696 Singleton Rd (2) Davie County, NC Tax Parcel Report �l.P� � Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
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'' .` Parcel Information "
Parcel Number: N70000000401 Township: Jerusalem
NCPIN Number: 5765312320 Municipality:
Account Number. 8300304 Census Tract: 37059-807
Listed Owner 1: CARTER ALAN RICKY Voting Precinct: JERUSALEM
Mailing Address 1: 696 SINGLETON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 15.9 AC SINGLETON RD Fire Response District: JERUSALEM
Assessed Acreage: 15.90 Elementary School Zone: COOLEEMEE
Deed Date: 3/2001 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 2001 E0094 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 152410.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 102030.00 Total Market Value: 254440.00
Total Assessed Value: 176700.00
�,v� All data le provided as Is without warranty or guarantea ot any klnd either ezpressed or Implied Includtng but not I�mited to the
9�""F Davie County� Imptied warranties of inerchantability or fitneas for a paR(cular use.All usere of Davle County's GIS website shall hold harmless tha
County of Davie,North Carolina,Its agents,consulW nts,contnctors or emptoyees irom any and all claims or causes o(action due to
�p�N,�; N�,' or arising out of the use or Inability to use the GIS data providad by this webslte.
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auTxoRr,aTlorr rro: O 6 91 - DAVIE COUNTY HEALTH DEPARTMENT
"''"' �'� . ` " `: . -' Environmental Health Section PROPERTY INFORMATION `
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� Permittee's . P.O.Box 848 •
Name: �,,,___i1�'1�1 G' Mocksville,NC 27028 Subdivision Name:
y� / Phone#:704-634-8760 -
Directions to property; � /� iT"O' ' . Section; Lot:
AUTHORIZATION FOR / ,
WASTEWATER Tax Office PIN:#���D�- � d
SYSTEM CONSTRUCTION �-�
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Road Name: Y► ��.� Zip: c�
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pemuts.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying forBuilding Pernuts.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
�� : ,�;� ***NOTICE***TFIIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
��� IS VALID FOR A PERIOD OF FIVE YEARS.
` ENVIRONMENTAL HEALT SPECIALIST: DATE ISSUED ' ` , , : �
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�'"''� ,�� '�" � IMPROVEMENT AND OPERATION��R1K�S PROPERTY INFORMATION
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A..PE�tfee's
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�'Na�ie: ��r9.r3 t�' �r" Subdivision Name:
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� Dir�ctions to property: �� ;�•�.�� .�t l�-: t.�fc� � � Section: Lot:
� Il14PROVEMENT /j
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,, �� , PERNIIT Tax Office PIN:#�rl tD�-��- , �i .`��
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#� Road Name:��("�1� f(�'_.��D")l�p �' t'�a��.
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' **NOTE**This Improvement Pernut DOFS NOT authorize the construction or installatiQn 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 pernut. :
. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
� a � ,J, � ��`' ***NOTICE***THI.S PERMIT IS SUBJECT TO REVOCATION IF SITE
.��"'�1 r%"r7�r'''� ✓++�.-�• ��>'� PLANS OR Tf�INTENDED USE CHANGE.YOUR WASTEWATER
ENVRONMENTAL HEALT M STECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING THE SYSTEM.
.RESIDENTIAL SPECIFTCATION:BUII.DING TYPE�� #BEDROOMS�#BATHS�#OCCUPANTS�_GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILTTY TYPE #PEOPLE #PEOPLE/SHIFf #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE ��e TYPE WATER SUPPLY �/�!( DESIGN WASTEWATER FLOW(GPD) Y�� NEW SITE � REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE DDAGAL. PUMP TANK GAL. 1RENCH WIDTH ��G ,�ROCK DEP'TH /� LINEAR FT.%1�10'/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**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 T'HE DAY OF INSTALLATION,TELEPHONE#IS(704)634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
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AUTHORIZATION NO.yP�OPERATION PERMIT BY: /�-'� DATE: G~�v �/
**TF�ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTfH ARTICLE 11 OF G.S.CHAPTER 130A,SEGTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII,L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIlvIE.
DCHD OS/96(ReviseA)
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`f � � ^ ' ' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE
' , _ � Davie County Health Department
Environmental Health Section �Eg 2 � y997
P.O.Box 848
Mocksville,NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed � � Contact Person
Mailing Address � 0 �• ��rGj7'C�J,(/1 �(/', �`�ld' L/ Home Phone �la' 7�l—���
City/State/Zip W��✓1�T(�Yl-<>C{I�PI� ✓UG �71�� Business Phone ��� �7����l��
2. Name on PermidATC if Different than Above
Mailing Address City/State/Zip
3. Application For: � Site Evaluation ❑ Improvement Permit&ATC ❑ Both
4. System to Serve: ❑ House O Mobile Home 0 Business ❑ Industry ❑ Other
5. If Residence: # People � # Bedrooms �_ # Bathrooms _�
Ud"llishwasher ❑ Garbage Disposal Q'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage(gallons per day)
7. Type of water supply: ❑ County/City C9'Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes l�No
If yes,what type?
PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: / a-�� � WRITE DIRECTIONS(from
� Mocksville)TO PROPERTY:
Tax O�ce PIN: # s �� - � � - � �
�h � T ;��� , Sd
Property Address: Road Name �
�i � `�Z<o e�s�/i��e �7da8' � -�Q- P� .� ► /�.f, ra f�
�� � C rr� �'i�'11 o g��^� P��� 1?aE.
If in Subdivision provide information,as follows: 1
I � ��+ �n d ' S in F� ri � �
Name: � 1 /�
1 �� . 1" /[t° + � �
Section: Lot #: ' � + /
� i� 1�'� A� C�a � *�� 'AICn
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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 Represe tati�e of the Dav' unt ealth De artment to enter upon above described property located in Davie County
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and owned by to c duct all testing procedures
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as necessary to determine e ' e suitability. .
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DATE � r� / �� SIGNATURE /
Revised DCHD(06-96)
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-� • � � � DAVIE COUNTY HEALTH DEPARTMENT
� � Environmental Health Section sECTiorr LOT
SoiUSite Evaluation
APPLICANT'S NAME v/`�r'Jrl DATE EVALUATED � � � /�,
PROPOSED FACILITY PROPERTY SIZE_ ��l!
SUBDIVISION ��/" ROAD NAME c�yi-e/��� �b�.
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landsca e osition L .d� '
Slo e% �!.
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH 'f" �D t'
Texture rou G'
Consistence
Structure /�
Mineralo ,'t :1
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE �
SITE CLASSIFICATION: U`1 EVALUATION BY: �c /
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-Tenace 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-Subangulaz blocky PL-Platy PR-Prismatic
.�
Mineraloev �`[
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-gaUday/ft2
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