227 Mr Henry RdDavie Gounty, NC
Tax Parcel Report n q-1 � Friday. September 30, 2016
WAK INU: THIS la .NUIT A SURVEY
Parcel Information
Parcel Number:
K30000000103
Township:
Calahaln
NCPIN Number:
5717439239
Municipality:
Account Number:
82528728
Census Tract:
37059-801
Listed Owner 1:
MESSICK EDWARD JOE
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
227 MR HENRY ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
7.900 AC MR HENRY RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
7.54
Elementary School Zone:
COOLEEMEE
Deed Date:
9/2007
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
007310023
Soil Types: PcB2,EnB,MsC,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
91920.00
Outbuilding & Extra
Freatures Value:
18720.00
Land Value:
56940.00
Total Market Value:
167580.00
Total Assessed Value:
167580.00
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Davie County,
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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.
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IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
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**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 �G�Irll/� 1�r: PROPERTY ADDRESS /��Y. �7�-yi ►""b1 %��•; ID�i� DATE
7 r
LOCATION t4earuedl
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE c./ #BEDROOMS # BATHS # OCCUPANTS </ GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY r// DESIGN WASTEWATER FLOW (GPD) ?ya NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIIE GAL. PUMP TANK GAL. TRENCH WIDTHS ROCK DEPTH LINEAR FT.cz,�/
OTHER
REQUIRED 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.
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IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FIM 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 (704) 634-8760.
OPERATION PERMIT A 'Oil SYSTEM
1
04 rr
AUTHORIZATION NO. OPERATION PERMIT BY
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A
141/
DATE 3 19(
**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 ,�`-�
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' DAVIE COUNTY HEALTH DEPARTMENT l! ,
.-r ;�'• IMPROVEMENT PERMIT and OPERATION PERMI0 I
i
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
PROPERTY ADDRESS ��i • h� i11"GA
�' I�ai�
DATE
LOCATION /t � � ; i, t
l",�!�1 7
/ fes/ a�
SUBDIVISION NAME
LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE
c .-/ # BEDROOMS # BATHS _`2
# OCCUPANTS
GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE
# PEOPLE # PEOPLE/SHIFT
# SEATS
INDUSTRIAL WASTE: Yeas/No
LOT SIZE TYPE WATER SUPPLY X,//// DESIGN WASTEWATER FLOW (GPD)
NEW SITE
REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIIE GAL. PUMP TAN(( GAL. TRENCH WIDTH `/ ROCK DEPTH LINEAR FT.- %l
OTHER
REQUIRED 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.
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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 # IS (704) 834-8760.
OPERATION PERMIT
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AUTHORIZATION NO. % OPERATION PERMIT BY G2"7 DATE e*A/"4
**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
` P.O. Box 665
Mocksville, N.C. 27028
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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 MU`.9ER
NaE,/7r?,�l /J 7/�.�t DATE / f 1,112 Q 4 :/ 3
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION "X / / leo /-4f jo 0
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COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NOTICE*" THIS AUTHORIZATION FO WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRDMffAL HEALTH SPECIALIST DATE
DCHD 10/95
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
-Sanitary Sewage Systems.,,
Name
f}".i:': >; ,Date s�
_
Location
q'Z4=
Permit Number
lozi:;
No 7."'L87
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business _— Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO p Specifications for System:
Auto Dish Washer YES Q NO ❑
' h
Auto Wash Ma^hine YES ❑ ,,NO ❑ .r/ - _
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.
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. or 1:00-1:30 P.M. on day of completion. Telephone Num bQP 704-634-5985.
Final Installation Diagram: �yste52-!Dstalled-Cy
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 PERM
Davie County Health Department a -
`I Environmental Health Section
P. O. Box 665 �{
vuU Mocksville, NC 27028
Pit
1. Application/Permit Requested By J ,1 n1 CC Q M Q+o n
Mailing Address oc-k�) N 'L
Home Phone 4 G a- 2 5 1 `i Business Phone 3 G- (e U o a i~X r -els 7 3
2. Name on Permit if Different than Above
3. Application/Permit for:
4. System to Serve: $19ouse
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
R General Evaluation
❑ Mobile Home
❑ Other
No. of People
No. of Bedrooms a
No. of Bathrooms o2
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
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Septic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
9-Basement/Plumbing
❑ Basement/No Plumbing
C�-Washing Machine
❑ Dishwasher
❑ Garbage Disposal
7. Type of water supply: ❑C/Public 8 -Private ❑ Community
8. Property Dimensions 6 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No FV
If yes, what type?
'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:
tv-7- �nl-
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. _
DATE ¢� S�IGNA7URE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 42-If"I 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 Cquniy Healt Department to enter upon above described
property located in Davie County and owned by lnwa� HalT
to conduct all testing procedures as necessary to determine said site's suitabilityfor a ground absorption sewage treatment
and disposal system.
I 'D- � \ -5 a C
DATE SIGNATURE
DCHD (12.90)
F : DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
FACTORS
1
2
3
NAMEA'�DATE
Landscape position
EVALUATED
/-_�2/
L
ADDRESS
Slope %
PROPERTY SIZE
—
PROPOSED FACIILTY
HORIZON I DEPTH
LOCATION OF SITE
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring ,z!:::�
Pit
Cut
FACTORS
1
2
3
4
Landscape position
L
L
Slope %
—
—
`—
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
(2
'
Consistence
;
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATIONS
LONG-TERM ACCEPTANCE RATE
i
SITE CLASSIFICATION: 95- eV, i fi�% EVALUATED BY: "/!y/
LONG-TERM ACCEPTANCE RATE:_ OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscat)e 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
Moist
VFR-Very friable FR -Friable FI -Finn 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
Davie Comnty Nealtl De tment
andAke .7�ealtfiY"''
ency
210 HOSPITAL STREET P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634.5985
February 1, 1993
John R. Hampton
Rt. 7, Box 485
Mocksville, NC 27028
Re:- Site Evaluation
Mr. Henry Road
Dear Mr. Hampton:
As requested, a representative from this office visited the aforementioned
site on February 1, 1993. The site was found provisionally suitable for the
installation of a modified, oversized ground absorption sewage system. This
system will require additional drain line.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R. S.
Environmental Health Section
RH/wd
Enclosure