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467 Buck Seaford Rd 3avie County,NC Tax Parcel Report 144. Monday, September 26, 201 E --- ------`--_--- ---- - ---- --- ---, ~-------- m vIi 467 SCJ- f 1�M . .._._._._.__._.._..................................................._........._.........I__..... ...................._..___._..__....._.__..........._....................................................................................._........................................_......_._.__------......».......-.......... WARNING: THIS IS NOT A SURVEY 777777777��77�7 -772777 Parcel Information - Parcel Number: K40000004308 Township: Mocksville NCPIN Number: 5737002351 Municipality: Account Number: 82524926 Census Tract: 37059-801 Listed Owner 1: .. HAMPTON JENNIFER ELLEN_' Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1722 BUDDY STREET Planning Jurisdiction: Davie County City: WINSTON SALEM Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27103-5914 Voluntary Ag.District: No Legal Description: 0.928 AC BUCK SEAFORD RD Fire Response District: MOCKSVILLE Assessed Acreage: 0.75 Elementary School Zone: MOCKSVILLE Deed Date: 1/2016 Middle School Zone: SOUTH DAVIE Deed Book/Page: 010090059 Soil Types: PcC2,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 18270.00 Total Market Value: 18270.00 Total Assessed Value: 18270.00 9 t !E 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. c"yY`.ryy.,:�af�,rr�.i'ri;S.cir;.ti7ti,Fyw.,3=4t` :i�:;,,. roti ^'a.�XF'fW r;�"""�j,[rT..+id,p i +t' - � ' 4 +"�;i er� -•. '5� 'Kti:tV�rtiTw _ r`d t'F' t ras ".tl"�„'�'Fs5'L• ` ':e�a�� .,ptT �,.+I'."4' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION G 'NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a g " Sanitary Sewage Systems ” (t0" e17111t Number Name �c•'� - Date �i - 9 N2 7 4 2 9 x Locations-� \-R1 _ _ p Subdivision Name Sec. or Block No. Lot Size °House U Mobile Home —T Business -- Industry No. Bedrooms 3_—.No. Baths _ —"Na,^fin Family * 2 — Public Assembly Other Garbage Dis osal`, _ YES NO *�''' 9 P Q d, Specrfications for System: s � Auto Dish Washer YESd"f`IO`❑i - Auto Wash Ma^hive YES NO ❑ Type Water Supply *This permit Void if sewage s'ystem'describ d ba6w is not installed-with r`'S years from date..of issue. This permit is subject to revocation if site`-plans mor the intended use change:,. .: ;L r 1 ra`l c '7 Improvements permit by *Contact a re esentative of'the.Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P or 4:30-5:00 P.M.on'day of completion.Telephone Number:704-634-5985. Fin stallation Diagram: System Installed by D C Certificate of Completion `- — Date, D 9 *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 ;. v IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION y �I tE' :Issued in Compliance With Article I I of G.S.Chapter 130a q&q S�c�o�� :Sanitary Sewage Systems Permit Number Name , ~ . — Date .j �l N2 7429 , "�' Locations Subdivision Name `- `LofNo -_..__ Sec. or Block No. Lot Size_1 Ob Vis'° House `vim Mobile Home _� Business -- Industry No. Bedrooms 3 .No. Baths —lam`No. in Family �-- — Public Assembly Other Garbage.Disposal YES ❑ NO ER( Specifications for System: .5,%N , Auto Dish Washer YES NO Auto Wash Ma^hine YES NO ❑ t� 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 — — *Contact a reesentative of the Davie County Health Department for final'inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P or 4:30-5:00 P.M. on day of completion.Telephone Number::7,04-634-5985. Fina stallation Diagram: System"Tnstalled by DaN"c�a Certificate of Completion;., Date U 9 Ll '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 ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) NAME ' PHONE NUMBER ADDRESS R'� c1 o .�3 SUBDIVISION NAME o c�sy LOT# DIRECTIONS TO SITE DATE SYSTEM INSTALLED 9(cam NAME SYSTEM INSTALLED UNDER " TYPE FACILITY \ko tj$° NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY C v v SPECIFY PROBLEM OCCURRING DATE REQUESTED_ �' °�` °\ INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT- Rev,1/93 < APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE � ����® fir, '• �' Davie County Health Department CEnvironmental Health Section JUL Z 7 1994 P. O. Box 665 V-1 �,. . Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Ul .-cn dC �C) Home Phone 1,3 ' 3 • O 10 d' Business Phone 2. Name on Permit if Different than Above 3. Application for: Il General Evaluation eptic Tank Installation Permit 4. System to Serve: 12- use ❑ 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 l� ❑ Washing Machine 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: ❑ Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes er o If yes,what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date.rissued. 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 application. �56ATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 59-T. I 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 SI ATU E DCHD(1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation. NAME _) IAI DATE EVALUATED ADDRESS PROPERTY SIZE A0 PROPOSED FACIILTY /���f� LOCATION OF SITE B/ Water Supply: On-Site Well / Community Public Evaluation By: Auger Boring (/ Pit Cut FACTORS 1 2 3 4 Landscape position I-- L L Sloe % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH f Texture groupG 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 S SITE CLASSIFICATION: EVALUATED BY: LANG-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/ft2 DCHD(01-901 ■■■■■■■■■■■■■■■i■/ll..i'/,t/i■�1■r/■....p■■!!!!..■■■■..■.l...■■.e■■.■■■■ ■■.■■!■■■.■■■.t...■■■..■■■ale■■■■!■■..■.■■■.■■■■■.■■■■■..■■!!.■■t.■ ■■.■■■■■.■!■■H■■■!e■.■■..��.a■■■■!■■....■■■e■..■■e.■■.■e...e...■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■tl■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■.��■■■.■■■■■■■■■■■■■■■■■■■.■■■■..■■■■■■■■■ ■■e.■.lH..■!■ee■ee■!■■■ee�E.■■■■l..p....■...!!H■■■■.■■■■epee.!■ ■■■■■■■e■■■■■■■■■H.t■■■■■��.■.■■ .■.■■.e■■■n■■.■!.■!!l.l.....e■.■ ■■■■...■.e.■■e!.■■.■■.■■■■....■. ■■■!■■■.■■�;'e\■■.■■■■■■■■■.■■.■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■►■■■ ■■■■■■■■■■■■■■�.■■■■■■■■■■■■■■■■■■■■ ■■e■..■ne.!■■■.■■■■■■■■■■■ H ■■■■■lete■�■■�r���r■■■■■■■.■■.e■.eee■ ■■!■H■■....■■..eee■.n■ ■e��t.■■■■■■.■■w, ■7/,.`../■ee.e■!■■N■■■■■■■ ■■■■■■■■■..e■■■■!t■■moms ■■■\.■■■■■■■■�il►,!�/.[Itltlel.l..■■■.!!ltl..!■ ■■■■■■■■■■■■■.■.lH.l.H .■■ ■...■.■■.u.■■■■■■■e■■e...p.■■■!..■■■ .■■....■■■■H..■.Ht.■.■ ...■ ..■N■.■■■.■■.■ee■■..t■■....■...!■■■ ■■■■■■■■■■■■■■..■■■■■■.t�■■■■■1■ ■■.■■■■■■■■■■■■■■■■■■.■■■■..■■.■ ■■.■ ■■■■■■■■■Nl..t...! ...■.�� ■■■■■■.■■■■■■■■■■■■■.■■■■■.■.■■■ ■leen..■ ■■.■■■.e..eERIC ■■■ p■■\■■■■■■.!■■.!■.■■■■■■!■■■!!■■■■■!■ ��"iiiiii�iiii�ii�� i■��i■.■�i■.!■.\�■■■!■■■ee!■.!.■■■■■■■■!.■e.■!.■ !■■■ee■e■■■■�\.!■....■l...■■■.. ■!■ .■■■.■!■ ■e!■! oo �■'■!■■!e■■S'i!■ .e �i■■. ■■■!e■■\■■■■■.■�i■■■■.■■.■.'� .■■■!e■ '■■■.■ie■■i■■i■..i.....i.■.li!...■!.■..u�e.....le....!■...■■..l■!....■■..■e■■...■e...�ep..�■i..e■..e.■..■■.■.■..■■■..m=.■..e.■■=....i.�e..■l..N...�■.!..■.■c.■i■.i.i..i■,ii .iE iInil COMES■■■■ ■t■i■ ■■ ■■■■■. ■ . ■ ■ ■..�\►e.�■i■e.;i=■■..i=ee.ier■..i�..iw.ii■.i■.ie.i■t.li�l■.�i■l■.i..■.i■.■.■...■■■ en ■■■■■■■■■t■■1■■■■ ■■■ee.■■...i■.■.■i..e.ie..ei.■.i...i■■:i■...i.■:i■..i.■i...i!..�i...! i■■.■■.:...e■ .l . ■ .nn■ ■ .■■■ee!!.■.!!■..■./I■H..■■!!■■...!!.l...... e ■■■■■■■ ./ /.1■ .■■■■.■ e■■■■■! ■t ■U .■fe ■...i.!..0= .!.. e..ii■■ ■... . : ' // ■.:. : ' : ::::no : : : :C �: : �: � �: :_ .:::::■■■■ ■■. . ■ ■!■■.■l...■. ■■■■■■■■ i■. ■■■. 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SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1193 1-y4.!A? u 'a . AUTHORIZATION NO8 0 id .DAVIE COUNTY HEALTH DEPARTMENT" Environmental Health Section PROPERTY INFORMATION Permittee' P.O.Box 848 Name: Mocksville;NC 27028 Subdivision Name: -' / -' /' Phone# 336-751-8760 Directions to propertyk fl el��''Tllr Section: Lot: AUTHORIZATION FOR .A'!lG` �f/• lr .��'f/� WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - Road NamtK &etFcnc( Zip:L70Zp' **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 CountyBuilding Inspections` 'Office when applying for Building Permits. , (In compliance with Article 1 I'of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) .***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED �»- or gDAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTAND OPERATION PERMITS PROPERTY INFORMATION i Permittee' Name: Subdivision Name: f Directions to property Section: Lot: _T IMPROVEMENT PERMIT Tax Office PIN:# - Road Name?U c K S er#FcPd, Zip•Z?o Z.V, **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) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR 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 #BEDROOMS #BATHS #.00CUPANTS–,/—GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE E REPAIR SITE SYSTEM SPECIFICATIONS:.TANK SIZE GAL. PUMP TANK GAL. .TRENCH WIDTH ROCK DEPTH/(J LINEAR FT.'�! OTHER r _ ' REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOW FINISti,ED GRADE* f. { 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. xxxxxxxxW A4 b) IZIL—Ulbk OPERATION PERMIT SYSTEM INSTALLED BY: ti ;r 7D (�N , .�► aid - Y AUTHORIZATION NO. l PERATION PERMIT BY: DATE: r , r r. .*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE /, ,14x, 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) DAVIE COUNTY HEALTH DEPARTMENT- IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee'Name: d of' Subdivision Name: Directions to property:. Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Nam3i I(.K Se,-#rld Zip:Z 71 **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) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE� #BEDROOMS__�Z2_#BATHS_/ #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT- #SEATS INDUSTRIAL WASTE:Yes or No ' LOT SIZE TYPE WATER SUPPLY f DESIGN WASTEWATER FLOW(GPD)NZ/O)NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK____---GAL. TRENCH WIDTH ROCK DEPTH 16p, LINEAR Fr. 1,r OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT. ,PERMIT LAYOUT iAPPROVED EFFLUe4T FILTER* *RISER(S) IF Gil BEIDW FINISHED GRADE* k 4., **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. XXXXXXXXX OPERATION PERMIT SYSTEM INSTALLED BY: k a AUTHORIZATION NO. PERATIONPERMIT BY: I)A/TE: "THE ISSUANCE.,OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEIC INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. z DCHD 05/96(Revised)