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127 Bath Ln Davie County,NC Tax Parcel Report 3� Monday, September 26, 2016 Ir LU Uj Cf 127 CC _ 171 151 5 t Of - �I (Dw � w of WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E600000002 A Township: Farmington NCPIN Number: 5851272917 Municipality: Account Number: 82527263 Census Tract: 37059-802 Listed Owner 1: HUTCHINS JAY A Voting Precinct: FARMINGTON Mailing Address 1: 127 BATH LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: TRACT 1 HUTCHINS S/D Fire Response District: FARMINGTON Assessed Acreage: 1.99 Elementary School Zone: PINEBROOK Deed Date: 11/2006 Middle School Zone: NORTH DAVIE Deed Book/Page: 006880531 Soil Types: EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 198830.00 Outbuilding&Extra 1970.00 Freatures Value: Land Value: 36210.00 Total Market Value: 237010.00 Total Assessed Value: 237010.00 I,v i 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 NCC County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. �.... Y3'^'S- 0.f�,t,�i`•4 R-r iti Y "4'k]'.F''�.�:�,'L w'f+......`r- -y 'F.'1- a < -tel ... ` . . _ ... _� r. . w] .. ._.. ' - � s- c;.`r DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLIETION *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems/",-/ Permit Number „. Name Ila'/' �;1. r ;Ar L,. �% f l/ Date �I r �'��'�/ _ .7 0 Location Subdivision Name Lot No. Sec. or Block No. Lot Size /GAG House Mobile Home _ Business -- Industry No. Bedrooms—.No. Baths — No. in Family _— Public Assembly Other Garbage Disposal YES NO p Specifications for System: � Auto Dish Washer YES NO ❑ (t" ' Auto Wash Ma^hine YES NO ❑ Type Water Supply - ' t1Z *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 plans or the intended use change. �I`rS 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 of completion.Telephone Number:704-634-5985. Final Installation Diagram: System Installed by V.l".��S'11 VN—Al l- e C41A c�,vbl �3na oD /" Certificate of Completion Date '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. �rAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS P @ IE WE ti�Q t' �.►�` (�i /_n Davie County Health Department Environmental Health Section P. O. Box 665 4 �,�t• 3� ', Mocksville, NC 27028 1. Application/Permit Requested By. Mailing Address 3=3 L----J Home Phone y��0 5? 3 3 4 5LL _ _fir.t.{� 1 1 1.2 �1 t✓ �7DoL g Business Phone pZ/02— d `f-44- G7 A TC5 2. Name on Permit if Different than Above 3. Application for: D General Evaluation Septic Tank Installation Permit 4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home:Subdivision Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms Washing Machine No. of Bathrooms Z' Dishwasher Dwelling Dimensions _X T Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No.of People Served Q-.-- No. of Sinks No.of Commodes 2 No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public Private ❑ Community 8. Property Dimensions / C Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Q No 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: i Neacoo>c D f. Jv 6; I be:� 15,n oA4 — LeFT o t� S%,bo-< G•CQeK R ct ' CRN q }� 0&-� isAr0 .1.-fJ , `1 K-Q L'T 4t>-t> U e fe C Ke i 5 A/e-f-T #fl N-Q 'I c, N Ly cres 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. DATE GNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY [andd ECK ONE: M1. I OWN the property. ❑ 2. 1 DO NOT OWN the property. ked Box#2,the rest of this fo MUST be completed by the owner or a person authorized by the owner: ve consent to the authorized representative of t e vie Count a Department to enter upon above described cated in Davie County and owned by N u--T-C-R / S all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment al system. DATE COGNATURE DCHD(1/93) v 0. 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME Ala �DATE EVALUATED ADDRESS PROPERTY SIZE ��e/ /� PROPOSED FACIILTY A/1' J�'� LOCATION OF SITE ��[ � , t Water Supply: On-Site Well Community Public Evaluation By: Auger Boring L/ Pit Cut FACTORS 1 2 3 4 Landscape position L L L- :L Slope Z o :2— HORIZON I DEPTH �� " '/0 Texture group 14 G Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence �- Structure G l Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 7t 77 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 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 5C-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 ■■.■t■■nt■..■■t.■.■..■t■■■■■■■t�tttt..../�..t.■i..../■...ttt ■■N ■..............■■/■./...��,�:�:.■■t.■■:.:tet■■..■■ ■.■.............■ ...................................... ■■E■■■■■■■ ■�■■■\1■■■■■■■■■■ ...................................... ENE NEI . ..■W..■■.■/■■■ MEN molmlwmllmmmmmml ME M so EMEMEM EMMON ,'. ■'IIMMEME''■�i Eiiiiii■ ■/...■u■■..■...........■..■..■�� =■■n.■m■■..■ �� %� i'O■'ii1 Mii'I'■=iiiiON .........II...■■...■■■..■iii..■■.!■.■.H'=■.■�G.....C..■..�,..... ... ............,.............CMEMMEMEN .■..■t.■.............■■.■.M■.■■n■..■■.■ ..................... ............................._..■t■■.■■.■/■■■ ■■■tt/.tt..t..tt.\'\tt■■t/��//:.1 1.■■///!ii■G�./..t.t..t■■t.■■.t■■ ■t.t.../.t.ttttt■tt■■■■■■ttttt.■/t.■■../■...tttt.■t..t.■t■/■■■t.■■ ■.■■ ■■/.■.t.t■■■/■■■■■tt..t■■/■ ■■■■tt.tt■■ttt■■t.tttt.t.tn/.■t ■/■t■■ttt■■/■t.■■tt■tt■■■ttt■/..�■■.t.t/.t..tt■...../.■.....■...■ DAVIE COUNTY HEALTH DEPARTMENT Environmental,Health.Section PO Box 848/210 Hospital Street Mocksville NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT , REMODELING ❑ RECONNECTION ❑ Name: 0,--f 4 44 ( /AlS Phone Number: ?a!o le-W (Home) Mailing AddressF 191--7 lel (work) Detailed Directions To Site: 1%Po m I•-`O A- ASAP, ALP I-4 rte/ fA„?W,AIQ Z1 A/ 1. !/ ¢'✓116rs r-I)Ii1Y! /-'/tr) 1 fle-ty /27! D/✓ /)VlG� na 7= )X40a Noperty Address:- Please Fill In The Following Information About The Existing Dwelling. Name Sysleem Installed Under: SIA tt 7`,N/N5 Type Of Dwelling: _ /))/Z>- a r t Date System Installed(Month/Day/Year): Number Of Bedrooms: Number Of People: a Is The Dwelling Currently Vacant? Yes❑ No p� If Yes,For How Long? \ 'Any Known Problems?Yes❑ No V/ If Yes,Explain: Please Fill In The Following Information About The New Dwelling: Type Of Dwelling: 56lhgAi 4 sG_ Number Of Bedrooms: Number Of People: 2— Requested By: Date Requested: /.7t. ,✓ `7 (Signatu ) For Environmental.Health Office Use.Only Approved Disapproved ❑ Comments: Environmental Health Specialist �i ' / ! Date *The signing_of this form by the Environmental Health Staff is in no..wayintended,nor,should tie taken as a guarantee(extended or limited)that the on-site wastewater system will1unction properly'for any given period of time Payment: Cash❑ Che Sk Q Money Order❑ # /s (� Amount �$`�fi• t7 Date: �ff.,,L/lir �j 77 / ,j Paid By: 4J111. l"j�fi �� l; r'+�5 Received By: �` �Gtft•t. Account #: 7iI Z� -Invoice #: ��