137 Red Bud LnDavie County, NC
Tax Parcel Report 1 q 1 j Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
All 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
�of,ty('i
NC
Parcel Information
Parcel Number:
H50000005308
Township:
Mocksville
NCPIN Number:
5749747761
Municipality:
Account Number:
54847500
Census Tract:
37059-805
Listed Owner 1:
OWENS ANTHONY MICHAEL
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
137 RED BUD LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-4360
Voluntary Ag. District:
No
Legal Description:
5.00 AC SAIN RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
4.96 Elementary School Zone:
MOCKSVILLE
Deed Date:
9/1995
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001820818
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
177000.00
Outbuilding & Extra
Freatures Value:
20240.00
Land Value:
50130.00
Total Market Value:
247370.00
Total Assessed Value:
247370.00
r
Davie County,
All 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
�of,ty('i
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
the Inability to the GIS data by this
or arising out of use or use provided website.
:.�go
U t Health Departinent a1,.
nvlro ntal Health Section ��
x y�
2 2010 .O. Box 848
JUL
210 Hospital Street { ; '
t: `• Cou ler # : 09-40-06
EPdUilii�NG4E(@TAL HEALTH
f. Moc Ville, NC 27028',_
cF,�iLcou,e�v
Plione: (336) - 753 - 6780 Fax: (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: -7-%e /L6 o / by 47 < Phone Numbe&". '� ') 7,51— 7'7V6 (Home)
Mailing Address:_ �L% ��,b�i,�, z/J'1r '� G'� �/ (3J6) yell — OI Y (Work)
tiCf .276� x zb 670 7s 7-111
Detailed Directions To Site:
Property Address: ,� �% vim' ,Ls'lJ L. ✓vim /� 2�C; .SUi�f�CC AIC o2-7 n � ff
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: Type Of Facility:
Date System Installed (Morith/Date/Year): Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? Yes If Yes, For How Long?
Any Known Problems? Yes 0
If Yes, Explain:
Please Fill In The Following Information About The NEW Facility -17 �- 0*00/'o
Type Of Facility: rr,, goo-=PPo= �P�r^oms: JyX`S Number of People
Requested By: y Date Requested: 7--/ a —/ 0
ignature)
For Environmental Health Office Use Only
roved Disapproved
Comments:
.o
Environmental Health Specialist ✓��` - pate: 47 --;7,L=/ O -
*The signing of this form by the Environmental Health Staff is in no way intended, nor shot _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 Cl Money Order #
Paid By:
^Amount:$ Date: fL/d
Received
Account #: tiJ Invoice #:
P,/v
AU,HORIZATION.NO: P ENT
DAVIE COUNTY HEALTH DEPA
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: L4.tn' F;` ��uie,h � Mocksville;NC 27028 Subdivision Name:
APhone # 336-751-8760
Directions to property: �� C ' 1�� - —''' ^-� Section: Lot:
1 / AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
I� I',-` Road Name �� t tj . tom, as Zip.
**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 Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 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.
ENVIRON EN AL HEALfli SPECIAbST /DATE ISSUE
L-'
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pe" tZee s A
Name: • f F t ;S Ctt.�f Subdivision Name:
Directions to property: �';4/ l.. �`_^r n_i Section: Lot:
IMPROVEMENT
f- s �► ^� .. k , ..} �: i'. t.t.,, PERMIT Tax Office PIN:# ����� - - 'A61
ll
1'. ►.� c. f ! (_. Road Namet-;-.f Zip:.��
**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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
• - 7� +, % } PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTA_L__HtXLhrH SPECIALIST DATE ISSU D SYSTEM CONTRACTOR MUST SEE THIS PERMIT 'BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE (ti # BEDROOMS -2 # BATHS Z.- # OCCUPANTS GARBAGE DISPOSW. Yei�r No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT Si " \—"! TYPE WATER SUPPLY CV1iV DESIGN WASTEWATER FLOW (GPD) 3 �� NEW SITE ,� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ` UWGAL. PUMP TANK GAL. TRENCH WIDTH_! ROCK DEPTH M LINEAR FT. I
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: NSA -�- U� 4 tU �%� U r U L),;
IMPROVEMENT PERMIT LAYOUT *APPROVED Ei=FLUE11T FILTE11* &RISEIIISI IF GP, 19ELIY1 F'IRISITED GP'MDE* � L
U16 �
Ute,
C:COAT C_
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:
1 ' w�,�.
I Y7�1
AUTHORIZATION NO.' / / OPERATION PERMIT BY: DATE-
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THATHE� 3YS � 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) \
ij \L
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & A
Davie County Health Department
Environmental Healdt Section
i P.O. Box 848/210 Hospital Street
Mocksville, NC 27028 FEB
(336)751-8760
11! tion nec
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCZSSED UNLESS ALLI=
INFORMATION IS PROVIDED. `Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed V rn . i �,A ]+--.i l3 Contact person
Mailing Address
City/state/ZIP
2. Name on Permit/ATC if Different than
Baine Phone .3-75a-`1 �z4-n/ i i4a/
Business Phone 33(!x— (;0-0-5316
Mailing Address City/state/Zip
3. Application For: Ll Site Evaluation 0 Improvement Permit/ATC BlBoth
4. system to service: CSI' House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
s. If Residence: # People # Bedrooms �� # Bathrooms
B'Dishxasher tYOarbage Disposal ff Washing Machine ❑ Basement/Plumbing W asement/No Plumbing
6. If Business/Industry/other: specify type NA # People # Sinks
# Commodes # showers # Urinals
# Water Coolers
IF FOODSERVICE: # Seats \�I� Estimated hater Usage (gallons per day)
7. Type of water supply: I� County/City ❑ well ❑ Community
e. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes U -N
If yes, what type'
***IMPORTANT*** CLIENTS AIUSTCOAfPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUB1111TTED by the client with THIS APPLICATION.
Proocrti DEmensions:"Oj"- GL) e4RITEDMEC??�ONS (from Mocksville) to PROPERTY:
Tax Office PIN: # 7 1'�l -1 1"l-- I �i �• )) ✓ U -I
'52in M -
Property Address: Road Name Ln • .0 rn
City/Zip cla]D 8 0 Jl c
If in a Subdivision provide information, as follows: — l�
Name:
Section: Block: Lot: Date Property Flagged:
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 thevie my Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suitabil' oc
DATE SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inc;3/de all of Ilowing: Existing and proposed
property lines and dimensions, structures _setbacks;—and-sep-tic locations).,? PzPose Ll�t a ho Mc
c
ZUUo,h
�--� Account No.
Revised CH (07/98) Invoice No. / a"
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' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
` Soil/Site Evaluation
APPLICANT'S NAME A rjinoor-K
PROPOSED FACILITY 4l) t) 7 6
SUBDIVISION
Water Supply:
Evaluation By:
On -Site Well Community
Auger Boring Pit
SECTION LOT.
DATE EVALUATED
PROPERTY SIZE
ROAD NAMED
Public
Cut
FACTORS
2
3 4 5 6 7
Landscape position
0
iL
Slope %
'l =�
HORIZON I DEPTH
' . 41
Texture group!i
L
Consistence
Structure
C,,Q
el�
"6 V
Mineralogy
' ' I
I,-.
HORIZON II DEPTH
- 1
L
3c ._�
Texture group
Consistence
r
v
� ?
Structure
j
(L
Mineralogy
HORIZON III DEPTH
(
? U
Texture group
r -v 5
Consistence
'r
Structure
Mineralogy/
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
O
SITE CLASSIFICATION: S
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
'P
EVALUATION BY: l
OTHER(S) PRESENT: �t^�^ �+. •✓
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
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