799 Turrentine Church Rd Davie County,NC Tax Parcel Report Tuesday, October 11, 2016
WARNING: TffiS IS NOT A SURVEY
Parcel Information
Parcel Number: K60000000402 Township: Mocksville
NCPIN Number: 5757159935 Municipality:
Account Number: 64123000 Census Tract: 37059-807
Listed Owner 1: SEAMAN RUTH WILLIAMS Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 799 TURRENTINE CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 2702&0000 Voluntary Ag.Dist�ict: No
Legal Description: 19.789 AC TURRENTINE CHR Fire Response District: JERUSALEM
Assessed Acreage: 18.78 Elementary Schooi Zone: CORNATZER
Deed Date: 8/1990 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001550420 Soll Types: MrC2,Mr82,SeB,PcB2,PcC2,EnB,MsC,CeB2,ChA
Plat Book: Flood 2one:
Plat Page: � Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding 8�Extra 4100.00
Freatures Value:
Land Value: 108660.00 Total Market Value: 112760.00
Total Assessed Value: 112760.00
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9 A�i�, All data Is pmvided as Is witl�out warraMy or guarantee oT any Mnd either expressed or Implfed includfng but nat Ilmited to the
Davie County� Implied wamntles of inerchaMabiiity or fitness fw a paNcular usa All users of Davle County's GIS webske ahafl hold hartnleas the
�T�v County of DaWe,North Grollna,lts age�rts,conwltaMs,contracton o►employees irom any and aB da(ms or uuses ot actlon duo to
�O�p�S� 1�l. or arlsing out of the use or Inabtllty to use the GIS data provided by this website.
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Yl�one:(336)-753- 80 I'a�:(336)-753-I 680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: �rf Ji� �,�f''( ���l,,-����/,,� Phone Number w (Home)
Mailing Address: �l'i ,�„� ���� �/`�'J ,3 7�3 (Work)
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Detailed Directions To Site: ��/<.;��"`=�•c-,�-.�3� r�U/ S' �L. )��„) Jf:-���w,..� �([.-� �U,�.et',�r,e.P. .
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Property Address: �1 T'/�-!i�{',C��,�i,vC ,l, , �vU G�lr��'� /Vi� �7b� �
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: _��e�.�C' ,s��.�y,�„J Type Of Facility: ��'S'��P���! �
Date System Installed(Month/Date/Year):. Number Of Bedrooms:�Number Of People: �
Is The Facility Currently Vacant? Yes � If Yes,For How Long? '�/L�-�6�f' Gi�� �9 ��=�-C,' ` ,'�
Any Known Problems? Yes �o If Yes,Explain: ,.�-
Please Fill In The Following Information About The NEW Facility:
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Type Of Facility:�•�e�u;�d'!y� �L,y� . t GLr�.��L i,�iJ Number Of Bedrooms: Number of People
Re uested B ��'�"'�- ° �`'J. �' � ? •
q y: �/,��/��..�,G�� Date Requested: �,�-Z�--/�
(Signature) �
For Environmental Health Office Use Only
Approved ��''�Disapproved
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Comments: ��C��'ir'1 /�i��l �� S''P��Qc�C ��✓t�I e(irZ�/ /J�"�-I%G� �'"� Sr� �� .�
-SC�%"��'_�� . � ,Pa�.�'TJa� �i�����'�
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Environmental Health Specialist - Date: � /��%D�
*The signing of this form by the Environmental� Health Sta ' way intended, nor should be taken as a guarantee
extended ar limited that t on-site Nt10�31AVU �,ill fu ction ro erl far an rven eriod of time.
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Payment: Cash Check Money O der # oun $ Date: 3 �/U—//J
Paid By: �i a��d d � ���ecei ed : Gh .� y � S
Account#: ���Z' #: r��, �,,
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f* . �- '�`��"� DAVIE COUNTY HEALTH DEPARTMENT zo�c
. �� � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION r
_ *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a .� ,�,�• e e y I�Gi
Sanitary Sewage Systems � ��� /G{����V��� Permit Number
Name r✓y�`:/f�"� i,-^� i;�',., ;��f c.'/��'�r "v !��/ f,f3jr���% Date rij'/i/�fi �� !';'.: n r
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Location ri�'i.�—/�i�"�:-��. ���, :�� r, /: o' � 1.:�,•. -.,�',_;._ . - �`,_�
��"' ,� %C %�,�' ,��-?�' ��i= i'%t" �r j �� ,,�_ � r� �
Subdivision Name Lot No. Sec. or Block No.
Lot Size,���� House Mobile Home r''JJ Business _— Speculation
No. Bedrooms �--"� No. Baths —f ��`� No. in Family `=� _
Garbage Disposal YES ❑ NO p` Specifications for System:
Auto Dish Washer YES � NO p ����, � ���� �.<< y/�..,,�;r y
Auto Wash Machine YES � NO ❑ �"r ' r,�" �
�ype Water Supply ��%��•� __—
,_ �.��u��,4`�'�'�„j �
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intende use change.
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Improvements 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 day of completion. Telephone Number: 704-634-5985.
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Final Installation Diagram: System Installed by �_��.��'��'<� �l-�?:,�
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Certificate of Comp et o —_1- Date _ /
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#The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
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S' � dPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT?�C
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.� , , Davie County Health Department ��`
.. Environmontal Haalth Soction �O
P. 0. Sox 665
Mock�ville, NC 27028 �l/y
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1 . Application/Permit Requested By �-��-��Qn '1�" U�'yl ��7PA�A/'� �'�
Mailing Address ��" g ��X �v ��� /�Oc ��5 ✓� //c` �Ve- �rd � �
Home Phone ��3`� -��v 3 13usines� F�hon� ��v`� -�o a `-I�1 /cra�..}r� r,J�oc�.�
2. Name on Permit if Different than Above
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3. Property Owner if Different than Above ��i r.4-���-h LJ.�/���a� � --
4. Application/Permit For : � General Evaluation (�S/Tank Installatic�n
S. System to Serve: 0 Hause ;yFabile Home Q Business
� Industry u Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lot�t
No. of People `� Dwelling Dimensions /�',�'(oo �
No. of Bodroom� � FsasemEnt/l�lumbing
Na. of Bathrooms� ` Ba3ement/No Plumbiny
(�Washing Machine J Uishwasher 0 Garbage Dasposal
7. If business, industry, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories Na. of Watar Coalars
No. of 5howers
8. Type of water supply: V Publ�c �rivate n Communir.y
9. Property Dimensions � - �1 �� �...� _ :2� �..�'�. .�2�� ''
1�. Sewage Disposal Contractoi-
11 . Do you anticipate additians/expansions of the facility this system �.s
intended to servo? �Yes � No
If ye9, what tyNe? _ r►�1� �/ b u���G� h�wse� l/�-�P �
*NOTEs Improvements Permits ehall be valid for A period ot 5
years from date issued. Improvements Permits are subject
to revocation, if eite plane or the intanded uae change.
Effective October 1, 1989.
This is to cer•tify that the informatior� pruvided is correct Co tr�e
best of my knowledga, and I understand I am rE:sponsibla far all
charges incurred from tl��is application.
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Uate Signature
Uirections ta Property : l
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`��� , S�c� a; 1�� a � � v r c Q r�a��v,� C h� r c1� ��. ��.o S �h� ��h
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DCHD (10-89)
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� ' � � DAVIE COUNTY HEALTH DEPARTMENT
� h � Environmental �iealth Section
Soil/Site Evalua�ion
NAME � �cvQf'i!'.� DATE EVALUATED �/`-��l�
ADDRESS PROPERTY SIZE ��
PROPOSED FACIILTY L/` � LOCATION OF SETE _ �u�'>^e��`.r r
Water Supply: On-Site Well �� Community Public
Evaluation By: AugerBoring �/ Pit Cut
FACTORS 1 2 • 3 4
Landsca e osition !� L � �
Slo e 7. l�
HORIZON I DEPTH �- �
Texture rou
Consis tence (-�.�
Structure -r l�'
Mineralo
HORIZON II DEPTH � -4�
Texture rou
Consistence � c�;'
Structure � � �d
Mineralo - �.�
HORIZON III DEPTH •
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLaSSSFICATION •
LONG-TERM ACCEPTANCE RATE �
SITE CLASSIFICATION: �:�i� EVALUATED BY: 1�.�/�
LDNG-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 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-Subangularblocky PL-Platy PR-Prismatic
Min eralogy
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 wate�' 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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Plioiie:(336)-753- 80 rax: (336)-753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
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Name: I f�iG!'JJ►�( � �,��Ir1 C�...��/ta� Phone Number + (Home)
Mailing Address:�1� ,��.�;� a?��� ��9,3 7�3 (Work)
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Detailed Directions To Site: ��/��,�^� 6 a/�,�L. �i,,.7 JF��.�w� �(�-l �U,�.����P�
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Property Address: �j�!"TCi�1',(�,,�, �� _ �vl'i'' v����'� /i/i[,�' �76 z �`
Please Fi11 In The Following Information About The EXISTING Facility:
Name System Installed Under: �te�' ,S��.iyn,�1 Type OfFacility: ��f'������ `
Date System Installed(Month/Date/Year): Number Of Bedrooms:�Number Of People: �
Is The Facility Currently Vacant. Yes � IfYes,For How Long. �/Ll-Y`�f 9 � (
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Any Known Problems? Yes � If Yes,Explain: ,�--
Please Fill In The Following Information About The NEW Facility:
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Type Of Facility: .�u; .-t� LL�.C�C.� i,�✓ Number Of Bedrooms: Number of Peo le
Requested By: S�'�"�- � �OiJ'�.�i��� �'_,�� Date Requested: �-,Z�/'O
(Signature) ��
For Environmental Health Office Use Only
Approved 4�r Disapproved
Comments: /i�C��r? �.i,�l 'S �S-�'/.h4c���`rc.� ��� ��'�-�cti �'�5�.��—
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Environmental Health Specialist " Date: � �d'-%a
*The signing of this form by the Environmental Health Sta ' way intended,nor should be taken as a guarantee
extended or limited that on-site 'uNfl'0�31AVU
( ) py�g}y�,q��will fu ction properly for any given period of time.
Payment: Cash Check Money O der # noun $ Date: � '-/Q—/�
Paid By: � a��d � � ���ecei ed : Gh �y /� S
Account#: c��GZ' � #: r���
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