169 Hidden Valley Lane Lot 6Davie County, NC I f Tax Parcel Report Tuesday, January 31, 2017
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All data isprodded 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 Dade County's GIS website shall hold harmless the
County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due toNC or ari- -sing out of the use or Inability to use the GIS data prodded by this website.
WARNING: TIUS IS NOT A SURVEY
Parcel Information
Parcel Number.
G314OA0006
Township:
Mocksville
NCPIN Number:
5729273967
Municipality:
Account Number:
66632940
Census Tract:
37059-806
Listed Owner 1:
SMITH ANDREW K
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
169 HIDDEN VALLEY 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:
TRACT 6 HIDDEN VALLEY SECTION TWO
Fire Response District:
CENTER,WILLIAM R. DAVIE
Assessed Acreage:
5.37
Elementary School Zone: WILLIAM R DAVIE
Deed Date:
7/1996
Middle School Zone:
NORTH DAVIE
Deed Book 1 Page:
001880312
Soil Types:
WeC,RnD,CeB2
Plat Book:
0006
Flood Zone:
Plat Page:
118
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
F -O7
All data isprodded 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 Dade County's GIS website shall hold harmless the
County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due toNC or ari- -sing out of the use or Inability to use the GIS data prodded by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**MOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME f� r'� /: , / `�-y f i ? , f r' i PROPERTY ADDRESS f :Iclk-' %1 ��(a �! f' /�( f. �t 7 . ! DATE
LOCATION
SUBDIVISION NAME LOT NUMBER r,'7 %/ SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPEr�t-- BEDROOMS BATHS OCCUPANTS '�% GARBAGE DISPOSAL: Yes&
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
'' T
LOT SIZE ti TYPE WATER SUPPLY r',' 'r'/ DESIGN WASTEWATER FLOW (GPD) G NEW SITE G'"'�REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �,'`.'��'1 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /-V ' LINEAR FT. - Fee) I
OTHER
REIIUIiED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY 21,21 /1?/
**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 THE DAY OF INSTALLATION. TELEPHONE # IS 1704) 634-8760.
OPERATION PERMIT
AUTHORIZATION NO.
�*~
SYSTEM INSTALLED BY
DATE , .
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH,
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 'SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
,Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address 11?/%
Ct d VeIAC''ra AV C -;Z 7Ct::�' Co
@G0MIE
1�G
!13 1996 D
Home Phone / q g? - 7g.1;7
Business Phone ! " y 3 3
2. Name on Permit if Different than Above
SAI"n 4�?-
3. Application for: ❑ General Evaluation Septic Tank Installation Permit
4. System to Serve: ❑ House V Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry
1 ❑ Other ❑ Unknown 7f- el�
5. If house, mobile home: Subdivision �&,A&y Section but #
No. of People Ll
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 0 Private
8. Property Dimensions ja 4?eA� Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Basement/Plumbing
❑ Basement/No Plumbing
2, Washing Machine
Dishwasher
❑ Garbage Disposal
❑ Yes V No
❑ 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:
lh<kle All r- A
�4to^ 1A
/GICI �.4 V ck_( C.j f7 c �U
YKUYt1(-i y 1NrUKMAI LUUN KZVUIKCU:
Tax Office PIN: #6729 -.2;2 - 39e7
PROPERTY ADDRESS/, as �follows: I /
Road Name: / R /!/Cr,6
City: M0cksv,'l e
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
This is to certify that the information provided is correct to the best of my kn wledge,
incurred from this application
C/ /fDATE
SIGNA
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
for all charges
MUST CHECK ONE: ❑ 1. 1 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 ite's su'tability for a group bsorption ewage treatment
and disposal system.
�-1,7-9
DATE
DCHD (1/93)
S
f DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY
Water Supply: On -Site Well
DATE EVALUATED ei &111'417
PROPERTY SIZE S /1'.4C
LOCATION OF SITE! r J
Community
Public
Evaluation By: Auger Boring 1/ Pit Cut
FACTORS 1 2 3
4
Landscape position S f f
Z. -
Slope
Slo e %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH V,
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH it V -
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION S$
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �J ��� EVALUATED BY:�
LONG-TERM ACCEPTANCE RATE:
REMARKS: /7/ _" ale -1(
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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V?--ry 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
.3C --Single grain M -Massive CR -Crumb GR -Granular ABI{ -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
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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 Periniitts.***
NAME �U�l PG{J �J�, -7//1 DATE � � 9 AUTHORIZATION N.") D
NAME ON IMPROVEMENT PERMIT (If differept than above)
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NOTICE*** THIS AUTHORIZATION FOR WA W TER 5Y5TEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRdWKNTAL HEALTH fPECIALIST DATE
DCHD 10/95
.l
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM
Davie County Health Department
Environmental Health Section JUL — 6 1994
j
P. O. Box 665
n�% 11 � Mockswlle, NC 27028
1/41 Y 7/l�IWrY Gt% Itl
1. Application/Permit Requested By
Mailing Address � � (,O.Home Phone 'Z 92 4?9 %
Nr G z %a z Business Phone
2. Name on Permit if different than Above
3. Application for: iiTGeneral Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: Houser- ga64F to --4015 Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivisionk----Section Lot #
U,94-' 4--�41 17-1,4 4/, a ,v a A -C 4�ss0 .G o ; s
-�, o� s 'v�/y �, P44e_ �Y ❑ Basement/PlumbingNo. of People ❑ Basement/No Plumbing
No. of Bedrooms 70 -3 17/eeb01,5 ❑ Washing Machine
No. of Bathrooms
Dwelling Dimensions
❑ Dishwasher
❑ Garbage Disposal
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
9. Do you anticipate additions/expansion of the facil
If yes, what type?
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
Sewage Disposal Contractor
sytem is intended to serve? ❑ Yes ❑ No
❑ 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:
1
This is to certify that the information provided is correct to the
incurred rom t sQapplication.
7
DATE
I
of my knowledge, and I uyPerstand I am responsible for all charges
NATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 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 (1/93)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME LGDATE EVALUATED .//
ADDRESS
PROPERTY SIZE /"✓�i ��/��/
�
PROPOSED FACIILTY moo/ // LOCATION OF SITE IIA&,
Water Supply:
Evaluation By:
On -Site Well
Auger Boring
Community
Pit d�,-,
Public
Cut
FACTORS 1
2
3 4
Landscape position
Sloe Z
y
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH F1
777
-5 - 77, 7 77`
Texture groupC.
C° C-1 -
Consistence = l
/ ,-
Structure/
Q4'/'
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 '�
c
SITE CLASSIFICATION: J pL� EVALUATED BY:
LONG-TERM ACCEPTANCE Ij
REMARKS:
DCHD (01-90)
OTJiER(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 (Aay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR-Ve-y 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
3C -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