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259 Deacon Way Lot 12 Davie County,NC Tax Parcel Report Monday, December 19,2016 26*5 395 259 e kt 239 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: K5030A0012 Township: Mocksville NCPIN Number: 5747561210 Municipality: Account Number: 76504000 Census Tract: 37059-805 Listed Owner 1: WALL ROBERT R Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 259 DEACONS WAY 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: LOT 12 DEACONS RIDGE Fire Response District: JERUSALEM Assessed Acreage: 3.30 Elementary School Zone: CORNATZER Deed Date: 5/1994 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 001740484 Soil Types: EnB,CeB2,MsD Plat Book: 0006 Flood Zone: Plat Page: 061 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 ldnd 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 GIS website shall hold harmless the County of Davie,No Carolina,its agents,consultants,contractors or employees from any and all claims or Causes of action due to FV] NC or arising out ofthe ruthe or Inability to use the GIS data provided by this website. .. ^*e:fly X K/ '9id"+L?.`• . •,.,ii`.` r, :,« .e-civ.. .. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE• OF COMPLETION , *NOTE:Issued in Compliance With Article 11 of G 3.Chapter 130a Sanitary Sewage Systems } Permit Number Name /�/1 ? � .�f1r:_i .5Dat N� 7 5 6 Location Subdivision Name Lot No. �2 Sec. or Block No. Lot Size House _+lef'—�, Mobile Home _ Business —_ Industry No. Bedrooms �—.No. Baths_Lit'l No. in Family Public Assembly Other Garbage Disposal YES ❑ NO p -' Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma^hine YES j NO Type Water Supply *This permit Void if sewage sys m q s ribed below is not installed within 5 years from date of issue. This permit is subject to revoca ion s e plans or the intended use change. j Improvements permit by __•—Y1�! I *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-6345985. Final Installation Diagram: } System Installed by Gj Y p - Certificate of Completion ` Date *The signing of this certificate shall irltdicate 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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE[II�� QVE® • Davie County Health Department v , Environmental Health Section MAY 14199�t P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By ��-� /- Mailing Address ' Home Phone a��C�3, Business Phone��/f/,�,3 'Z Z Z Z� 2. Name on Permit if Different than Above 3. Application for: ❑General Evaluation Septic Tank Installation Permit 4. System to Serve: V910use ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry p ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision �GQ�o�. �f� Section Lot # /Z ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms J ❑ Washing Machine No. of Bathrooms / ❑ Dishwasher Dwelling Dimensions 9�� ' ❑ Garbage Disposal 6. If business, industry, place of public assembly, 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 Water Usage Figures 7. Type of water supply: Public ❑ Private ❑ Community 8. Property Dimensions %1, Z- d Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes o 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. Directions to Property: This is to certify that the information provided is correct to the best of my knowledge, d I understand I am responsible for all charges incurred from this application. DAf E 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 f m MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representati ref the Davie C Health Depa�tmen�toQenter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to dete mine said site's suitability for a ground absorption sewage treatment and disposal system. DATE S GNATUR DCHD(1193) 14O//2— DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section - Soil/Site Evaluation �® NAME � ��i` pea CZ DATE EVALUATED ADDRESS PROPERTY SIZE l��C 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 L Sloe %. 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: �? EVALUATED BY: 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 Mi neraloey 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 Z • , DAVIE COUNTY HEALTH DEPARTMENT r Environmental Health Section Soil/Site Evaluation NAME �il�I�l DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY zQus. a LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By: Auger Boring L/ Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 7 377 Texture groupC_ G 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 77 177 LONG-TERM ACCEPTANCE RATE 3 SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANC RAT OTH R(S) PRESE T: REMARKS: Zf L END 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 r.-lay 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(01-901 ■■■■■■■■■..■.■■.■M■M■MMM■MMM■■MM�■■■■■■■■.■■...■■■■.■.■■■■...■..■ ENOS MINMENNE MONOMER MINN ■■■■■■■■MMM■■■MM■MM■■■.MM■MMMMM■■■■■■MM■�MM.MNN ■MM■MM..MMM■■ ■■ iiiiiiiiiiiiiiiiiiiiiiisiiiiliiiii=iiiiiiiiiiiiuiii=iiiiiiiiiMi=■ ■....■■■..■■■■..■....N.MNN.M■MMM■■N■.■.■....■■.■...�■■.■■.■■..■■ ................... ......................��......■I.MMMNNM.MM■MN.■ ...................► ...............■MM■MMG/■■NM■■■..■.....■...■■.maimmom . ■■.■■■./..■..■■■■■■/■MMM■MMM��MM■/•..GG ■\1■.■. 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