139 Shirleys WayDavie Cobnty. NC Tax Parcel Report A D, X12 Friday. September 30. 2016
WARNING: THIS IS NOTA SURVEY
Parcel Information
Parcel Number:
G400000046 A
Township:
Mocksville
NCPIN Number:
5820909616
Municipality:
1\
Account Number:
54920000
Census Tract:
37059-806
Listed Owner 1:
OWENS WADE GLENN JR
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
139 SHIRLEYS WAY
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-5885
Voluntary Ag. District:
No
Legal Description:
10.365AC MAIN CHURCH RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
10.19
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
1/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
007800213
Soil Types:
GnB2,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
44120.00
Outbuilding & Extra
11730.00
Freatures Value:
Land Value:
74150.00
Total Market Value:
130000.00
Total Assessed Value: 130000.00
Davie County
AlldataIsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Im lied warranties of merchantabilit or fitness fora articular use. All users of Davie Coun� p y p lys GIS website shall hold harmless the
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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
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or arising out of use or use provided by this website.
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IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**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 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME --� /lam %lii�� t-1 //ll%Pri f� PROPERTY ADDRESS /,1171 0.11.7,t r-i
r Davie County Health Department
ENVIRONMENTAL HEALTH SECTIO;`—
.� P.D. Box 665
Mocksville, N.C. 27028
„= AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRLICTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
--�— AUTHORIZATION NUM�iER
AME �.J
N /! 011l rJ ( DATE 90
,�' j fl 0 2 4" r
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION %I%1✓ �,•��
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
y* APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE T E
Davie County Health Department
Environmental Health Section
P. O. Box 665 (� APR 2 1996
Mocksville, NC 27028 I`
1. Application/Permit Requested By 7j; -,L' v G `� S
Mailing Address 3o,'? Home Phone
k-57-11 r C 2 `7 O Z Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation e�eptic Tank Installation Permit
❑/
4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
No. of People 3
2
No. of Bedrooms
No. of Bathrooms
Dwelling Dimensions
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: ❑yoo Public X Private
S'D '
8. Property Dimensions f Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Basement/Plumbing
❑ Basement/No Plumbing
j"Washing Machine
@,Dishwasher
❑ Garbage Disposal
❑ Yes X No
❑ Community
"NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
(D/ Nope 7L�r, r, 9i lk
02 lea �Ls o A Q, o k4- P 1
i,Jo 50
401(0&W
This is to certify that the information provided is correct to the best of my kni
incurred from this application.
DATE
PROPERTY INFORMATION REQUIREb:
Tax Office PIN: #5$.20909&)
PROPERTY ADDRESS, as follows:
CRoad Name: -
City:
SU13,11IT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
and I understand I am responsible for all charges
SIGNA
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: Li1. I OWN the property. ❑ 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�r ] f th Day.``�� Cour Health Denartment to enter upon above described
property located in Davie County and owned by - 4
to conduct all testing procedures as necessary to determine said site's suitability 0 a ground absorption sewage treatment
and disposal system.
f A )1Z"
DATE GNATURE
DCHD (1193)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Snil/Site Evaluation
NAME enAz ,' -5-
ADDRESS ADDRESS
PROPOSED FACIILTY lb
DATE EVALUATED 1V4 &
PROPERTY SIZE
LOCATION OF SITE -el-_V 41
Water Supply: On -Site Well _ Community
Evaluation By: Auger Boring Pit
FACTORS 1 2 3 4
Landscape position 4
Slope Z — "-
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence Et/
Structure �C E
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION 77 77
LONG-TERM ACCEPTANCE RATE ,
Public
Cut
SITE CLASSIFICATION: 1�S EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
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 ;lay 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 -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
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