292 Rollingwood Drive Lot 7, Section 3Davie County, NC
Tax Parcel Report 666 0 Monday, October 10, 2016
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.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J5150E0005
Township:
Mocksville
NCPIN Number:
5747262157
Municipality:
Account Number:
8302055
Census Tract:
37059-805
Listed Owner 1:
FURMAN IRVINE KEITH
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
292 ROLLINGWOOD DRIVE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY,MOCKSVILLE R-A,GR
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 7 SOUTHWOOD ACRES SECTION 3
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.62
Elementary School Zone:
MOCKSVILLE
Deed Date:
3/2013
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
009200730
Soil Types:
GnB2,GnC2
Plat Book:
0004
Flood Zone:
Plat Page:
141
Watershed Overlay: DAVIE COUNTY,MOCKSVILLE
Building Value:
149680.00
Outbuilding & Extra
Freatures Value:
930.00
Land Value:
20500.00
Total Market Value:
171110.00
Total Assessed Value:
171110.00
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.
DAVIE COUNTY HEALTH DEPARTMENT '}
a. IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMRNT PERMIT Roll%(goo �/Z/�
1 (��Q
**NOTE** 'This improvement permit DOES NOT authorize the construction or insta lation of a septic tank system or any er
wastewat
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 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME 1; !° c! flU /(" PROPERTY ADDRESS l l 04 41W61&)
U D k �J� . DATE
LOCATION ; ✓ ef.- V, Z-
SUBDIVISION NAME �J��,'+ `i�r - %i : LOT NUMBER i'� SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE i sig; # BEDROOMS '!V # BATHS `f # OCCUPANTS tiF GARBAGE DISPOSAL: Yes/to
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE/, G,�:l�Zl� TYPE WATER SUPPLY t r: DESIGN WASTEWATER FLOW (GPD) � NEW 5ITE [.i' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1,37"' LINEAR FT. t64
`OTHER,;' }
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. !
IMPROVEMENT PERMIT BY f i�r'
**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 (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY<�' �s� W•. ��
U
.R,
1 .
L -
t1 Ls a
A `
AUTHORIZATION N0. O 0 1J OPERATI PERM T BY \ o DATE '� I
**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 138A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL INAO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FRICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DOHD 10/95
4 ;
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
1. Application/Permit Requested
Mailing Address
)6 - �_� � ��
Davie County Health Department ea//eel !�-
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve
mineral Evaluation
-e-house
Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision 11 _ rp, Section _ Lot #
No. of People
No. of Bedrooms
No. of Bathrooms 3
Dwelling Dimensions 30 X J•Q (% Dp(' �.)
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes
No. of Urinals
•0''Basement/Plumbing
❑ Basement/No Plumbing
4 'T ashing Machine
.0'6ishwasher
❑ Garbage Disposal
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: Public ❑ Private
8. Property Dimensions 4-5-0 + 3-3 V �+� o� Sewage Disposal Contractor
X 107, 04 'x a 10 , s�
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes No
If yes, what type?
❑ Community
I
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvement§ Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
PROPERTY INFORMATION REQUIRED:
Directions to Property:
rnLer-} Sn`i-o �oc�
�.1CY2C�
-Acrc6-
16k 5
i�nqqomd, fir,
L
U . - -7 510. Arrnj)�
Tax Office PIN
Road Name 7901111,76orld
Box # (if available)
City
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
MUST CHECK ONE: ❑ 1. 1 OWN the property. X 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representative 91 the D vie County Health Department to enter upon above described
property located in Davie County and owned by hlu d,,
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (1/93)
DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section
Soil/Site Evaluation tt
NAME \���1 OS DATE EVALUATED / F - 9
ADDRESS S A r\M\_� PROPERTY SIZE / y
PROPOSED FACIILTY R O V LOCATION OF SITE S o Qt\ W o a� N('R tS
Water Supply: On -Site Well _ Community Public L"
Evaluation By:1�1•` Auger Boring L/ Pit Cut
FACTORS
1
2
3
Landscape position
_4
Slope %
`'
HORIZON I DEPTH
Texture group
C.-
Consistence
N
-I'
1
Structure
r`
C R
C
MineralogX
HORIZON II DEPTH
Texture groupC'
Consistence
IUr
1
F1
HZ
Structure'
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
.5 S
as
5-S
RESTRICTIVE HORIZON
—
--
SAPROLITE—
CLASSIFICATION
,5
S
.�
LONG-TERM ACCEPTANCE RATE
,3
s
SITE CLASSIFICATION: Y.5 EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: o.0 Q
REMARKS: R4 13" 10.1
—6 LEGEND T
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 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 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
■����\■��������������������������������\��■�������������■� ����■
■■��■��■����■�������■�N���������■�n����������\� ����■■■ ■ i���■
�����\�������\����������������������\�������������������� ������
■��■������������������������������������������������������ �������
■�����������■���■����\����������■��■e�■\������■������������������■
■�����■�����■��������������������������■�■�����������������������■
■����E��������������■���������������\������ �■�����■ ��■���������■
..........................................C....■...�■..■....■...■
.................................... .....■.■......_ ■............
■�������■����������������������� . N�����■ �������■ �����������■�■
■��������■■�������������������������������■��� ■�� �■�■��■■■����■
■���������������■������������������■���������������� ���� ■■■��■��
■�����������������������/�� ����������� ������� ������������������
�������������������������������������������� ����N����������
■��■�������������■�������■ ■�������������������� �����■�����■��■
■�■��■�������■■�������■�����������������������������■�\� ����■���■
■/����������������i���������������������������������������������
■����������■■���/I���������A���■ ■��■O��N���■�������■�������■■��
■���■�������■■���■�����r���■■■��������■����N������=����H�■■���■
■����������■��■■������►��c������■�������������� ■ � ■�■■�����■�■�■
■����������������������������������� ���� ������ ����� ��������
■��������������■n��►��ti����a�■�■�■ ■������■ ��■u������■_� ��■�■ �
■������■■��■����������►��►������������_����������o�������■�■��■�■_��__
■■�����■���������u■■���,���►������■���■��■���������►.:�.��������� ��
■���������■�����������►����■�a■►����������u���.nu�►■�����■�_���
■\�����■�����������1����Y►`��!'...�C�\ �������� N�����1�������� O�
■������������������\�N�����5���\�■M■������\�� ��J� ����������
■■■�■��������■■�����a�a��������.���■��������r,�� � ����i,�■�C��������
...................'��...........,...........��.. . � .... ...... �
..................................�...�.......�.�� .�..�■........
::::::::::::::�:::::�:�::3::::'::::::���:::::�.::�:::�S:::C:::
■���������■�����������►\��\`\��������1���\�!N� u�N�����������
■�H����������\���■■���5l��■►o��� \EJ���I��l�i��� ��■���■� ���■���
��� v���/���N��/���►�\����11���!N�7����J�I�C�u �a�M
■����/����■�������■����■������l�������� t'Li�ii��s� ■ ��� �\���\
■����������������������\�����r1� �� �■� ■ �■������■��
::�:�:::::::::�:5::::='.::::::::_�: ::� _�'�'�.� �:: C:�:'
........... ....��.�.�......►..... �... .,. . .. .��......._
�i::::::�l:=::::��:':::i1�....C�....� ':� . '� ...... .
_ .... .... �. . ..�......�
................o....�..... _.......... ... ......
■�������������!!��I������H��l�������� ;�N ■ �������■
/����������� ��lia�l���i\������I�dl��� �0 �� ��������
■■��������■���■�11��'I� w�i�����■����"C �� i �� �N ■ ��
...............�f�.C��..�.��. .. �.�� � �� ...C. .
:::::::C:'.:::::::::�:��::��?' '��� �:::::��
..........................►.�...... ��* �.,�►...�a.�....
���������������v11�■��9��r�J!]�.■� I ti. �! J■� �l������
��������� ��I����HI/�� �u ��Y� ■ � Nl����
������������I����\uC1���������� N �� n������
■����■■��■�i������/���������������� �� ■��■��
■�����■���r»� ■�������i:..i��i�ii i �� �u����
■�■���v��!l:tiG.�N����������uf��� �� 0����
������%��!%����n�������� � � u�����1'��
■���i��� ����. iiiiii�iF��i'��%t�� ■ � �ui����
■�■ ��� ������������e�����■ ■■ . ►
■■����� ���:��— '
■���������►:-���������������u����� .� � ■ ���■ �N���
■■������e:=�������������■���:�������■ �►����.
■�������i�����������������3����i��������w� _ ■ ■��►� �u
■■��ru������r-.�•���■�ue,e���a�a���� ■ ,� �� t��N���u���u
■�������L'C�>������i::�:��:;��'���1�������� � J������►\���i
■■ �������i�/� ����������CCi%����/��r� " ����/�u�
���■����� u��i■�����n�i:.1�N�����u �� ■ ■ �■�� ���1���
■��\�� ����/N������1����:���������� � � ,� �H������n�����■
.::::: :'�:�::i:��:::::::::.:.�r-.: _...� • ................
.... .. ■....... ........... .. .■... �................
...............................ii....=..■ .■..... .............■.
:::C::::::.:::::::::::::::::'::::::: .._......._...............
�■■■■■■■.■■...■.■■....■.■■■
..................................................................
■■■■■■■■■■■■■■■■■■■■■.■■■■.■■■■■■■■■■■..■.■■■■■■■■■..■■■■■■■■■■■■■
■■■■.■■.■■..■......■....■.._■...■■..■■.._■.■■■■_■■.■■...■■..■■■.■.
:�::_::::::::'.:::�::��::::::�::::`�.::':::::::::�:'::::::_:
�1:::::'::C::C::::::C:::::::::::,..::::':":_:::C:CD::C::::C::C::C
� `
e Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27828
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
SIssued in compliance with Article 11 of
G.S. Chapter 138A, Wastewater Systems)
***This Authorization For Wastewater Systei 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.***
AUTHORIZATION NUMBER
NAM: DATE s-
-
MALE ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION �Jp!/ %'�iT1O0rI %/<' �l' h y�
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
*HNDTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
IROMfNTAI HEAL SPECIALIST DATE
DCHD 10/95