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1419 County Home RdDavie County, NC Tax Parcel Report D V 1 l� �7 Tuesday, September 27, 2016 1� bUM) 1 — , , ��,_ — ' 202 -- COUNTYHOMERD —......... .........__v_...__.... ....._� =. �.___.. I I, 301 i i 125 :1413 N /lg144.3 .. X 1401 N `6 5 2724 X14, s Lill l 4628 9639 ;`—.__ 150 — 300 150 � 125_ �J 250 .�. ,+ 170 tv 0597 N. 25 JIt 65i "(7 •-J i 7733 75 cn 8651 A 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, NC 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 °r� es causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY arceflnfomia6oii Parcel Number. J400000017 Township: Mocksville NCPIN Number: 5728704628 Municipality: Account Number: 41723500 Census Tract: 37059-801 Listed Owner 1: JORDAN JOE DOUGLAS Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1419 COUNTY HOME ROAD Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 11-14+37-40 DAVIE ACSECTION Fire Response District: MOCKSVILLE ;OTS Assessed Acreage: 1.77 Elementary School Zone: MOCKSVILLE Deed Date: 6/1986 Middle School Zone: SOUTH DAVIE Deed Book f Page: 001310649 Soil Types: MrB2,CeB2 Plat Book: 0004 Flood Zone: x Plat Page: 038 Watershed Overlay: WS -IV -P Building Value: 111700.00 Outbuilding & Extra 1020.00 Freatures Value: Land Value: 25940.00 Total Market Value: 138660.00 Total Assessed Value: 138660.00 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, NC 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 °r� es causes of action due to or arising out of the use or inability to use the GIS data provided by this website. 1 h Pemnttee's DAVE COUNTY HEALTH DEPARTMENT Name: U,"lt~ . Environmental Health Section PROPERTY INFORMATION 1'c,({°1 c�dls P.O. Box 848 Directions to property: Mocksville NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - AUTHORIZATION NO: 002796 A Road Name: �� + ` ' _�'�'�} : **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 with.Article I 1 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. ENVIRONIYIENtX3 TH S kCI IST; DATL ISSU D RESIDENTIAL SPECIFICATION: BUILDING TYPE4 BEDROOMS 3 # BATHS # OCCUPANTS � GARBAGE DISPOSAL: Yes or No iJ� COMMERCIAL SPECIFICATION: FACILITY TYPE,' � �.. # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE' �� TYPE WATER SUPPLY ('�+�+�i y DESIGN WASTEWATER FLOW (GPD)NEW SITE REPAIR SITE 11 r ' SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3(0 ROCK DEPTH ' Z 'LINEAR FT. OTHER REQUI ITE MODIFICATIONS/CONDITIONS.- { O ST.�iL.t. � � I'VA. L,A IMPROVEMENT Fit LAYOUT Q �} �K1ST1'Z1 lV 7772.,.. D TIS ►,,..� t-kI,S�'tn1C7 As stated In 15A NCAC 18A.196-3(8 accepted Systams may also be use FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT y AUTHORIZATION NO. Z(DA OPERATION PERMIT BY: *"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDIC? WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEVI GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. SYSTEM INSTALLED BY:�Qi��M►I L�`I L , Z DCHD 02/02 (Revised) ` • -� �-� DATE• HAS BEEN INSTALLED IN COMPLIANCE i '. BUT SHALL IN NO WAY BE TAKEN AS A &1134�11 i il�-3. ".fi'' -L:-S r ..•: r ',x>. _�.,�r"'.qV".rri,d^'.�...,...r..»..q:-,.:.•.u.sr � s.., rr ;, - Y " - ..�',q w.. �a' y +..:;ter ' 3 r.^+.: til .^w. ..Jrt..t $:•.... � ti..y.'r,4 ^..`�r'i. «i q �y.�„y r+. 4 a v a / /n 7. ^- ;. Pemnttee's-; ,; * ,, ��DAV E COUNTY HEALTH DEPt�RT1 i(( :IQam y t. 1- Environmental Health Section PROPERTY INFORMATION k' ,Jt ,'' P.O. Box 848 Directions tpj Subdivision Name: operty: Mocksville, NC 27028 Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION ` -AUTHORIZATION NO: 002796 A Road Name: Zip: **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 Pen -nits. (In compliance with Article 11 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. C; HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE _011u, BEDROOMS Z # BATHS # OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT r # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE' ,1 + A TYPE WATER SUPPLY ~'�' � DESIGN WASTEWATER FLOW (GPD) .��Q NEW SITE REPAIR SITE _� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH~ ROCK DEPTH + �' LINEAR FT. OTHER n r REQUIR SITE MODIFICATIONS/CONDITIONS: � Ai �� �� / 1 �L� i l U U �� LAID r YOUT C TIC I J Ln 1-STinJC.7 1..irJ6 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. SYSTEM INSTALLED BY: , -Z` 3J) 1 1Vk I L Q0IC.� q:5TO G-I�nnBd2 C_ AUTHORIZATION NO. OPERATION PERMIT BY: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM CRIB D AO WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTE] GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DATE: J ` HAS BEEN INSTALLED IN COMPLIANCE 3", BUT SHALL IN NO WAY BE TAKEN AS A DCHD ozoi (wised) 4e7 / # 1/3g.2 . UDr Ce -� 013 q OPERATION PERMIT r. r 7 Zw A SYSTEM INSTALLED BY: , -Z` 3J) 1 1Vk I L Q0IC.� q:5TO G-I�nnBd2 C_ AUTHORIZATION NO. OPERATION PERMIT BY: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM CRIB D AO WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTE] GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DATE: J ` HAS BEEN INSTALLED IN COMPLIANCE 3", BUT SHALL IN NO WAY BE TAKEN AS A DCHD ozoi (wised) 4e7 / # 1/3g.2 . UDr Ce -� 013 q DIRECTIONS TO SITE DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) � -yvv�cs iVi ll avec.1f;30 M PHONE NUMBER / l- Z64- y-oll`.Z70OuBSIN NAME LOT # Hoag '6%1+ (fi2o/ r65lei / ..:�feVe ta+vey o2 DATE SYSTEM INSTALLED I 7/ NAME SYSTEM INSTALLED UNDER --ra.rmes to f- 2 TYPE FACILITY 4V -SERVED -5s6 NUMBER BEDROOMS 1,NUMBER PEOPLE SERVE TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING itsAboe- P l _ f I D TE REQUESTEDZlld1 INFORMATION TAKEN BY �I 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 a Rev. 1193 1000N/9 91 iZ6bZ8=I�I��IOL3��8�bT�=QId�� 3o'�uud�d�uz�sd�uzo��sn �u atn�p oo sd�uz��:d��u �Y °� � � � .;°" , rim _ . z" , •.* � kit.:r , 14 x tirY Qf^x�r'. a x a�►.,. F� y r�, ,�pp� arR p`� i�! X _ Z4 � � , O,a,. t ;7 a-, � . ;. � .' �� { ""' �I'-� y x- � " 1 � '4 y�},� .'�•. 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X129& "OKEN:�l ffiIl 6/27/1W t `��..��+ `aY ,p.t ylM1"�,�i; -0'!`r•..�:2�,;r�,:'^1 "°�.`'f`Yj "`-'t1 y�4.ye`y',•:: _'e`-,+�.:i�iiU:;.�rC�.:a�_.� Sr;°T., ... ✓Xo ` DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Articl Sanitary Sewage Syyste s Permit Number Name-.('0��� . f �� '14tf� r D _,l4 -c O Location Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business __ Industry No. Bedrooms-4�No. Baths No. in Family Public Assembly Other Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ ��� -rY, Auto Wash Ma shine YES E] NO E]. `� %�Q /'A�c Type Water Supply _ __ — s - *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 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 /0 ')k �OW f �C P 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. �'T=� `�� • ' DAVIE COON HEALTH DEPARTMENT f IMPROVEMENTS PERMIT AND a CERTIFICATE OF COMPLETION ,y�� .. *(NO.TE: Issued in Compliance With Articfit�'CHa tp _- ? - Sanitary Sewage Sste s Permit Number D Name X14 -���y NO �- - 771(2 Location A/ � B/l Ute°'` �`.��.lf�" Gz�� r� � /�1�/ Gt �,/_f J�e,%Fv Subdivision Name Lot No. Sec. or Block No. Lot Size �House �, Mobile Home —T Business _ Industry No. Bedrooms�-,44!baths _���C! No. in Famil — Public Assembly` Other Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ / s' F Auto Wash Ma ;hive YES ❑ NO ❑ q Type Water Supply — ---- ✓" %�� /2°' ��?,>"�/�.� *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. *1 Improvements permit by *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. l Final Installation Diagram: System Installed by v V P � Gly IL ................ 'J Certificate of Co77mpletion _ 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 riod.of,, ime, .�, 7I I �r Improvements permit by *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. l Final Installation Diagram: System Installed by v V P � Gly IL ................ 'J Certificate of Co77mpletion _ 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 riod.of,, ime, .�, 7I DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME 6 J04' aA ' �%%O/1JC/� �d C ��' E PHONE NUMBER ADDR DIRECTIONS TO SITE ..SI r' BDIVISION NAME LOT # DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY/(//' --4 ���� �" NUMBER BEDROOMS_ NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193 I understand I am responsible for all charges incurred from this application. APPLICANT INFORMATION Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation PROPERTY INFORMATION On -Site Well Community Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH l9 - Texture groupG Consistence Structure Mineralogy HORIZON H DEPTH Texture groupG Consistence Structure Mineralogy HORIZON III DEPTH Texture groupC� Consistence F Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy- SOIL WETNESS RESTRICTIVE HORIZON -- SAPROLITE r' CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: _ EVALUATION BY: __5 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 ],'IQ1St VFR - Very friable FR - Friable FI - Firm VFI - Very firm `, EFI - Extremely firm 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 lY� 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 05105 (Revised)