501 Sanford AveDavie Cotinty, NC Tax Parcel Report 6611 Thursday, 13
October 6, 2016
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Ay 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 orfitness for a particular use. All users of Davie County's GIS website shall hold harmless the
/-r County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website. �.J
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J4030B0002
Township:
Mocksville
NCPIN Number:
5738522966
Municipality:
MOCKSVILLE
Account Number:
39204000
Census Tract:
37059-806
Listed Owner 1:
INGERSOLL RAND COMPANY
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
501 SANFORD AVENUE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE NR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1 LOT SANFORD AVE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.58
Elementary School Zone:
MOCKSVILLE
Deed Date:
1/1979
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001060747
Soil Types:
CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
8390.00
Land Value:
30000.00
Total Market Value:
38390.00
Total Assessed Value:
38390.00
Ay 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 orfitness for a particular use. All users of Davie County's GIS website shall hold harmless the
/-r County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website. �.J
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater 'IVA
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)
S-1644 �, /4 K4-f�
NAME � PROPERTY ADDRESS ��� t- / � V e ' DATE
LOCATION 1 T,-7i�AA�1. 7 /fl/h --j1�4' �io.l1✓/� l y/� t C,,
SUBDIOSIM NAME// LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE t/� x #BEDROOMS 1.10 #BATHS _ I _ #OCCUPANTS GARBAGE DISPOSAL: Yes i�a
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE Ad C TYPE WATER SILLY DESIGN WASTEWATER FLOW (GPD) NEW NEW SITE �-' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE e% GAL. W1MP TANK 6AL. TRENCH WIDTH —?e/, ROCK DEPTH / LINEAR FT. 1,0b
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 PERMIT BY
**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
AUTHORIZATION NO.
0 0 X13 4
SYSTEtINSTALLED BY
t1 � U Sp
PERMIT BY (�!�1 DATE 1 l to
**THE ISSUANCE OF THIS OPERATION PERMIT ^L IN TE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SEC ON .19 '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 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION.
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Ussued 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 any_Building-Perfi-I This Form/Authorization',Number should be presented to the Davie County Building Inspections
Office^; when. applying far Build'lng Permits.***
�"�� / / AUTHORIZATION NLNBER
NAME I .� b rlel 7 yt�DATE
ov
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION
1. Application/Perm
Mailing Address
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
22A
icery c J -) Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation D-eeptic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
❑ Mobile Home [)face of Public Assembly
❑ Other ❑ Unknown
No. of People
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
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
No.. of Commodes
No. of Urinals
No. of Lavatories
No. of Water Coolers
No. of Showers
Water Usage Figures
7. Type of water supply: 2 -Public
❑ Private
8. Property Dimensions
Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility
this sytem is intended to serve? ❑ Yes
If ves. what tvne?
Directions to Property:
This is to certify that the information provided is correct to
incurred from this application.
DATE
M
PROPERTY INFORMATION REQUIRED:
❑ Community
Tax Office PIN # �'-
Road Name ue—
Box # (if available) t.-1_
City � KI _0A e AJ,.C_-
best of my knowledge, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
rE
ECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
cked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ive consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
t all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
sal system.
DATE SIGNATURE
DCHD (1193)
r �
f
-1 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
j J P. O. Box 665
1 Mocksville, NC 27028
>oC e' 1/
1. Application/Perm
Mailing Address
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve:
❑ Business
Business Phone
❑ General Evaluation 81Septic Tank Installation Permit
❑ House ❑ Mobile Home [ 'lace of Public Assembly
❑ Industry
❑ Other
❑ Unknown
5. If h use, mobile hom Sub ivision
7 1 ki N f us
V
Section Lot #
❑ Basement/Plumbing
No. of People
❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine
No. of Bathrooms �� ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
7. Type of water supply: 2�'Public
8. Property Dimensions
No. of Sinks
No. of Urinals
No. of Water Coolers _
Water Usage Figures .
❑ Private
Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, what type?
❑ Community
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: j
��U c . ( t�}-�s S j-� n� N
� s
&Ilidz qous e
�Awt � f tee `/
e�1 l
This is to certify that the information provided is correct to the
incurred from this a lication.
DATE
my knowledge,
and I understand I /am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 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 representat. the Davn Cozu y Heplth Department to enter upon above described
property located in Davie County and owned by ' I J�sl
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal syste
Q DATE SIGNATURE
DCHD (1/93)
•
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
S
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY ��,� /�wT LOCATION OF SITE �J✓�l1/l!'
Water Supply: On -Site Well _ Community Public !—""
Evaluation By: Auger Boring J Pit Cut
FACTORS
1
2 3 4
Landscape position
L
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
bIc
/l
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 RATEJ
t
c
SITE CLASSIFICATION: %y) EVALUATED BY:
`/
LONG-TERM ACCEPTANCE RATE: I T 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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