126 Dinks Way Lot 3 Davie County,NC Tax Parcel Report Monday, December 19,2016
f -----,------ 4
` 1691 `
1690
1698
1703 -_-; ISI
t il,
1704 S
601 112 12 6
4
1708
- --- _ -
I
i
1719
--i
WARNING: THIS IS NOT A SURVEY
Parcel Information -
Parcel Number: K510OA003002 Township: Jerusalem
NCPIN Number: 5747113224 Municipality:
Account Number: 8302330 Census Tract: 37059-807
Listed Owner 1: JAMES SHARON THOMPSON TRSTEE Voting Precinct: JERUSALEM
Mailing Address 1: 169 TURRENTINE CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,H-B,R-20
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: LOT 3 DINKS WAY Fire Response District: JERUSALEM
Assessed Acreage: 0.88 Elementary School Zone: COOLEEMEE
Deed Date: 6/2013 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009290897 Soil Types: Gn62
Plat Book: 0007 Flood Zone:
Plat Page: 025 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any Idnd 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
ORTZATION NO: 124
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Pennittre`S '' ",'� P.O:Box 848
Na`ltie""'% �•fJ�'l171 Mocksville,NC 27028 Subdivision Name: ��
Phone#:704-634-8760
Directions to property: Section:' /" Lot:
AUTHORIZATION FOR
WASTEWATER Office PI _� "
SYSTEM CONSTRUCTION Tax � �#r�j1� �
Road Name: d� • I���Zip: dp
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
'- � ' 4 .2DAVIE COUNTY HEALTH DEPARTMENT
_ IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
PfI
NSubdivision Name:, ' ''`
Directions to property: t.a t r=''` Section: Lot:
IMPROVEMENT
'°PERMIT Tax Office PM* ,✓-,�1'."
6 A).sIYA
Road Name: ^�• yi"1��:
**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
e AI 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 09- #BATHS Z=#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE & GAL. PUMP TANK. GAL. TRENCH WIDTH�_ ROCK DEPTH .49 LINEAR FT.,90�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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
TEM INSTALLED BY: -JD
AUTHORIZATION N0. ERATION PERMIT BY: 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 05,96(Revised)
�G
124 2 DAVIE COUNTY HEALTH DEPARTMENT 7
•`'j 1' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION jp,b.
Nair► ``�"�". ''c" w.9 ,�?i Subdivision Name: ier •'f"*'`'f f �� �
Directions to property: r-` `✓� Section: Lot: *5
IMPROVEMENT ,
-PERMIT Tax OfficePIN, "3
t
Road Name: ,
**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)
..j ***NOTICE***TILS 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'. SYSTEM.
..r
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS OV#BATHS Z I—#OCCUPANTS GARBAGE DISPOSAL:Yes or No. ..
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
°'
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) %' NEW SITE REPAIR STPE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH/ROCK DEPTH�,� LINEAR FT. J
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
r
" IMPROVEMENT PERMIT LAYOUT
\r„
(3.
"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: %jb
1
AUTHORIZATION NO. OPERATION PERMIT BY:
DATE• 1 /�
"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.
r DCHD 05/96(Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC
Davie County Health Department
Environmental Health Section D
i P.O. Box 848 NOV 1 91W
Mocksville,NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED'UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed
� JContact Person
Mailing Address Home Phone " l b -991?)-
99D�CSJ—1 VZ,CI 1
I- /1
City/State/Zip AOCSkjflIe- , ( /• ^ r-IO29 1
Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [ ] Site Evaluation [ ]Improvement Permit&ATC
4. System to Serve: [ ] House [QMobile Homes [ ]Business [ ]Industry [ ] Other
5. If Residence: #People_ #Bedrooms�c_ #Bathrooms [ ]Dishwasher[ ]Garbage Disposal
[elVashing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other: Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: [orC—ounty/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ No
If yes,what type?
1r 1. EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT***,VKMAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: I yq: 5(0 ,+�,�5y WRITE DIRECTIONS(from Mocksville)TO PROPERTY:
ax Office PIN:
Property Address: Roadi ame Di NILS W4-V ! �/rE C'O, 11--16!-4
fi SO�t� r�i O EX1S? :✓
City/Zip O FG
If in Subdivision provide information,as follows: I A-Ikwe die: /70-3 —as 6(l l0 o/ 5
Name: 1� ;
Section: Lot#:
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 Q to co r est r r as necessary to determine the site suitability.
DATE /�— f�i SIGNATURE
Revised DCHD(06-96)
THIS AREA MAY BE USED FOR DRAWING JOU SITE PLAN:
,Ina A6 .6-V L o � Z -4- 5
I
DAVIE COUNTY HEALTH DEPARTMENTI
J Environmental Health Section SECTION / LOL.-
Soil/Site Evaluation
APPLICANT'S NAME �T//d1 P /� �?i°� DATE EVALUATED
PROPOSED FACILITYr_V PROPERTY SIZE r
SUBDIVISION ROAD NAME /
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
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 S
LONG-TERM ACCEPTANCE RATE r
SITE CLASSIFICATION:_ EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: r 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
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
DCHD(01-90)
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii���■�■■■■■■■■■/■■■■■■■■
MENNENEmommmEMEMME MENNENmommom MMEiiiMEEMME
■■■■■■■■■■■■■/■■■■■/��/■/■■■■■/■/�i■■/■■■■■■■■■■■■■■■/■■■■■■■■/■■■■
■■■■■■■■■■■■■■■■/■■■i�■■MM■MMM■M■■M■/■■/■■■■■■■■■■■■■■■/■■■■■/■■/■■
■■■■■■■■■■■■■■■■■■■■�i■■■■■■■■■■■■a■■MEMO■■■■■■t■■■■■■/■■■■■■■■■■■■
■■■■/■■/■■■■■■■■//■■■��■■■■■■■■■■■//■■■■■/■■■■■■■/■■/■■■■//■■■■MEMO
■■■MMMM■■M■■MMM■■MMM■�iM■MM■■MMM■ ■■MM■■MM■M/M■■M■■MMMMMM■MM■■■■M■
■■MMM■■■MM■■■M■■MM■M■�M■■■■■■MM■MMM■■■■■MMM■■■■M■■M■■■■■MMM■MMMO■■
r
Davie County Health Department
and.Come Health Agency
Environwnta[Hea&Section
P.O.Box 848/ 210 HOSPITAL.STREET
COURIER#09-4-06
MOCKSVILLE,N.C.27028
PHONE:(704)694-8760
December 5, 1997
Mr. Steve James
169 Turrentine Church Rd.
Mocksville, MC 27028
Re: 2 Site Evaluations/Lots 2 & 3
Dink' s Clay/Off 601 South
Tar. PIN: #5747-11-1279
Dear Client (s) :
As requested, a representative from this office visited the aforementioned
sites on December 3, 1997. Based upon the information provided on the
application(s) for site evaluation(s)�Land after the evaluations were c_or;pleted,
the sites were found to be provisionally suitable for the installation cf.,an
on—site sewage disposal system on each site.
Before any permit (s) can be issued the appropriate applicationsi must be
filled out and the house/mobile home locations) staked off.
Lot 1 has a dwelling on it, which is served by an existing septic syster.
If you have any questions, please feel free to contact this office.
Sincerely,
WA&j 9/7-
�S
Robert B. Hall, Jr. , R.S.
Environmental Health Specialist
RH/wd
Enclosure(s)
cc: Zoning Office