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140 Dreamhaven LnDavie County, NC Tax Parcel Report OgSD, Thursday, September 29, 2011 9 Kv ♦", 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 cpUN NC or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY ParcelInforination � Parcel Number: G30000002403 Township: Mocksville NCPIN Number:-: 5820203804 Municipality: Account Number: - -79639000 Census Tract: 37059-806 Listed Owner 1: WILLIAMS MARC L Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 140 DREAM HAVEN LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 5.65 AC IJAMES CHURCH RD Fire Response District: CENTER Assessed Acreage: 5.62 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/1996 Middle School Zone: NORTH DAVIE Deed Book / Page: 001870451 Soil Types: PaD,PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 137690.00 Outbuilding & Extra Freatures Value: 1960.00 Land Value: 63380.00 Total Market Value: 203030.00 Total Assessed Value: 203030.00 9 Kv ♦", 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 cpUN NC or arising out of the use or inability to use the GIS data provided by this website. **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 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME 1111' (�C w 1 `, 191 PROPERTY ADDRESS S • !nU /` °` v2 It, ;W DATES 1 -9 LOCATION ye& C � SUBDIVISION NAMEo est gRba� �,�a��a�l LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE bis a # BEDROOMS # BATHS •T # OCCUPANTS �1 GARBAGE DISPOSAL. Yes No COMMERCIAL `SPECIFICATION " FACILITYIrYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:�Vesfft LOT SITE •`o GssQa TYPE WATER SUPPLY jo DESIGN WASTEWATER FLOW (GPD) 3 b� NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS. TANK SIZE GAL. `PUMP TANK sGAL. TRENCH WIDTH 3 ROCK DEPTH I�" 'LINEAR FT. OTHER REOUIRED SITE MODIFICATIONS/CONDITIONS: *"THIS PERMIT IS SUBJECT•TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANE. YOUR WASTERWATER SYSTEM.CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT 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 THE DAY OF'INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYST�M INSTALLED BY ti f , io o IS T AUTHORIZATION NO. O OPERATION PERMIT BY oN; ` DATE **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE 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.1O/95 1 . .4 IMPROVEMENT 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 THE DAY OF'INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYST�M INSTALLED BY ti f , io o IS T AUTHORIZATION NO. O OPERATION PERMIT BY oN; ` DATE **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE 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.1O/95 ` r i� _ � � 4 .. �, L - y ti` �J L •• ; � J C :'! f ;.; v ! nil ,;- :,; ti _ . i••..'` _ y :' , ***NOTICE*** THIS AUTHORIZATION Davie County Health Department 1st (5) YEARS. ._ .►'�� t z ;\ ENVIRONMENTAL HEALTH SECTION 40 P.O. Box 665 re -:u, .. 0o. Q Q Mocksville, N. C. 27028 DATE t -DCHD 10,/95 AUMIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmentaloealth Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie Count` -?Building Inspections Office when applying for Building Per1mits.*** C; �% W 1� y f1� i� #0 v� TION NU/'.9ER NAPE Act C—tl1 1 A ears DATE 7� FV613 2 k. .; NAME ON IMPROVEMENT PERMIT & different than above) SITE LOCATION O?RZ COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM 1�k\ VZ. ***NOTICE*** THIS AUTHORIZATION FOR -WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. 40 ENVIRONMENTAL HEALTH SPECIALIST DATE t -DCHD 10,/95 r x.._ r_ --�,�•:: � .w, -.Gnrs.. v .i � >. ,: r-' l n _a If ... .,�s e, .ynt ti .. 1 In e. .n . APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address aG�� ���0,^A Home Phone Business Phone `lav 1 o q aSS 2. Name on Permit if Different than Above 3. Application for: general Evaluation ,Septic Tank Installation Permit 4. System to Serve: ). House ❑ Mobile Home 1AS ❑ Place of Public Assembly ❑ Business ❑ Indus ❑ Other _ Unknown ' 5. If house, mobile home: Subdivision F4 R 2c c 1St_ '*\T � Section Lot # No. of People No. of Bedrooms 3 No. of Bathrooms �t Dwelling Dimensions $ -6. If business, industry, place of public assembly, 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 Water Usage Figures 7. Type of water supply: Public ❑ Private 8. Property Dimensions 3�Iy�-�'-,3� C -3A Sewage Disposal Contractor ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine 9 Dishwasher Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes )Q No If yes, what type? ❑ Community '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: F"&k . ptioc.KsV(U-a/ TA" Hull. 6401 oJobtl{ ch.. 3.. Wat '1'p tS/hwucs -'C.-fit„) Q J.A 1W1 (S -toe: z# -4r,-anJD UA VAUatD �/llyew/1 y oo L&C-Tl Ar-Ilosj J4bVJF-- @etc -DING Tax Office PIN: PROPERTY ADDRESS, as follows: Road Name: cL4J=1-Cn) t t:`( t,WN/Q+0, 2440 City: fupc�cSU(LGc GnlVt/ten�.!' SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. S t-ce is Locut'CSD I;N 'rOZ* cxtJTaA- 0-- S'•6 pm*6 Tk4cg- 016 Jwwdx) i 0.0 jLl a -r S C`bc OF- lwTo TtEa Wae DJ, 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'-76 � �- 9-- In) %111GA1J0ne%Z DATE t 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 GALA Le- C. G (LL(A rmnx A o h to (ltO' t- _ L tCtj &LIJUJ to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. ? —X-- M \ (L� DATE w SIGNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME\�`d�'Qcc� W DATE EVALUATED ADDRESS �' � PROPERTY SIZE 6 - L GWQa PROPOSED FACIILTY OV SQ LOCATION OF SITE N o V'� Water Supply: On -Site Well _ Community Public 1/ Evaluation ByMI Auger Boring Pit 1I-1 Cut L---, FACTORS 1 2 3 4 Landscape position Sloe Z - v- u a' Ru HORIZON I DEPTH �" (o ' Texture group Q (_l-. L Consistence VT Structure g. C Mineralogy HORIZON II DEPTH Texture group Consistence J -S. Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON — SAPROLITE �- CLASSIFICATION S ,S S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: _ \11� IS LONG-TERM REMARKS: _ DCHD (01-901 NCE RATE: EVALUATED BY: w OTHER(S) EENT: � a 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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Ve.-y 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 3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mi neralo¢y 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 ■�������A1�■�����\�����n����nv�����i��t■ . ■���n��\n ■ ■�\��������■■ ■��:���f'I��������■����■N��������■�■����������/���n�/�■■■����� ��n����������M■■ �'��]���ii������i� r���������������■�■����������■�■n;�������/�■��������i�����■�����������■ .��_��....�.......C::�:::::.:::C::::::::::::::::::::�:�'•::.::�:_:_._:::_::::::::::_:: ■�cc.����i������������������������������N�������������raw►. ■■ ■ ■ ■ ■ ■��������� ■■ ■����������������■��������������������� ■�■■���■t����c.�� ■ ■ ■ �� ■��■�■��������■ ■���������■��������■��u�■��■�������� ����■���u �►i��i�■ ■ ■■�i ■��■ ■�■ ■������■ ������������������������������u��u�u�� ��uiu���..�u�=�� ����■��n����=�������■ ����l���II���J����������������������i�����n■■����������������/� %����N������������ ■�������I/��If�� A�\�������������■�■ ��n���� ■ ■ �� ■� ■ ■��e���■�■�■���■ ■����■■�7��1/������������■���N■��������■���� ��� � �� ��■ ■�������■�����■ �����������'/lH����■�����v��������������h� � � ■■ ���������������� ■���������/�������i����■■���� � � _�� ��������� ■��������■�/�CJ����■���������v�� ��� ■ ■ ■ ■ ■���■�������■ ��������If1C�f�G�f��N����������ON�v ��/� ■ ■ % ■�����e�lt��i�\�I�n���:.�� .i�i ���u���� w.r ■���������� ��������I��II���I�n���ll�����%11������� ■ ����■��■■ ��■ ■ ■ ����������■ .......��..��..��.....�.....C.��...=...5.... .�............... ��■������P���r��►���1�������1���� ■����■���� � ' � �����������■■ ■�������\�1�%l�/1:��1��11��N��i����/�� ����� ■���������■ ■��������r.���►���������i=t�����i� ■�������������■ � ■�����������■ ■����������;:��.����� ■�����i ����v����t■ ■ ■ ■���������■ i�������i�t���� ■�������t�� ■■ ���������a ■ ■��■������■ ■����������i��������������_���__�_������■ �� � ���_���■ . ■�������1\�I�t/1�������1�� ���■ ■����■ �� ■ t� ■ ■ ■��������\F�l�������I�����������■������������■■ ��� ���� ��� � N�� ■��■��������■ � ■ ■������i��_L•:!�Sff.il�t�l���/���Z=■��■��/�■ N■�����■ u�� S ■��■ ■■ ■���■ ■■������■��■ ■C����■���■����::�ii����������_����������w��■���� ���������n��� ■���■���■ ■������������■���w����r:H■�����■�����■ ��������h��_ �.w- .......�..:., ���■�����■ ----------- ■■ ■�s��■ _ ■���/��� ���1�"i��■ ■����■ ■■�/�� . ����■� ��/��� ���M■����■ ■����■ --o � ■������������il�■ 1�/�:7����0������� ����OO����1'i 0 �Di�GD�i ii� 7�aiiDOOO� ..................:�..��..�............_.._•.:.■..■...■9 �.. ......�■.g...........5 ■���■■■�■■�■■����■�����C�1������■■■...�===i.������■ ��!!�i]����■�������■���■��■ ■■�����■ ■�������������������II�SJ��11��.������■■�■���■�■�����\�����■������■����■�������/��■■��■ ■���������i���������li�����ll■�������������������� ►�1'/������� ���������������■■��■�■ ; 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R. 1307 t 1 , t 1 N 09P 18' 00" E -# i existing iron 63450 -------- 1 ' FOREST BROOK S� PLAT BOOK 6 PAGE 137,138 20' paved En 11 La m 0 14 � AREA = 5.657 A RES N �y ( INCLUDES S.R. 1307 R/ .) rn 00 0 10T 0 . d t.—M m 'II vec�,� 375.00 TOTAL D�6existing iron N 09° 18' 00" E existing iron 350.00 25-00' S 80°42' 00 E 1000.00 30.00 I new iron S 09° 18 00 W I r/r spike near CL road i I 13 EUGENE BENNETT,ET AL, �-------- MARC L. WILLIAMS & I D.B. 184 PG. 792 I SURVEY FOR KAREN L. RICHARDSON I, GRADY L TUTTEROW, CEPT'EY THAT UNDER ; •••••••• = 100 APPROVED BY •�G\$TSCALE: DRAWN BY Y DIRECTION A*`'^Tc +�4p 4/30/96 GRADY L. TUTTEROW DJC - uY DATE: AS DRAWN FROM y�l _ SE , rl _ BY TUTTEPQW SJRVE-f G CO. I = L-2527 _ • Q: REGISYRED SURVEYOR L 2527 i -,qOY iU��;•``� N1ti411�L�R'l�lRAlT NO. 11116A•17)(17 ! 1 I t , i! I 1 , new iron 3 N Ca to ro EUGENE BENNETT,ET AL, o M D.B. 184 PG. 792 m Z 15 EUGENE BENNETT,ET AL, I_IJAMES CHURCH ROAD" D.B. 184 PG. 792 I S. R. 1307 t 1 , t 1 N 09P 18' 00" E -# i existing iron 63450 -------- 1 ' FOREST BROOK S� PLAT BOOK 6 PAGE 137,138 20' paved En 11 La m 0 14 � AREA = 5.657 A RES N �y ( INCLUDES S.R. 1307 R/ .) rn 00 0 10T 0 . d t.—M m 'II vec�,� 375.00 TOTAL D�6existing iron N 09° 18' 00" E existing iron 350.00 25-00' S 80°42' 00 E 1000.00 30.00 I new iron S 09° 18 00 W I r/r spike near CL road i I 13 EUGENE BENNETT,ET AL, �-------- MARC L. WILLIAMS & I D.B. 184 PG. 792 I SURVEY FOR KAREN L. RICHARDSON I, GRADY L TUTTEROW, CEPT'EY THAT UNDER ; •••••••• = 100 APPROVED BY •�G\$TSCALE: DRAWN BY Y DIRECTION A*`'^Tc +�4p 4/30/96 GRADY L. TUTTEROW DJC - uY DATE: AS DRAWN FROM y�l _ SE , rl _ BY TUTTEPQW SJRVE-f G CO. I = L-2527 _ • Q: REGISYRED SURVEYOR L 2527 i -,qOY iU��;•``� N1ti411�L�R'l�lRAlT NO. 11116A•17)(17