255 Nolley Rd Davie County,NC Tax Parcel Report Thursday, December 15, 2016
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WARNING: THIS IS NOT A SURVEY
Parce[ nformation
Parcel Number: M40000006904 Township: Jerusalem
NCPIN.Number-.,,: 5735499888 Municipality:
Account Number: 61758440 Census Tract: 37059-807
Listed Owner 1:- ROBBINS LINDA JOAN: Voting Precinct: COOLEEMEE
Mailing Address 1: 1089 DANIELS ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
Stater- - NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-5128 Voluntary Ag.District: No
Legal Description: LOTS 18+25 WILDWOOD `: Fire Response District: COOLEEMEE
Assessed Acreage: 1.05 Elementary School Zone: COOLEEMEE
Deed Date: 2/2008 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 007470162 Soil Types: GnB2,PcC2,CeB2
Plat Book: 0004 Flood Zone:
Plat Page: 001 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
161 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
NCor 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 /01'Z. .q�
IMPROVEMENT PERMIT _. `J i p
**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 N
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 13OA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME 1. PROPERTY ADDRESS ��- 0— - DATE D
AeArkcf
LOCATION rrL2 4, C A. le ` �r
G/�s+ r7/awe
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION:.BUILDING TYPE # BEDROOMS _,=2— # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOP1-E/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE C TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD) NEW SITE L,,- REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIIE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
"'• REI?JIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
i SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
r
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 10-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
Lop, i-
OPERATION PERMIT YSTEM INSTALLED BY �Q� d
.t
T'µ
Sa- 4�14
F
evo
r
AUTHORIZATION NO. OPERATION PERMIT BY DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPI.IANCE WITH
ARTICLE 11 OF G.S. CHAPTER 13OA, 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
Davi County Health Department
EN RONMENTAL HEALTH SECTION H
P.O. Box 665
�' Mocksville," N.C. 27028
% AUT1HORI TION FOR WASTEWATER_SYSTEM CONSTRUCTION
(Issued4n compliance with Article 11 of
G.S. Chapter 130A,Wastewater Systems)
***This Authorization For Wastewater System Construction must rxwsued 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 Buildin Permits.***
NAME"
DATE /I�—/'' �S1 AUTHORIZATION NUMBER
N° 06
NAME ON IMPROVOW PERN!jj(If different than above)
` SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
*NOTICE*+* THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONST3PWON ISVALID FOR A PERIOD OF FIVE (5) YEARS.:
/ /y�
l
ENVIRMENTAL HEALTH SPECIALIST ; DATE,
DCHD. 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM 0 v
Davie County Health Department
Environmental Health Section SEP
2 5
1' C A P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By Lid,, , J- 9(Dj± RQAAZ�A'p)
Mailing Address Home Phone C'V—
Oo-) Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation Septic Tank Installation Permit
4. System to Serve: ❑ House C>�'u�lobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot#
❑ Basement/Plumbing
No.of People ❑ Basement/No Plumbing
No.of Bedrooms &'/Washing Machine
No.of Bathrooms, f ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No.of Sinks
No. of Commodes �o.of urinals
No.of Lavatories No.of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: MP'ublic ❑ Private ❑.Community
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ 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.
Directions to Property: Q
CJ
This is to certify that the information provided is correct to the best of my knowledge,and 1 understand I am responsible for all charges
i re r this application.
DATE SIGNATURE
CONSENT FOR BITE EVALUATION,TQ BE DONE Qui ABOVE DESCRIBED PROPERTY
Ftaondr-odlsposal
ECK ONE: L�1�1. I OWN the property. ❑ 2. 1 DQ NOT OWN the property.
ked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon abgve described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
system.
DATE SIGNATURE
DCHD(1193)
su
D. Hb,
r.
266.70 total? _
t r ry
-so-00. 00" E--—
L' —
88.90 88.90
88,90 N
V v
10624
v,
�0 O R \pOOgq�' iN O.
20 00-
EVELYN T
1 ^� 19
6po\ow\1 °000 T l, _ o,,�'}i 17
Nob
15
N0 y o f" (� 22
, —
\ p 23
NcjL tri, meg?
\00 00
25 a0
9
m y 10 \ \ / C, 4 ��— o \ gg
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BOBBI N. THOMPSON 2
D.B. 71 PG. 305 28 05 0
LOT #'s 12 -- `4 and 29 -• 31
'1
\ \a °cr
EVELYN T. TUCKER
r 33 32 po so` D.6. 81 PG, 198
B2 I \05• \
p1.�
ss \05° �`b i
11I Sg.� S3T
00
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME D /J�KJS DATE EVALUATED 1191l -2
ADDRESS PROPERTY SIZE 4 YCP
PROPOSED FACIILTY fit/ "-, LOCATION OF SITE /Ly 'e
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 3 f
Texture groupG'
Consistence r
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: _ EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: Y 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-Silty <.lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vl--.-y friable FR-Friable FI-Firm VFI-Very fine 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
3C--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
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