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1903 Jericho Church RdDavie county. NC Tax Parcel Report () � 31 Monday, October 10, 2016 \� _....... .... f 4 frX) P% }'1•(r' o 135E 113 X�� ,0 .— 1 I� , 123 '. 133 1016 Es j �._._ �r 1ifl. _..1u85 18117 142 ......................... ! X153 133 i �..�.. ' 151 '173 - j725,� i 4 4 1 � 177 __ i E �'•� 131, ' Building Value: Land Value: Total Assessed Value: 109570.00 Outbuilding & Extra Freatures Value: 108950.00 Total Market Value: 221360.00 i'18110 79 E E18213 Is - 1823; 1813 t` Mocksville 37059-801 SOUTH MOCKSVILLE Davie County DAVIE COUNTY R -A I 177E i We CENTER, MOCKSVILLE COOLEEMEE,MOCKSVILLE SOUTH DAVIE SeB,EnB,IrB,EnC DAVIE COUNTY 2840.00 221360.00 WARNING: THIS IS NOT A SURVEY AlldataIsprovided 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 Parcel Information Parcel Number: K300000048 Township: NCPIN Number: 5727643037 Municipality: Account Number: 82532462 Census Tract: Listed Owner 1: LUPER STEPHEN JAY Voting Precinct: Mailing Address 1: 1903 JERICHO CHURCH ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 15.307 AC JERICHO CHURCH Fire Response District: Assessed Acreage: 11.63 Elementary School Zone: Deed Date: 12/2014 Middle School Zone: Deed Book / Page: 2014E1229 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: 109570.00 Outbuilding & Extra Freatures Value: 108950.00 Total Market Value: 221360.00 i'18110 79 E E18213 Is - 1823; 1813 t` Mocksville 37059-801 SOUTH MOCKSVILLE Davie County DAVIE COUNTY R -A I 177E i We CENTER, MOCKSVILLE COOLEEMEE,MOCKSVILLE SOUTH DAVIE SeB,EnB,IrB,EnC DAVIE COUNTY 2840.00 221360.00 Davie County, AlldataIsprovided 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 E@1 NC 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. .r ;4 DAVIE COUNTY HEALTH DEPARTMENT ' r IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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 -5 �7��x NAME )' �//�' �G C��f PROPERTY ADDRESS >.IC1Na d 71r1C- I - DATEea �r'9 LOCATION �r''��'�4 ` fJ,� /F �� i°✓y �o//,_� SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS ,*,9 # OCCUPANTS __L GARBAGE DISPOSAL: Yes/6 COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE �5�� TYPE WATER SUPPLY !_ DESIGN WASTEWATER FLOW (GPD) r. 100 NEW SITE !/' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE A;�9 GAL. PUMP TANK GAL. TRENCH WIDTH Sri ROCK DEPTH �� " LINEAR FT. 'i�1JD oTHE REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY / ✓,. J **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 OFJIWfALLATIr.EPHONE # IS (704) 634-8760. I OPERATION PERMIT S IN BY—�rXY 3; ld ee w /, AUTHORIZATION NO. & /Z? G OPERATION PERMIT BY ��1' � 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 10/95 Davie County Health Departeen 1r` ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 13OA, Wastewater Systems) ***This Authorization For Wastewater System Construction oust 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.*** ..f / AUTHORIZATION NUMBER E NAM/r'!/P -Cly .�r/` DATE / as`71. NAME ON IlPRDVEMENT PERMIT (If /different than above) SITE LOCATION �/7 COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIdPWAL HFAN SPECIALIST DATE DCHD 10/95 -+; APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section / -2 9 P. O. Box 665 cC Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address e) 3. 2. Name on Permit if Different toan Above 3. Application for: ❑ General Evaluation 4. System to Serve ❑ Business ❑ House ❑ Industry 5. If house, mobile home: Subdivision Home Phone e�,-? 4i -,2 �3l Business Phone Septic Tank Installation Permit Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown No. of People D AZE No. of Bedrooms 7-4,0 0 No. of Bathrooms %LCJ 0 Dwelling Dimensions fi V4,e Gv, We ,1_3�7oAl 13115,.-n e 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories ,%-i re C Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Sinks No. of Urinals tii1� No. of Water Coolers i✓U-v.y No. of Showers .7wo WV ater Usage Figures �U� C 7. Type of water supply: Public / ❑ Private [ICommunity 8. Property Dimensions ��9(d,T O Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ,9 No If yes, what type? "NOTE: . Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. 1 1 Directions to Property: PROPERTY INFORMATION REQUIRED: Tax Office PIN # 5 -Pa -/"7 CY Road Name Ti;,e o CA Box # (if available) City ks!/ ll To �P� Jf l� 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. DATE SI ATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. �;6 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 He th Department to enter upon above described property located in Davie County and owned by rzLefl:A._ cYw &, c to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. J' f DATE SIPN ATr E G� DCHD (1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �ICGtC /XPi' DATE EVALUATED ADDRESS PROPOSED FACIILTY PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well t/ _ Community Public Evaluation By: Auger Boring 4--- Pit Cut FACTORS 1 2 3 4 Landscape position L �. Slope % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence Structurele f% MineralogX 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: e >"O & EVALUATED BY: M ,/ LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 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 :lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V -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 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 ■��■��■��/��■�/��/�� ■ ■�� ■■ ■��■��■��_��■��N��n��■ _��■��■ iiiiiiiiiiii�iiiiiiiiiiiiiiiiiii�iiiiiiiii�i�iii=�iiiiiiii�iiiii ■■��■��■ ■ �■�� e�� ■��■��_ ■��■��■��■��■ ■��■��■��■��■��■��_�� ■■■��■ ■�� ■v ��■��■ ■��■��■■��■��■��s■��= ■��■��■ ■��■��■��N��■■�A��■��0�� O�■��■��■�� ::::�::::::::::::::::::C:C::::::::::_:::::::�:_:=::::5::::�: ■��■��\/��■�� ■��H��■�■ ■��■��■��■�■��■�� ■ ��■ ��■ ■� ■■ ■�/��\��/�� \�� ■��■��■�■��■�� / ■��■��■■��■��■ �■��■��■��/�� ■ ■��■�■��■��■��■��N��■��■ ■��■��■��■��■��■■��N■��H�� ■��■■��■■��■ ��■��■��■�� ■�� N�� /�� 8��\��■■�� n�� ::C:C::�CC::::CC:CC�:::::C::":::::::::':=a.C�.'C:::::::__::_ ................................�3........._.. .................. ..............................................:�...._.......... 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