3502 US Highway 601 North Lot 5Davie Countv. NC Tax Parcel Report Friday, November 18, 2016
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Parcel Information
Parcel Number:
E3070A0005
Township:
Clarksville
NCPIN Number.
5821065704
Municipality:
Account Number.
40851000
Census Tract:
37059-801
Listed Owner 1:
JONES DONALD LEE
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
3502 US HIGHWAY 601 NORTH
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 5 CLARKSVILLE HEIGHTS
Fin: Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.00
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
2/1990
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001530111
Soil Types:
Mn132
Plat Book:
0005
Flood Zone:
Plat Page:
202
Watershed Overlay:
DAVIE COUNTY
Building Value:
53610.00
Outbuilding & Extra
Freatures Value:
11030.00
Land Value:
19630.00
Total Market Value:
84270.00
Total Assessed Value:
84270.00
All 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 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 from any and all claims or causes of action due to
r'p C Nq� NC or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT ` 0C..,
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
anitary Sewag ysms Permit Number
N�
te
\� - - No 7 .97
Name Date
Locatign
b r �`� _J �u-,�'S� �:� �� • ��. � R`J ��. Vit, �� :,��
Subdivision Name 7_3 _. ` Lot No Sec. or Block No.
Lot Size House_. Mobile Home Business -- Speculation
No. Bedrooms No. Baths No. in Family —
Garbage Disposal YES ❑ NO ❑ Secifications for ,System:
Auto Dish Washer YES p NO E]
Auto Wash Ma,.hine YES r NO u'
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 p1pns or theined use change.
oU
i
i
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 704-634-5985.
Installed b
System 4- ter,-
Final Installation Diagram: S Y Y — �
2
"XX
[a
~%h Certificate of Completions. Date 25 rj
'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.
r A
r APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department peA ,
Environmental Health Section iREC�W`oED
Mocksvi�IIe, NC 27028 JUN 01
1. Application/Permit Requested By 1 t' 0,
Mailing Address I r `�Pk ��� c�(1rc��S� 11 / I
Home Phone 42 )- �Coc� n Business Phone
2. Name on Permit if Different than Above (�coe S
3. Application/Permit for: ❑ General Evaluation Ea"Septic Tank Installation
4. System to Serve: ❑ House 24obile Home ❑ Place of Public Assembly
❑ Business ❑ Industry r ❑UOther ❑ Unknown ,✓
5. If house, mobile home: Subdivision �(� �n SV1 //E 7S Section Lot # a
No. of People
No. of Bedrooms
Q
No. of Bathrooms p
Dwelling Dimensions )L K -20
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
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
8. Property Dimensions \A im, ve S Sewage Disposal Contractor
❑ Basement/Plumbing
❑ Basement/No Plumbing
2"Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes e -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: (jo\ 0
AI e- 'W� � -
N v� -the cAI-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.
ca-? ` hi ?) `
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: Nrl. 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 representatikof the Davie Co ty Health Department to enter upon above described
property located in Davie County and owned by )mMe c�
to conduct all testing procedures as necessary tooete nimre said site's Witability for a ground absorption sewage treatment
and disposal system.
DCHD (12.90)
DATE
a
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation.
NAME
ADDRESS
S amQ
PROPOSED FACIILTY X' \�'TTMQ
DATE EVALUATED 3
PROPERTY SIZE �•
LOCATION OF SITE
Water Supply: On -Site Well Community Public "'
Evaluation By:�_'.Z,�__ Auger Boring V Pit_ Cut
FACTORS
1
2
Lands—cape position
5
-='
s
Sloe 7.
HORIZON I DEPTH
Texture group
Consistence-�-
Structure
G.
C
F�
Mineralo
1-1
1
1% i
HORIZON II DEPTH
X12"
L% --a'
'-t- z"
2
Texture groupc
Consistence
z-
- L
►-
Structure
U%X,
4K
`3k
Mineralogy
'1
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence �-
Structure t..
Mineralogy
SOIL WETNESS
SS
ss
,S
RESTRICTIVE HORIZON
—
—
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
Lj
.�
SITE CLASSIFICATION: _(R . S EVALUATED BY: (JJ�
LONG-TERM ACCEPTANCE RATE: - , OTI-JER(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
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTEN�X
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 -Crump 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 wa,:er 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
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