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112 Colonial Ln (2) Davic County,NC Tax Parcel Report Wednesday, October 12, 2016 LL Lij 77 / S i s ' ,�l'• ..._.� ii3 C r.; yy f ✓ �� i r l/� J l WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G40000003407 Township: Mocksville .NCPIN Number: 5739380035 Municipality: Account Number: 82533109 Census Tract: 37059-806 Listed Owner 1: BATES VIRGINIA MARY Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 112 COLONIAL LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 10 AC MAIN CHURCH RD Fire Response District: WILLIAM R. DAVIE,MOCKSVILLE Assessed Acreage: 9.89 Elementary School Zone: WILLIAM R DAVIE Deed Date: 12/2011 Middle School Zone: NORTH DAVIE Deed Book/Page: 008760745 Soil Types: GnB2,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 114030.00 Outbuilding&Extra 20330.00 Freatures Value: Land Value: 51780.00 Total Market Value: 186140.00 Total Assessed Value: 186140.00 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 County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to Nr' or arising out of the use or Inability to use the GIS data provided by this website. e+ Y �'s=d."a �.rf `w- �.� w•.it!'::::4+ a•+ -ii +`R n•.y`f,'l.e.¢ jJ^ir+wa4..+t4 i^� p,�;, s:: wY''r''•0:<y j:p♦i'-Vr•.a. ..ii.':.k,,, r.t5-SVS,.>S;.+if:av+aiL3wuf'i.,�, p.,L/ori' TIONNO:, ' '� DAVIE C LINTY HEALTH DEPARTMENT. PROPERTY INFORMATION ;Environmental Health Section ermittee's : P.O.,Box 848 ? Maine: ," Mocksville,NG 27028 Subdivision Name: ` Phone# 336-751-8760 Directions to property:_ �', f� Section: Lot- AUTHORIZATION FOR WASTEWATER Tax Office PIN: - SYSTEM CONSTRUCTION ., — t Road Name: **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 forBuilding Permits. (Incompliance with•Article 1 I of Cr 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 HEALTH SPECIALIST DATE ISSUED q..,a"nRa�'�i�,'�P1d'*,$rvp�x+.fi�^++ aywrrx+'To+L+� ^i.�-r�s�.x""�-"'Y w rj+a a^v.rc�:Vsav+',,.,.; r r.a�r-� y� m� -: -,s::, •w .,...,; >°'°�'- `F' DAVIE COUNTY HEALTH DEPARTMENT' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION a +Nape• ��r, /1' l" Subdivision Name: ti Directions to propeY.•:'.�''s � ��i ° * ° Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#.r 10 1 Road Name: , 1/ �/tomp.Ir- . **NOT)✓**.This Improvement Permit DOES NOT authorize the construction or installation of aseptic tank system or any wastewater system.An ' - AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be'obtained from this Department prior to the construction!mstallation of a system or the issuance of a building permit M . 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 HEAECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. , RESIDENTIAL SPECIFICATION:BUILDING TYPE !c� '#BEDROOMS--?—#BATHS 3_#OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION:',FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No fly ' - LOT SIZE TYPE WATER SUPPLY A'Y/ DESIGN WASTEWATER FLOW(GPD) Q_ NEW SITE_(`/ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ,I"GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH-2,.� LINEAR FT.'ti5�0 OTHER f3U1�� (�f It Aa/i�c�L dCJ (� � REQUIRED SITE MODIFICATIONS/CONDITIONS:• IMPROVEMENT PERMIT LAYOUY "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(336)751-8760. 44 OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE E=1 WITH ARTICLE 11 OF,G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WELL FUNCTION.SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96(Revised)`' aw'+va'�s,:1Ax-r4s'�.�r�iaf-i`•t,�lci� v� t;�ar:.,^°f' r, "^q wr j.- s �, _ ., , .f r' '!`:. L M:iiWY.a`s1 y„J�,v-'+S��nr'CL:�t � • . Iiw'-'�E x(.Y'''` DAVIE COUNTY HEALTH DEPARTMENT TMPRO EMENT AND OPERATION PERMITS PROPERTY INFORMATION 'Name: Subdivision Name:. Dlreettons to property: Section: _. Lot: d j ; IMPROVEMENT /.., PERMIT Tax Office PIN:# - b Road Name �°��I.�J'� �F'4''r�ip.�-� '" **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. i (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' ;'.: "� • � f � SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE_ t� #BEDROOM #BATHS #OCCUPANTS "-'GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE el TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE-4,-" ' REPAIR SITE ' SYSTEM SPECIFICATIONS: TANSIZE ? ji GAL. PUMP TANKGAL. TRENCH WIDTH �l ROCK DEPTH _ LINEAR FT.<2�OU ,.,,',REQUIRED SITE MODIFICATIONS/CONDITIONS: /JfI/` I� �z _IMPROVEMENT PERMIT LAYOUT, **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH,DEPtCRTMENT 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 (336)751-8760. " OPERATION PERMIT SYSTEM INSTALLED BY"`"" AUTHORIZATION NO. 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) APPUC41RON FOR SITE ENAWATION/IMPROVEMENT PERMIT&A111 Davie County Health Department Environmental wealth SmWon NOV _ 419M P.O. Box 848/210 Hospital street Mockaville, NC 27028 (336)751-8760 ***XMPCRTANT*** THIS APPLICATION CUNOT BE PROCL'SSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. I Name to be Billed Pa4i to A�lr'x L Contact person �• L�6� Nailing Address A, q, Bome Phone City/state/ZIP C`� e e-`t,n e e We, 1-70 f Business Phone Z. Name on Permit/ATC if Different than Above Nailing Address ✓✓ City/state/Zip 3. Application For: VSite Evaluation 0 Improvement Permit/ATC 0 Both 4. system to service: ®'House ❑ Mobile Home ❑ Business 0 Industry 0 Other s. IIf Residence: # People # Bedrooms 3 # Bathrooms ✓O Dishwasher D Garbage Disposal W/washing Machine 0 Basement/Plumbing 43 Basement/No Plumbing 6. If Business/Industry/other: . Specify type # People # Sinks # Caumodes # showers # Urinals # Nater Coolers Irl FOODSERVICE: # Seats - Estimated Water Usage (gallons per day) ,! 7. Type of water supply: 0 County/City . V41011 0 Comru-".--y e. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes �o If yes,what type? ***IMFDRTANT"** CLIENTS AtUST COrtPLETE THE REQUIRED PROPERTY INFORMATION REQUES'T'ED BELOW. Either a PLAT or SITE PLAN AIUST BESUBMITTED by the client with THIS APPWCATION. P 2 Property Dimensions: "1 - C'Jl� � d WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # •� 73 g"�o-�6 �h 60/ � / �'� mctr�, .- _ 7-yt-I . Property Address: Road Name 11A CALM iffi k-1.1 SALVJWQ-,- City/Zip If in a Subdivision provide information,as follows: Name: 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 perinit(s) issued hereafter are subject to suspension or revocation,if the site plans or Intended vise change,or If the information submitted in this application is falsified or changed. I,also,aaderstand that I am responsiblefor all charges lncuffed from this appifi:ation. I,hereby,give consent to the Authorized Representative of the DIM,e County Health Department to enter upon above described property located in Davie County and owned by A-kQ„�_ to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE THIS AREA Y BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing sod proposed property lin an!�TfVsons, structures, setbacks, and septic locations). L2 44 3 3 ' gg. Account No. Revised DCHD(07/98) �; �f Invoice No. . :3 �� 0 d kta �i - Ile- s t xxs, r 1 I i Q t wN � ' f 1 � � N 1 i Er l CAW' � . 1 �' •� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME l/v/�<Cl�'a+ DATE EVALUATED PROPOSED FACILITY. PROPERTY SIZE eA C SUBDIVISION ROAD NAMEi�%ti Water Supply: On-Site Well Community / Public Evaluation By: Auger Boring pit t/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Sloe% k HORIZON I DEPTH Ic' Texture groupe Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC C Consistence Structure v K b 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: � Y/,, xC EVALUATION BY: G LONG-TERM ACCEPTANCE RATE: ` OTHER(S)PRESENT: REMARKS: w` / l F JJ/�O� l _ — 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 Mois 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(01-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■e■e■■■■e■e■■■e■■■e■■■eee■■e■■■e■■■e■e■e■■■■■■■e■e■e■■ee■■■e■■■■■ ■■■■■■■■e■■■■e■■■ecce■■■■e■■■■■■■e■■e■e■e■■e■■■■e■eeee■■■e■■■■■■■■ ■■■■■■■■■■■■■■■■■■e■■■■■e■■■e■■■e■eee■■■ee■■■■■■■■■ee■■■e■e■e■■ee■ ■■e■■■eee■■■eeeeee■■e■■■■■■■■■■■■e■■■■■■ee■;��■e■e■■■e■■■■■■■e■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■rteee■■e■■■e■ee■■e■ee■■e■■ee■■eeeeee■ ■■■■■■■eee■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■e■e■■e■■■■■■e■■■■■ ■■■■■■eee■eete■■■e■ee■■■ee■■e■■■ ■■e■■■e■■■■■■■■■e■■■■■e■■e■■ee■■ ■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■e■■■e■■■ee■■■■■■e■■■e■■■e■■■■■eee■ ■■■■■■■e■■■e■■■ee■eee■■■■■■■■ea■■■■■e■■■■■■u■■■■■■■■e■■e■■■■■■■■e■ EMMONSMENNENMENNENiii®iiMENNENMENNEN ■■■■e■■ee■■■e■■■e■■■e■■ee■eee■■■■■■■ee■eee■■e■■ee■■■e■eee■■■e■■■e■ moons ■■■■■■■■e■■■■■■■■■■■■■■e::::■:■■�■■e■e■ee■eee■■e■e■e■■■e■e■ee■■e■ ■■■■■■■■■■■■■■■■e■■■■■■■■■■■e■■■e■■■e■■■■■eee■■■e■■■■■■■e■■■■■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■rye■■■■■■■■■■■■i�■■■■■■e■■■■■■■■■■■e■■■e■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■e■■■e■ee■■■e■■■ee■ee■■eee■■■■eee■■■■■■e■■■■■■■■e■■■e■■■■e■■■■■■e■ i "41U-t77 JA ,y i I I '