1223 Junction RdDavie Countv, NC f Tax Parcel Report Tuesday. January 3. 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS IS NOTA SURVEY
COOLEEMEE
Parcel Information
SOUTH DAVIE
M4010A0012
Township:
Mocksville
5726911070
Municipality:
DAVIE COUNTY
82516538
Census Tract:
37059-801
SPILLMAN ROGER P
Voting Precinct:
SOUTH CALAHALN
PO BOX 738
Planning Jurisdiction:
Davie County
COOLEEMEE
Zoning Class: DAVIE COUNTY R-A,R-20
NC
Zoning Overlay:
DAVIE COUNTY CZOD
27014-0000
Voluntary Ag. District:
No
LOT 12 GRANT HEIGHTS 1.56 ac
Fire Response District:
COOLEEMEE
Land Value:
Total Assessed Value:
1.56 Elementary School Zone:
COOLEEMEE
12/2013 Middle School Zone:
SOUTH DAVIE
009450507 Soil Types:
Gn132
10 Flood Zone:
371 Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
1:01
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 webafte 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.
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'� v
AU�9►FzzATION NO:., 1 5 3 2 DAVIE OUNTY HEALTH DEPARTMENT
` Environmental Health Section PROPERTY INFORMATION
Perm�ttee'ti P O Box 848.
Name: f�/ /� Mocksvtlle, NC 27028 Subdivision Name: * ��
! ✓, Phone # 336-751-8760 e
Directions to property: �l1���t i� %-''�� Section: Lot:
:AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#%.na
SYSTEM CONSTRUCTION
Road Name: ii d!1 dip: 16iAll
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Coun Environmental Health Section prior
to issuance of any Building-Permits.. This Form/Authorizatio'n Number should ,be presented to the Davie County Building Inspections
Offi
P ce when applying for Building Permits. '
(In com liance 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
"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 (336)751-8760.
DCHD 05/96 (Revised)
i
A
I
OIL
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
.ALL THE REQUIRED INFORMATION IS PROVIDED.
Name to be Billed P01VContact Person Q
Mailing Address 00" 71 Home Phone
City/State/Zip Coo ILornm a -?Of Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For:
4. System to Serve:
5. If Residence:
CYDishwasher
6. If Business/Other:
# Commodes _
If Foodservice:
❑ Site Evaluation
El House W" Mobile Home
# People
❑ Garbage Disposal
Specify type _
# Showers
7. Type of water supply:
City/State/Zip
J/Improvement Permit & ATC
❑ Business ❑ Industry
# Bedrooms 3
❑ Both
❑ Other
# Bathrooms ;�
IR/Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
# Seats
9' County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes Or"N0
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 1 WRITE DIRECTIONS (from
1 Mocksville) TO PROPERTY:
Tax Office PIN: # � —724- � I - / 0 ? 0 1
",� 1
Property Address: Road Name 0—" u6cyan kd • 1
1
City/Zip 1
1
If in Subdivision provide information, as follows: 1
1
Name: 1
I
Lot #: �- �` 1
Section: 1
1
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
as necessary to determine the site suitability.
DATE & • a .79
i9 SIGNATURE
Revised DCHD (06-96)
n
conduct all testing procedures
:%4 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION_ LOT
Soil/Site Evaluation Ig,•lte.21
APPLICANT'S NAME / /%� DATE EVALUATED '%1" tAe
PROPOSED FACILITY PROPERTY SIZE
SUBDIVISION ROAD NAME
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit 11
Public Z-1-1-'
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
fi
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
r "
D F'�
Texture group
Consistence
i
Structure
/L
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: /95
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
DCHD (O1-90)
Landscape Position
EVALUATION BY: eli
OTHER(S) PRESENT:
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
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