388 Allen Road Lots 1 & 2Davie Countv. NC
Tarr Pnrri-1 RPnnrt
Friday. November 18. 2016
WAKNING: T111h 1S 14U'1' A SUKVLY
Parcel Information
Parcel Number:
G3060E0001
Township:
Mocksville
NCPIN Number:
5729289245
Municipality:
Account Number.
23146620
Census Tract:
37059-806
Listed Owner 1:
EARLES RICHARD P
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
388 ALLEN ROAD
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 1 CLOVER HILL ACRES
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
0.97
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
9/1998
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
002050562
Soil Types:
WeC,CeB2
Plat Book:
0007
Flood Zone:
Plat Page:
045
Watershed Overlay:
DAVIE COUNTY
Building Value:
57150.00
Outbuilding & Extra
Freatures Value:
4260.00
Land Value:
22000.00
Total Market Value:
83410.00
Total Assessed Value:
83410.00
161 All data Is provided as Is without warranty or guarantee or any Idnd either expressed or Implied Including but not limited to theDavie Countyfit, implied warranties of merchantability or ness for a particular use. All users of Davie County's GIS webaite shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from 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.
Davie County. NC Tax Parcel Report Friday, November 18, 2016
WAK INki: IMb 1J PIU1 A JUKV-LY
Parcel Information
Parcel Number:
G3060E0002
Township:
Mocksville
NCPIN Number:
5729289345
Municipality:
Account Number:
23146620
Census Tract:
37059-806
Listed Owner 1:
EARLES RICHARD P
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
388 ALLEN ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAME COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 2 CLOVER HILL ACRES
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.00
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
9/1998
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
002050562
Soil Types:
WeC,CeB2
Plat Book:
0007
Flood Zone:
Plat Page:
045
Watershed Overlay:
DAME COUNTY
Building Value:
0.00
Outbuilding 8r Extra
Freatures Value:
0.00
Land Value:
22000.00
Total Market Value:
22000.00
Total Assessed Value:
22000.00
9 �iiilAAll 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 nhress for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consuhants, contractors or employees from any and all claims or causes of action due to
�o p C NC or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO ' DAVIE COUNTY HEALTH DEPARTMENT
�"-, »qEnvironmental Health Section PROPERTY INFORMATION
Permkttee's , o .0. Box 848
Name: " Mocksville, NC27028
Subdivision Name: tit Z�VAJv5r
Phone # 336-751-8760
Directions Ido property:' r;. :y' Section: Lot:
AUTHORIZATION FOR -. .
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION ;
Road Name: ' zip.
**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 compliance, with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DCHD 05/96 (Revised)
1.
2.
1 ' V V
APPLICATION FOR SITE EVAWATION/IMPROVEMENT PERMRFNVI
Davie County Health Department
Environmental Health Section SP 6 XW8
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760 RONt;IENTAL HEALTH
***ndPORTANT***
THIS APPLICATION CANNOT BE PIWCESSED UNLESS ALL THE REQUIRED
INFORMATION IS
PROVIDED. Refer to
the INFORMATION BULLETIN for instructions.
Name to be Billed
� 1 C' k A
!�1 i 5
Contact Person SQ rn
Mailing Address
nrA
380 A � I .e ,-,
Some Phone
City/State/ZIP
t A
' v ► CD CAC- S (/ 1 i 1'1
`��1(�
1, � 14
--'1 ( r'
Business Phone ! 5 1 -L4 o4 o
Name on Permit/ATC
if Different than Above
J
�VO rl nC� ��L! s'e-
Mailing Address Q a j bQC JZC1T �h City/State/Zip M (r1C$�f l i l e. l� C a i0 a 8
3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both
4. system to service: ❑ House ff Mobile Home ❑ Business ❑ Industry ❑ Other
5. if
Residence: # People �- # Bedrooms # Bathrooms
M Dishwasher 0 Garbage Disposal Q Washing Machine 0 Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/Other: Specify type
# Commodes # showers
. IF FOODSERVICE: # Seats
# Urinals
# People # Sinks
# Water Coolers
Estimated Water Usage (gallons per day)
7. Type of water supply: ❑ County/City Lr Well ❑ Comamity
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes VP0
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW: Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: Li ip -7 ( , a00 t
72 I -,Z S ( 5 -
Tax Office PIN: #
Property Address: Road Name A88 A 11 e o d
City/Zip Mr3r-XS41L.Lti do- ci`iQb
If in a Subdivision provide information, as follows:
WRITE IaMSC1 F,0NS (from Mocksville) to PROPERTY:
wU tool t�
rRLLck-i"C, rn
Name: Cl Over HW % 4e -res
Section: Block: Lot: Z Date Property Flagged: V1 o
This is to certify that the information provided is correct to the best of 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. P, also, understand that I am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the Da/vie County Health De artment /
to enter upon above described property located in Davie County and owned by �;�� / fa, >r�,�/mss 7, 1- 2c�6P,e?S
to conduct all testing procedures as necessary to determine the site suitabi 'ty
DATE SIGNATURE � lY
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).
Revised DCHD (07/98)
Account No. /
Invoice No.
ff. only
LOCAR l: Acres Subdivision Lot 2
Al len Rd
W. G-3 PARCEL 82.01 a Portion of
Plot /ean0 - S 611'52'10"9 171.66' —+
CCN $of
T%,4 n1 .Behnea��
S 88.52'1(Y'C 529.02'
/ I
Grassed, level building lot in small 4
N
-
S0. FT. WILDING
/ /
Gt
DMECTWS:
before Hidden Valle bane -See Si s
' /tl° only
FIRM Howard Realty PH.: 751353 FOSS.: closincT
L/A Jane Whitlock PH: 7515701 LK Bx.
Donna T Rouse
I 5 its
to"w
!$
D.B. 150, Pg. 629
/ 14.33•
rt
/
472.91'
- `3 •/
�— N 88'34'06'W 511.74' tofal
! /S
..
8
®
$ I 10.07'10"W
/ I I f 92.55'
/
8.
I
1.154 Acres
!
Donna T. Rouse'
Jk j i 'soGOyon
1 D.B. 150, Pg. 629
451.90•
`,
5 88.14'06"E 480.82' total --�
�:,,, ,I N 86'33'58"W
15.76'
c
I , S 08'53'52'^6
"^'i •.
/
3
/ j 19.11
3
? /
1.089 Acres
S 08.53'52"W
I , ; fi 1 63.27•
440.23'
I I, S 09'01'55"W
17.59'
---N 68°54'06'^N 467.67total-
I ! I
i
POND
g
Q
I I S 09-01-55'w
8
1.058 Acres'
I 1 D0.89'
x
I I
C
/
428.57' 01-.
I t
S 88'34'06"E 454.33'
I I
S 09.01'55'w
100.89'
f ! I
S
1.028 Acres ^ '
I M
1 �/
I a
PO' bmM S 88.34'06"E 159.61'--.
CCN w
416.91'
I I+
——
-
—
- - - - -/
—N 88.54'06'W 440.99' total
— - - - -
- - I L
o ..., a r.. J
—
—
" HIDDEN VALLEY LN.
_ LN. "
- - - - -
��"'•'-°y- I c9
bun0 BuyOY -4-
-
60' Easement ( P.B. 6, Pg. 118)
e
NO.: ADDRESS: Allen Rd IS13.500.
LOCAR l: Acres Subdivision Lot 2
Al len Rd
W. G-3 PARCEL 82.01 a Portion of
DEED BOOK: 1 PAGE: 659
IONNI6
T%,4 n1 .Behnea��
ONE
Grassed, level building lot in small 4
-
S0. FT. WILDING
YEAR
DMECTWS:
before Hidden Valle bane -See Si s
OMINER Rouse Steve & Donna SIGN_ yes
FIRM Howard Realty PH.: 751353 FOSS.: closincT
L/A Jane Whitlock PH: 7515701 LK Bx.
UAV
Jane
#1113
J
it
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE
Davie County Health Department MAY 2 8 1998
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By n l.()hlfll�ef� tDY eft? q- D6nr)Cx- 5�
Mailing Address S X�15� ""�obart6 SHome Phone 25�1��
(��' I � �� i IC ��U� Business Phone .%J % -.353S
2. Name on Permit if Different than Above
3. Application for: /16 General Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: ❑ House
11 Mobile Home El Place of Public Assembly
❑ Business El Industry ('X 1!!r YIOtherh0- ❑ Unknown
5. If house, mobile home: Subdivision A , ee_ eP_ f)(&c Section Lot #
r-
+ —�
' prehynlna
❑ Basement/Plumbing
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
7. Type of water supply: ❑ Public
8. Property Dimensions
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures _
Private
Sewage Disposal Contractor
❑ 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
i
'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.
YiCJiL'it11 11VLU1�1'�,11U1� 1<L 'U11:L'li:
Directions to Property:(oD) PJ 40 AllEf1 ROQLCl Iu Off 4 ce PIN # 1j q-.22 - 216
14(cwden vJ (Ie�11� — 5ee Dox cif ajai_Iable.)
OL+Iaahed )MP ayl �
_per ,
P
This is to certify that the information provided is correct
incurred from his application. f
DATE
of my knWedge, and I upderstanp I am responsible for all charges
SIGNATURE
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 representat' a of the Davie County He h Department to enter upon above described
property located in Davie County and owned by E! Cl)j�1Gc �P1 j/e� Q1.5C'_
to conduct I testing procedures as necessary to determine said site's suitabilitv for a ground absorption sewage treatment
and dispos ^sy/tqm.^
TE
DCHD (1193)
} a - j
f �•
ef�.�; 91.56; . d1
t. 1393 7, 4
r
81 _
.
237 60 "
,�• c f _ la) -(75.23 Ac .i
9TH 567.
h L
aE � Loo. 6 OT iM 198
�• 14
N1,32
3 '..'+...
2
82
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113.52
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y'4• t
x �. -its �• �; 4
NORTH
r R DAVIE COUNTY, N.C.
�'" TAX MAPS
_
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9TH 567.
h L
aE � Loo. 6 OT iM 198
�• 14
N1,32
3 '..'+...
2
82
t I s'
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113.52
• ..'„Ja _ &. t R s+T^ x'wY'i-4�f t 3r _ f\'- f
y'4• t
x �. -its �• �; 4
NORTH
r R DAVIE COUNTY, N.C.
�'" TAX MAPS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME A1.1 e
PROPOSED FACILITY zy
SUBDIVISION
Water Supply: On -Site Well -! Community
Evaluation By: Auger Boring Pit G/
SECTION LOT
DATE EVALUATED 4g li �l%/
PROPERTY SIZE
ROAD NAME
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH '
Texture groupe G
Consistence i
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 i
SITE CLASSIFICATION;
0
LONG-TERM ACCEPTANCE RATE: I
REMARKS:
LEGEND
DCHD (01-90)
Landscaae Position
EVALUATION BY:
OTHER(S) PRESENT:
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
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
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
APPLICATION FOR SITE EVALUATION/IMPROVEMENT 1�
Davie County Health Department MAY 2 8 19%
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028 EWIRONMENTAL
1. Application/Permit Requested By kY PVe � Ubnr)o- �aCtSC-
Mailing Address 3�b S • �-Wo bu ri 6 ,4 • Home Phone 751 - S-1611
iml(k5 i ► l l e i )UC 210,23 Business Phone .751-3539
2. Name on Permit if Different than Above
3. Application for: Al General Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivisiont4lAwpio% Section Lot #
f I m�!)ctry P a+
❑ BasemenUPlumbing
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: ❑ Public Private
8. Property Dimensions Sewage Disposal Contractor
❑ 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
I
'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.
YKJ2LX1:Y 1Ni`URi'ATIU,V RL UiRLD:
Directions to Property: (DO I lei 40 AW IN Pca� Ta.: Of f ice PIN #
Right Ja±i - P.ot.d N me Ali R�
4011, — 9-e- Pox ),,-, (if available)
c� ehe�+C7 c�iC �u ✓i � ✓e l t m l ylae y City Mt�-,k1(e
_P bL+
This is to certify that the information provided is correct to
incurred from his application.
5
DATE
of my kngyvledgg, and I upderstano I am responsible for all charges
SIGNATURE
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 representaN a of the Davie'County He h Department to enter upon above described
property located in Davie County and owned by L)DII(la, �Q1 j/P QC�S�
to conduct all testing procedures as necessary to determine said site's suitability for a grow d absorption sewage treatment
and disposal syst M.
s UZ
DATE SIGNATURE
DCHD (1193)
'
00,
}'-
..sits$ tr ���, ..5�. r s",♦; '� N.�4� 1 .�•., w -i
_� t�4 's # q3'y o p" ` }�. L '�E,' r , vf} a a • . 0+ ^ {
•t g 1° t �.`� � s;: � � ,Y.y� �- v. "fit-^ .��
+ � e , .,rs :�' tom.• � .< ,. t .....
v—,.Z s ° �.:Y `♦' ar-` `�r'1. ;. .. r+ _ '.
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r �r ! `� 3 "' F'; }1.Y^ >;, `•`, •Z .y .., ..d 91. 56;
+� 6937 �y. .40,
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per-
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F 237. 60
?68 567 60
32
:*
82 _ s
AC. 113.52 I
c 6 4c, 8 O �
56
t
sy
NORTH
DAVIE
COUNTY N. C. ,
TAX MAPS
f Ac.
pt�JYte,�f � (�.I(CI�(�•S� n�
POND
t
ion
aies
1.157 Ac.
1.110 Ac.
0
1.055 Ac.
0
1.000 Ac.
HIDDEN VALLEY LN•
0
i
/
CL
vJG
T
X.3 .
o Z
1.157 Ac.
1.110 Ac.
0
1.055 Ac.
0
1.000 Ac.
HIDDEN VALLEY LN•
0
i
/
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c`b
o.�
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME ill
PROPOSED FACILITY
SUBDIVISION
Water Supply:
Evaluation By:
On -Site Well V Community
Auger Boring Pit
SECTION LOT
.�Z
DATE EVALUATED
PROPERTY SIZE
ROAD NAME
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH " y
Texture group
Consistence
Structure it
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: 9—
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: & 1/
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
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
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
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