209 Hidden Meadows Trail (2)Davie Countv, NC
Tax Parcel Report Tuesdav, November 8. 2016
_
WARNING: THIS IS NOT A SURVEY
Parcel Information
- Parcel Number:
F20000005301
Township:
Clarksville
NCPIN Number::
5810574601
Municipality:
Account Number:
- 8300082
Census Tract:
37059-801
Listed Owner 1: ._
ROBINSON VICKI LEE-.
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
209 HIDDEN MEADOWS TRAIL
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:
20.63 AC RALPH RATLEDGE , !
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
21.18:
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:.
2/2011
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008510113.
Soil Types: MnC2,MnB2,MdB,MdD,ChA,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
78840.00
Outbuilding & Extra
23010.00
Freatures Value:
Land Value:
121630.00
Total Market Value:
223480.00
Total Assessed Value:
125630.00
161 All data is provided as is without warranty or guarantee of any kind 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
���.,,`1} ifi ^x w'-ir r� .�;'� i 5,�.3�' i-'.-�v"�! •91 ,. t'. c. >'T��r .d-. , yn..i �at.i•.:1-�, .as1: "'��/l ��
AUTH01MA TION NO. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O: Box 848
Name: , 'l1 r) 6l �o ", Mocksville, NC 27028 Subdivision Name:
IPhone #:.704-634=8760
Directions to property: ,t► i Section: Lot:
^� p AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#'it
SYSTEM CONSTRUCTION
CrJ lR Road Name: 4j,A tip:
**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 rth Article 1 of G.S. Chapter 130A, Wastewater Systems,,Section .1900 Sewage Treatment and Disposal Systems) ,
f
^,�Xt
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM A
EALTH S ECI LI T: DATE SSUED .
trl'wjt F � ''Wf> i„.y �'A''`c <.� �±µt. .-f'��r ,. „:.+•'-,r •„ry"i7 ,: �. r"
DAVIE COUNTY HEALTH DEPARTMENT
+IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pe ittee }
Name. _a 4 £::t t :. Subdivision Name:
Directions to property: �"'L°� Mt ` Section: Lot: l
IMPROVEMENT j h
PERMITTax Office PIN:# _tr
r
{ Road Name: C l';�11 �' It /.' iip.
**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
con structionfmstallation 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
:.•��3 y t'-. , -"'' fi'>FSSUEFD PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL -HEALTH SPECI IST DATE SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS Z # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or Co)
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE 1 S'Y GAN TYPE WATER SUPPLY —OLA—L- DESIGN WASTEWATER FLOW (GPD) Z# NEW SITE L” REPAIR SITE
n It I
�;,,�,-�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH St's ROCK DEPTH t Z LINEAR FT. 7-cb
:.,, �15TlZ�f3t�Trc�Y
OTHER
R,
p 1
REQUIRED SITE MODIFICATIONS/CONDITIONS: } 1,)ST 4LL 00 G p.JTOJt f t t.Lf' 4)Fr
IMPROVEMENT PERMIT LAY / ou'
��� ,A,
_70'u&,'x1211� rar�-r
T�`',,S
3c i
"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 /y,
S M NSTALLEDBY: /�� = i .f
i
���
AUTHORIZATION NO. �—t---�—OPERATION PERMIT BY:
*"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)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
' Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028 OCT 29 1997'
(704) 634-8760
GOUr_I
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE VI
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed . 5oZy' Contact Person
Mailing Address o S���6a<<s,a 1' Home Phone Q x--77 Zry O
City/State/Zip S"[/l� f? . ,�Z��Z� Business Phone 910 92-0
2. Name on Permit/ATC if Different than Above . ----�
Mailing Address City/State/Zip
3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC )(1 Both
4. System to Serve: PJ House [ ] Mobile Home [ J Business [ ] Industry [ ] Other
9
5. If Residence: # People__J— # Bedrooms # Bathrooms _ [ ] Dish Sher [ ] Garba�isposal
DC Washing Machine [ ] Base umbing [ ] Base - umbing
6. �s/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [ ] County/City D4 Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes X No
If yes, what type?
ram y ��ls��iy ��'ti•r ���I
P PR PERTY INFORMATION REQUIRED: *** IMPORTANT ***� OF THE PROPERTY MUST BE
r-3 L5� SUBMITTED WITH THIS APPLICATION.
Property Dimensions: x 29 r WRITE DIRECTIONS ( Mocksville) TO PROPERTY:
Tax Office PIN: # /O _ _ 22"7 r
Property Address: RoadDame 5n 5-
City/Zip W 1 a ("Atf ✓►rAP7�/�%C Z�L
If in Subdivision provide information, as follows: �H
Name: a
coo
Section: Lot #: 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. I, also, understand that I am responsible for all charges incurred from this application. 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 con a procedures as necessary to determine the site suitability.
DATE Q SIGNATURE _ v
Revised DCHD (06-96)
THIS AREA MAY BE USEI) FOR DRAWINC7 YOUR SITE PLAN:
DAXIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
Soil/Site Evaluation
NAME _ v',�50r
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE �1LPN �ATLBixyt
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH
- -
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
- ?
Texture groupC
Consistence
Structure
S It
Mineralogyl•
I:
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 RATEAJ
O.
SITE CLASSIFICATION: PS EVALUATED BY:
LONG-TERM ACCEPTANCE RATE:y� 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 (:lay 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(01-901
■OM■
■OM■
■■E■
STATEMENT
... DAA COUNTYHFALTH DEPARTIVENT
ENVIRONMENTAL HEALTH SECTION
210 HOSPITAL STREET
P.O. BOX 848
MOCKSVILLE, NORTH CAROLINA 27028
(704)634-8760
Payment Due Upon Receipt of this Bill.
Detach and Mail a Copy of Bill with your Check.
Your cancelled check is your receipt.
October 31, 1997
.john Robinson
505 Ralph Ratledge Rd.
Mocksville, NC 27023
11--31-97
10-31-97
11-03-97
Site Evaluation/Ralph Ratledge
Peruit/RTC ii11i9
PAID/Rct. 18912 (Check 527$)
50.00
50. CC)
-100.00
DALA«SCE DUE NOW
0 -