173 Bath Ln 2016-Davie County,NC Tax Parcel Report Monday, September 26,
173 i77
151
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WARNING: THIS IS NOTA SURVEY
Parcel Infonriaiion
Parcel Number: E60000000201 Township: Farmington
0CPDN0umhor 5851274990 Municipality:
Account Number: 8302496 Census Tract: 37059-802
Listed Owner 1: UDBgDANIEL G Voting Precinct: FARMINGTON
Mailing Address 1: 173BATH LN Planning Jurisdiction: Davie County
City: MOCKGV|LLE Zoning Class: D/vNECOUNTY R- O
State: NC Zoning Overlay: DAV|E COVNTYOD
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 2.O2ACSUGAR CREEK RD(LT 1) Fire Response District: FARMINGTON
Assessed Acreage: 1.09 Elementary School Zone: P|NEBROOK
Deed Date: 8/2013 Middle School Zone: NDRTHD/YVIE
Deed Book/Page: 009350363 Soil Types: EnB
Plat Book: 11 Flood Zone:
Plat Page: 105 Watershed Overlay: DAVECOUNTY
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Building Value: 170700.00 Fre�ureoOutbuilding~Extra
1440.00
Land Value: 1552000 Total Market Value: 18766000
Total Assessed Value: 187660.00
'w DAVIE COUNTY HEALTH DEPARTMENT
OF COMPLE
IMPROVEMENTS PERMIT AND CERTIFICATE
.-�OT'E:Issued in Compliance With Article llof G.S.Chapter130a
Sanitary Sewage S stems 1?3 e I umber
N2 69.80
Location Ile,
Subdivision N Lot No. Sec. or Block No.
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Lot Size House __-_-_-_ Mobile Home Business --- Speculation
_-___-_-
No. Bedrooms No. Baths No. in Fami|y__���-__ .
Garbage Disposal 'YES O NO Er Specifications for System:
Auto Dish Washer YES NO [] zd
Auto Wash YWa,�hino YES NO []
TypeWater Supply
_--_-_--_-_
*This permit Void ifsewage system described be|mvv is not inmbmUod within 5years from date ofissue.
This permit |osubject to revocation if site plans orthe intended use change.
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Improvements permit by
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*Contact a representative of the Davie
County Health De ament.for final i o\i f this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of-) omplamen. Tel,-phone jifnbpr 704-634-5985.
Final Installation Diagram: S tym Installed by 9<Ros I �N A�. C)fl,�
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Certificate mfCompletion Dat*
'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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI R 'f�(fa(!VE®
Ca OL �G � Davie County Health Department
%if 1� Environmental Health Section DEC 0 9 1992
13 P. O. Box 665
\Y Mocksville, NC 27028
1. Application/Permit Requested By i n G
Mailing Address // ��• nnZ c n�C�x mo . k V( N P \[
Home Phone_tom vl q o" %� Business Phone (q l q' 1(,'9 - 932-0
2. Name on Permit if Different than Above
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 Section Lot #
❑ Basement/Plumbing
No.of People '2- ❑ Basement/No Plumbing
No.of Bedrooms Z Gashing Machine
No. of Bathrooms_ / Er Dishwasher
Dwelling Dimensions 14117c ❑ Garbage Disposal
6.,If business, industry, place of public assembly, other: Specify type
No. of People Served No:of Sinks
No. of Commodes 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 k 292 X 1095 x 215 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 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: 'F AICA. FAST ISDuw D Z-4 o TD T'4P-M)V—' ON Rb' t X l T
�<J�N LErT TDw4RaS l-A�WI NCTIW UU TvJv 6ND
�1`UiZN �� c,N`� DNTD � I N 3�ovlc �21� � Cao STP_wc �
0KTI L U u4s TD 12-A4VEL . -rAl2 E TN E F1 RST L E FT
0N�0 svc,AR eZf,I_ K 1P,0A R Z1644T /TY T14 E F( F-51"
-DIzIVEWfiY aO J�PPPWX• ZDO Y)) k(DS -1"0 14OU-5 f- WIT (i
C-MCLE bF_IVE. Ty�-_ WOO D AQEA SES I D E -rN E (&qST51DJ:)
1AD SE I�S TSE SITE . -TWOULD I-ILE To t)F, PQESEWT/ PLEA �
CALL,
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.
4't- I,, /?M2
DATE SIGNAT
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. I OWN the property. �2. I DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of he Davie County Health Departent to entep upon above described
cated in Davie County and owned by A I�P,►� J 2 rn 2 5 I-I u'�G� �� 5,/ FaUe_�. I lutic k i AS
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DTE 69IGNATURE
DCHD(12-90)
•.i ` ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY PROPERTY SIZE S^"� ;4&
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4
Landscape position L L.
Slope Z
HORIZON I DEPTH
Texture groupG SL
,Consistence
Structure
Mineralogy
HORIZON II DEPTH D
Texture group
Consistence
Structure
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
SITE CLASSIFICATION: EVALUATED BY: if
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 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-Finn 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
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