116 Bowles RdDavie County, NC
Tax Parcel Report b S 9 5 Monday, October 10, 2016
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 1tl16 F 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 Davin, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
r'pUt1�'� NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel
Information
Parcel Number:
G50000004802
Township:
Mocksville
NCPIN Number:
5840425367
Municipality:
Account Number:
15432500
Census Tract:
37059-806
Listed Owner 1:
CLARK REBECCA GOSS
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
4101 GATEWAY PLACE LN
Planning Jurisdiction:
Davie County
City: KERNERSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27284-0000
Voluntary Ag. District:
No
Legal Description:
3.00 AC HWY 158
Fire Response District:
MOCKSVILLE
Assessed Acreage:
2.73
Elementary School Zone:
MOCKSVILLE
Deed Date:
12/1990
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001570379
Soil Types:
WeC,WeB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
44850.00
Outbuilding & Extra
Freatures Value:
1550.00
Land Value:
43540.00
Total Market Value:
89940.00
Total Assessed Value:
89940.00
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 1tl16 F 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 Davin, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
r'pUt1�'� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
;,. IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a,
Sanitary Sewage Systems Permit Number
" NameDate 1� i / Np t�5 J l/f/
Loc
.�%r✓ .it 7,
tion - � —
Subdivision Name Lot No. Sec. or Block No.
Lot Size -r� �= House Mobile Home Business -- Speculation
No. Bedrooms Q No. Baths Z No. in Family —
Garbage Disposal YES ❑ NO Q` Specifications for System:
Auto Dish Washer YES NO ❑
Auto Wash Ma ,hine YES NO ❑ _ ! ,
Type Water Supply'
*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.
Improvements permit by —�—VA �1
*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 day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by 'S 11 e e c"\'E\ V TD U 1J
o % �
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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation fes/
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE -�
PROPOSED FACIILTY _ LOCATION OF SITE Z _ir/
Water Supply:
On -Site Well
Community
Public ?�
Evaluation By:
Auger Boring
Pit
Cut
FACTORS 1 2 3 4
Landscape position
Slope Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence n n
Structure 91%e
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: —Ar". G/
LDNG-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 -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/fu
DCHD(01-901
■■M■■■■■MM■■■
■E■M■■■M■M■■■
■
" • APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT 9 ��
' Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
e(4,a, C —167.2 P
Mailing Address t3" -A&I , �ti�
o �t
9516 -37 7
Home Phone 7
Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for:
❑ General Evaluation
U�4eptic 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 l
❑ Basement/No Plumbing
No. of Bedrooms
❑ Washing Machine
�2
No. of Bathrooms
❑ Dishwasher
Dwelling Dimensions
❑ 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: ET Public
❑ Private
❑ Community
8. Property Dimensions L2.,4 e—
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:
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 applic tion
DAT SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 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 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 conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (12-90)
SIGNATURE