324 Pleasant Acre DrDavie County, NC Tax Parcel Reports Wednesday, October 5, 2016
WAKNMG: TMS 1, INU'1' A SURVEY
Parcel Information
Parcel Number: M500000032 A Township: Jerusalem
NCPIN Number: 5745970062 Municipality:
Account Number: 8301978 Census Tract: 37059-807
Listed Owner 1: SCOTT MARIE ALICE Voting Precinct: JERUSALEM
Mailing Address 1: 324 PLEASANT ACRE DRIVE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.96 AC HWY 601 LOTS 8487
Fire Response District:
JERUSALEM
Assessed Acreage:
2.00
Elementary School Zone:
COOLEEMEE
Deed Date:
3/1997
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2001 EO168
Soil Types:
WeC,PcB2
Plat Book:
0004
Flood Zone:
Plat Page:
048
Watershed Overlay:
DAVIE COUNTY
Building Value:
42150.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
24000.00
Total Market Value:
66150.00
Total Assessed Value:
66150.00
9 �I� All data Is provided as Is without warranty or guarantee of any Idnd 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 d
�Tue to
roU N� l� C or arising out of the use or Inability to use the GIS data provided by this website.
AUTI-tOZ% tk-TION NO: 1540 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's J P.O. Box 848
Name: 4Zil Mocksville, NC 27028 Subdivision Name:
i r Phone # 336-751-8760
Directions to property: fi�%�:' i),--7- .�'�` Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#,r7o' 1Z -
SYSTEM CONSTRUCTION
Road Name: A.-
Sif/7CZip: QA�
"NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This FornVAuthorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
��; ,�.
- � S 4�O DAVIE OUNTY HEALTH DEPAiTMI NT
IMPRQ EMENT AND OPERATION PERMI''T$ PROPERTY INFORMATION
Permrttee`S
Name. ' �y '"! `��� Subdiv ion Name:
Directions to property: ,%- - Section: Lot:
IMPROVEMENT
cff PERMTTTax Office PIN: : ' 0 97
Road Name: -41 `1f'?5V '�/7C Zip: I
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SrM
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL:. Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE /JV ���P TYPE WATER SUPPLY 140 DESIGN WASTEWATER FLOW (GPD) NEW SITE � REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE %D/7J GAL. PUMP TANK GAL. TRENCH WIDTH �r ROCK DEPTH �� / LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
✓ i
"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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
VIP
r fel
V
, f�
�pe
AUTHORIZATION NO. D OPERATION PERMIT BY: DATE:
THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05/96 (Revised)
4,10
DAVIEOUNTY HEALTH DEPARTWNT
TMPRO EMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee'5 ,�
Name: X '� ..i�''1� Subdi Sion Name;
Directions to property:,'
Section:
Lot:
IMPROVEMENT
PERMIT Tax Office PIN: ' iLc-2� - OC-
jr
Road Name: /JX /iS lilt � �Z 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
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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
`r SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE a 4t # BEDROOMS --P--- #BATHS - #OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: "Yes or No
LOT SIZE/ V yf�< TYPE WATER SUPPLY 14{' DESIGN WASTEWATER FLOW (GPD) NEW SITE P-"� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEC.O� GAL. PUMP TANK GAL. TRENCH WIDTH �� "ROCK DEPTH /,7 / LINEAR Fr. '
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
�"
*'"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 (336)751-8760.
OPERATION PERMIT
E -
SYSTEM INSTALLED BY: /
r�CF w ✓ P � ��
1
V
AUTHORIZATION NO. C/ OPERATION PERMIT BY:� 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 05/96 (Revised)
APPL• ICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
P.O. Box 848 NEW PHONE NUMBER:
Mocksville, NC 27028 EFFECTIVE MARCH 22, 1998
(704) 634-8760 336 751-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
,p THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed L", Contact Person -'-ph'J> w Gcla (p z
Mailing Address r s45 C� �c-t-I Home Phone 13:3aSL1- Li51 R
City/State/Zip fTV-3,K-,j/ 10 kLC Business Phone1 ---;�(o) �rj=���J(p �c�. 03LZ
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: M"Site Evaluation
City/State/Zip /
[1 llm- provement Permit & ATC [ VLoth
4. System to Serve: [ ] House [vfMobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People -_5— # Bedrooms_ # Bathrooms a [ ] Dishwasher [ ] Garbage Disposal
[Aashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify
# Showers # Urinals # Water Coolers
# People #Sinks # Commodes
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [t�ounty/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [p. No
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***-VMf OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 'WRITE DIRECTIONS (from Moc vill ) TO PROPERTY:
Tax Office PIN: #�
Property Address: Road'1 ame Ply k}Cl ain
City/Zip MDC95W I I1= . Q7CQg ; �✓
If in Subdivision provide information, as follows:
Name:
Section: Lot #:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. 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
DATE2-7-2&
Revised DCHD (06-96)
SIG
to conduct all testing procedures as necessary to determine the site suitability.
THIS I,, E,l MAY BE USED FOR DRAWINGYOUR SITE PLAN:
11
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This map is for PERC TEST
and BUILDING PERMIT purposes
only. The Davie County Tax
Administration Office assumes
no liability for any
information on this map.
COUNTY ID: M500000032
June 30, 1998 4:03 PM
Parcel Identification Number
/LFA_ n 2 _
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME �� i� ?�� DATE EVALUATED
PROPOSED FACILITY ,%��L� PROPERTY SIZE !- %!9G
SUBDIVISION ROAD NAME �j�I�f�/7C
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
,L G
Sloe %
2
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
`� Y
Texture group
Consistence
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
Landscape Position
EVALUATION BY:
OTHER(S) PRESENT:
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 - 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
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/112
DCHD (01-90)
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