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5226 Hwy 601NDavie County, NC f P1, Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: MOCKSVILL State: Zip Code: Legal Description: 1. Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Tax Parcel Report Tuesday, September 27, 201 t 1 $ a } f 4 WARNING: THIS IS NOT A SURVEY Parcel Information B30000005204 Township: Clarksville 5813992050 Municipality: 21031750 Census Tract: 37059-801 DESKINS JIMMY L Voting Precinct: CLARKSVILLE 5226 US HWY 601 N Planning Jurisdiction: Davie County E Zoning Class: DAVIE COUNTY R -20,H -B -S NC Zoning Overlay: 27028 Voluntary Ag. District: 00 AC OFF US HWY 601 Fire Response District: COURTNEY 6.93 Elementary School Zone: WILLIAM R DAVIE 3/1996 Middle School Zone: NORTH DAVIE 001850884 Soil Types: MnB2,MdC Flood Zone: Watershed Overlay: DAVIE COUNTY 0.00 Outbuilding & Extra 4500.00 Freatures Value: No Land Value: 12560.00 Total Market Value: 17060.00 Total Assessed Value: 17060.00 l,vr All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the ie�e F 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 NC or arising out of the use or inability to use the GIS data provided by this website. .� .„;v 94..w 1s<re.w.•0lyw...a �, n•..w�4..x,.i ,.....; w.Y?. "Mk+V"r1�4' v.'^'.��i +..� .;r,N "VVI. :i4—r:.-�:. -r "�*aw.. .S'„�."w'-ir°."i. a. w"N. „ y�. ..�;..�..�?'w� 7 i .'� t•'", RF- it �'�"R•' `E � ti. �`' "'WjM.+a•". r,•W'� "Y" �• "1'4 ��,. 'Y" ' 'DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems _ Permit Number Name � fS" ��s,,;,� , �Date 'r N2 7167 Location �1�//1/ '� /`�D�>�`' B.r✓ �7-�F` � i v D�,� ��o,�,� -- �: Ay ��� p�< Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home — Business Speculation 102 No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO Efr Specifications for S stem: Auto Dish Washer YES ❑ NO El" 2' Auto Wash Ma .hive YES ENS Type Water Supply '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. or 1:00-1.30 P.M. on day of completion. Telephone Number 704-634-5985. t.,LZ%A Certificate of Completion i( Date / 'The signing of this certificate shall indicate that the system described above has been installed in compliance with I 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 G{l'F s IMPROVEMENTS . PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a anitary Sewage Systems Permit Number J Date e �li�/%FS �..1-ff,'-. ,� f:';✓: �,Y/�5 �; �/n,//i _ �;� -T" `� %'' •'/� NO 71.67 „.• Name �— a .x2> J%''rd�� Gi 1 �/•^ /C C�j(F,� ) ,yt', ,� — Com.".rJ� ��i/ % a Location C� — Ir22( �, 145 11 W� f 00 Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business __ Speculation No. Bedrooms No. Baths No. in Family — - Garbage Disposal YES ❑ NO [jam Specifications for :System: Auto Dish Washer YES Q/ NO Q<G vac r Auto Wash Ma^hine YES p NO Type Water Supply t *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. _ a _7 . i 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 — 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. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �jf/�s�f,�/S' DATE EVALUATED ADDRESS PROPERTY SIZE .00G' PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Lands—cape position L 2 - -Sloe% Slope %— - - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH O y Texture group 117 Consistence Structure i 5-';4 s1.E' fL/ Mineralogy- HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION ITT LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: f� LONG-TERM ACCEPTANCE RATE: • �% REMARKS: DCHD(01-901 EVALUATED BY: hk/z 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 Moist VFR-Very friable Wet NS -Non sticky NP -Non plastic FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm SS -Slightly sticky S -Sticky VS -Very Sticky 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 iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiii�i�i=�■ii�iiiiiii�iii ■■■■■■■H■■■■■■■■■■■■■■■■■.w■■■■�i■■■■/e■.■�.■■■■/■■■■■.■...■■ ■■■ �iiiiii�iiiiii�iiiiiiii�iiiiii�iii�■i�iiiiii�ii�■iii�iiiiii� ■■■....■■■..■■■■■.■■■■�i■■■.■■■■...■...0■C■■��.... u■■..■ ■■■■■■■■ '1 ■.■■■■.■■.■...■■■.■■■■��.■■■.■■■■■■■■■■■■. .■ ■■..INS ■I■■■■■■■■■■.■■■ ■■■■■■■■■/■■■■■■■■■■..��.■■■■■■■e■■.�■■w�■��■■■ ■ ■■■■■.i/■.H■/.■■■■.■■V■./■■■■■■�■■■ ■.■■ N ■ No ■■■■■■ ■S�M■� H ■■.■■■■ ■■�■■■■ C�.=. � ■■■.■■■C■. ■■�. ........■............■.......... ..... .... ................. MMMMM MMOMMEM MEN��������������������������N����molEMMMEMMUMEM■■ ME ■■.■M■■■.■■■■■. ■■■.■■./■■■■/■■■■■■■..■■/■■■/■■!■■■■H■■■■ ■■■■!■■■■■. ■■■H ■■■ ■■■■u■■■■■■■■■■■■/■/■■/■■■■■■■■ ■■■■■■■ ■■■■■.■■.■■■■//■■■.■■■■■ ■■.■■■■■■■./■/■..■■■■■■■■■■■.■■. /■■■■■■.■■■■■ENE■.■■■■■■■■■■■■■■ .w■■ ■■//■!/!/■■■■.■■■■■■!■■.■■■ ■■!..!■i■■■■■/■■■■!/■!■■■■H!■■■ 1. Application/Perry Mailing Address Home Phone —,r2* : - !: � Business Phone 2. Name on Permit if Different than Above APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section AR, P. O. Box 665 S Mocksville, NC 27028 3. Application/Permit for: ❑ General Evaluation 4. System to Serve: ❑ House 0 - Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms 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 Sinks No. of Urinals No. of Water Coolers peptic Tank Installation ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public 2-15rivate 8. Property Dimensions l -ye Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ No ❑ 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: 01 W- &)/W K 8� O 7' This is to certify that the information provided is correct to the best of my knowledge, and I incurred from this application. DATE If SIGNATURE I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. ❑ 2. I 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment If disposal system. DATE SIGNATURE DCHD (12-90)