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139 Joe Langston RdDavie Countv. NC Tax Parcel Report Ing Thursday. September 29. 2016 WARNING: 'MIS 15 NUII' A SURVEY Parcel Information Parcel Number: C600000063 Township: Farmington NCPIN Number: 5852786085 Municipality: Account Number: 24108000 Census Tract: 37059-802 Listed Owner 1: ELLIS JAMES MONDELL Voting Precinct: FARMINGTON Mailing Address 1: 140 EAST ROBIN DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 2.15 AC JOE LANGSTON RD Fire Response District: FARMINGTON Assessed Acreage: 2.17 Elementary School Zone: PINEBROOK Deed Date: 4/1972 Middle School Zone: NORTH DAVIE Deed Book / Page: 000880102 Soil Types: SeB,EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 4500.00 Land Value: 34680.00 Total Market Value: 39180.00 Total Assessed Value: 39180.00 161 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 fitness for a particular use. All users of Davie County's GIS website shall hold harmless the NC County 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. `r DAVIE COUNTY HEALTH DEPARTMENT /,O"dc) IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a _Sanitary Sewage Systems r _SG Name S f ---Date /',✓. ,� Permit Number ° 7989 Location Subdivision Name Lot No. Sec. or Block No. Lot Size —_ — House—�`� Mobile Home �f Business -- Industry No. Bedrooms —.No. Baths —rte-- No. in Family 0yZ — Public Assembly Other Garbage Disposal YES ❑ NO g-- Specifications f r System: Auto Dish Washer YES ❑ NO g::::- Auto Wash Ma -hive YES [Fr -"-NO ❑ �`''` ^' Type Water Supply _____44 *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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. 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: asci 'The signing of this certificate the standards set forth in the satisfactorily for any given per System Installed by — v ��` �S3 r Nina Certificate of Completion ZDate - all in icate that the system described above has been installed in compliance with ove r gulation, but shall in NO way be taken as a guarantee that the system will function od of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department Environmental Health Section ' P. O. Box 665 AM 19 Mocksville, NC 27028 r..aa•.a al.a..+aYa..a► 1. Application/Permit Requested By S¢s Mom �.Ll �(LJs ��Y`i:(IIU► Mailing Address f `rteL 3s� Qab%� �d v N c,��`h .' tJ .cam �7 �� Home Phone 1 Business Phone 910 -20 3$ 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation ErS�eptic Tank Installation Permit 4. System to Serve: ❑ House E?iTo-bile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms a No. of Bathrooms a C e Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served ❑ Basement/Plumbing ❑ Basement/No Plumbing 2"Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Sinks No. of Commodes No. of Urinals ,No. of Lavatories No. of Water Coolers. No. of Showers k Water Usage Figures, 7. Type of water supply: Public C?"Private L�❑ 8. Property Dimensions . 1 - Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes CTNo ❑ Community '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: p ='!v, fU en"i tsol X1$0 4-04AJ I -e, Jry ftirvusG, 1, fdtf 2�pro� �/.��'�a5 c�► f �' Joe 1.2aS aN or �r� .' as yoo sfar+ d—JN fni I�. �L+llS z"'J OP'-- 0* O►•1 4-1,woo 4 ` s� ar-l- -ku iS car v 'AJ )1P4-.Q oPIIN Iv -f T114 fy amass ;S d: t7 This is to certify that the information provided is correct to the my knowled I and nd I r sponsible for all charges incurred from this application. DATE SIGNATUREf CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. Rr'2. I DO NOT OWN the p 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 a vie ep ment to enter upon above deL]atment t property located in Davie County and owned by to conduct all testing procedures as necessary to =aid-die:forMgro =sew and disposal system. -�y ? q�� • DATE SI N TURE DCHD'(1/93) 0 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED�5�9� ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE �rp_ f Water Supply: On -Site Well l,-, _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position .L Z_ .G Sloe % -- HORIZON I DEPTH « " G o' Texture group Consistence Structure Mineralogy HORIZON II DEPTH j. Texture groupC Consistence Structure Ah 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: /li�/��Si 2G-���!�L�1°� EVALUATED BY: 1644- ZZ LONG-TERM ACCEPTANCE RATE: i OTHER(S) PRESENT: REMARKS: DCHD(01-901 LEGEND Landscave 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 ,iC- 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 Ilorizon 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 ■■■■..■■■■■■■■■■■■■■■.■.■■■■■.■■■■■■■■■■■■■■■■■■. ■■■■■■■■ ■■■NOON ■.■■..■.■■■■ ..■...■■...■.■.■■....■N■■■■■■■■■■■. e.eee■■■■■■■e.o■ ■■■.■■■■■.■..■■■■■■■■■■■.■■■.■.■■■■■EENEE■EEE■e■EEeeEeeeE.■■■■■e■■ ■■■■e■e.■■E■■■■■.■■■■■.ee..e..EE..■e■■■eee■.■■■■EeeE eeeEE■EE■■■.■ ■■■■■■■■■■.■■■■■■...■....■■■...■ E■■■e■■■■e■ee ■.■E■■■■.■eeE■■■e■ ■■■■■■■■■■■EE■.■■NE■■■■.■■■�■■.■■■■■■■■■■.■■EEE�eee E■■■■■■■■■e■E■ ■■■■■■■■■■■■■■NE■■■■■■■■.■■ ■.■■■■■■■■■■■■■■■■■ ■eO■ NNO■OO■■■■■■■ ■■■■■■■■■■.■■■■■■■■■■■■■■■■■■■Ee■■ee■ee■� EINEE■■■EE:■eE■■EE■■ ■ ■ ■■■ ■EN ■■ ■■ Nee ■...■■■NENOON■■■e■■■■■E■eE■E.■EE■■■■■.■■eee■e■..■ ■■■■■■■.eee■■■■■ ■■■.■■■■■..■■■■■■■■■NOON.■■..ENee■EEeeee■e■■■■■■e■■eeeNEON■■■Ill ■■ ■■.■■■■■■■■.■■■■■■■.■■■■■■NOON■ ■EEEEEen■ENEEEEEEEEE..e■.■■■■■■ ■.■■■■E■■■eEO■E■.EN■E■■■.■ENEE■■■■Ee■■■■■■eneeEeEOENOe■N■■e■■■.■ ■.■■.■■■Nee■eee..■.■■e.■■■■■ecce■■■■.■■■■■■■■■■ ■ _ ■■■.e■.e■■■■■■ EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE=EEE■:EEEEEEEEEE■EEEEEENINON E=E ................■■....■■.......... ..Oe■■...■H■.■■OE■■.E■ ■E=e■ ■ ........�....................... ■■■N■ENN ■E■EN■EEe■.eeee.EE■EE ...............................E�ee.■■e■■ O■�NE■O■eeEEE■EEEEE■ EEEEEEEEEEEEEEEEEEEEEE'.EEEEEEEEEEEE:EEEEEEEEEEn�EMEEMEMEEEEEEME .........................................�.... 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