156 Linda Lane Lot 6Davie County, NC
Tax Parcel Report
164
Pv�
156
148
Wednesday, November 9, 2016
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All data Is provided as Is withoutwarralty or guaranteeW my Idnd either expressed or Implied Including but not limited to the
Davie County, Implied wrcharrantiesof meantability celknessfor a pardeularuae. All users of Dade CounWo GIS webahe&hall hold hamlless the
County ofDavie, NorthCarolina, itsagents, consultants,,wnbacturs or employees from any and ag dolma or causes, of action due to
NC crarlsing out of Me use or Inability to use Me GIS data provided by this vebshe.
WARNING: THIS IS NOT A SURVEY
Parcel Information
_ .:
_ _...._.._....,. _.�
Parcel Number.
1616OA0006
Township:
Mocksville
NCPIN Number.
5758140042
Municipality: .
Account Number:
82513314
Census Tract:
37059-805
Listed Owner 1:
WILCOX DAVID WILLIAM
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
156 LINDA LANE - -
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 6 CAROLINA HOME PLACESECTION ONE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.56
Elementary School Zone:
CORNATZER
Deed Date:
4/1997
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001940322
Soil Types:
GnB2,GnC2
Plat Book:
0005
Flood Zone:
Plat Page:
196
Watershed Overlay:
DAVIE COUNTY
Building Value:
143390.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
20000.00
Total Market Value:
163390.00
Total Assessed Value: 163390.00
[Oil
All data Is provided as Is withoutwarralty or guaranteeW my Idnd either expressed or Implied Including but not limited to the
Davie County, Implied wrcharrantiesof meantability celknessfor a pardeularuae. All users of Dade CounWo GIS webahe&hall hold hamlless the
County ofDavie, NorthCarolina, itsagents, consultants,,wnbacturs or employees from any and ag dolma or causes, of action due to
NC crarlsing out of Me use or Inability to use Me GIS data provided by this vebshe.
DAVIE COUNTY HEALTH DEPARTMENT
', IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION"
'NOTE.: 'Issued�in Compliance with G.S. of North Carolina Chapter 130 Article 130
Sewage Treatment and. Disposal Rules (10 NCAC10A .1934-.1968) Pe mit. Number
Name (. r ., �� s>.. \ —Date
t� (� N2 5504
Location
Lot No.
Lot Size 5 7 Li ' House Mobile Home Business . Speculation
No. Bedrooms 3 ' No. Baths No. in Family' a
Garbage Disposal YES .i" NO fl ;
Auto Dish Washbr " • YES NO Specifications for System: ,\
Auto Wash Machine YES p%.NO 0 3 U v
Type Water Supply _—
A,
rvr 1
*This permit Void if sewage system described below is not installed within 36, months`\from date of issue.
�r
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. or. 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-598.5.
Final Installation Diagram: System Installed by
/f
b
c \
Certificate of Completion T/ DateAll
C
`: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.
w '
a APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department D MaR Z Z
Environmental Health Section C�ELIE
P. O. Box 665 RG
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1. Permit Requested
2. Address
3. Property Owner if
Address —"Z
4. Permit To: a) Inste
5.
b) Priv,
�so,ugq�ndAbsorption
c) Sub Division Lot No.—W/—
System used to serve what type facility: HouseSecile H
Mobome— Business—
Industry— Other—
b) Number of people
Home Phone L1 --/1t (r>
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 7 <0 5r— L- L"
Bed Rooms Bath Rooms Den w/Closet_
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of wat r -using fixtures:
commodes urinals
lavatory showers
dishwasher � sinks
8. a) Type water supply: Public Private Co munity.
b) Has the water supply system been approved? YeS_ZNO-
9. a) Property
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of
What type?
Y
garbage disposal
washing machine '
this sewage system is intended to serve? X112_
This is to certify that the information is correct to the best of my knowledge.
3 - 1A107
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-62)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed 'Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
no 1. 1 am the owner of the above described property.
no 2. 1 am not the owner of the above de cribed pfr perty, however, I certify that I
have consent from S/� GJA! o w7owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DATE SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
�,p wners designated representative
-Anyone requesting results
Only those listed below
DATE SIGNATURE
DCHD (11 /84)
E
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name ��—S �2. Date "–
Address
–Address Lot Size -
FACTORS
ARE
'%,4
ARt�; ARFQ
1) Topography/ Landscape Position
S
'��p7sg
S
U
P
2) Soil Texture (12-36 in.) Sandy,
Loamy, Chyme, (note 2:1 Clay)
S
<�
S
<P
P
U
U
U
U
3) Soil Structure (12-36 in.)
Clavey Soils
P
U
U
U
3) Soil Depth (inches)
PS1'
PS
UU
lT��
S) Soil Drainage: Internal
\ PSS
PS
PS
�._
U
External
PSUS'
P
i) Restrictive Horizons
Available Space
PS
PS
–U
U
U
1) Other (Specify)
S
PS
2f
S
PS
S
PS
S
PS
IN,
1) Site Classification
S
y�
�. S.
s
U—UNSUITABLE
Recommendations/Comments: YA
N 4ra\ �-
Described by
SITE DIAGRAM
S—SUITABLErovisionaliy Suitable
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section,
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name /��`�,//�p� Date AOell
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position
S
(:p(`4.1
S
pS
PS
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
S
S
PS
S
PS
U
U
3) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
S
1-y
-
P
U
PS
U
PS
U
i) Soil Drainage: Internal
S
S
PS
S
PS
Cry
U
U
U
U
External
5�
&
U
pS
U
PS
U
1) Restrictive Horizons
_1
Available Space
S.
(rp'
S
PS
S
PS
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Site Classification
P
, S_
U—UNSUITABLE S—SUITABLE E5 -Provisionally Suitable
Recommendations/Comments: o f " I %
Described by Title Date 4hplspe
SITE DIAGRAM
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DCHD )5.82)
I'J-0