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335 Walt Wilson RdDavie County, NC , T� Parcel Report Tuesdav, October 11, 2016 WAK1V1Plls: �l'ri15 1, 1VU'1' A �UKV1:Y Parcel Information Parcel Number: K500000101 Township: Jerusalem NCPIN Number: 5746495565 Municipality: Account Number: 8301869 Census Tract: 37059-807 Listed Owner 1: SMITH RICHARD J Voting Precinct: JERUSALEM Mailing Address 1: 335 WALT WILSON ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-12-S State: NC Zoning Overlay: Zip Code: 28028 Voluntary Ag. District: No Legal Description: .47 AC WALT WILSON RD Fire Response District: JERUSALEM Assessed Acreage: 0.48 Elementary School Zone: CORNATZER Deed Date: 2/2013 Middle School Zone: VVILLIAM ELLIS Deed Book / Page: 009160655 Soil Types: Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Land Value: Total Assessed Value: °"�'�' � Davie County � `'o�N��' � NC 56170.00 Outbuilding 8� E�Rra 0.0C Freatures Value: 8040.00 Total Market Value: 64210.00 64210.00 ,, , • _ . . .. ; .. . . . .. . . , . . �'� ^� _ . . �r� . � � " � ' J '�� " � � �` " DAVIE COUNTY HEALTH DEPARTMENT �'�`� Y� rG'`� '' l, � � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION '� ��x�� \ • NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanit1ary Sewaqe Systems �,y _,+.y , ,, � Permit Nu,m�jber , f � w+w [.a %7f•`i/`f/: - '; iLt� / � uL,'i 1L�;� � :, ��% /� i'� / r /i:�N: i%i � ° �/ v` � , 1 Name � f N� ; i'�� , _ ` / r % / r...� r•' ' i� '�� . ,�' � i� �.cJ! ` ! ;, '.i / . � , „ .+' , _�f ..._ 'f/`,' �>J `, �,7 Location — y'/� �'J �I I I ' `� — — -- �l%G�.�f %(,�i %Sah� Subdivision Name Lot No. Sec. or Block No. /',l + f; 4 4� Lot Size House Mobile Home _�. Business _— Speculation No. Bedrooms � _.No. Baths —� No. in Family �_ , Garbage Disposal . YES ❑ NO [� Specifications for;�System: Auto Dish Washer YES [�.,.r1V0 p / =�! �� • ' � ° / Auto Wash Ma^hine YES ❑. NO ❑ '� , 3;-�,�'%� /: Type Water Supply __— '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 intended use change. 0 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 completi�n. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by � j_, �\� � �F:,�� 9A . �.. �=� �`_��`�- C� ' � �. - � � Certificate of Completion Date '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. �� ' ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ---- --- -_ Davie County Health Department �� Environmental Health Section �� R� J P. O. Box 665 u 93 Mocksville, NC 27028 �J �.. 1. Application/Permit Requested By � A i; "t-i'� =-1-<-�=� "� �:3 �� t� � (.��' �i-"I Mailing Address �"'�'� '� fy'`:� : '� / �� . C:�_�� E/ / t �`f.1. Home Phone _ L� 3`� - 3� 22_ Business Phone �n �� "� 2-- �9 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms O General Evaluation �vlobile Home ❑ Other No. of Bathrooms � Dwelling Dimensions _ 1 U �� 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: �YPublic ❑ Private 8. Property Dimensions _/ 3"'� � � 7 � • j '�. � �� *, � ��M � Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? �Septic Tank Instailation ❑ Place of Public Assembly ❑ Unknown Section Lot # p BasemenUPlumbing ❑ BasemenUNo Plumbing f�Washing Machine ❑ Dishwasher ti ❑ Garbage Disposal �r�c:a,� �1�ti'. ,J' p Yes `� No ❑ 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: �, �-; S �-��-� �,.�.1��,��' ��„�� .��' � �u.2 r� f�.',a ,��— v �; � C.v U I • . ' � , � � .�� c�., � 11 6 � �{�� .� �? � U,�.�� t,� a �....�� .� ; I r �r,��. �::.�E � C - '}?�*_: �, : r t � � �� r.� . p-'►� � ii.�,., r� �, �"�(,�}';) �. �-a�'" /'vi C�,�..� crr,./ 4",.. l_.2.°4-:�. I' , � i � � � This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. / j�,� f) �J / /,��j 7 �i / � ' /� (A ~�,/" � 0....`� /�(s�.+4.�'' FLCC...�{�L�' t_� .� �'�e.,.� ,s" '0P ,!@ _� �,,, "'< <= „s f _� , l.�.l �,�', ,,, . DATE SIGNATURE / CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: �1. I OWN the property. ❑ 2. I 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 representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE DCHD (12-90) SIGNATURE � ,. . . � � � � DAVIE COUNTY HEALTH DEPARTMENT �� Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED �i '�� - 9� ADDRESS PROPERTY SIZE �� PROPOSED FACIILTY �.%� � LOCATION OF SITE ��'' ��"� Water Supply: On-Site Well Community Public '� Evaluation By: AugerBoring �i Pit Cut FACTORS 1 2 3 4 5 6 7 � Landscape position Slope 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture Aroup Consistence Structure Mineralo�y SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LONG-TERM ACCEPTANCE RATE � �, �� SITE CLASSIFICATION: EVALUATED BY: /`� �/ — �,.c � 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 ;iC--Singie grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�y 1:1, 2:1, Mixed Notes fiorizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - Inches from land surface to free watet 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 � ■�■��\■��■ /��■ ��■ � ■��■��■��■��/1��■�V ■�a��■ �� ■��■��■��\�■��\■��■��■ ■■■��■■ ■��/��■ ■�■��■��\��■�� ■��E��■��■��■�■��■��■■■ ■��\�� ■��■��\��■�� ■��\�� ■��\��■��\��■ ■��\��■��/��\��■��■ ■��■��■\��\��/■��■��\�� ■��/� �� /��■ ■�i��■��■�� ■�■�� ■ ■��■��\��■�� ■ ��■ ■■ ■�/��/�� ■��■��■��■■■��■��■��■��■��■��■ ■��■ ��■ ■��/��i�� ■��■��■��N��■ ■��■��■��e■��■�■��■ ��■ �� ■��■�s��■■��_��■■�n�i��■��■�■�� ■��■��■��ua�� ■��■�� ■ iii�iiiiiiiiiiiiiii�iiiiii�iiiiii�iii�iiiiii�iiii�iii��iiiiiiii=iii ■��■��N■��■��■��N��n■�■�=��_ ■��■�■��n�� ■ .........�........................................�.....■.......�. ■��►��■��■ ��■��■ ■■��o�� ■��i�� iiiiiiiiiiiiiiiiiiiii i�iiiiiii�iiiiiiiiiii��iiiiii i�iiiiiiii ��u��n��■��n��_�� ■��■��r,��■��■��■ ■��■��■��■��■��■�� ■�� nGi� �� ■��\��/�� iwii��i�i~'i��M��:\�� /��I��1��'�� /��■ .......................�..............�::'::::C b::::C::::::: ........................�............. 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