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216 Jones Rd,Davie County, NC Tax Parcel Report I W 64 Thursday, September 29, 2016 I.v 9 1X1° 6 npU Nq'� WARNING: THIS IS NOT A SURVEY All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 or arising out of the use or Inability to use the GIS data provided by this website. Parcel Information Parcel Number: J20000006305 Township: Calahaln NCPIN Number: 5717364620 Municipality: Account Number: 73177000 Census Tract: 37059-801 Listed Owner 1: THOMAS ROBERT M Voting Precinct: SOUTH CALAHALN Mailing Address 1: PO BOX 1264 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-1264 Voluntary Ag. District: No Legal Description: 3.833 AC JONES RD Fire Response District: COUNTY LINE Assessed Acreage: 3.77 Elementary School Zone: COOLEEMEE Deed Date: 4/2003 Middle School Zone: SOUTH DAVIE Deed Book I Page: 004760346 Soil Types: MrC2,PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 212510.00 Outbuilding & Extra Freatures Value: 25330.00 Land Value: 34880.00 Total Market Value: 272720.00 Total Assessed Value: 272720.00 I.v 9 1X1° 6 npU Nq'� Davie County, NC All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 or arising out of the use or Inability to use the GIS data provided by this website. \ -' cif"^•'r."h.:_`-'y.� 4F'r .> v_ _.-':..i ., ..e «��-Na« w,:�.•q >r + ",i�.:: ,a. F -.r -.'s -••w, , . " r,� � , - .«-.--..-si ,., - _.-._..;,,ate DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF I COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapt5130a //,� Sanitary, Sewage S rXstems OV01 uQA/a Permit Number Name 1) 0 It\ ---Date y N2 7 8 0 4 Location � . d �.J V\ o 11-VIs o A\\ Z. .� o r Subdivision Name Lot No. Sec. or Block No. Lot Size"` House f'` Mobile Home Business ,_ Industry No. Bedrooms ,No. BathsNo. in Family �' — Public gssembly Other Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES 2/'NO ❑ 1600 - N - (� Auto Wash Ma^hme YES V NO: (] , , Type Water Supply ---- 3 v X M3 i 0 � DAVIE COUNTY HEALTH DEPARTMENT / :-- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION i y*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name \ Date Ll - a 7 - y N2 Location �� �, > . '�� e. � �y <' �� ��� } 1� ' _� �, 6 16757, T. c.�� '�....{_�,. � . L\ � �' `1�. '� i> V � �� \.��.�6,`�11C�.J.., �1J$�st�. .. �,� _ 11 �,• r�� Subdivision Name Lot No. Sec. or Block No. Lot Size House 4"� Mobile Home Business Speculation No. Bedrooms_ No. Baths No. in Family _ Garbage Disposal YES E] NO ©/ Specifications for System: Auto Dish Washer YES [y NO p Auto Wash Ma^hine YES', pr NO ❑ Type Water Supply v v *This permit Void if sewage system described below i� not installed within 5 years from date of issue. This permit is subject to,revocation if site plans or t e intended.,use change. Improvements permit by r *Contact a repre ntative of the Davie County Health Department for final inspection of this system between 8:30- 9:30 A.M. or 1':0 -1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed.by 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. • APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department 9 Environmental Health Section P. O. Box 665 �C Mocksville, NC 27028 1. Application/Perrr Mailing Address Home Phone qtq- SZZ- 7-I$3 Business Phone NIR 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation jU Septic Tank Installation 4. System to Serve: QK1 House I PAadajU j fpryty ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section 010 Lot # K)11� ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms —c ®' Washing Machine No. of Bathrooms Z PO Dishwasher Dwelling Dimensions hUYC:u2d ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type N�h 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 ill Private/ OL& 8. Property Dimensions rJ Az i'� ��lLt419 Sewage Disposal Contractor lot, ;5wvgged aaCiA )f See. R 0Zh9d• 9. Do you anticipate additions/exp ansio of the facilitylthis sytem is intende to serve? ❑ Yes If yes, what type? W No ❑ 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: Jerfc,h o 'krJ -ho IoL vi e- f carJRxyi � come. 4T-) i h +e.rsec.-4 on W her4e, MR— H en IZc� .� Tc-Lrrl �'�� 5t• �l 6�UlrP, Acs d ef-0 ci Ap►nX. 7 mile, v-�O h t Ines -RJ- -- a-p)oX I1q 7b k mi -le Q1n qax ~ rjq h+ OPe-n ��CL� W ► �, hava, 5}z ,�i C.proX WI-te MadU.Im Hnl o -U LO Qc ec This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. li-ZZ-g2l(WAII 1110-bbZ&III , 4:17 - DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 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 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12-90) ��jt•� PY �IA • I j - - y 1n't^ "tY vl� ! ,.`•�� . a�'j,'Mr ! Il•, \� , I. �Y 1'. T r ��, (,i'� ,k`e RO�*y1 ���} 1c kY� e� y,i �ty\ 'y�� ,'per,'•• y1tti Y ht�t,� 6 f e�.Y n f .t MP �� v � � -`i,dl;T L{. [' �ril ; M1M''i�S.t Y .\+ c r�,•< ,,i' �y 1 a e3 « , ,,,�(�1 : t•.,1 '. i1 'P r 1 Y a A n 'j"' t! i i.: ! ��: a,.y.a►��_jyr4. y M��yfi1Pn t~�r ti n _„• `�' '.v�. °? tir 1, •�'�y,,�M` �1't r�r.' 8. �, . Yf . .7 F 1 + �n. 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'Jr. 1..�.' • -< , , DAYIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation ADDRESS S ��s PROPOSED FACIILTY `A 6_04_D�' DATE EVALUATED l Z 5 J PROPERTY SIZED LOCATION OF SITE Water Supply.: On -Site Well Community Public Evaluation By��L Auger Boring�/ _ Pit Cut FACTORS 1 2 3 4 Landscape position - .. :S Sloe % o -S° 0-$ 0 HORIZON I DEPTH L" Texture group�- Consistence Structure de- R,i� Mineralogy�� ► ; 1 1: ?= 1 HORIZON II DEPTH LN27 Texture group (Z - Consistence Consistence t'I Structure t. g Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS ,Sf S S S 3 s RESTRICTIVE HORIZON -J — SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE 1 SITE CLASSIFICATION:. S EVALUATED BY: LONG-TERM ACCEPTANCE RATE: ' 4 OTHER(S) PRESENT: pJ draL REMARKS: _R%- ", Z*-c.-�_ St'���- St.'t� t_v� ** 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 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 ■E■ ■ N 1. Application/Permit Mailing Address _ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, NC 27028 c�[Ead[E Novzz, D Home Phone ' I U ' —C l oCy cy Business Phone S Ny's, . 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 4. System to Serve: Yl House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms J No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks _ No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public Private 8. Property Dimensions S -0-c ce Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine Dishwasher ❑ Garbage Disposal o ❑ 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: Ovu-et c i- rex—, Ac t . This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this a plic tion. u - ac DATE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. ❑ 2. 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 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1/93)