992 Daniel Road Lot 3— t
Davie County, NC ; Tax Parcel Report Wednesday, December 14, 2016
------- i
------ f 550
,
le
, r
r r pAN!EL RD
x'•`1013
,r
964 j .-1031
I
974— % j 992 a`
I
I
982 994
1006.11 t �, ,
1014 1024.1
582
O
592
I�. U
612
i
1071
WARNING: THIS IS NOT A SURVEY
All dm is provided as is elthout"manty or guarantee of any kind adherexpressed or Implied Including butnot limited to the
ImpliedmmntiesofinehantabiftyerDthessforapanticularuse.AllusersofDavieCounty'sGISembedsshallholdharmlessthe
mDavie
Parcel Information
County a Davie, North Carodna, ds agents, consultands, contractors oremployeestrom my and all claims or causes of action clue to
Inability Me GIS data by
Parcel Number:
L40000OD4803
Township:
Jerusalem
NCPIN Number..
5736622748
Municipality:
Account Number:
82531368
Census Tract:
37059-807
Listed Owner 1:
ROCHAARMANDO DOMIQUEZ
Voting Precinct:
COOLEEMEE
Mailing Address 1:
992 DANIEL ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:.
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 3 DANIEL WEST 0.824AC
Fire Response District
JERUSALEM
Assessed Acreage:
0.79
Elementary School Zone: COOLEEMEE
Deed Date:
3/1997
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
1997E0009
Soil Types:
WeB,EnB,MsC
Plat Book:
0005
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:,
Total Market Value:
Total Assessed Value:
1071
County,
All dm is provided as is elthout"manty or guarantee of any kind adherexpressed or Implied Including butnot limited to the
ImpliedmmntiesofinehantabiftyerDthessforapanticularuse.AllusersofDavieCounty'sGISembedsshallholdharmlessthe
mDavie
NC -
County a Davie, North Carodna, ds agents, consultands, contractors oremployeestrom my and all claims or causes of action clue to
Inability Me GIS data by
or arising out of the use or to use provided this website.
OPERATION PERMIT
♦�Q t� Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
ror umce use uni
'CDP File Number 138714-1
County ID Number:
Evaluated For. EXPANSION
township:
Applicant: Armando Dominquez Rocha Property owner. Armando Dominquez Rocha
Address: 992 Daniel Road
Address: 992 Daniel Road
City: Mocksville
City: Mocksville
State/Zip: NC
27028
State/Zip: NC 27028
Phone #: (336) 917-9563
Phone #: (336) 917-9563
Property
Location & Site Information
Address/Road #:
Subdivision: Daniel West Phase: Lot: 3
992 Daniel Road
Mocksville NC 27028
Directions
Structure: SINGLE FAMILY
Hwy 601 South right on Gladstone Rd. right on
Daniel Rd 6th on right
# of Bedrooms: 3
# of People:
er Supply: PUBLIC
sued by. 2140 -Nations, Robert
*System Classification/Description:
TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
issued by- 2140 -Nations, Robert
rDesign
SaproliteSystem? QYes ®No
Flow: 2 4 0
Distribution Type: GRAVF Y -SERIAL Pump Required?
QYes QNo
Application Rate: - 0 2 7
5 'Pre Treatment:
Drain field
Nitrification Field
8 7 3 Sq. ft. `System Type: INFILTRATOR QUICK 4 STANDARD W
No. Drain Lines a
Installer. Joe Stafford
Total Trench Length: a 1
0 ft. Certification#:
Trench Spacing:
9 Olnches O.C.
—
a Feet O.C. EHS: 2140 -Nations, Robert
Trench Width:
3 Inches
@Feet
—
Date: 0 8/ 2 1/ 2 0 1 4
Aggregate Depth: inches
Minimum Trench Depth: 3 6
Inches
Minimum Soil Cover. a 4
Inches
Approval Status
Maximum Trench Depth: 3 6
Inches
R1 Approved ❑ Disapproved
Maximum Soil Cover: a 4
Inches
CDP File Number 138714 - 1
Manufacturer. Shoaf
STB: 760
Gallons: 1000
Dato: 0 5/ 1 4 / 2 0 1 4
'Filter Brand:
ST Marker. ❑ Yes E No
nforced Tank: ❑ Yes ® No
1 Piece Tank: ❑ Yes [i] No
County ID Number:
Lat_ Q
Long:
Installer. Joe Stafford
Certification #:
THS: 2140 - Nation. Robert
Date: 0 8/ a 1/ a 0 1 4
Approval Status
91 Approved ❑ Disapproved
Pump Tank
Manufacturer. Installer.
PT:
'Cham:
Gallons:
❑ Yes
Adjustment Valve
❑ Yes
Date:
❑ Yes
PVC Unions
❑ Yes
RiserSealed ❑
Yes
❑
No
Riser Height: ❑
Yes
❑
No (Min.6 in.)
nforced Tank: ❑
Yes
❑
NO
1 Piece Tank: ❑
Yes
❑
No
Pipe Size: inch diameter
Pipe Length: feet
'Schedule:
Pressure Rated ❑ Yes ❑ No
kpproved fittings ❑ Yes ❑ NO
Pump Type:
Dosing Volume:
Draw Down:
'Cham:
Valves Accessible
❑ Yes
Adjustment Valve
❑ Yes
Check -valve
❑ Yes
PVC Unions
❑ Yes
Vent Hole
❑ Yes
Anti -siphon Hole
0 Yes
Inches
❑ No
❑ No
❑ No
❑ No
❑ No
0 No
Certification #:
'EHS:
Date:
Approval Status
❑ Approved ❑ Disapproved
Installer.
Certification #:
`EHS:
Date: / /
Approval Status
❑' Approved ❑ Disapproved.
Installer:
Gal Certification #:
`EHS:
Date:
Approval Status
❑ Approved ❑ Disapproved
CDP File Number 138714 - 1 County ID Number.
Electric Eauioment
N EMA 4X Box or Equivalent
❑ Yes
❑
No
Installer.
Box 12 inches Above Grade
❑
Yes
❑
No
Certification #:
Box Adj.To Pump Tank
❑
Yes
❑
No
Conduit Sealed
❑
Yes
❑
No
*EHS:
Pump Manually Operable
❑
Yes
❑
No
*Activation Method:
Date:
Alarm Audible
El
Yes
11
No
Approval Status
❑
Approved❑ Disapproved
Alarm Visible
❑
Yes
❑
No
2140 - Nations, Robert
*Operation Permit completed by:
Authorized State Agent: e42 Date of Issue: 0 8/ 2 1/ x 0 1 4
This system has been installed in compliance wth applicable NC General Statutes: Article 11, Chapter 130A, Rules for
Sewage Treatment and Disposal, 15A NCAC 18A .1900 et Seq., and all conditions of the Improvement Penn it and
Construction Authorization. This property is served by a TYPE II A. sewage septic system.
Rule .1961 requires that a Type TYPE II A.
septic system meet the following criteria:
Minimum System Review ByThe local Health Department: NIA
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency By Certified Operator.
WA
Reporting Frequency By Certified Operator: NIA
Rule .1961 requires that a Type IV and V septic systems designed fora homelbusiness owner must maintain a valid contract
with a public management entitywth a certified operatoror a private certified operator forthe life of the septic system.
Rule .1961 requires that Type VI septic systems designed fora homelbusiness owner must maintain a valid contract with a
public management entitywith a certified operator forthe life of the septic system.
Rule. 1961 (2) (e) requires a contract shall be executed between the system ownerand a management entity priorto the
issuance of an Operation Permit for a system required to be maintained bya public or private management entity, unless the
system ownerand certified operator are the same. The contract shall require specific requirements formamtenance and
operation, responsibilities of the ownerand systems operator, provisions that the contract shall be in effect foras long as the
system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of
the Operation Penn it that subsequent owners of the systems execute such a contract.
@Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC
Drawing Drawing Type: Operation Permit
CDP File Number: 138714 -1
County File Number:
27028 Date:
W W
O Inch
Scale: , . , OBlock
ON/A
iM
■■■OM■■■■
4MEN■■
EMMM■M■
MENEM
EE
EEM
M■IMMM
■■
.■
MENOMONEE
MENEM
EE
MM
EIM
MENNEN
IMMEMEM
MENNEN
MENNEN
MENEM
MENEM
MENEM
MENEM
EMMEME
MEMMEME
MMMM■■MEM
MEMM■EIMEE
■
.0
■
0
MEN
MEN
■E'
EE
EE
EE
0
■
MENNEN
MEN
MEN
IM■
IMMOMMEMEME
MEMEMEMOMME
MMEMEME
1
EE
■
_MEMNON
MEMEEE
MENNEN
MENEM
OMEN
■■■.MIME
MEMEMME
MEOMEN
EM
l
1
1
■
E
M
MEMEMIMM
MEMEM
MENEM
MMMME
EMEMEME■EM
■MEM■■ME■
■
MEEEMEME
MEMEMEME
■■IMIMMEMME
ONE
■EEMEMEMEMEM
Drawing Type:
HEALTH DEPARTMENT RELEASE
'Davie County Health Department
210 Hospital Street
.:. :,:
Mocksville NC 27028
Health Department Release
CDP File Number: 138714 - 1
County File Number:
Date: 06 /a7/2014
O Inch
Scale:. OBlock .ft.
O N/A
OL ii Ar -c 7 OC, j4 JS i
CONSTRUCTION AUTHORIZATION 138714-1
• Davie County Health Department CDP File Number:
210 Hospital Street
P.O. Box 848 County File Number:
Page 3 of 3
P1 P2