128 Meadowview Road Section 1 Lot 4Davie County, NC Tax Parcel Report Thursday, January 26, 2017
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Parcel Information
Parcel Number:
J6050E0004
Township:
Fulton
NCPIN Number:
5757899765
Municipality:
Account Number:
82516578
Census Tract:
37059-804
Listed Owner 1:
SMITH DANIEL L
Voting Precinct:
FULTON
Mailing Address 1:
128 MEADOW VIEW DRIVE
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 4 HICKORY HILL SECTION 1
Fir Response District:
FORK
Assessed Acreage:
0.45
Elementary School Zone:
CORNATZER
Deed Date:
4/2001
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
003650737
Soil Types:
Gn132
Plat Book:
0004
Flood Zone:
Plat Page:
105
Watershed Overlay:
DAVIE COUNTY
Ouuildin& Extra
Building Value:
Freatures Va ue:
Land Value:
Total Market Value:
Total Assessed Value:
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
nCU N�� NC or arising out of the use or Inability to use the GIS data provided by this website.
Ai JTHORIZAT,ION NO: O 8 4 6 DAVIE COUNTY HEALTH DEPARTMENT
"�fi'• ' Environmental Health Section PROPERTY INFORMATION
Permittee's l P.O. Box 848
Name: .. m r��►'/�'t:�?� Mocksville, NC 27028 Subdivision Name: -111�AMAII
Phone #: 704-634-8760
Directions to property': /tf (% [' �, jJT' Section: Lot: {
AUTHORIZATION FOR --m `
WASTEWATER Tax Office PIN:# (0 -
SYSTEM CONSTRUCTION
Road Name-.1dr," )DO lr,) I/Jt�lp:
**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)
J7 "j ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
r•, fl rte!!,f f /'/ �i` % ���� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
-- 4
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS
'Directions to property:/
1
IMPROVEMENT
I - { PERMIT
l�= A\-0.
PROPERTY INFORMATION
Subdivision Name: s A� ' •f
Section: 1�/� Lot:
Tax Office PIN:# --) r, -
Road Name%,.'.A$)4111W/ rjJ21p:. .If
I,
*NOTE** 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)
PLANSR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE IJ- # BEDROOMS ':T' # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE %! 'D ✓ TYPE WATER SUPPLY — �-+— DESIGN WASTEWATER FLOW (GPD) ?/d NEW SITEZ./' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE %' G % GAL. PUMP TANK GAL. TRENCH WIDTH/ ROCK DEPTH �/ ; LINEAR FT. 7 ' )
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
F
AUTHORIZATION NO. 9 Y6 OPERATION PERMIT BY: A�(!l DATE: —7J
**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 FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
WILLIAM BLAKE TRUCKING
526 Bobbit Road
ADVANCE, NC 27006
910 998-3653
NAME
ADDRESS
H. NO.
DATE
SOLD BY
CASH
C.O.D.
CHARGE
I ONACCT.
MDSE.RETD..
PAIDOUT
LAYAWAY
QTY.
DESCRIPTION
PRICE
AMOUNT
TAX
RECEIVED BY
TOTAL
No 0 0 0131"7 ALL CLAIMS AND RETURNED GOODS
MUST BE ACCOMPANIED BY THIS BILL.
GP -153-2
PRINTED IN U.S.A. 6t!/
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PER
" Davie County Health Department is
Environmental Health Section
P.O. Box 848 MAY - 6 1997
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed d41WLZS-5 Zl
Mailing Address 7 p 0
City/State/Zip �. U �� c Ci
2. Name on Permit/ATC if Different than Above
Mailing Address
Contact Person
Home Phone 0 2,(1""-42-
Business Phone2-
City/State/Zip
3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC �th
4. System to Serve: "o -use [ ] Mobile Home [ ] Business (] Industry [ ] Other
5. If Residence: # People # Bedrooms- CS_ # Bathrooms -�L [ 1shwasher [ ] Garbage Disposal
[<ashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [t)eounty/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes �A`No
If yes, what type?
X EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A^A1�'TOF THE PROPERTY MUST BE
y t �� SUBMITTED WITHAPPLICATION.
Property Dimensions: 1 QQ WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office P1 .4- - c r 4,9
6K Ll �Z
Property Address: Road Name 1 d
City/Zip
If in Subdivision pr vide info rmati llows: d D 4�
Name: Q l� e (rte
Section: Lot #:
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. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized
Re pr ntativ of the Da ie Cou JHeah Dc&rtment to en r upon above described property located in Davie County and owned
by / to c t 1 testing procedures as necessary to termine the site suitability.
DATE %' 6 r 7 SIGNA
Revised DCHD (06-96)
—A THIS AREA MAY $E USED FOR DR?AWINC YOUR SITE PLAN:
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y ' ' DAVIE COUNTY HEALTH DEPARTMENT Q�
Environmental Health Section SECTION LO7�_/_
Soil/Site Evaluation
APPLICANT'S NAME �!//�lr� DATE EVALUATED
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well
Community,
Evaluation By: Auger Boring f/ Pit
PROPERTY SIZE /,I,& l
ROAD NAME ✓G'�'d�u
Public 1�
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogye _
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: EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: I OTHER(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
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
DCHD (01-90)
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