134 Son Shine Way Davie County,NC Tax Parcel Report Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G500000156 Township: Mocksville
NCPIN Number: 5840437279 Municipality:
Account Number: 82526579 Census Tract: 37059-806
Listed Owner 1: CLARY CRAIG M Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 134 SON SHINE WAY Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal:Description: 1.709 AC OFF HWY 158 Fire Response District: SMITH GROVE,MOCKSVI LLE
Assessed Acreage: 1.70 Elementary School Zone: MOCKSVILLE
Deed Date: 6/2006 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 006660814 Soil Types: RnD,ChA,WATER
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 50730.00 Outbuilding&Extra 1480.00
Freatures Value:
Land Value: 17640.00 Total Market Value: 69850.00
Total Assessed Value: 69850.00
101
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 Countys 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.
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-,AUTHORTION'TION NO: DAVIE OUNTY HEALTH DEPARTMENT,...:,
x, is Environmental Health Secti �+PROPTY INFORMATION
Permittee ,per .�. P O.Box 84$
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Name Lam• f i , Mocksville,NC 27028 Subdivision Name:
: r� Phone# 336-751-8760 I
Directions to property SFC , 'rG� ecUon: Lot:
�( AUTHORIZATION FOR
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WASTEWATEt ,f
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SYSTEM CONSTRUCTION '' Tax OPIN:# r�
G. SII+: �., t�1�.� ln�Ac-12,MA,Le3;X ����� Road Name: 11�� ��O 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
4 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)
` 4f ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
! / L61 IS VALID FOR PERIOD OF FIVE YEARS.
ENVIRO ME L HEAL SPS LISfi DATE ISSUED
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DAVIE OQUNTY HEALTH DEPARTMENT
Permit des
JMPRO EMENT AND OPERATION PERMITS ; ' PROPERTY INFORMATION
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' �. 1- .;:<�t %�.✓;f i t-".t t "b�.�f� C.
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S bdivision Name:
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Dlrectlons to property: `� .;t . x Ile
Section Lot:
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r 'IMPROVEMENT
1 vc _ .,1`�'�" PERMIT Tax Office PIN:# 4 r
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s� Nit, . Rzip:" ad Name:
**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 compliancewith Article.11:of G.S.Chapter 130A,Wastewater Systems,Section 1900.Sewage Treatment and Disposal Systems)
r - ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRON ENTAL HEALTH SPE IAS IST '~ DATE fSSU
ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
M' EIA - INSTALLING THE SYSTEM. '
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RESIDENTIAL SPECIFICATION:BUILDING TYPE _` #BEDROOMS �� #BATHS_�#OCCUPANTS '�' GARBAGE DISPOSAL:Yes or 10
COMMERCIAL SPECIFICATION: FACILITY TYnP,E- #PEOPLE #PEOPLF/SHIFT.�• #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE PE WATER SUPPLY�"�� DESIGN WASTEWATER FLOW(GPD)- T NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEJC�'`�-GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH IZ LINEAR FT.` r
OTHER �° i �►�1 g�J 11 O��
REQUIRED SITE MODIFICATIONS/CONDITIONS: l cAL t— O
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IMPROVEMENT PERMIT LAYOUT. t
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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 THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT/O ���
� h SYSTEM INSTALLED BY:
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AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
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*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S S 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 051%(Revised)
APPUCATION FOR SITE EVALUA1I0N/IMPR0VEMEN1 PERMIT&ATC
Davie County Health Department
Environmental Health SeWOn Q
P.O. Box 878/210 Hospital street
Mocksville, NC 27028 OCT 2 6 1999 .00
(336)751-8760
***IIHPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS THE
11MR1MTION IS PROVIDED. ,Ref/\er to the INFORMATION BULLETIN for
/finstructions.
l���� VJ ) 0- ��� �6 f
1. Name to be Billed n� /' �L' Cr Contact Person
Hailing Address 2,/q S U S ITW J I� Bom Phone
City/state/ZIP le/OG/CS 01' 11-e NC 42 >0:?�— Business Phone
Z. Name on Permit/ASC if Different than Move
Hailing Address City/state/Zip
3. Application For: U Site Evaluation 0 Improvement Permit/ATC /,Both
a. system to service: 0 House GF-kobile Home 0 Business 0 Industry 0 Other
is. If Residence: # People # Bedrooms &II-1 Bathrooms
D Dishwasher O Garbage Disposal "ashiag Machine 0 Basement/Plunbing 0 Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # sinks
# Commodes # shovers # Urinals # Nater coolers
IP rOODSERVI CE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City 0 Well 0 Cmmmunity
a. Do you anticipate additions or expansions of the facility this system is Intended to serve? 0 Yes KNO
If yes,what type?
t"IMPORTANT•**CLIENTS AIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSLT BESUBMITTED by the client with THIS APPLICATION. Y
Property Dimensions: J U u4 714,-cY WRITE DIRECTIONS(from MockrAlie)to PROPERTY:
Tax Office PIN: # 2.9 - 7,5'6 4-ON WS oZ 6/;1-46,
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Property Address: Road Name �F�,/y �S�Ss L10,-low-tts11)/J fZ
City/Zip Ow ,1V X�O rJ� j Le-P
If in a Subdivision provide information,as follows: (-��� -
Name:
Section: Block: Lot: Date Property Flagged: 4 P�
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 responsiblefor all chaigcs incurred from
this application. 1,hereby,give consent to the Authorized Representative of the Daylp Countyftealt6 DePartment
to enter upon above described property located in Davie County and owned by y 1JJ tic�
to conduct all,ftesting procedures as necessary to determine the site suitability. I
UDATE t%f i ��'I CI i� SIGNATURE ��- �
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Account No. a q
Revised DCHD(07/98) Invoice No.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME Q� wl ` r'f DATE EVALUATED ��80
PROPOSED FACILITY /V 1 • I"f(`�/�' PROPERTY SIZE ') �^p
SUBDIVISION ROAD NAME //W.Y I-�n
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope% /7-76 ID
HORIZON I DEPTH -G
Texture group $CA_
Consistence
Structure 2
Mineralogy
HORIZON II DEPTH 10qX
Texture group
Consistence r- S
Structure
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 RATE c O.
SITE CLASSIFICATION: ✓ EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: �• 4r OTHER(S)PRESENT:
REMARKS: L'.- C&41eAC_Tq(Z HAD WT ND F0(2— K, 140y"-'E_
A ''7' Cvr, d v a g41Ja . LEGEND /,w -%j,
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
DCHD(01-40)
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