142 Petes Ln Davie County,NC Tax Parcel Report Friday,November 4, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Number:- 060000000702 Township: Jerusalem
NCPIN Number: ` 5744950228 Municipality:
Account Number: " '38304000 Census Tract: 37059-807
Listed Owner 1:--- HUDSON TRINA FRYE Voting Precinct: JERUSALEM
Mailing Address 1: 142 PETES LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: __ 27028-0000 Voluntary Ag.District: No
Legal Description: 1.98 AC OFF RIVERDALE RD . Fire Response District: JERUSALEM
Assessed Acreage: 2.06 Elementary School Zone: COOLEEMEE
Deed Date: 3/1995 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001790229 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 49960.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 15930.00 Total Market Value: 65890.00
Total Assessed Value: 65890.00
L_ 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.
V X0
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
•NOTE:Issued in Compliance With Article II of G.S:Chapter 130a
Sanitary niter Sewage
ewa e S ste
ms ,) � Permit Number
ate D
NO 7
�
, ,�
Location �. ,- � , � � �N �,.,�_. ��.. -_ .,, ,. t � _. •
�.C:`1 ' 1\ !`ems. �"��, , >..� .'�;�,,.� �C^.'-�'» _ �$� "+~ - �....£f 3 � �, �_.;, � } �•� '
Subdivision Name Lot No. Sec. or Block No.
Lot Size -'4- " — House — Mobile Home _--- Business -- Industry
No. Bedrooms —.No. Baths No. in Family — Public Assembly Other
Garbage Disposal. YES ❑ NO Ej-' Specifications for System
Auto Dish Washer YES NO r
Auto Wash Ma,;hine YES pf NO ❑ �� {. `, ' : tt r A
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
ATTENTIQN: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
..A l
I
,
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion.Telephone Number: 704-634.6985-$760
Final Installation Diagram: System Installed by _F
7�
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 PERMIT
Davie County Health Department
Environmental Health Section Rt� '1pp i�E C E O�J E D
P. O. Box
Mocksville, NC 27028 '
- — ---------------
1. Application/Permit Requested By I P.NM Et `1n1Ud3D1n
Mailing Address v�rcla . R . MD K�V I (�, C• Home Phone D K t� J t,3
Business Phone
2. Name on Permit if Different than Above
3. Application for: 2f General Evaluation GYSeptic Tank Installation Permit
4. System to Serve: Ja'House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Nu��, s.- Section Lot #
YBasement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms - IrWashing Machine
No. of Bathrooms �' Dishwasher
Dwelling Dimensions Ia,ra(?�XI t'1(z� e,�U (► (�, `� ET'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 Z Private ❑ Community
8. Property Dimensions Q A C.M S Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes jQ 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: -WVD-n n lC6�Av 6-r
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 SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: C�1. 1 OWN the property. ❑ 2. 1 DO 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��pf the Davie County Health Department to enter upon above described
cated in Davie County and owned by "n c-1y�o �,. N J.-1 n,
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DATE SIGNATURE
DCHD(1/93)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
1 Soil/Site Evaluation q
NAME 'R% `So 13 DATE EVALUATED
ADDRESS J� � PROPERTY SIZE
PROPOSED FACIILTY C'1 Q VSe LOCATION OF SITE S h\14 V 2
Water Supply: On-Site Well _ Community Public l
Evaluation ByCk1— Auger Boring V Pit Cut lJ
FACTORS 1 1 2 3 4
Landscape position -S I IT_ .S
Sloe % `6"
HORIZON I DEPTH 10,•+'
Texture groupL $CL Consistence T 11F't
Structure
0-
Mineralogy ;\ 12 1 I 1A : I
HORIZON II DEPTH " b,'
Texture groupC
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS SS S 5
RESTRICTIVE HORIZON — — —
SAPROLITE
CLASSIFICATION vaS
LONG-TERM ACCEPTANCE RATE y X ,
SITE CLASSIFICATION: Q,S' EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: +`� OTHER(S) PRESENT:
REMARKS\-�
L G D
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 clay loam- SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-V=:.-y 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
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 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/ft2
DCHD(01-901
■■■■■■..■■■..■■.■■■■.■■.■■■..■■■■■.......■■■.■■■.�■■■■■■■■ OEM■ ■■
■■■■■■■...■■■■M■■E■■■OE■■.■■■■■■E■■■■M■MM■■R ■■■.■.■R■■■■■■■■■■■E■
■.■.■■■.■■■■■■■■■■■■■■■■■■..■.■■■■.■E■■■M■■E■■■■■■.R■■■■■M■■■■■■.■
■■.■.■■■■■■.■■■■.■■.■■■.■■.■.■■■■■■■EEE■■■.■■■M■■■E■■.M■M■■■■.■EM■
.■.■..■■■■■■■■■■.■■■■.■■■■■■■■■■.■■.■■MM.■.C.■.E■■MRIMMMMMMMMMMMMMMMMMMM■■■■■■■
.■..■■■.■.■E■■■■■M■■■■E■■■■■■■■■■■■.E■■.E. ■■.■■.■. R■E■M■■■■■■■E
■■■■..■■■■■■..■■.■■■..■■■■■■R■■M..■■■■■■■■.■■■RE/■■C
■■■■■.■■■■■■.■■■■.■■■■OE■■E■■■M■uEME■■■R■■R.■■..■■ .■■■■■.■■■■■■■
■.■■■■■■E■OEE■■■M■■■■■■■■E.■■■■E ■.■■■E■■E.■■./.C.■■■.....■■■■■■■
■■■■.■.■■■■.■■■.■.■EEE■■■■■C■.■M■M■M■■■MM■■■■R■C. ..C...■M■■■.■■R.
■M■RM■■R■■■■■R■■■E■■■■■■■■M ■M■■■E■■.■■■■■■■.E■ ■■■■ ■■EMR■.E.■■■■
■■..■.■■.■...■.■■■.■M■■■■■■■■■■■M■.■■■MRR...R. ■■R■■MuMMMMMMR■E.■
■■■■■■■..■ER■■R■■■■■■■■■■■■■■E■■■■■.■■■R■ OEM ■ ■ MMR ■MMM■M ■■
■■■.■■■■■■■■■■■..■................■......a...a .aCa...a.■MMMMMMsME
■■■.■.■■■■.■■■■■■■■■■■R■E■■■.■■■■■■■■■■■■■■■E■■.E ■■■■■■/■.■M.■E■■
■■■■.■■..■■.■■■.■.■■■.■■.■■...■C--■■■.■■.■■..■■■■.■..■■■.■■■■■■■■■
■.■■.■■M■R■■■■.■R■■■OE■■■■■.E■R ■.■■■■■■■.R■■■R.■R.R■..e.■■■R■■■
■■..■■■.■■.■.■■.■■.■.■■■■■■■■■■■■.■■■.M■■■■■R■■CC.■CM■■■EE■■E■E..■
■.■■■■■.■■.■..■■■E■M■■■■■M■E■■■■■■■E■E■M■.■■■■M ■ M■■M■■■■■EM■R■
■■■■.■■■■■■■■■■■..■■■■■■■...■■■..■■.�.u■■■C■E■■■■a■■.■MC■.■■■■■■'
■.■■■E■■E■■MM■■M■■■R■E■E■■■E.EM.M■ ■ ■MMMM■ ■ ■MM■■■■■■. ■ .ROOM
■.■■■■■■■■■■■■■.■■■■■M.■■■R■RE....a■■ER.■■■.■a..■■■■ ■■■R■=■■ ■■I
■■.■■■.■■■■■.■■■.■■...■..■■■■■■.■■■■E■■■■■M■■■.u.E■a■■.M■■M.aC■■a
.■E■EE■EME■■ME■■E■M■■.■.MM■■M■.. E■■.MOM.. ■R■■E■■O■■■■.■■■■■ ■■■
■■■.■.■■.■..■■■.■■■■■■....■.■■■M"MMM■M■■■.a...CR..■■..............
■■.■■.■■■.■■■..■■■■■■■.MO■■■E■■R■■■■M■■■E■EME■■ MORE ■■■■■■■■■.M
■■■.■.■■.■■■■■■■■■■.■■■■.................■■R■■■■. ■..a.■■C■■■■E■C
■■.■■■■■■R.■.■E..■■■■■■■■■.■■■■.■■R.■■■E■■.■■.M■■ R■■R ■■E■■■
■■MM..■■■■■.■■■■■■■.■■O■■■R.■O■■■.■■RM■■■M■■■■..0 CN MMMI■E■■RR■■I
.R■■■/...■■.■■■■.■ g■■■■■■■■■■.■E■■■■■E■■C■■E■.. E/■. ■■■■■■..■■
■■■■■■ROM■■■■■M■Mlsw\■■M■.■■■■O■R■.M■■■/. ■■■■■.■ ■■■■■■■C■■■■■R.■
■■MMMMMMMMMMMMMvoGa.\■EMMMMMMMM■�E■.■■■■MMO.R■..MM■REO■R ■■■■■E■■
■Mu■■R■■■■■■■.■oMM■►\■R■■■■E■■■■ ■■■■■■■EEE■■ .M■MMRM. ■MO■MM.
■■■ uMMMMMMMMMMI�RIIMxMMMMMMMMMMMMRMMMMMMMMMMM■� OEM WE ■.MM■M
■.MEa■■R■R■■■■■■■mormiI�O■R■■RM.RR.■-MINE ■MREM■■■�■ ■■a: a■■■M■M
■■MMR.MMMMMMMMMMMM■9MNMMMMMM■MM■E .� !ItM■■ ■ ■ /■Ma•■■■R■■a
■■■■■E■■M■■E■■■■EM.ii■a'u■►a■■E■a . a�__,u, ,� ■MMMMnNMMa■. a■E■R
■■RE■R■.R■■■■R■■■■■MM%M■M.■E■.►� ■■■ r,■� . �'�-� .r�n■tm A mmmm■■■a
aaaaaa�aaaaaa�aai' ii Raaa■ aa:►�,�;. �C r I\•�■ MMMI
.■.■■.■■uMROME■►%■■.■ I!■■■E►N.■.■E�il/J � `�l� \■q■■R■■.�
mmmmmmmm
■■...■■O■■■■■■.M■■■! unomm■■R■■■■'UMMMMMMMMM■►\■E■ .M ..■ER■■■
MMMMMMMMMMMIMMINIMAIMMMM
■■MM■■MMM■Mu■.►\MMMI►\ErMM■MR ■REMM�`�d." .. .■■■■MORIMaM■
■■M■EEECM■..■E■\M■■■E■C�■■.I/EEE r�CC� RMCCR■■.MaC
MEE.MRM ROR.MMISNOMM■ME ■RMMISPLI m ■ �!►. a. ��► ■M MERE■
■M■.■.■■.M■■M■■■■■.■M■R■■R■a■\R■ ■ �►_ � I� ��!�■u R ■■■
■■■■■E.M■■O■ ■■M►\O..E. ��i�►-:E■ r� w�l/R■IVM MMRMMM■■
■■E■■E■EE ■■MIMMMLu■■■■=0/■►i-Rom ■■ v� '1 a�•.■R .u..E ■
■■■■■■MRMa■■.R■■R\INMERU►�■E.CM`\OE■ ME � �� MO. M■.M■MaC
■■■■EMR■■■■ME \EGE■■1�/%RD'l1■ME■ .R..■ u ► ■. ■.R■■R■
ME
■■■■■■MMMMMM►�1.//JMMEiOR■■1�■ M.■E\ ■ ■ a r1IN.I...
■■■RMM■EMM■RMNIMh\■MMMMMWM■■.MM\, R■
■■■.MMM■OMM►I■ ■Mrs '\\■R.■E7■R■MMMUMMMM■ ■ EOE■■R•■R•RMMMMMEN ME ■
■■■C■■■ CM MIU.i.ai■IRINNJIMRIMMCM■■■C.C= ■ MOR
■Ru .■■
■E■ MM■ \.\R■M.Mmi E■.■ \R■R ■ / ■■ ME■ CCM
■E.■.E■.E■mmmm ME ■.■..MR.EM..E■E■\M.■■MM.\■ u■ E■■ ■R■■.
■■R■.■■■■■■.■E■■■R■■■■R■.■■■►�.■R■■■■■■ M■LOO
■O■■E.M.E.EE.E■.E■■■ ■■■R■MMM■■R M.■. RRORR. .RM
E
■■M..M.■■■■■■.■■.u■M■E■■■E■M►\..�.CC=M ■ ■ ....M.uEM.MMM
■■■■M■.R■■.■■■■M■.MM..M■M...■u■ ■■ . .■..■...■.
■■ ..■E■E■■.M ■■■M■■■■■M■MR■■►�m■■►E. u•■RM•uu•C
MMI.EM.■■RC ■■■MMEM■MMMMMMMM\ME.I ►\. \M ....a..■M■M
MMIREMMM
ME M ■E■M■CMMMC■■■■■.MMMIN aM■■■ER►.M\ J! . . a RUMEMMMMME moll a■u.E■■■MR
■E.■E■ .. . ..■ ■C■.■■■■.■■■■MM■�MrA► ■RE •'a.■�aaaaaa�ivaME
ERRE■ .■EI:■■.■■.■ E■.■■■■■■■■ .. ■„ .■E■..
....................■■.■■■■.■■■.i�.R■.=F)■■..■■■...■.■.■..■.■■.■■■.
■■..■■■.■■.■■■■■■■M.■■■■.■..■■E.■.EE■■ /:1EM■■■EE■EE■EMEMOMMMMMMM■
..■.M..■■■■■■■■■■.O■M.■.■.■■E■M■■■■..■ .a■►.■E■..■■M■....M.O■■.■■.
....■.■..■.....E■■......■..■.....■...MM■MMMMNMM.■■.■M■■..E.M.E..■■
■MMMMMMMMMMMMMMMM■..ME■■■■■■■■■■■M■.►\■■■M■■.\.■■■■■■■■■■■E.ERRE.ME
■■■■.■■■■■■■■■■R■■■■■■■R.■MC■R■■■■R■\1■.MMM■M\MM.■■R■REEEE■MEM.MM■
■EE.C.■E■■■.■■E■■E■■■■■EMM■ ■■■■E■■■■►\ MMMMMN MINN
IM
MMM■ ■■■■M■MEMMMM...M..M.E.M..■■�■E..M MMMMM■\MMMMMMMMMMM■O.M. ■
■EMMMUMEMEMEMEME.M..■■.■■MMM■. ■MEM\OM MMM.MMM\MMMMMMMMM■MM.EE.■