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593 No Creek Rd Davie County,NC � ' Tax Parcel Report g� g Wednesday, October 5, 2016 �-' , � --- I --`-�� 1 ��`��Y �,� � 63 3--' � ♦��`p � �� Q � ��.` 1 �5� ,t t � 593 �� '`� � 594 ' -- --- � y� __ _ � �� I -- � ,. -- - y � �. �s1 f��--�. I I WARNING: TffiS IS NOT A SURVEY Parcel Information Parcel Number: 170000001902 Township: Fulton NCPIN Number: 5768359628 Munictpality: Account Number. 82517371 Census Tract: 37059-804 Listed Owner 1: FREEMAN JEFFERY TODD Voting Precinct: FULTON Mailing Address 1: 593 NO CREEK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 2702&7344 Voluntary Ag.District: No Legal Description: 2.53 ac No Creek Road Fire Response District: FORK Assessed Acreage: 2.53 Elementary School Zone: CORNATZER Deed Date: 12/2011 Middie School Zone: V111LLIAM ELLIS Deed Book/Page: 008780392 Soil Types: GnB2,GnC2 Plat Book: 10 Flood Zone: Plat Page: 383 Watershed Overlay: DAVIE COUNTY Building Value: 193560.00 Outbuiiding&Extra 53200.00 Freatures Value: Land Value: 34900.00 Total Market Value: 281660.00 Total Assessed Value: 281660.00 9�.��A � All data Is provided as Is wfthout warraMy or guarantee o(any kind ekher exprcssed or Imptied Including but not Iimited to the Davie County� � Implied warrarrtiea of inercha�rtability or fttness for a particular use.AII users of Davie County's GIS website shall hold harmless the CouMy oT Davie,NoAh Carolina,ks age�rts,consultaMa,conVactors w employees from any and all Gaims or causes of actlon due to �'p�N,� rJC � or arising ou[of U�e use or Inabiltty to use the GIS data provlded by thls webska � � _ _._ _ _ �Xa �� • ~ ' .�.-:r �. � � (7 � �.s.'.� �� ; . ,,, DAVIE COUNTY HEALTH DEPARTMENT - ` � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION � - •NOTE:Issued in Compliance With Article II of G.S.Chapter 130a • Sanitary Sewage Systems ;�-: Permit Nurr�ber Name �""'�.'"=�r �(� ��li /- ,r�i' �' _.__�Date `/ - �- 1�` N� 81.8 3 –�--f�`- ; ; . , -- .. �. r ��/ LOC8lI0f1 '`f _ /� / � l r !�' i j �' i� /�'' _ �,�� ,: /... ..-r •� _ �; ,, �. � ��y� �-Cf 3 /Uo�Q��.- - . Subdivision Name Lot No. Sec. or Block No. Lot Size ��-'�� _ House —� Mobile Home ____ Business _— Industry No. Bedrooms �r_.No. Baths _ fr.—_ No. in Family �� _ Public Assembly Other Garbage Disposal YES p NO p> Specifications for System: Auto Dish Washer YES p NO p ,i�J:�,.�tiJ, ,,�� -� ,,, fJ .,;�r�. Auto Wash Ma^hine YES �j NO [] ��f Type Water Supply �---� -_-------- �c' c��` _'�� /," 'This permit Void if sewage system described below is not installed w�thin 5 y�ars from date of issue. This permit is subject to revocation if site plans or the intended use change ATTENTION; YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT�LAYOUT BEFORE INSTALLING THIS SYSTEM. � . �-� � , �,,,r,�,,,,,..�.,.�-.-.-- � � r Improvements permit by —�'�''�f f'�� •Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M.on day of completion.Telephone Number: 704-634•5985. Final Installation Dia�ra�n: System Installed by —�� !�'�"l��/A %��• /�f'/ , �►c, 1�f� �, � �+ � �t , `�� _o —�� /��J J( / �U�� ,�� c�� ,� ,p. ��,� t � � � � ' ��`� ._----- / �-�/ � Certificate oi Completion _1-` v � �� __ Date � �� _ 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set (orth 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. � F �' '= APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ` �,�a��-- • Davie County Health Department Environmental Health Section ' P. O. Box 665 Mocksviile, NC 27028 1. Application/Permit Requested By Jeffrey Todd Freeman Mailing Address 842 Sain Road Home Phone �04-634-3857 Mocksville, NC 27028 Business Phone 910-679-2752 2. Name on Permit if Different than Above 3. Application for: �General Evaluation �Septic Tank Installation Permit 4. System to Serve: C� House ❑ Mobile Home O Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ BasemenUPlumbing No. of People 2 O BasemenUNo Plumbing No. of Bedrooms 3 ❑ Washing Machine No. of Bathrooms 2 ❑ Dishwasher Dwelling Dimensions 7 5 ' x 41 ' ❑ 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: � Public ❑ Private ❑ Communiry 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes �] No 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. DirectionstoProperty: Go 64 East. Turn left on No Creek Road. Go one mile. Lot is on left (next to Leslie Blackwelder) . N� .�� l��-� � �' ��'� �o .�. o`� �1 �� (� 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. �f-2 at --�S DATE SIGNATURE 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) J . r � ' � DAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section ,. Soil/Site Evaluation �' -^ / � NAME /l'-e��7 A"/'' DATE EVALUATED �� ADDRESS PROPERTY SIZE ��l�' PROPOSED FACIILTY ,r"�/!.�l� LOCATION OF SITE ��.� - C,rY.�/� Water Supply: On-Site Well _ Community Public � Evaluation By: AugerBoring Pit Cut FACTORS 1 2 3 4 Landsca e osition �-. �L-- �, Slo e Z -� — HORIZON I DEPTH Texture rou Consistence . Structure Mineralo HORIZON II DEPTH �' �/�"" 1 Texture rou � � Consistence � l Structure �' �/c Mineralo � � " _� � HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSS.LFICATION LOyG-TERM ACCEPTANCE RATE ,, c � SITE CLASSIFICATION: EVALUATED BY: !�'�l� LDNG-TERM ACCEPTANCE RATE• � � OTHER(S) PRESENT: REMARKS: 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-Silt,y �;lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moiat VFR-V��-y 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 ,iC-•Stin�le grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky SBK-Subangular blocky PL-PIatY PR-Prismatic Mineralagy 1:1, 2:1, Mixed Notes liorizon 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 wate�` 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(O1-9o1 Ni��■ ■ ��■��■ ■■��■ ■��■��■��■��■■ ■��■ N��■�■ ��h��■��■��■��■�■��■�■��■��■ ■��■�■��N�■��■�■��■�■�■�■��■��■ ■��■��■��■ ■�/■��■■��■�■��■��n��■��■��■�■��■��■��■�■��■��■■��■��■ ■�H��■■��■ ��■��■��■��v��■��■��■��■��■�■ ............. ...C...... ....................... .. ......................... ....... .......... ..........0. ........ ............C..=........................._....... ........ ....... . .......�...................... .......................... .........C.. .......�.C�.............. ........... ...�.......................... :C:::CC:::":�'C::=::C::::::C:::'::::��CC:.:':C:�=::C:CC:::::CCC::CC::CCC:CC:C:: ..5.....�.�.. 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Box 818 �1 210 Hospital Street ♦��' O U r'S Courier # : 0940-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One)ReplacementRemodeling Reconnection he Name: .� e ey /� jc( / ' ftZ_/V%Rr-" Phone Number 33(0- 991?_ OD -74 (Home) Mailing Address: 513 /Q, CrwK 33C- 817 - o?7 7 (Work) Mcg c Ks vi e NC 170L)? Detailed Directions To Site:// &Q_1 � Reykl' o, Nims Crape 1-d , C? 44 5 Property Address:5_13 n e0e Y -, 4 L.-7 C •) ?,C, -2 �? Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: -� Type Of Facility: Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: Number Of Bedrooms: Number of People Pool Size: Garage Size: Other: Requested By: Date Requested: (0 `/ —1-3 —/ ,5_ (Si#ffaa ey For Environmental Health Office Use Only ApprQved Disapproved Comments: Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By: Received By: Account #: Invoice #: