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2987 US Highway 601 South lot 36-37Davie County, NC Tax Parcel Report Thursday, November 3, 2016 WAKN1NG: '1'111, 1h NUT A NUKVEY Parcel Information Parcel Number: M50000003302 Township: Jerusalem NCPIN Number: 5745876159 Municipality: Account Number. 8302692 Census Tract: 37059-807 Listed Owner 1: HILL DARRELL F & PEGGY C Voting Precinct: JERUSALEM Mailing Address 1: 2987 US HIGHWAY 601 SOUTH Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -8,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOTS 36-37 BOXWOOD ACRES Fire Response District: JERUSALEM Assessed Acreage: 0.64 Elementary School Zone: COOLEEMEE Deed Date: 1012013 Middle School Zone: SOUTH DAVIE Deed Book / Page: 009410469 Soil Types: WeB,PcC2,CeB2 Plat Book: 0004 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY Building Value: 52400.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 15000.00 Total Market Value: 67400.00 Total Assessed Value: 67400.00 10:1 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 or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees hom any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. s i tVik?> 1 .y ta• :M1Y m' .�.t """ �pfP, ..'v ti' f� F, iF . .� ,f� nt-'✓'i, Ht , v.:. r 15 f i� "�' tt .7 -'! 'r Ir7��y 1:•�I '•+��. P r.-V- A �k,` 'Y •'�3a - �AIIxH ttizATloN No ,:• '��:3 9 6A DAVIE COUNTY HEALTH DEPARTMENT .Z Environmental Health Section PROPERTY INFORMATION Permittee's /`� s� ,/ P.O. Box 848 / Name: Jn orf/9 Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 �) Directions to property:' '? ��i Section: Lot: AUTHORIZATION FOR . WASTEWATER Tax Office PIN: SYSTEM CONSTRUCTION wY CPA t S 02 { �s J a l el � zip:G� �'02f **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building-Permiis. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article, 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALIDTOR A PERIOD OF FIVE YEARS. 1;NVIRONMENTAL HEALTH SPECIALIST " DATE ISSUED A 6. 9, 6A DAVIE COUNTY HEALTH DEPARTMENT; IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMANip ION vy Prmittee's lvame: r ' `?k`s'. ` �' / /C •} ' ,'I Subdivision Name: �i Directions to property: r r' ' Section: Lot: IMPROVEMENT PERMIT : Tax Office PIN:# r74: 7 3 **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) r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THUS PERMIT BEFORE INSTALLING THE SYSTEM. ` RESIDENTIAL SPECIFICATION: BUILDING TYPE_ # BEDROOMS _—# BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY_ DESIGN WASTEWATER FLOW (GPD, NEW NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS. TANK SIZE 1061GAL PUMP TANK GAL. TRENCH WIDTH �G ROCK DEPTH LINEAR FTq %r 42 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: .....,., aara&uwrmtrll VtUpUl & AIC p v l5 U l►l R Davie County Health Department Environmental Health SmWon 2 4 P.O. Box 918/210 Hospital Street Mocksville, NC 27026 (336) 751-8760 ENV1f ON LN NEA1Tti svir n ALN 111V MrArJ1'*** TH1S APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED - INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Nass to be Billed contact Verson J fev e - Nailing Address 706 W r.! RCT--i2bAe7 � Home Phone City/State/LIPD G�� del/ P P A/ `� 2. ?k'fl Business Phone 3 z. - y S �J : Name on Permit/ATC It Different than Above Mailing Address Application For: U Site Evaluation City/state/Lip Wji�vrovement Permit/ATC ❑ Both System to service: D House Id Mobile Roma 0 Business 0 Industry 0 Other It Residence: y People 13 # Bedrooms 2 # Bathrooms _ BrDishwasher 0 Garbage Disposal -flashing Machine 0 BaseaMt/Plumbing 0 Basement/no Plumbing if Business/indostry/other: specify type # People # Sinks # Commodes # Showers # urinals # Nater Coolers IF FOODSERVICE: 1 Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: 5� County/City 0 well 0 Community e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yes VNo If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either s PLAT or SITE PLAN MUST RESUBMITTED by the client wilb THIS APPLIt ATIOM Property Dimensions: WRffE DIRECTIONS (from Mocksville) to PROPERTY:. / - q,D�6,SpP / Tax Office PIN: # S 7��— ;c7- C� j� / 0 Abo►(t Property Address: Road Name d r, tb cod R �� 40 A City/Zips �l aU<s'Ld l e- ti - C. L22 ?i If in a Subdivision provide information, su follows: Name: -66.11 woo Section: M - ' Block: Lot: 4.3 �IUlm /i Yn'Je L -C X/ 1 Date Property Flagged: vim" a s" 1 This Is to certify that the Information provided is correct to the best of my knowledge. I understand that any permits) issued hereafter are subject to suspension or revocation, If the site plans or Intended use change, or if the information submitted in ibis application is falsified or changed. I, also, andaWand that I wn roronsMie for all dba ga incurred vm this appUcation. 1, hereby, give consent to the Authorized Representative of the Davie County Heaitb Department to cuter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE jG ► S''4 SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: Existing and proposed property tines and dimensions, structurm setbacks, and septic locations). Revised DCHD (07/98) Account No. IOOO 3 Invoice No. z3 y R APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department ,/ Environmental Health Section �'�9y P. O. Box 665 , Mocksville,-NC -27028 1. Application/Permit Requested By e�a y/I/ Mailing Address Home Phone oc �`s v ��` N • �. 1 O � Business Phone 4�ey-,ya2 38' 2. Name on Permit if Different than Above 3. Application for: ,+ ❑ General Evaluation �eptic Tank Installation Permit 4. System to Serve, House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People CL No. of Bedrooms No. of Bathrooms 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 No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: Public ❑ Private 8. Property Dimensions .C-. 1, 6- Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine dishwasher >Oarbage Disposal ❑ Yes ❑ 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: �1ae7 7 .SOS-�/� 7`Z�LJ/4 �'f✓/,r^41 G&en4 y . GC, ��.,�✓s��a����� a 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. DATE / SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY %MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this for MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized r resentative of the Davie County Health Department to enter upon above described property located in Davie County and ow ed 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 (1/93) ' t DAVIE COUNTY HEALTH DEPARTMENT 1 Environmental Health Section Soil/Site Evaluation 3 �� NAME s���c Co9ri DATE EVALUATED ADDRESS PROPERTY SIZE ! 4�- PROPOSED FACIILTY b `' S 4 LOCATION OF SITE �� S Water Supply: On -Site Well Community Evaluation By:CEi- Auger Boring ✓ Pit Public Cut FACTORS 1 2 3 4 Landscape position -r .5 5 - Slo e Z Slope / -- I e/ ' _151-1 HORIZON I DEPTH (, '' Texture group Consistence Structure Z Mineralogy►' I J HORIZON II DEPTH Lb 11 Texture group Consistence 'Z Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS SS S cs SS RESTRICTIVE HORIZON — — SAPROLITE — CLASSIFICATION ,5 V LONG-TERM ACCEPTANCE RATE L , SITE CLASSIFICATION: r S EVALUATED BY: \ �m •�-yr� ` LONG-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 (:lay 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 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 OEM ■E■ ■E■ ■E■ ■ t fn APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section REC����® C P. O. Box 665 l� PMocksville, NC 27028 JUN 06 1994 Z_ _1. cation/Permit Requested By G - -"'--- Mailing Address D- .�h�c Z S Home Phone 429 L- f)G[C S 1J 70 Z$ Business Phone 3 1b 2. Name on Permit if Different than Above 3. Application for: General Evaluation a Septic Tank Installation Permit 4. System to Serve: VHouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision 90 G--�C3 O ` GAS Section Lot # 3 (- # No. of People No. of Bedrooms No. of Bathrooms _ 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 Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: Cy' Public ❑ Private 8. Property Dimensions A twx r, X � ✓i CIL& - Sewage Disposal Contractoi rf 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/Plumbing ❑ 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: 6J ;) n ty AJ 40l 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 inc=fthis application. DATE! SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: mel, 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 SIGNATURE DCHD (1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME Z'22' /C. ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well DATE EVALUATED -7 _ez PROPERTY SIZE 1. -le LOCATION OF SITE d5i�lr Community Public Evaluation By: Auger Boringy Pit Cut FACTORS 1 2 3 4 Landscape position 171— Slope % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence 4/01 Structure S e 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:N`� LONG-TERM ACCEPTANCE RATE: s / REMARKS: DCHD(01-901 EVALUATED BY: A,,// OTHER(S) 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 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 SC -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 ■■■■■ ■E■■■ (Davie Counly . leallk De artment and �en .1�ome .eallFr y cy 210 HOSPITAL STREET / P.O. BOX 665 MOCKSvtLLE. N.C. 27028 PHONE: (704) 634.5985 Mary Braack P. D. Box 215 Mocksville, NC 27028 Dear Ms. Braack: June 10, 1994 Re: Site Evaluation Boxwood Acres/Lot 36-37 As requested, a representative from this office visited the aforementioned site on June 9, 1994. Based upon the information provided on 1;he application for a site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on—site sewage disposal system in the back only. The front of the lot,is unsuitable for installation of a sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, &��'A. Robert B. Hall, Jr., R.S. Environmental Healt;) Section RH/wd Enclosure