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123 Southpark PlaceDavie Countv. NC a Tax Parcel Report )4 o 66 Thursday, October 6, 2016 110 ✓ rti. O. 10'4 137 11 - 'i 4' �� 1145' i 1154' 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 F71 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: J5160B0010 Township: Mocksville NCPIN Number: 5737975039 Municipality: MOCKSVILLE Account Number: 69924000 Census Tract: 37059-805 Listed Owner 1: SPILLMAN JOHN A TRUSTEE Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: JOHN A SPILLMAN REV TRUST Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE GI,HC State: NC Zoning Overlay: Zip Code: 27028-0292 Voluntary Ag. District: No Legal Description: LOTS 242-244 + P/O 91-94 JACOB EATON Fire Response District: MOCKSVILLE Assessed Acreage: 2.86 Elementary School Zone: MOCKSVILLE Deed Date: 1/2002 Middle School Zone: SOUTH DAVIE Deed Book / Page: 004050231 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 265 Watershed Overlay: MOCKSVILLE Building Value: 309100.00 Outbuilding & Extra Freatures Value: 32400.00 Land Value: 187530.00 Total Market Value: 529030.00 Total Assessed Value: 529030.00 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 F71 NC or arising out of the use or Inability to use the GIS data provided by this website. Davie County Health Department P1836j�Environmental Health Section , G E N E P.O. Box 848 l 210 Hospital Street o U TA Courier 0 4 2012 Courier # : 09-40-06 1911 BY: Mocksville, NC 27028 Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680 (Check One) Replacement Remodeling Reconnection Name: A<, , JSQ) ll. "i Phone Number °16il 56 & (O (Home) Mailing Address: ?1 0. n ft �� 1�% 9-5 r (Work) o� K5 ✓i //e u 7 Ln � Z' Email Address: Detailed Directions To Site: 601 SAX#) Je/%� s J�77 ��Y T/ D/Z? An �/US Old MLI Property Please Fill In The Following• -Information About The )EXISTING Facility: Name System Installed Under: �J//i'lli/v Type Of Facility: i"IlvesSal/j//V . 3f1�1�00rics� Date System Installed (Month/Date/Year): �`, l!/fS`7 Number OO,lBBedrou o� ns: Number Of People: . es Is The Facility Currently Vacan YNo If Yes, For How Long? Any Known Problems? Yes No' 1 If Yes, Explain: Please Fill In The Fo/llowing nformation About The NEWFFacili' Type Of Facility: rGid10Q� a /�Gls I "N nlbe O �: Number of People_ Pool Size: \1 Requested Garage Size: Other: For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist. Date: *The signing of this form by the Environmental Health Staff is(i'n no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Paid By: Money Order # Amount: $ Received By: Account #: L �( �( Invoice #: Date: GoMAPS - Davie County NC Public Access S I ' rt +•' l D LK i,A Et - '+1�`''f,• ''�,t = _— �t Yi f �f �� lily - % ;t. `� MOCKSVILLE 55 I - � 'S �5 •.�� 4,55 : � \ ~ �l r�.�-'.Q f ,�f lo 0 o 17 7ft ***WARNING: THIS IS NOT A SURVEY!*** This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this map. The County and mapping company assume no legal responsibility for the information contained on this map. N E] WATERSHED -STRUCTURES WATER -BODIES El COUNTY_ BOUNDARY ElMOCKSVILLE STREETS :. RAILROAD _CENTERLINE PARCELS CITY -LIMITS Wednesday, April 4 2012 BER6SUDA RUN COOLEEMEE El DAVIE COUNTY ElMOCKSVILLE Wednesday, April 4 2012 ;. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900188 Billed To: John Spillman Reference Name: Proposed Facility Metal Bldg. I_ALei i+111u107MW,few Tax PIN/EH #: 5737-77-9110 Subdivision Info: ,,23 Location/Address: Single Lane -27028 Property Size: 3 acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUC%TION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: /�%'�1. Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. Septic System Installed By: Environmental Health Specialist's Signature: A� Date: DCHD 05/99 (Revised) PDAVIE COUNTY HEALTH DEPARTMENT 5 " Environmental Health Section �v • P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 .� (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900188 Tax PIN/EH M 5737-7110 Billed To: John Spillman Subdivision Info: Reference Name: Location/Address: Single Lane -27028 Proposed Facility Metal Bldg. Property Size: 3 acres ATC Number: 4055 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type . #People #Bedrooms #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing 'Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type 4-jGfIlPeople It/� #People/Shift _L #Seats Industrial Waste: ❑ Lot Size Type Water Supply 61d Design Wastewater Flow (GPD)��D Site: New-El"' ew Repair ❑ System Specifications: Tank Size/,Oa GAL. Pump Tank - Other: Required Site Modifications/Conditions: GAL. Trench Width Rock Depth AE/ rC Linear Ftoo IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 .m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** el l x /©r fro' 1--'" At Environmental Health Specialist's Signature: DCHD 05/99 (Revised) A/W X Date: 4 14 A J APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT Davie County Health Department ' Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 270281 (336) 751-8760 2005 ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 31 91L;1-_ Tax Office PIN: # 4�5-73 7- 77 -q I D Property Address: Road Name 'S' 4 w+-• City/Zip If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: Date home corners flagged: 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 respousihIe for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County IIealth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE ,-/' y — o -S 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). Sign given Revised DCIID (05/03 Date(s): EHS: Account No.��/ Invoice No. ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS Ailla„`$�{1tAl�•�/ INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instr`u2`t. 1. Name to be Billed JOl17J ��/�/%J'f a%7 Contact Person Mailing Address �� tJ��-�/ Home Phone �p nom/ City/State/ZIP �'%%�(% ��Sl�/�/� �7[�� -y/� Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip l 3. Application For: -Site Evaluation 0- ❑ Improvement Permit/ATC 0 Both 4. System to Service: ❑ House ❑ Mobile Home 111-iusiness ❑ Industry Other Aj,, 5. Type system requested: ❑ Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedrooms # Bathrooms V ❑Dishwasher ❑Garbage Disposal ❑Washing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes _ 2_ # Showers # Urinals _ �j # Water Coolers_ IF FOODSERVICE: # Seats Estimated Water?Usa�ge (gallons per day) 0 8. Type of water supply: 53,`County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes Z-90 If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 31 91L;1-_ Tax Office PIN: # 4�5-73 7- 77 -q I D Property Address: Road Name 'S' 4 w+-• City/Zip If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: Date home corners flagged: 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 respousihIe for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County IIealth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE ,-/' y — o -S 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). Sign given Revised DCIID (05/03 Date(s): EHS: Account No.��/ Invoice No. 523 9)70/1/o 70 �l n +� �.r� • ....... w�v............. I..rsr•xr:.s : rzsrro.:;a:^•�.��r....... %"A rl x t2D'�X I....�. lov-oAA ion oil t1. APPLICANT INFORMATION Account #: 989900188 Billed To: John Spillman Reference Name: Proposed Facility: Metal Bldg. Water Supply: On -Site Well DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5737-77-9110 Subdivision Info: Location/Address: Single Lane -27028 Property Size: 3 acres Date Evaluated: ��` �� Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L L Slope % o HORIZON I DEPTH v /- Texture groueC� SL'L Consistence 4i Structure 15;"— Mineralogy HORIZON II DEPTH " Texture grou2 Consistence Structure Q/& Mineralogy`! HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION ro LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: ` OTHER(S) PRESENT: r 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 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 true ure 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 DCI ID 05/99 (Revised) ■�/��/��/��/��/��/��/��/��/��■ ■/��/��/��■ ■�■ ■��■��■ ■��■ ■��/��■ ■ ■�■ ■��/■ ■ ■ ■ ............................................................ . � ........................................................... .. ............................................................ ... ............................................................ :::C::::C:::::::::::::::::::::::i�:C:::::::::::::::::s•.�... .. ... . .......o......�.............................................. . ..............►.............................................. . ..............�.............................................. . .....■........�...............�...........................■■. ■ ..............�............... ............................. ■ . ■��e��■ ■ C■ ■�o��■ ■��o��■ ■ ■��i��i��■ ■■ ■t��■ ■ ■■ ■��i��■ ■■ ■��i��s��t��■ _ ■��A��r��1I��1��/��r�� r� ■��/��/��il.�%��/��■ ■�■ ■��/�Sw;��\�� ■■ ■ ::::::�:::::::::�:�:::::::::::::�:::::::::::::::::::::::�:.68: E: ............................................................. . .� ............................................................��. ....................��.................................... . . 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