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158 Poor Boy Trail
fav 9A11 WARNING: THIS IS NOT A SURVEY 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 77 ParcelInforinat' ion L = Parcel Number:. - 060000003520 Township: Jerusalem NCPIN Number: 5754323990 Municipality: Account Number:- . ; : 66940000 Census Tract: 37059-807 Listed Owner 1: SMITH DAVID J Voting Precinct: JERUSALEM Mailing Address 1: 229 BOXWOOD CHURCH ROAD ; Planning Jurisdiction: Davie County City: MOCKSVILLE i Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-6667 Voluntary Ag. District: No Legal Description: 1.995 AC OFF HWY 601 Fire Response District: JERUSALEM Assessed Acreage: 2.00 Elementary School Zone: I COOLEEMEE Deed Date: 7/2008 Middle School Zone: SOUTH DAVIE Deed Book / Page: 007640598 Soil Types: WeB,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 6080.00 Land Value: 13860.00 Total Market Value: 19940.00 Total Assessed Value: 19940.00 9A11 Davie County, 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 t'pUNq NC or arising out of the use or Inability to use the GIS data provided by this website. , :,:, ., � g /f ._�M 1t ';'iiH i . �ri 5 . �' .,. 1 � _ ' �..d�v i J �.'J.�' Y 1`Y "S{ �`v � ^�i i J, t.:� '��� '� . � � .�'.:��� . . t � kC P� G,Ykj � .�y�aF 'iti F t� �at�'.r .s�� }�,� "t + � �.:�, [ �S'j, � ,' �% 4 t,• ".�' t ��. .' Y N :� . :.�. �� .' ,' � . � .,AUTHbRIZATIOI�YNO. .� � � � � DAVIE.COUNTY HEALTH DEPARTMENT ;� � � r . � , .: _ . . ", � Environmental Health Section PROPERTY INFORMATION ;� , k. � f ,. � . PermitCee s? �`. � P.O. Box 848' � rName: � ' , �`����'��_ , Mocksville, NC 27028 Subdivision Name: � ; ` I ��� . � ` ` Phone #: 704-634-8760 � Directions to property: U K�� i�C�I�+ . ' ' Section: Lot:. , , : AUTHORIZATION FOR '�t WASTEWATER ! � � ���T ' "ie� ' L1\�,i ����' : �4'-f' ► SYSTEM CONSTRUC'1'ION Tax Office PIN:# �y�`7-� 3� - � � � � ` �`z=(-� !%-�. ("�'��iG,�7,,, . 7' . � ;Road Name: ��L�'i �^C� <`'1 Zip: �� , **NOTE** This Authorizadon for Wastewater System Construction MUST BE ISStJED by the Davie County Environniental Health Section prior to issuance of any Building Pernuts. This Form/Authonzation Number should be presented to the Davie County Building Inspections . � Office when applying for Building Permits. (In compliance with �cle l l of G.S �hapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) *, !� ***N01'ICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTTON � . �'� ^ �' �� � �� '7� . _ IS VALID FOR A PERIOD OF FNE YEARS. ;y ::ENVIRONM �-IEALTH SPECIAL . DATE ISSU D ' '" ' i , i,. � . . � _ . r � . � . . . . _ . � .. . DCHD 05/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERM AlfC M Davie County Health Department U Environmental Health Section P. O. Box 848 APR 24 19% Mocksville, NC 27002288 ( (3 8760 ENVIRONMEI MI NE%1T�i DAVIE COU ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person Mailing Address Home Phone 3 3 City/State/Zip % / ' U�a Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: ❑ Dishwasher ❑ Site Evaluation ❑ House Mobile Home # People, City/State/Zip C3 Improvement Permit & ATC Jam' Both ❑ Business ❑ Industry ❑ Other # Bedrooms 3 ❑ Garbage Disposal �W Washing Machine ❑ Basement/Plumbing 6. If Business/Other: Specify. type # Commodes If Foodservice: 7. Type of water supply: # Showers # Urinals # People #, Seats Estimated Water Usage (gallons per day) 1 ' ❑ County/City . .. ;V Well # Bathrooms � PBasement/No Plumbing # Sinks # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes tr No If yes, what type? _ EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P.10&'V %THE PROPERTY MUST BE I Q 4 C R E S SUBMITTED WITH THIS APPLICATION. Property Dimensions: P 07 P 0 0 -P4 X 4 0 D `� 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 5 T - 3 3 - Property Address: Road Name S U 1. City/Zip y-• `fie • C 60 ?0 9? If in Subdivision provide information, as follows: 1 1 l Name: j Section: Lot #: 1 " 1 1 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 " J. falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Rep sentative 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 tovdetermine the site suitability. DATE 4� - 1 3 — FJ" SIGNATURE Revised DCHD (06-96) YOU MAY USE THE BACK Of THIS FORM FOR DRAWIN15 YOUR SITE PLAN. • _ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAMEmGs PH �- U" -S DATE EVALUATED PROPOSED FACILITY M' V40A&G PROPERTY SIZE 2,q ASS SUBDIVISION ROAD NAME n�i� Q015 Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position t_ Sloe % 2' ?6 HORIZON I DEPTH O. to fl Texture groupS Gt, S L Consistence r -r NS Fr N Structure C= 2 GAL Mineralogy HORIZON II DEPTH l - 32- 2Texture Texturegroup C. S C Consistence f --r- SS S Structure 5 lc Mineralogyt J HORIZON III DEPTH 3 2 - j Texture group S e 4- Sa I1 Consistence Pr 5S $ 55 5V Structure k I Mineralogy HORIZON IV DEPTH j Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 3 LONG-TERM ACCEPTANCE RATE O . SITE CLASSIFICATION: YJ LONG-TERM ACCEPTANCE RATE: D • 4 REMARKS: DCHD (O1-90) EVALUATION BY:� OTHER(S) PRESENT:--�+'�"�`4� 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 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/ft2 ;+ r � � . ' . , • 'v � I' . II ' _ . 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