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148 Linda Lane Lot 5Davie County, NC Tax Parcel Report r 156 oP`a 148 1,132 Wednesday. November 9. 2016 [all WARNING: THIS IS NOT A SURVEY All data is provided as is wlthou varranty or guarantee of any kind eNhere:pessed or Implied Including but not limited to the Implied emndles M merchamabltityorNneaafor a parNculoruse. All users of Davie County's Gl5rebslte shall hold harmless the mDavie County of Dawe, NorthCarolin , its agents, consultants, contractors oremployeeifrom any and all claims or muses of action due to cradsing out of the use or lnabllltylo use the GIS data provided by this website - Parcel Infonnatton Parcel Number: 1616OA0005 Township: Mocksville NCPIN Number: 5758039972. Municipality: Account Number: 8304460 Census Tract: 37059.805 Listed Owner 1: MISE SCOTT Voting Precinct: NORTH MOCKSVILLE COUNTY' Mailing Address 1: 148 LINDA LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOT 5 CAROLINA HOME PLACESECTION ONE Fire Response District: MOCKSVILLE Assessed Acreage: 0.52 Elementary School Zone: CORNATZER Deed Date: 1/1992 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 1992EO200 Soil Types: GnB2,GnC2 Plat Book: 0005 Flood Zone:' Plat Page: 196 Watershed Overlay: DAVIE COUNTY Building Value: 137280.00 Outbuilding & Extra Freatures Value: 900.00 Land Value: 20000.00 Total Market Value: 158180.00 Total Assessed Value: 158180.00 [all County, NC All data is provided as is wlthou varranty or guarantee of any kind eNhere:pessed or Implied Including but not limited to the Implied emndles M merchamabltityorNneaafor a parNculoruse. All users of Davie County's Gl5rebslte shall hold harmless the mDavie County of Dawe, NorthCarolin , its agents, consultants, contractors oremployeeifrom any and all claims or muses of action due to cradsing out of the use or lnabllltylo use the GIS data provided by this website - q '98 APPLICATION FOR SITE EVALUATION/lN1PROVEMENT PERMIT & ATC Davie County Health Deparhnent f� EnvironmentaiHeaitb SWO01t P.O..Box 848/210 Hospital Street v Mocksville, NC 27028 (336)751-8760 ***IPIPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. ,1.. Name to be Billed ! / / L' (,� SS Pi l \ t .S Contact Person � .. Mailing Address / h oo FV2h. Home Phone 3 _ &D-- city/state/zip V i 1 / p N.a 9 76 D-,3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/zip 3. Application For: 14 Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to service: House ❑ Mobile Rome ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms )((Dishwasher )'Garbage Disposal *Washing Machine p, Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City, . ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility. this system is intended to serve? ❑ Yes , %No If yes, what type? ***IMPORTANT'** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBAHITED by the client with THIS APPLICATION. Property Dimensions: ZWXJ %!?YIYI / ~7 Z WRITE DIREC11TONS (from Mocks isle) to PROPERTY: Tax Office PIN: # Lr SW ,- D 3 ^ 1172 i0116) Property Address: Road Name 1i n e City/Zip %' ' A � of 7y� b If in a Subdivision provide information, as follows: Nzme: �L / o/J"h 42 21 i V- �/ ce Section: T Block: Lot: '<�_ Date Property Flagged: �-/ ,5"- 1 O This is to certify that the information provided is correct to the best or 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 is falsified or changed. I, also, understand that I am responsible for all charges incurredfrom this application. 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 the site suitability. DATE 692p SIGNATUniZ Ai -Q P i 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). I Revised DCHD (07/98) Pd �i Account No.�7(O// Invoice No. A DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT _S- Soil/Site 'Soil/Site Evaluation v~ SITE CLASSIFICATION: - S EVALUATION BY: ^� 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 clay loam ! SIL - Silty loam CL - Clay loam SCL - Sandy clay loam y ay SIC -Silty clay C -Clay SC -Sand clay CONSISTENCE i 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 / 1:1, 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 • DCnD(01-90) . • • . • �s����®mss®s Consistence OUAWRSOW HORIZON H DEPTH W -19M NIP -10 _PA Wi WA . • r�rA�-�nmrommo,Consistence �—®— Jftxw_aff�% HORIZON IV DEPTH • �,•� ��-�-moo®® v~ SITE CLASSIFICATION: - S EVALUATION BY: ^� 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 clay loam ! SIL - Silty loam CL - Clay loam SCL - Sandy clay loam y ay SIC -Silty clay C -Clay SC -Sand clay CONSISTENCE i 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 / 1:1, 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 • DCnD(01-90) ■■■ M mom■ NONE ■■■■ ■ENE NNN■ MEMO E DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION may/ Name aU�� ,/,//� A Date ` Address �/� Lot Size/Jb &P'irlsy x/85' FACTORS AREA 1 AREA 2 AREA 3 ARFA d 1) Topography/ Landscape Position S„ S S S d9 S PS PS U U U r 2) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S S [ S PS S PS Ul7 U U 3) Soil Structure (12-36 in.) Clayey Soils S S PS PS S PS U U 1) Soil Depth (inches) S S S PS S PS t1 U U i) Soil Drainage: Internal S S S PS PS U U U External S (rl7U� S pS PS U U I) Restrictive Horizons Available Space ® S S PS S PS U U U U q Other (Specify) S S S S PS PS PS PS U U U i) Site Classifications SIU S. U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: eAle Described by �1� Title �A�V Date C2 / ei SITE DIAGRAM �1. DCHD (6-e2) - ,t_ot s'