1067 Milling Rd Davie County, NC Tax Parcel Report � I l � Friday, September 30, 2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: 150000002401 Township: Mocksville
NCPIN Number: 5748891237 Municipality: MOCKSVILLE
Account Number: 8300442 Census Tract: 37059-805
Listed Owner 1: EDWARDS MARTIN THOMAS Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 1067 MILLING ROAD Planning Jurisdiction: MOCKSVILLE
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 1.443 AC MILLING RD Fire Response District: MOCKSVILLE
Assessed Acreage: 1.41 Elementary School Zone: CORNATZER
Deed Date: 7/2006 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2006E0212 Soil Types: PaD,Gn62,GnC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY,MOCKSVILLE
Building Value: 121110.00 Outbuilding&Extra 1970.00
Freatures Value:
Land Value: 28970.00 Total Market Value: 152050.00
Totai Assessed Value: 152050.00
�,v� All daW Is provided as Is without warranty or guarentee oi any k(nd efther expressed or implied Including but not Ifmited to the
9 1X1°F Davie County� Implied warranties of inerchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmlees the
7�T County ot Davie,North Carolina,its agents,consultants,contractora or employees from any and all elaims or causes of aetion due to
n�U�N�� l�� or arising out of the use or Inabllity to use the GIS data provided by this webelte.
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, ��` , �DAVIE COUNTY HEALTH DEPARTMENT ��
' , �� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a
itary Sew e Sys s Permit Number
Name__t��r , � Date� N� �3� ( �
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Location � - —
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Subdivision Name � � lot No. Sec. or Block No.
Lot Size"L`�� ��'"p!J House Mobile Home_ Business---Speculation
No. Bedrooms�_.No. Baths� No. in Family _
Garbage Disposal YES ❑ NO [� Specifications for yste : .
Auto Dish Washer YES [�NO p 1����,�p ���� ���u
Auto Wash Ma:hine YES p� NO ❑ �-� .
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Type Water Supply v -- - �U� X � �' 1� �_ 'G
'This permit Void if sewage system described below is not installed within 5 years from date of i,ssue.
This permit is subject to revocation if site plans or the intended use change.
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r�^ ` \� Improvements permit by '_-�
'Contact z representative of ihe Davie County Health Department for tinal inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
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Final Installation Diagram: System Installed by_ _
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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 reguiation,but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
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-��• " • DAVIE COUNTY HEALTH DEPARTMENT
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-••� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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*NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a
Sanitary Sewage Systems Permlt Number
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Name •J � :��� ; ,_E Date �f' �1= - N� �.�".�'-►��
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--� Location r� I - �t`. �� �` ._Z __._�.c�.�� ��;- ,, '\; � �_ �� ,. ; _
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Subdivision Name 0 7 � � Lot No. Sec. or Block No.
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Lot Size - • � ��'�� ' �� '` �-`` House " Mobile Home _T Business _— Speculation
No. Bedrooms .No. Baths � No. in Family _
Garbage Disposal YES p NO Q Specifications for System:
Auto Dish Washer YES �' NO ❑ � , ,,;�„
Auto Wash Ma^hine YES p' NO p __ , '
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Type Water Supply � __— '
'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.
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Improvements permit by 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 day of completion. Telephone NumbPr 704-634-5985.
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Final Installation Diagram: System Installed by ��"`���'��
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Certificate of Completion �''l '�t•�%'��' 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 c-+`�' �°� i�';�°�i���
�� ��.,C4;�y�c��t
Environmental Health Section
P. o. BoX sss p�� 0 91992
Mocksville, NC 27028
1. Application/Permit Requested By C�- Y, C�,( �E
Mailing Address a..� i� ��� G 2 O�-�
Home Phone a ` �J � Business Phone d —'�
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General Evaluation (�Septic Tank Installation
4. System to Serve: C�House ❑ Mobile Home ❑ Place of Public Assembly
O Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
C�7"�BasemenUPlumbing
No. of People � ❑ BasemenUNo Plumbing
No. of Bedrooms 3 �Washing Machine
No. of Bathrooms .3 � Dishwasher
Dwelling Dimensions 7� �x ���! ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
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: J� Public ❑ Private ❑ Community
8. Property Dimensions�97.,59 X .3��.ln�X ✓'�/t5:�loSewage Disposal Contractor
9. Do you anticipate additior�,s/expansion of the facility this sytem is ' tended to serve? �Yes ❑ No
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If yes, what type? �r���� �/VC� .���irn�a��e►
*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:
1% ��� d�-� ��J�;r� ��- � /5� ��� �n ���,�- ��-
�►e � �� l�n ►� �(,�S�e� � �e G✓oYi.d�.r�n� �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 application.
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DATE SIGNAT
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: p 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 suitabiliry for a ground absorption sewage treatment
and disposal system.
_. �. �ig2 �
DATE SIG AT
DCHD(12-90)
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! ' � ' DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section
�' Soil/Site Evaluation
NAME l�� a� �� r.�.�'�,r. DATE EVALUATED � � � /3' ' 9 �
ADDRESS S A�i� PROPERTY SIZE .� �� X `5 ��
PROPOSED FACIILTY ��� n � �" LOCATION OF SdTE �� ��� N 5 � d
Water Supply: On-Site Well Community Public ✓
Evaluation By: AugerBoring Pit Cut �
FACTORS 1 2 3 4
Landsca e osition .S S' S ---5
Slo e 7. "` �' �� �'15`' � '��6
HORIZON I DEPTH . " L '' � ' E '
Texture rou (` C �.. C L C L-
Consistence ' -7 -� "T'
Structure C C., C R
Mineralo )',► I� � �: I : J
HORIZON II DEPTH 2 ' �° ,i ► � 4
Texture rou �., c
Consistence �� `�-- � , ""�
Structure '� k. 'A3 k � k.
Mineralo ',p I' '. ! ; ! ; �
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS �s'S • .r 5s
RESTRICTIVE HORIZON -- — �- —
SAPROLITE — � - --
CLASSIFICATION 5 �5 .5
LONG-TERM ACCEPTANCE RATE ,L , �; ��{
SITE CLASSIFICATION: _ � .S EVALUATED BY: \ ��� C���r�`
LDNG-TERM ACCEPTANCE RATE:
� �1 OTHER(S) PRESENT: �°N9
REMARKS: ��"�'�..� �o�a�' � � �� ���3 � • R `�. `'� 5��.
LEGEND
Landscape Position
R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope
CC-Cot�cave slope CV-Convex slope T-Tenace 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
MineraloB�+
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 watet 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/ftz
DCHD(01-901
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