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478 Country Lane Lot 1Davie County, NC Tax Parcel Report Tuesday, November 22, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WA"I.NG: THIS IS INU'1' A SUKVLY Parcel Information H4140B0012 Township: Mocksville 5739511965 Municipality: Census Tract: 37059-806 Voting Precinct: NORTH MOCKSVILLE COUNTY Planning Jurisdiction: MOCKSVILLE Zoning Class: MOCKSVILLE GR Zoning Overlay: Voluntary Ag. District: No LOT 1 COUNTRY LANE ESTATE Fire Response District: MOCKSVILLE 0.72 Elementary School Zone: MOCKSVILLE 3/2006 Middle School Zone: SOUTH DAVIE 2006E0099 Soil Types: Gn132 Flood Zone: Watershed Overlay: MOCKSVILLE 124360.00 Outbuilding & Extra 890.00 Freatures Value: 25000.00 Total Market Value: 150250.00 150250.00 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 l� C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arlsing out of the use or Inability to use the GIS data provided by this website. ��x M.R-+! 45 �..j �fF r� •� K � � M1 4 t N /]/ 'O� � 1, D"IE COUNTY HEALTH DEPARTMENT �y IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a ---- Sanitary Sewage Systems Permit Number Name Date ,a� y � N° 7533 � �'- � � � u ,D — r �� LocationvN (-- 11 1 �".'�� \. Y•'.,. �',-t•7..a`` �y .: ;,:�.,. t-`)^ � `'"'. ��,.�:i'�.•..,�?�. ca"� �5,\,,t�`1„S� `_,� � t�� 1.A Q..L..•I :..:....... "A1....... I .h�.�/I,.WUn uZl.�'V�12....T_YTinDY'Ti')1 .,• Nlr, I /c;...l )..- off.... .i.��.. H .. Lot Size k �>-Q House Mobile Home _T Business Industry No. Bedrooms L—_. No. Baths _��Z-- No. in Family— Public Assembly Other Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer, YES NO O / bUco ce L-,� < ~ Auto Wash Ma^hine YES NO ❑ Type Water Supply _ ___ *This permit Void if sewage system described below is not installed within 5 years from d1te of issue. This permit is subject to revocation if site plans or the intended use chap? 1 �, JI �C.) v 5 c , i.1 Improvements permit by c� *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day 8f completion. Telephone Number: 704634-5985. Final Installation Diagram: " ,.,. System Installed by s Certificate of Completion Date *Th ey: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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS�P Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address ff, V Arrt 11994 '11c- AIC 07d 2 9'Home Phone �� 7 v Business Phone 2. Name on Permit if Different than Above 3. Application for: a General Evaluation 13]Septic Tank Installation Permit 4. System to Serve: ©(House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry / ❑ Othherrgyp ❑ Ur)Rnowri 5. If house, mobile home: Subdivision �r� L=am Section Lot # J ❑ Basement/Plumbing No. of People ❑�Basement/No Plumbing No. of Bedrooms D W shing Machine No. of Bathrooms -3 Dishwasher Dwelling Dimensions z100'60 ❑ 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 Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: L°1 Public ❑ Private / ❑ Community 8. Property Dimensions�f Sewage Disposal ContractorT�<<�''�P� 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes to If yes, what type? '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: f TC) C�� d T c v ti T✓ ��s� e ✓ � o •�r L � ; S d a� �y t Ld°'H rl � _l v e pc� �vv C� This is to certify that the information provided is correct to the best of incurred from this application. DATE and I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BED NE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. M'12. I 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 D v e County ealtt Department to enter upon above described property located in Davie County and owned by5L!C� to conduct all testing procedures as necessary to determine said site's suitabi ity for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1193) • APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT..__..- Davie County Health Department Environmental Health Section' P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By. OaY4 Lcod Wznwaer qq A/ , C Mailing Address �� o� -,d/%/ 057" • M a� f/i m2 il(� / e - .�7,�, ' Home Phone r%Q ��Lr ��l/ Business Phone '70y 4 -0004, 2. ZZZZ- 2. Name on Permit if Different than Above 11 3. Application/Permit for: ❑ General Evaluation Septic Tank Installation 4. System to Serve:House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Lam, (lie ���Ja� Section Lot # No. of People 1� No. of Bedrooms T No. of Bathrooms 04-0 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 No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figure 7. Type of water supply: �ublic 1771X 1El Pate ate 8. Property Dimensions �Q� r /� -r �Zl. ZX Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine Dishwasher ❑ Garbage Disposal ❑ 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. n)rections to Property: loo/ �6 C4�a'"'-' .,W ak � ga,n�. aired %UL� /"-A- Oav-� &Ouy Ja­le' Y�'l0.p #-y- iy 1 A/oak 4, 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. ` I)- a4 93 w DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBE ROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. JZ 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 herebygive consent to the authorized representative the Davie oun'ty Health De artme t t entgr upon above described propertocated iDavie County and owned by (' _ 1l 0 I X' ii2 p to conduct all testing procedures as necessary to determine said site's suita ity for a ground absorption sewage treatment and disposal system. DATE SIGNATURE c DCHD (12.90) f DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation G NAME Q `� �J�' `� DATE EVALUATED ADDRESS S 'a 'cncz- PROPERTY SIE N PROPOSED FACIILTY _`� o S-- LOCATION OF Water Supply: On -Site Well Community Public Evaluation By:(�-'L_ Auger Boring Pit Cut_ FACTORS 1 2 3 4 Landscape position __.s - Slope % O - 8G O - Ci HORIZON I DEPTH Texture group - �— Consistence 15M 1 - F � Structure R C Mineralogy HORIZON II- DEPTH ' k" f C Texture group Consistence Structure S g K4r, Mineralogy It HORIZON III DEPTH Texture group Consistence Structure Mineralogy, HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S s s S S s s s RESTRICTIVE HORIZON-- SAPROLITE -- - — CLASSIFICATION S - �•S . S LONG-TERM ACCEPTANCE RATE d 1If I SITE CLASSIFICATION: LONG-TERM ACCEPTAN REMARKS: - DCHD(01-901 ME RATE: ' '-i EVALUATED BY: OTHER(S) PRESENT:_ V c 0-9r� �, �y � d Q, Landscape Position -N �o , 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 -Film 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 Dame County Yfeallii Deparbnent and Nome Y[ealtfi yency 210 HOSPITAL STREET/ P.O. BOX 885 MOCKSVILLE. N.C. 27028 PHONE: (704) 834.5985 March 17, 1993 - Swicegood—Wall & Assoc. Attn: Kathi Wall 300 S. Main St. Mocksville, NC. 27028 Re: Site Evaluation Country Lane Estates/Block A—Lot 1 Dear Realtor: As requested, a representative from this office visited the aforementioned site on March 8, 1993. The site was found provisionally suitable for the installation of a ground absorption sewage system. 'If you have any questions, please feel free to contact this office. Sincerely, Charles E. Little, R.S. Environmental Health Section CL/wd Enclosure