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295 IJames Church Road Lot 7 Davie County,NC Tax Parcel Report Wednesday,December 28, 2016 260 276 . 252 268 ---� (JAMES Cf-r11RCH RD II CHURCH-{ RD IJAME-S CHURCH RD i 339 333 317 rr' ; 4 cc 267-- 295 287 251 301 279 • U 0 rn .i ,. ------- . --- ---- -- -- --- --- �- — ------- ------ --1 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G3060B0007 Township: Mocksville NCPIN Number: 5820312212 Municipality: Account Number: 80206750 Census Tract: 37059-806 Listed Owner 1: WILSON TAMALA B Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 295(JAMES CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 7 FOREST BROOKS SECTION 1 Fire Response District: CENTER Assessed Acreage: 0.77 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/2004 Middle School Zone: NORTH DAVIE Deed Book/Page: 005420180 Soil Types: PcC2,CeB2 Plat Book: 0006 Flood Zone: Plat Page: 137 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra g Freatures Value: Land Value: Total Market Value: Total Assessed Value: 91 F 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 orlitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,its agents,consuitarda,contractors or employees from any and atl daims or causes of action due to rD Ut7�� NC or arising out of the use or Inability to use the GIS data provided by this website. -AUTH,6-liIZA- ION NO: 1553ADAVIE COUNTY HEALTH DEPARTMENT PROPERTY INFORMATION Environmental Health Section Permitt6eos PO. Box 848 Name: 0 Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 Directions to property: Section: Lot: AUTHORIZATION FOR WASTEWATER SZ 12 - Tax Office PIN:#51Z-Q, I r4 C, SYSTEM CONSTRUCTION Ivoic,717y�arlt Road Namej,,)AA-S cflS)r2p: **NOTE* *.This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building-�Peni�ts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office whe ap I 'ng for'Building Permits. c (In compliance with Z, lepl'y of G.S. Chapter 130A, Wastewater Systems, Section . 1900 Sewage Treatment and Disposal Systems) A ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRON L,HEALTH S CIAL DAT( ISS hED r' *M,f'�i^5'W "".r,SYr"''ti`. 'tr''•+'t a'* '�f'¢y. Y fi�Y'"T•'►rv•• ti F'A v F _ r ry :- _ _:. ::,; � i"t � � h'``er i•`7•� 7[ .i •,:�" .;:r .i- r�'� -S• .n Y.,� _y...S.4 . DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS ermitteesPROPERTY INFORMATION Name. Subdivision Name: ; IIirections to property '�, Y �1. t Section: Lot: "�T . ; , t 4 , E14PROVEMENT PERMIT Tax Office PIN:# ,4 E - i - 2- Road Na mel �AiZip: A . **NOTE**This Improvement Permit DOES NOT authorize the constriction or installation of a 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 I I of G.S.Chapter 130A;Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE � `' PLANS OR THE INTENDED USE CHANGE.YOUR WA$TEWATER ENVIRONME AL HEALTH SPECIALIST` DA ISS D SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE A ,+ , INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE t F #BEDROOMS ^#BATHS :7- #OCCUPANTS GARBAGE DISPOSAL:Yes or o COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No ,LOT SIZE 1 TYPE WATER SUPPLY ESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE I WOD GAL. PUMP TANK `• GAL. TRENCH WIDTH_749 ROCK DEPTH LINEAR FT.-0o OTHER ! 1' JST AP.�P�JT��'� REQUIRED SITE MODIFICATIONS/CONDITIONS: ILL ne) (,&, ,p A� Y qe t`�- � Capp app L1 t Ct4 {�(),)T Or IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLU FILTER& &RISER(S) IF 6" BELOW FIRISHED GRADE+ l�o� 2-1-7)00 —Pb�Q L1�a. 1os�' S WTP � vl,�a 4' -n c Nw '�200 �� 5u Q �r **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('F�1dX (MG)751—a7(MG)751—a760OPERATION PERMIT I SYSTEM INSTALLED BY: ' IDr Sr - � SILL- - Tu24�� 2 / -P�•JT or- k4vuS� J a / Na� � 1 , , GarwPL'T� Al 1 r5Sf CYI'M U, AUTHORIZATION NO. ( SS APERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATIONTERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE'I I OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY)31� 'AKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96(Revised) �u ru rrury Cult MIL EVAWAHON/IMPROVEMENT PERMIT doFD M R Davie County Health Department Envimamenfallfealffi Section P.O. Box 848/210 Hospital Street )999 Hockaville, NC 27028 (336)751-8760 L HEALTH nAMEPOWU ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE R-Qualmu INFORMATION Is PROVIDED. Refer to the 11MR11ATION BULLETIN for instructions. IJ1. Name to be Billed h �t___ i tact person P446A n Hailing Address , r,, Hama Phare �7 ��— / CX/r City/state/LIP 013 Business Phone Q _ /0 2l"/��/ /7 Z. Name on Persalt/ATC if Different than Above Ualling Address City/state/Lip de- 3. Application For: i Evaluation @ in-provement Permit/ATC oth 4. system to Service: House 0•• Mobile Home 0 Business 0 Industry 0 Other s. If Re idence: I People Ji Bedrooms 3 to Bathrooms t�Dishwasher 0 Garbage Disposal B'llashing Machine 0 Basement/Plusbing 0 Basement/No Plumbing 6. If Business/Industry/other: Specify type / People / sinks # Commodes i showers M♦ Urinals i Mater Coolers IP FOODSERVICE: 11 Seats Estimated stater Usage (gallons per day) .7. Type of water supply: County/City 0 Kell 0 COMI'mm ty e. Do you anticipate additions or expansions of the facility this system Is Intended to serve! 0 Yes o If yes,what type' ***IMPORTANT'** CLIENTS AIUST COA1PLEIETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN /M,UST BESUBMITTED b the client with TRW APPLICATION. Property Dimensions: 10b 7 14T_Q WRITE DIRECTIONS(from MockrAlle)to PROPERTY: Tax Office PIN: a 3324 3/— 2 2 /2✓ .000 o- Property Address: Road Nam r r o City/Zip t- If in a Subdivision provide information,as follows: &e'ok— Section: Name: res Block: Lot: Date Property Flagged: 1 9d � 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 1s falsified or chauged. I,also,understand that I am reVonslble for all choges Incurred from this application. 1,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 bv to conduct all t ing p educes as necessary to determine the site snitabill . DATEZ2: 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). ? Account No. Revised DCHD(07/98) Invoice No. i _ so 10 700 100 100 100 100 25 0224 1213 2212 3211 9 7 1 508.79 Scale:l" _ •««•««•'•• April 29,1999 3:47 PM ' - APPLICATION FOR SITE EVALUATION/IMPROVEMENTS`PEI�BfILfT P e, 11 1 (, .. .- t mei• Davie County Health Department Environmental Health Section P. O. Box 665 i 1';.r 7 I; '�� J ` Mocksville, NC-27028 _ J LIl DAME COUNTY NL;:�';! r 1. Application/Permit Requested By — ��e Y �. l Mailing Address 1 Roo C Mo C. S U l C `J Home Phone `i t��� ���-� Business Phone E. 2. Name on Permit if Different than Above _ ,j 3. Application/Permit for: General Evaluation ❑ Septic Tank Installation , 4. System to Serve: 1 House \ ❑ Mobile Home ❑ Place of Public Assembly . pwt . 'i ❑ Business ❑ Industry ❑ Oth r ❑ Unknown E 5. it house, mobile home:Subdivision Section Lot # ❑ Basement/Plumbing. No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. It business, industry, place of public assembly, other: Specify type No. of People.Served No. of Sinks_ No. of Commodes No. of Urinals No.of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: g37Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes,what type? i '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: (V . - .a . r.� 4y,. - ; �,. ll. { r '-j t:,�� , !1 C C) I, ck V,.C e cI I � E �w ��;�Q .gyp b�m j� fW/ �_ 7 r 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 �- I .' ingurred from this application. ; DATE l SIGNATURE i CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESC_ RIBEDObi PERTY MUST CHECK ONE: ❑ 1. I OWN the property. 2. I DO NQT OWN the property. If you checked Box y/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 << . >�� r�__ �_ ^ r t� to conduct all testing procedures as necessary to determine said site'4 suitability for a ground absorption sewage treatment and disposal system. TE S:f3NATURE DCHD(12.90) 1 . . DAVIE COUNTY HEALTH DEPARTMENT Environmental,Health Section d 'u7 Soil/Site Evaluation Y c� NAME _ DATE EVALUATED ADDRESS 55� P" `PROPERTY SIZE PROPOSED FACIILTY \-t mo - LOCATION OF SITE Water Supply: On-Site Well _ Community Public Evaluation By;`�L Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position S S Slope R a- t ©- HORIZON I DEPTH `` _ Texture groupL Consistence Structure Mineralogy '► HORIZON II DEPTH 15 Gt' Texture group C Consistence Structure Mineralogy ; HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON -^ SAPROLITE CLASSIFICATION .S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: �� ' EVALUATED BY: LONG-TERM ACCEPTANCE RATE_ OTHER(S) PRESENT: � REMARKS: �`�' �► 14 �r LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope :FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope TITerrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty ;lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-V+.-.-y 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 i .3C--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 DCHD(01-901 i r .....■............................■�R�■■■■°■■�■■■■■■■MENNEN= MEN ■O■■■■■■■■■■■■■ iiiiiiiiiiiiiiiiii�iiiiiiii�iiiii■iiiiiiiiiiiii iii=°iiii iiiiiiii ■■■■■■■■■■.■■■■.■■■■■..■■■■ ■■■■■■■.■■■.■■■■■■■�■■■■ ■■■■ No ME ONE NMIMEN No ■■■■■■■■■■■■..■■■■■■■■■■■■■■■■■ ■■■■■■.N■■.■■...■■■■■■■■.■■■■■■ MMMMMM■ ■MMMMMI■�MOEN iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii■iiisiiii°ai°°i�°.°■i�MENNii■i°■ii°MMI ■■■.■■■/■■■■■■■■.././/■■■■■■■■■■ ■■■■■.■■ ■ ■■■■.■■■■■■■■■■■ No MEE °::_:::�MENE �� ........H......■...........................H..■ °■°. ■■..■■ ......................................■..�...... .... ■._.■....■ ■■■.■■■■■■■■.■■■.■■■■■■■■■■■■■■■ ■.■■H..■■..1 ■N■.■■I■■■■■■■I ■■■ ■..■..■■.N.n...■■..■■.....■...■.....■... mom= ■■.■... ■■■. ....■...■■■..■....■.■..■.....°■..�°■■■■■.. ■ .. 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