of G.S.Chapter 130A,Wast ewater Sysiems,Section:1900 Sewage Treatment and Disposal Systems)
***NOTICE***
THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR R A PERIOD OF FIVE YEARS.
�
ED
ENVIRONMENTAL EALTH S CIALIST DATE ISSU ' '
urt �;�r♦ x;: ` 'te'r;i`f-' i rt"4:+)'wz rs�xS+t',w=.'y A•�,iht 4 .':�Y'k rr.e't v ...Y i,,:.w ...�.. 1:. Pf :;. _k , i .q —,1 •3::
14DAVIE COUNTY HEALTH-
�, ,�: • ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
=:rName:(t,/''rll Subdivision Name:
f Dlrections to property: r Section: Lot:
----~ IMPROVEMENT =
PEMI7'-
Tax
Road Name:•..% �1�i"'W° �° : �, . r Zip: ,'i
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic, tank system or any wastewater systema 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)
r ***NOTICE***.THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
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 #BEDROOMS T # BATHS sf— #OCCUPANTS .�' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE /#'PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE` TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
1 �
SYSTEM SPECIFICATIONS: TANK SIZE1_d40b GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
1
**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 (WITIA 060
(336)751-8760
' DCHD 05/96 (Revised)
APPUCAl10N FOR SITE EVAUlAl10N/IMPROVEMENT PERMR do ATC
Davie County Health Department
Environmental Healffi Section
P.O. Box 848/210 Hospital Street
Mockaville, HC 27028
(336) 751-8760 /Aa4Uft990)
19Z
ro\ !
* * * IlPORTAIVT* * * THIS APPLICATION CAHItiOT BE PROCESSED UNLESS ALL THE REQUI o1-
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. name to be Billed Z(2/ S Y 9 • `,44#041AI Contact verso..�'�S Y � • (./1` L Ile qA1
Hailing Address 10& 0 �y9M-5h2,e e ?d • name mme Zk3 -a o g 5'
City/state/Zip _WiNSTDN-5-14/ems N-C•r27/e(o Business phone
Z. !tame on permit/ATC if Different than Above
Hailing Address City/state/Lip
3. Application For:.iite Evaluation 0 Improvement Permit/ATC Both
!. spste.:, to service: O'House 0 Mobile Home 0 Business 0 Industry 0 Other
ii. It Residence: # People -3 0 Bedrooms .J�" # Bathrooms 3 �
H Dishwasher 611 a age Disposal Re Hashing Machine 0 Sasement/plumbing 0 Basement/no 8luabing
6. If Business/Industry/other: specify type # people # sinks
# Commodes # showers # urinals # water Coolers
IF FOODSERVICE: I Seats Estimated Nater _Usage (gallons per day)
7. Type of water supply: 0 County/City M hell 0 Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve! td Yes 0 No
U yes, what type'
***IMPORTANT*** CLIE14TSAIUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client ' rith THIS APPLICATION.
Property Dimensions: �J, �� '4 _ ?WRITE DIitEC1iONS (from Mockmville) to PROPERTY:
bo - 7 e
s%Office rrii: #575S-7q-770to -r,ye !a4 �• Tfl CoQN,44+14- P -D-
Property Address: Road Name Ito3 5AmesTowNe R• I-eF-T oft/ COANAT-ZeP— TO Sr4m2s?ow-vtt
City/Zip m oc.Ks v 11 1. eP-r PAI Tyq M e s ?o-wW e PR, 1:0
If in a Subdivision provide information, as follows: D K i Ire WA(I (v 3 rm Ai L 3o X) DR I UP W_ A y To T&b
--I
Name: Q J= t+; ^ 5 t T C'_ l s Beh;ti i>
Section: Block: Lot: Date Property Flagged: 0 "
This Is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
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 J am responsible for all charges lncurred 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
to conduct all testing procedures as necessary to determine the site suitability.
DATE :,-)- - SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of : Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
V\�
Revised DCHD (07/98)
i
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME0 C- !'4'ev
PROPOSED FACILITY
SUBDIVISION
DATE EVALUATED -1 S ��
PROPERTY SIZE
ROAD NAME �I�1?%S�t✓-�--
Water Supply:
On -Site Well j/
Community
Public
Evaluation By:
Auger Boring
Pit
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position .4—
Slope
—Sloe %
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:
FAIM
u
LONG-TERM ACCEPTANCE RATE- -3
REMARKS:
DCHD (O1-90)
EVALUATION BY: A if
OTHER(S) PRESENT:
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)
LTAR - Long-term acceptance rate - gal/day/ft2
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