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243 Dance Hall RdDavie County, NC Tax Parcel Report Tuesday, September 27, 2011 --- ---- -- — 1 41 _. .._........._ _,.__..,........ DANCE HALL RD ..........0 (380) 162 i I 402_--- i I s i 141 M u7 L V 7123 L LO � 0101 Z79,= 101 Davie County, NCimplied WARNING: THIS IS NOT A SURVEY causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: C40000006401 Township: Farmington NCPIN Number. 5833820101 Municipality: Account Number: 29331500 Census Tract: 37059-802 Listed Owner 1: GLASSCOCK THOMAS F Voting Precinct: FARMINGTON Mailing Address 1: 243 DANCE HALL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAME COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY OD Zip Code: 27028-6266 Voluntary Ag. District: No Legal Description: 4.61 AC DANCE HALL RD Fire Response District: FARMINGTON Assessed Acreage: 4.63 Elementary School Zone: PINEBROOK Deed Date: 7/1991 Middle School Zone: NORTH DAVIE Deed Book f Page: 001600066 Soil Types: MrB2,En6 Plat Book: Flood Zone: x Plat Page: Watershed Overlay: - Building Value: 99940.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 57930.00 Total Market Value: 157870.00 Total Assessed Value: 157870.00 101 Davie County, NCimplied All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the warranties of merchantability or fitness for a particular use. Ali 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 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 *NOTEAssued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems j Location Date _ Permit Number N°_ 64� Subdivision Name.Aq 7 ptoNCt Lot No. Sec. or Block No. Lot Size �y House Mobile Home�--� Business Speculation No. BedroomsNo. Baths _ras.—_ No. in Family_ Garbage Disposal YES ❑ NO [�JSpecifications for S stem.- Auto Dish Washer YESI NO ❑ ,•' ' " s' Auto Wash Ma -.hive YESj, NO ❑ ����'� n Type Water Supply `�, 1v ZZ *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. �f 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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by lam° '*'.' Certificate of Completion ` Date 2 ! '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• ' APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT ' Davie County Health Department I' Environmental Health Section `11 P. 0. Box 665—� -� Mocksville, NC 27028 / o 5ca c - 1.t pplication/Permit Requested By / Mailing Address 'Y 13k ���u c.(cs�L, Home Phone 3) 9 Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: C) General Evaluation S/Tank Installation 5. System to Serve: use U Mobile Home (] Business L] Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot# No. of People 'S� .2 Dwelling Dimensions No. of Bedrooms - Basement/Plumbing No of Bathrooms ` Basement/No Plumbing Fashing Machine J Dishwasher 0 Garbage Dasposai 7. If business, industry, 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 S. Type of water supply: Q Public �rivate n Community c:?e -cp el? 9. Property Dimensions 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes 7 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. 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. Z --I - �& - 'L� Date Signature Directions to Property: , c6--- E::T DCHD (10-89) ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME�Z� DATE EVALUATED � ADDRESS PROPOSED FACIILTY '/emelt'-e PROPERTY SIZE J LOCATION OF SITE Alhe�y Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position E. Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH &0 Texture groupC Consistence Structure k / Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 207 LONG-TERM ACCEPTANCE RATE.____,-? SITE CLASSIFICATION: A'2r EVALUATED BX.:- /Z lam. 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 -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 Mineraloity 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 ■ ■ n ■ ' Davie Comm v AW6 De arlmenf and ,dome YlealiF yency 210 HOSPITAL STREET/ P.O. BOX 885 MOCKSVILLE• N.C. 27028 PHONE: (704) 834.5985 July 9, 1991 Tom Glasscock Rt. 5, Box 88 Mocksville, HC 27028 Re: 2 Site Evaluations Dance Hall Road/5 Acres & 2 Acres Dear Mr. Glasscock: As requested, a representative from this office visited the aforementioned sites on July 8, 1991. A 5 acre tract and a 2 acre tract were evaluated. Both tracts were found provisionally suitable for the installation of a ground absorption sewage system on each site. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall,_ Jr., R.S. Environmental Health Section. RH/wd Enclosure `.at + . ,. p; r ; ._ , t Sa fig.:,, 4 F .",. P -.. ' , °.`. r c, :, .Y _ _,. e ate. /. :;.t,.<(:.^•:.-. - DAVIE COUNTY HEALTH DEPARTMENT !!! UT IMPROVEMENTS PERMIT AWCERTIFICATE CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a / Sanitary Sewage Systems ?/%/l�.J� Permit. Number Name ,�' �� �t/�a,>:..s r<^Pe ���L Date No f U Location ca Subdivision Name Lot No. Sec. or Block No. Lot Siie a House Mobile Home 'Business_�!�, Speculation No. Bedrooms .No. Baths No. in Family Garbage Disposal YES ❑ NO Specifications for System: f �� Auto Dish Washer YES NO ❑ r_. ,' "/ Auto Wash Ma .hine YES NO ❑ �� �� Type Water Supply �P%� __C.> *This {permit Void if sewage system described below is not installed within P years from date of issue. 'ThisL permit is subject to revocation if site plans or the intended use change. rg t Improvements permit by _ 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. Certificate of CompletionZ-- 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 NAME O vJ� ` DATE EVALUATED ADDRESS PROPERTY SIZE f� 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 _ 2__ Slope % L HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t <P Y Texture group Consistence r r 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: // LONG-TERM ACCEPTANCE RATE: ZY REMARKS: DCHD(01-901 EVALUATED BY: OTHER(S) PRESENT: 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 - 1n 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 NONE ■E■■ ■ ■ EMNME■EMEE■ ■OOMMOMMMM■ ■EEE■■■E■ MEMEMEMEN ■NM■M■■EME■ ■EM■■EE■■■■ ■■MEMO■■■■■ ■■MEMEMEM■■ EEE■■■E■■E■ ■■M■■■MM■■■ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By�j/(J-//��" y� �u- 4Ky-P-w Mailing Address I� f / Ony a / //!.aks/ v,)�L� /V. 6 270 Home Phone V2 -25S'36 Business Phone 63y r &24-// 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 Generalvaluation S/Tank Installation S. System to Serve: House IMobile Home D Business 0 Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot# No. of People Dwelling Dimensions _ No. of Bedrooms 3 - Basement/Plumbinci No."'Of Bathrooms Basement/No Plumbing ashing Machine Cj Dishwasher 0 Garbage Disposal. 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers S. Type of water supply: C Public Private 0 Community 9. Property Dimensions s ac r 10. Sewage Disposal Contractor Sh e1- nnan D LA eN n 11. Do you anticipate addi ons/expansions of the facility this system is, intended to serve? Yes No If yes, what type? ; l - .� A7 /l•�i r *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. 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. -.s-- / — !? / &-aeff:�J= li(.J SCJ Date %SigiVature Directions to Property: DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. 0. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: DATE RECEIVED (office use only) eS no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from , owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. ye no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conductall testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. (05—I —q I - Gcf DATE:1SIGNATUR 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: Owner only Owners designated representative Anyone requesting results _ Only those listed below A410 4A a,&oT DATE SIGNATU DCHD (11 /84)