324 Pleasant Acre Drive Lot 84-87Davie County, NC� t Tax Parcel Report
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All data Is provided as is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, implied warranties of merchantability or fitness for a particular use. Ali users of Davie County's GIS websfte shall hold harmless the
County of Davie, North Carolina, its agents, consultants. contractors or employees hoe. any and all claims or causes of action due to
10:1 NC or arising out of the use or Inability to use then data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
M500000032 A
Township:
Jerusalem
NCPIN Number:
5745970062
Municipality:
Account Number:
8301978
Census Tract:
37059-807
Listed Owner 1:
SCOTT MARIE ALICE
Voting Precinct:
JERUSALEM
Mailing Address 1:
324 PLEASANT ACRE DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.96 AC HWY 601 LOTS 84-87
Fire Response District:
JERUSALEM
Assessed Acreage:
2.00
Elementary School Zone: COOLEEMEE
Deed Date:
3/1997
Middle School Zone:
SOUTH DAVIE
Deed Book I Page:
2001EO168
Soil Types:
WeC,PcB2
Plat Book:
0004
Flood Zone:
Plat Page:
048
Watershed Overlay:
DAVIE COUNTY
Building Value:
42150.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
24000.00
Total Market Value:
66150.00
Total Assessed Value:
66150.00
All data Is provided as is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, implied warranties of merchantability or fitness for a particular use. Ali users of Davie County's GIS websfte shall hold harmless the
County of Davie, North Carolina, its agents, consultants. contractors or employees hoe. any and all claims or causes of action due to
10:1 NC or arising out of the use or Inability to use then data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
* NO-TI=tissued in Compliance With Article 11 of G.S. Chapter 130a -
a itary Sewage Sy st Permit Number
Name, 4, ten 77�% G•?`i^�/ •/ Date _� ?�2� N2 7 5 5 5
Location
01.
Subdivision Name -
Lot No.
-0" '1— Sec. or Block No.
Lot Size -.1- House Mobile Home_ Business _- Industry
No. Bedrooms .No. Baths No. in Family Public Assembly Other
Garbage Disposal YES ❑ NO 2- Specifications for System:
Auto Dish Washer YES ❑ NO 0— /
Auto Wash Ma thine YES (]- NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
1.
Improvements permit by �!
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
N
r -
m Installed by
J /
Certificate of Completion Date
*The signing of this certificate shall indicate..that the system described above has.been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
'APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIFMAY
IE
Davie County Health Department O r: E)
Environmental Health Section 2 1994
P. O. Box 665
Mocksville, NC 27028
---------------
1. Application/Permit Requested By —/9 I f �/�2� �L� E 2y'C 0- YC 1
Mailing Address ' I Home Phone L F L ~% 3 7
64 0 C K-5 t/ f L L L% sVc— `L % o q - ,F- Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation ja ptic Tank Installation Permit
4. System to Serve: ❑ House XNobile Home ❑ Place of Public Assembly
Business ❑ Industry Other ❑ Unknown
5. If house, mobile home: Subdivision 66 o �, w ('t'o ,I— C K &-J Section
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 Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: W-Plublic ❑ Private
8. Property Dimensions ��� QS, Sewage Disposal Contractor
Lot # —2�"7
❑ Basement/Plumbing
❑ Basement/No Plumbing
()Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �No
If yes, what type?
❑ 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: 6 r S l
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
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: D-1. I OWN the property. ❑ 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)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI
VVVV '� Davie County Health Department
>D / a cy; a l ►� L Environmental Health Section
P. O. Box 665 ArK 91894 Mocksville, NC 27028
1�' � b wwww�x R Rft Li ile qt w,www
iApplication/Permit Requested By� �I'a Co rr4 1(/
Mailing Address -Z �a� 33 % Home Phone
Business Phone
2. Name on Permit if Different than Above
3. Application for: 9 General Evaluation a Septic Tank Installation Permit
4. System to Serve: ❑ House obile Home ❑ Place of Public Assembly
❑ Business ❑ Industry CN V, Other ❑ Unknown S`7
5. If house, mobile home: Subdivision 90--)6a-10d "� , . "' '" �> Section Lot #
No. of People
No. of Bedrooms 3
No. of Bathrooms e�
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: EJ Pu lic ❑ Private
8. Property Dimensions Z %I 0-f 6— Sewage Disposal Contractor
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, what type?
❑ 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: bol j9cf - Dr, v%
This is to certify that the information provided is correct to the best of my
incurred from this applications
DATE
and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: OWN the property. ❑ 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.
_lr–
��, ZZ�9�
D E SIGNATURE
DCHD (1193)
• 4 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ��f //
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED YO�
PROPERTY SIZE
LOCATION OF SITE
Water Supply:
On -Site Well
Community
Public Lam'
Evaluation By:
Auger Boring _��
Pit
Cut
FACTORS 1
2 3
4
Landscape position
L k-
L
Sloe %
HORIZON I DEPTH
Texture group
L
s�G
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
/l
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:
LONG-TERM ACCEPTANCE
REMARKS: z-/ e"I 1,4
DCHD(01-901
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 clay 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 -Finn 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
DatYe County Aeala De
artment
do
and me NealtFf .Zen
et'
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634.5985
April 21, 1994
David Correll
Rt. 4, Box 337
Mocksville, NC 27028
Re: Site Evaluation
Boxwood Acres/Lot 86-87
Dear Mr. Correll:
As requested, a representative from this office visited the aforementioned
site on April 20, 1994. 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 an on—site
sewage disposal system on the upper right side and unsuitable for a septic
system on the left side.
If you have any questions, please feel free to contact this office.
RH/wd
Enclosure
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section