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196 Grover RdDavie County, NC, Tax Parcel Report Wednesday, September 28, 2016 Fa— '129 161)4829 WARNING: THIS IS NOT A SURVEY L— causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: J600000097 A �2 Mocksville NCPIN Number: 5757286220 Municipality: 1661 4 4V-6 64 2338 Census Tract: 37059-807 Listed Owner 1: COCKERHAM ELOISE T Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 196 GROVER ROAD Planning Jurisdiction: Davie County City: 1677 3646 DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 6622 2C Fire Response District: FORK Assessed Acreage: 2.42 Elementary School Zone: CORNATZER Deed Date: 1212007 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 2008EO238 Sol[ Types: PcC2,RnD,ChA 196--C 9501 F7 Flood Zone: x Plat Page: Watershed Overlay: 71 89790.00 Outbuilding & Extra 1412 409 1 N 7 1 Freatures Value: 6220 -11718 i Total Market Value: 124390.00 Total Assessed Value: 124390.00 114 224 641Q, I 5088 S 8943 10 A 6826 N Fa— Davie County, NC WARNING: THIS IS NOT A SURVEY L— causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: J600000097 A Township: Mocksville NCPIN Number: 5757286220 Municipality: Account Number: 82530373 Census Tract: 37059-807 Listed Owner 1: COCKERHAM ELOISE T Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 196 GROVER ROAD 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: 3.713 AC OFF HWY 64 Fire Response District: FORK Assessed Acreage: 2.42 Elementary School Zone: CORNATZER Deed Date: 1212007 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 2008EO238 Sol[ Types: PcC2,RnD,ChA Plat Book: Flood Zone: x Plat Page: Watershed Overlay: Building Value: 89790.00 Outbuilding & Extra 9430.00 Freatures Value: Land Value: 25170.00 Total Market Value: 124390.00 Total Assessed Value: 124390.00 Fa— Davie County, NC All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 or arising out of the use or inability to use the GIS data provided by this website. �. 1,,•? " t1'q.t5Wa,�"`aJ is f'.:i'"Lyv�r�:v�^ tt' .,mac.-.� S N.�. tt , fi_ + _ t a'. 'in AuT &UZATION NCS. 42 1 DAVIE COUNTY HEALTH DEPARTMENT _^ Environmental Health Section PROPERTY_INFORMATION 'Permittee's P.O.Box 848 Name: �, [ Mocksville,NC 27028 Subdivision Name: property: y: Ile, Phone#:704-634-8760 Directions to ro ert � � Y � r�?,,;' Section: Lot: �t AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# 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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION • :� .�'°?' +� ,r ( •'y' IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED. � 1"... DAVIE COUNTY HEALTH DEPART'I�1�T a..,_. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permlftec' "-j Name:+ Subdivision Name: Directions to property: r' '� ' "' Section: Lot: ",, �► IMPROVEMENT PERMIT Tax Office PIN:# <'- * Road Name: '° r# zip: ens► 1/0 c7 **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 -22 # OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No, COMMERCI JLL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS , INDUSTRIAL WASTE: Yes or No LOT SIZE r - TYPE WATER SUPPLY ( !1 DESIGN WASTEWATER FLOW (GPD�G ® NEW SITE 6/IREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE1&6 GAL. PUMP TANK GAL. TRENCH WIDTH IJ?— ROCK DEPTH ZE� LINEAR FT.&© OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 SYSTEM INSTALLED BY: m e GP P Za-al rem /x3�, x �„ 10 AUTHORIZATION NO. OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT T STEM 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 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERM K Davie County Health Department Environmental Health Section -5 P. O. Box 848 - MAY Mocksville NC 27028 M(38760If1AL NEALtIi ra,nComm -- ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE / ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ^L, f%�l Z /�l �f Contact Person j64ul o Mailing Address -�'�i� �. Soh SY, Home Phone 3�L 7.5"/ 7liD City/State/Zip QG4 Kai Business Phone 2. Name on Permit/ATC if Different than Above A10 Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: W -Dishwasher ❑ Site Evaluation ❑ House �L Mobile Home # People City/State/Zip ❑ Improvement Permit & ATC Both ❑ Business ❑ Industry # Bedrooms 3 ❑ Other # Bathrooms c;?- M'Garbage Disposal M -Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # Commodes If Foodservice: 7. Type of water supply: # Showers # Seats W-County/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes D—No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A DUO' THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: %/A Q �. O� (O a• C ' Tax Office PIN: # 1-10 - a - 6 � C� Property Address: Road Name/211 ✓�,Z 7N . City/Zip 7&-7'A If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: 01 /-q-: 0�-- 6r l --w ✓e r' This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. 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 122-r,(/ C, �� �� P%�// L� �'u to conduct all testing procedures as necessary to determine the site suitability. DATE 5",- :5"- /?J' SIGNATURE Revised DCHD (06-96) YOU MAY USE THE $ACK OF THIS FORM FOR DRAWINCJ YOUR SITE PLAN. A ,rwe^ \ ter- ob 4 93 A w�* a<, 940' 400 ►: 23 'f /i� r K 2 ��� ��52.032 . II A c .. ' fi e*4 2 5.57A�C m t.72Ac 6 AA 6 2 2 7 p 2 5 \ 4 78 4 421 n g 3 IL �� &:' w 1, Z N v, ins '. �., 41 a W 4 -14 x :� • V :, 39 s,q a' s `� :, J4 E 6O ' ,y .9AawJ' L Yr 95 S' 1 •( # y 20r64 Ac. � 5Z , r 1 5..0 9Qol A4 ! Q �06 48 ;�, .. wi-I- 372. s � ` i >y N is >, r 2415 v a N/ 9 0 0 , C'. , a • .°�° '"'� e�. • gg b_ OV JR - 2 I Ar d:,# 3994 't fl /j 1,20 AL 9 23.614-C) 1 4.c} T. A -As 0 Ac — � ?. !� ., } � � ' } ems•, +4¢a .. � '�r"w io �' .1'"a ' ; � y �'"` '� (56) "y s 332.4 36.5 - - O 9 , .v r� .'r.� A. �' 2 � �; a" .�" y ,. , � ,• Arho c DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME Am " PROPOSED FACILITY SUBDIVISION Water Supply: Evaluation By: On -Site Well Community, Auger Boring '✓ Pit DATE EVALUATED PROPERTY SIZE ROAD NAME Public c--"" Cut FACTORS 1 2 3 4 5 6 7 Landscape position .I -Slope % 2 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group 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 SITE CLASSIFICATION: A� EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: DCHD (01-90) 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 ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■ ii ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■E■■■■■E■■■■ ■■■■■E■■■E■■ ■■■■MMI■■■■■■ ■E■■EME■■M■■ ■E■EMEM■■ME■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■M■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■E■■■■■■■■■■■■E■■■■ ■■■■■■M■■■■■■e■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ONE ■■■■■■ ■■■■■■ ■■■■e■■■■■■■■■■■■■■ ■■■■■■■■■E■■■■■■e■■ ■■■■■ ■MINE■ ■■■MIM■■ ■■■■■■■ ■■■■■■■ ■■■■■■■