412 Woodward RdDavie County, NC
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Tax Pazcel Report
Tuesday, October 11, 2016
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WARNING: THI5 I5 NOT A SURVEY
Parcel Information
Parcel Number: F500000021 Tovmship: Mocksville
NCPIN Number: 5840057602 Municipality:
Account Number: 82532436 Census Tract: 37059-806
Listed Owner 1: BECK JACQUELINE HOLDER Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 412 WOODWARD ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
2ip Code: 27028-0000 Voluntary Ag. District: No
Legai Description: 94.64 AC WOODWARD RD Fire Response District: WILLIAM R. DAVIE
Assessed Acreage: 96.46 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 1/2010 Middle School Zone: NORTH DAVIE
Deed Book / Page: 2010E0116 Soil Types: MrB2,EnB,EnC,MsC,ChA,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value:
Land Value:
Total Assessed Value:
49690.00 Outbuilding 8 Extra 0.00
Freatures Value:
335480.00 Total Market Value: 385170.00
98380.00
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9�,�v ��, All data is proWded as Is without wartaMy or guarantee o( any Idnd either expressed or implied Including but not Iimked to the
Davie County� (mplied warrarrtiea of inerchaMability or fitness for a particular usa All users of Davie County's GIS webstte shall hold harmless the
CouMy of Davle, North Carolina, its agmts, conwltants, contractors or employees from any and ap daims or puses of actlon due to
�p�p�S� NC or arlsing out oT the use or Inabllky to use the GIS data provtded by thls webskc
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AUTHORF�ZATION NO. Q% 2%, DAVIE COUNTY HEALTH DEPARTMENT I�' 3�
- � • Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: /� PL' Mocksville, NC 27028 Subdivision Name:
_ _j� .� / Phone #: 704-634-8760
Directions to property: ��OCl �Y Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# ���� - �� _��
SYSTEM CONSTRUCTION -�
Road Name:
���O�ci.U��f�� IZip:—'ro� r ��1'
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSLTED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying farBuilding Pernuts. �
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/j % �� /�`� ***NOTICE*** THIS AUT�IOWZATION FOR WASTEWATER CONSTRUCTION
�' <. �.^a "� ..�%� ' � • � ''" �" IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
, . �. �
� � � DAVIE COUNTY HEALTH DEPARTMENT
. k>�r� �. '�' ° p-' �~ � IMPRO�EMENT AND OPERATION PERMITS
Permitt e's.' 4� � � i� � a ..,� . . , , . . . , .
Name: a ��"`"' ,''.�'{? °
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Directions to property:: ,���.�1'f''f "•�'��r`;1 �rt ��
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Il1�PROVEMENT
PERMIT
, ,30 - � ��%;�
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PROP$RTY I�1 FORMATION
Subdivision Name: � �'
Section: � Lot:
Ta�c Office PIN:# -�''L�'f f. �^� �� 1 �td r t��'
Road Name: �� i;: ;�::�. � A�:� ti''�., i Z P' `,y f�� t�� /-.'�
**NOTE** This Improvement Pemuf DOFS NOT authorize the construction or installation of a septic tanlc 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 pemut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�' -� �' ***NOTICE*** THLS PERNIIT IS SUBJECT TO REVOCATION IF SITE
}, r .-7�.. . ,r .:; °'<" ``' � * � ` � , ='': !f � /';1 j� PLANS OR TI-lE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING TI� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE f # BEDROOMS �� # BATHS �� # OCCUPANTS _�% GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFISHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No
LOT SIZE Y� � TYPE WATER SUPPLY ��{ � DESIGN WASTEWATER FLOW (GPD)� ^''�c!/� NEW SITE !r� REPAIR SITE
���i
SYSTEM SPECIFICATIONS: TANK SIZE��GAL. PUMP TANK GAL. TRENCH WIDTH ^'� �+ROCK DEPTH � LINEAR FT...� �
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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
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AUTHORIZATION NO�� � OPERATION PERMIT BY:
DATE• � r� '` ^� �
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREAT'MENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TII�1E.
DCHD OS/96 (Revised)
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. ,�(� � APPUCATION FOR SITE EVALUATION/IMPROVEMENTS
S � Davie County Health Department
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1. Application/Permit Requested By
Mailing Address
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
�E8 2 719�7
.
Home Phonc� `��� %TJ — �6 % !
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_-� c� Ct�/SCI. ��� �� 2- /��- � Business Phone
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve:
❑ Business
❑ General Evaluation
C�House
❑ Industry
5. If house, mobile home: Subdivision
l� Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Other
No. of People �
No. of Bedrooms �
No. of Bathrooms _�
Dwelling Dimensions �/ �� ��e��%�O
6. If business, industry, piace 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
❑ Unknown
Section Lot #
p BasemenUPlumbing
❑ BasemenVNo Plumbing
IIJ Washing Machine
f�Dishwasher
Ib Garbage Disposal
7. Type of water supply: ❑ Public (1� Private p Community
8. Property Dimensions g• �..6 �' ��''e5 Sewage Disposal Contractor /���5��/ �Y/o%�
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes ❑ No
`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:
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Tax O,f f i ce PIN: #���d"d �' �� d�
Q� PROPEIZTI�/ A�bRESS� as follows:
Q%��IVC e///C4�1' Road Name: (/VDdG-I�.�GI-i�^��.
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�,Q�d.�r� �;.t�: � 70��
,� E- SU$MZT A PLtIT WZTH THIS APPLZCttTION.
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� Revisions effective October 1� 1995.
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This is to certify that the information provided is correct to the best of my knowledge, and I underst�
incurredfro�hi�p�ca�n. `/a/�%'� (/ �'-�J�;�
os 7 ;<�
DATE SIGNATURE
I am responsible for all charges
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: !b 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 Qavig Coun Health Department to enter upon above described
property located in Davie County and owned by �{gr� ,��
to conduct all testing procedures as necessary to determine said site's suitability fpr a grou absorption sewage treatment
and disposal system.
a -a �- 97
DATE SIGNATURE
DCHD (1/93)
- � • ' � DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section SECTION LOT
SoiUSite Evaluation
APPLICANT'S NAME �fSG?/_�� DATE EVALUATED �f l�"9�
PROPOSED FACILITY � PROPERTY SIZE ��.0
SUBDIVISION ROAD NAME
irJGi r,�.f��
�—
Water Supply: On-Site Well � Community,
Evaluation By: Auger Boring � Pit
Public
Cut
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 group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORI:
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEP
SITE CLASSIFICATION: O� EVALUATION BY: l`Y�L�
LONG-TERM ACCEPTANCE RATE: .� OTHER(S) PRESENT:
REMARKS:
DCND (OI-9�)
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
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
�Vlineralogy
1:1, 2:1, Mixed
otes
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
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. .��..� LEGEND � � � � '�- � � � -� � NOTE : TMiS�PLAT IS SUBJECT TO 11NY EASELENTS, ACREEAENTS. OR � - �
ght-ol-W% - � - C�nt�r Lln• � � . � � . . .. � . RIGHTS OF WAY OF RECORD PRIOR TO TNE DATE OF TNIS PLAT. .� � �a. ` � �
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N�� Iren PIOt�d yH —{,f'a� f{p�� � . . � 7NIf SURV[Y� If SUlJECT TO ANY fAtT2 iM1�T WIY !E DISQOSED /Y A FUIL ,� .
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Woodward Road
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Plot for
Karl V. Beck
Portion of Deed Book 100, Page 179
Part of Porcel 21, Davie County Tax Map F-5
SG4LE TOWNSHIP COUMfI' STATE DATE
1" = 100' ,•Mocksville . Davie North Caroiino 01-21-1997
SURVEYED:
CRC
MAPPED:
CRC
C. Ray Cates JOB N0. `
119 Depot Street 3469
Mocksville, NC 27028 ►AAP N0.
Phone (704) 634-3735 3469
• •