243 Dance Hall RdDavie County, NC
Tax Parcel Report Tuesday, September 27, 2011
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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
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' 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
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■OOMMOMMMM■
■EEE■■■E■
MEMEMEMEN
■NM■M■■EME■
■EM■■EE■■■■
■■MEMO■■■■■
■■MEMEMEM■■
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■■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)