2193 Milling RdDavie -County, NC
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Tax Parcel Report v 3l� Friday, September 30, 2016
47
x-145
Legal Description:
WARNING: THIS IS NOT A SURVEY
2245
!ry 2181
'193
Parcel Information
L
Parcel Number:
;
159
Shady Grove
NCPIN Number:
2185
197
Soil Types: WeB,RnC,RnD,ChA
Account Number:
2203_
,'.
~~ 15
Listed Owner 1:
217.51
21.7, a 112 f .
L ,r
((
!
~
`� — ` %✓
Planning Jurisdiction:
r
!2212
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Legal Description:
WARNING: THIS IS NOT A SURVEY
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
Parcel Information
Elementary School Zone:
Parcel Number:
G600000065
Township:
Shady Grove
NCPIN Number:
5759875594
Municipality:
Soil Types: WeB,RnC,RnD,ChA
Account Number:
8300384
Census Tract:
37059-803
Listed Owner 1:
MAYERS BRIAN MICHAEL
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
2193 MILLING ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Total Market Value:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
2.693AC MILLING ROAD
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
2.69
Elementary School Zone:
CORNATZER
Deed Date:
6/2011
Middle School Zone:
WILLIAM ELLIS
Deed Book/ Page:
008600772
Soil Types: WeB,RnC,RnD,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
115360.00
Outbuilding & Extra
4500.00
Freatures Value:
Land Value:
39770.00
Total Market Value:
159630.00
Total Assessed Value:
159630.00
�v I 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 Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME lle9l , /,j PROPERTY ADDRESS 741,111 Y? q DRTE �
r�
LOCATION
SUBDIVISION NAME
LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS cl # BATHS 0 # OCCUPANTS „ GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT A SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE�l TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE 4 --'REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Ze2� GAL. PUMP TANK GAL. TRENCH WIDTH_s�C ROCK DEPTH /7 LINEAR FT.
OTHER
REDUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**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 A IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY —a �E 1 A—J-A I''V-Z
AUTHORIZATION NO. 0300 OPERATION PERMIT 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 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
s P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
AUTHORIZATION NUMt9ER
NAME DATE . s'/_��l% NO
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION /rl,'
CON ENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
fffMDTICE*#* THIS AUTHORIZATION F R WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENOIROMIENTAL WATH SPECIALIST DATE r-
DCHD 10/95
g
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
l�
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By �� �? r�✓c L
Mailing Address / l"-luDf D Home Phone
B 4siness Phone 5' ioi�
(aj - /; ooh,:n. 7� � - off y drlw•vic,9
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve
❑ Business
❑ General Evaluation
❑ House
❑ Industry
5. If house, mobile home: Subdivision
No. of People
3
ErSeptic Tank Installation Permit
EYn obile Home ❑ Place of Public Assembly
❑ Other
No. of Bedrooms 3
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 Showers
7. Type of water supply: L.9'Public
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
8. Property Dimensions A 56 AC, PA- To?i9L 7f Ac. Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑Basement/No Plumbing
2-'W'ashing Machine
E 'Dishwasher
❑ Garbage Disposal
❑ Yes P -No
❑ Community
'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
M /L L /A/G ieD .�
.D (tel. L I At/ /?!,>, S /f SES 4'A/ L .t 14 -r,
k1,4 C 19 it/ T L T O it/ L£ r i B�Ttc1Et i(/
Tax Office PIN: #Cr1o000e90O 6J
PROPERTY AbbRESS, as follows:
Road Name: InIJ-1-11t,16- 9D
City: e9e14e
�/LLQ
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
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.
o
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: EV 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 ountyy H�ealtt�Dt to }nter upon above described
property located in Davie County and owned by '� /i/. /V75 �%
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
-71
DATE SI ATURE
DCHD (1/93)
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• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTYLOCATION OF SITE XcL
Water Supply: On -Site Well
Community
Public L�-'
Evaluation By: Auger Boring t/ Pit Cut
FACTORS 1 2 3 4
Landscape position 11
Slope Z --
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH r -
Texture group
Consistence 411,
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: A
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY: X //
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 ;lay 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
5C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineralosty
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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