207 Long Meadow Road Lot 39Davie County, NC -.t Tax Parcel Report Wednesday, December 21, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H501OA0039 Township: Mocksville
NCPIN Number: 5749068447 Municipality:
Account Number:
82529857
Census Tract:
37059-806
Listed Owner 1:
ROBINSON SHAWN Z
Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1:
207 LONG MEADOW ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 39 FARMLAND ACRES SECTION FIVE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
5.16
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/2008
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
007630454
Soil Types:
SeB,MsC,MsD
Plat Book:
0006
Flood Zone:
Plat Page:
021
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
10:1
All data is provided as is without warranty or guarantee of any Idnd either expressed or implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NCor arising out of the use or inability to use the GIS data provided by this website.
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AUTHQRI%4aTr.0*10: 0 ® DAVIE COUNTY HEALTH DEPARTMENT.
nyironmental Health Section PROPERTY INFORM��I'�i01�-- _ _
Permittee' _ 1 P.O. Box 848 r ' All, n � �
Name - -` L"A t"` AL1 Mocksville, NC 27028 Subdivision Name: '1"f ' N { k-1 5
Phone # 336-751-8760
Directions to property: ' �R 1 D CT�t{ Section: Lot:
AUTHORIZATION FOR
� WASTEWATER
7tJ, �! (/= i r„I i'+v. c sW Tax Office P N:# -
--�Lili—.,SYSTEM CONSTRUCTION
lt�rl� e�:� L.' �•)L� tit, �a;;c.J ( Zc>� Road Name:149414gfiPOL4ip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior.
to issuance of any Building Permits: This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliancef,wit#t Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NO CE*** THIS IS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 _ '7 IS VALID FOR A'PERIOD OF FIVE YEARS.
ENViR EA TH SPEC�AL S F DATE SSU D-
OPERATION PERMIT,1�,
SYSTEM INSTALLED BY: ��•�/�"'
.'''
r
�" DAVIE C UNTY HEALTH D E' J
' I f A
•� '; .�'�r� ... EPARTMENT.. `.
IMPRO ,EMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's 't
Name:•"'' Uii� 9r�F�l.' Subdivision Name: /- 1-��n11 i
Y Dlrectidnsto property:. �' r a- i / i# = `� Section: Lot:
r UvIPROVEMENT
�`_ -`. �;� % %Fr „`'r •, �..,; PERMIT Tax Office PIN:#
! Road :�''1ip .
**NOTE** This Improvement Permit DOES NOT authorize the construction 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEAD TH SPECIALIST DA - ft ISS ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
._.. INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE hL-AZ�`L# BEDROOMS _ # BATHS 44 # OCCUPANTS GARBAGE DISPOS Yes of No
i COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �/' a4YPE WATER SUPPLI^��`{ DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
�I s- • I L7 � �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCHWIDTH ROCK DEPTH 19S`
LINEAR FT. '
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: II\U jA L t- t�� ��crJ70J e- ('E"r `� 1 �' `� Q �� 1 T�''✓�-�"�' } �Ck1%'r
IMPROVEMENT PERM LAYOUT +APPROVED EMMERT FILTER* &RISER(S) IF G" BELOW FINISHED GRADE+
ADDI
IUD
�
/So EX
**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 (336)751-8760.
OPERATION PERMIT
AUTHORIZATION NO. (t^''
SYSTEM INSTALLED BY: �' as -2oc)!w
OPERATION PERMIT BY:
/ADD tT►�'�
S Z;j
QP%X
f
0...
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBEQ} O
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTE]
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
�t;>ATE:
HAS BEEN INSTALLED COM IANCE
i BUT SHALL IN NO WAY BE TAKEN AS A
1913 v
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) 44
NAME I �S1IC7l.� PHONE NUMBER
ADDRESS ?01 LANG V% -040o--1 SUBDIVISION NAME
LOT # 3
DIRECTIONS TO SITE
1 l V
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER 5&/V
u�
TYPE FACILITY 1AW5C NUMBER BEDROOMS- -5 NUMBER PEOPLE SERVED s�
TYPE WATER SUPPLY—c"—rJ SPECIFY PROBLEM OCCURRING AbDid Q. tOo
DATE REQUESTED 3 I� INFORMATION TAKEN BY
A
This is to certify that the information provided is correct to the best of my knowledge, and
SIGNATURE OF OWNER OR AUTHORIZED AGENT—V __L
Rev. 1/83
fin/: �5A
I am re p(nsible for all charges ipydrred from this application.
oa//-f31r000T,
a
" DAVIE COUNTY HEALTH DEPARTMENT
x 9 IMPROVEMENT PERMIT and OPERATION PERMIT
N
IMPROVEMENT PERMIT ; 0
**NOTE** This impruvementwpervitlDOES NOT authorize the construction or installation of a septic tank system or any wastewater 6 �
system.tfAN'AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be.obtained from this Department prior to the
construc`tionj nstallation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME r el 0 PROPERTY ADDRESS 1 eaaO LA�r' • _ a ��DATE
LOCATION f /�
SUBDIVISION NAME /�/,�/�'I f/��✓�1 .y/ C LOT NUMBER \%/ SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS LT # BATHS yT t OCCUPANTS -:5-* GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE �% /]C TYPE WATER SUPPLY e o DESIGN WASTEWATER FLOW (GPD) -'FKD NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�1�'0 GAL. PUMP TANK 6F TRENCH WIDTH ROCK DEPTH /,) • LINEAR FT. w
OTHER �/,� �� 6(l�i✓� ' �� �G6.�P`
REQUIRED SITE MODIFICATIONS/CMITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST !
'SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. r i t JI
yyC��I ,Y -
IMPROVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
i
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION NO. Q I P J OPERATION PERMIT BY C. DATE b
**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 TREATMENT AND DISPOSAL. SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article it of
G S Ch t 130A W t t S t )
.
OF er , as ewa er ys ems
***This Authorization For Wastewater System Construction must be issued,6y the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the;Davie County Building Inspections
Office when applying for. Building Permits.***
AUTHORIZATION NUMBER
NAME i, r'. DATE
,.MK ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION' 41�:,_,71/�V �'
CDKWS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE
r
I Davie County Health Department
Environmental Health Section
d r P. O. Box 665
Mocksville, NC 27028
s
1. A lication�
PP ermit Requested By
Mailing Address
2. Name on Permit if Different than Above
3. Application for:
Home Phone
Business Phone A346-3s`5S
12FGeneral Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: tg House
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown p
5. If house, mobile home: Subdivision ��r�� y /"��P —���J ""'Ol`� Ze tion JJP") Lot # 3/
No. of People op`� yeA
No. of Bedrooms —5 /�-, �/ 2 k /Ybms- 1per � JQf�
No. of Bathrooms .3
Dwelling Dimensions
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
p?,q,/ h e -❑ Basement/Plumbing
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: 5CPublic ❑ Private
8. Property Dimensions Qs�, / F, Ae- Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Basement/No Plumbing
Washing Machine
Dishwasher
? ❑ Garbage Disposal
❑ 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:�J
d`/vy
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 t� application. _ 01�Z4��I—��--
_ 6�
DATE SIGNATURE r
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. X 2. 1 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 SIGNATURE
DCHD (1193)
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
` J Soil/Site Evaluation��a1Q
NAME L`O L DATE EVALUATED G -W/
ADDRESS PROPERTY SIZES
PROPOSED FACIILTYLOCATION OF SITES///' ✓G
Water Supply: On -Site Well
Community
Public _r/
Evaluation By: Auger Boring rr Pit l/' Cut
FACTORS 1 2 3
4
Landscape position A57 US' !!
L.
Z
Sloe
HORIZON I DEPTH
"
''
'�r''
Texture group
Se
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
SS
55-
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: � EVALUATED BY:ls'Gr
LONG-TERM ACCEPTANCE/RATE:
REMARKS: /J`!J�/`S'i7z!A ow -
DCHD (01-901
OTHERS) PRESENT:
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 <.-lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vl---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
3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mi neraloey
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
■O■
■N■
■E■
Davie County Yleall/i Department
and .��erne Ykallfr ffyency
210 HOSPITAL STREET 1 P.O. Box 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-5985
June 28, 1995
Howard Realty
Attn: Diane Foster
330 S. Salisbury St.
Mocksville, NC 27028
Re: Site Evaluation
Farmland Acres (Section-New/Lot-39)
Dear Realtor:
As requested, a representative from this office visited the aforementioned
site on June 22 and 28, 1995. Based upon the information provided on the
application for a site evaluation and after the evaluation was completed, the
site was found to be provisionally suitable for the installation of a modified,
oversized on-site sewage disposal system.
Based on the size of the home and other amenities (swimming pool, tennis
court, etc.) to be placed on this lot it is imperative that the building
contractor, grading contractor and health department work closely together to
ensure that ample space is available for the proposed installation, 1000 linear
feet for 5 bedrooms or 800 linear feet for 4 bedrooms.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure