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513 Madison Rd Davie C�unty, NC Tax Parcel Report � �� Friday, September 30, 2016 • 3 (i. ., J�� s ' <.� ^. ` ,,,.r` �,4 .. . ° ;-.� ..,�`�: t�'.� � ,.,,.�� .'! ✓ :! � �f � ..,' l� ..-�-..'" .v. �'* "�. � 1 �„�� ✓ ✓^., ✓°' _.r""'^^^" . C 3', ��q�.�,«/" ra',� ,.rr,• �,,,,-�.'t� ``�7�t� '"_� � *�, �`'�h�'��1'I r". '�*.��.� �' �4.. �� l +• ''� � ��I ¢j �,.r � ,.� .r, � .i�' � .- e F'� s�'..� �i L.X�� f .sa✓' %f��:Y^'� .-'`� � �,� ^"�"�� '�; ZZ �1^' i; ' � y�. ./'� t' � '''ti'' 4- y, � ./`> � � �` J " .J.s.^..✓`� "�f 5 -::�Y� r �I I$'� �?"'+��Wr XC",'.� ;r.,�.a- V ,�r �� '°� ''�,,,,,,�I n��r� �-� `r y a � �� y :' �""�' t� .�-.-�.. �' , c�c�.M^'.�w ...�- �r-`� � '� �� ,.:rr'�� ,�.,.✓ �1 � .., �� .I �� '. �r �„ � �,,..,,- ,,.•^'"� � .� �^�, t r �` .r ,rr �,.^ c^'5• ".' � k "r ri ,,; r' � q�,Y�.. ' �.✓�"" �tJ t. .�`r' � o� � S5 ,:�� ,✓ r��S�y,'"'' ✓ �„�.-' r �f ,✓' � �}?�1y ,,;i��,,,.`a' •✓�w �t4;�C'� � ! c,�'cSS�,.-' 1 �� s" r :'`- �" i� =` . � . � s t ,:;�" . . .,.w . '��. .r Cl fKi ..,��J ..,� 1..�.� `•... . .r: ,.'' . � �j`s II � + b ��,✓. --'` C` .1 a.� •'"~,�,�.,--=.-`"" ,�:ffi� �..,.� -.. - , • � < .i' x�" ' � � �/�'' � r� a.�.� y��` � �I 1.tF� � �.�,�'s�� i f� � €� y ....�.. ,�..w.....F. : - ,,, � ._._—,._._. ��=y; f �. �_ -� �9:1. � t��.�� '�'` � �r� � t1 I ,o� r � ��r�f � �� ' � �) �_ - _.. __� � J ' i ` � ; _ __ .., __- - -° ---.. ....... , A WARNING: THIS IS NOT A SURVEY : :' Parcel Information Parcel Number: H400000099 Township: Mocksville NCPIN Number: 5729739267 Municipality: Account Number: 82525368 Census Tract: 37059-806 Listed Owner 1: MADISON ROAD MOCKSVILLE LLC Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 502 EAST BRIDGERS AVENUE Planning Jurisdiction: MOCKSVILLE City: AUBURNDALE Zoning Class: MOCKSVILLE GI,HC State: FL Zoning Overlay: Zip Code: 33823-0000 Voluntary Ag.District: No Legal Description: 3.990 AC MADISON RD Fire Response District: CENTER Assessed Acreage: 3.92 Elementary School Zone: MOCKSVILLE Deed Date: 7/2014 Middle School Zone: SOUTH DAVIE Deed Book/Page: 009620883 Soil Types: MrB2,Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: MOCKSVILLE Building Value: 113280.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 98000.00 Total Market Value: 211280.00 Total Assessed Value: 211280.00 Q�,V/�, All data Is provlded as is wfthout warranty or guarantee of any kind either expressed or Implied Including but not Ilmited to the Davie County� Implied warranties of inerchantability or Ftness for a paRicular usa.All usen of Davie County's GIS website shall hold harmless the Nr County of Davle,NoAh Carolina,its agents,consultants,contractors or employees from any and alt claims or causes of action due to np��'Nq'� t� or arising out of the use or inability to use the GIS data provided by this webslte. � �1 '_. . , . ��P�' 4 �3�3•a .'�v !f fi '� , "'""`'_ DAVIE COUNTY HEALTH DEPARTMENT '� �. � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �� 'NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a ��_ . �f /�J'-`?�� Sanitary Sew ge Systems � Permit Numbe��p� Name /Y` � �/)✓ 7 l �.� NO � V�C� N Location ///i',�- /,' Y v r7,i ..J:i�_rC:.- N<rl�` /.%i A -� /r �/ /'i,-i,�-"r 1 6��1�''� — -- - �'� !?�C��`��/l- l � Subdivision Name lot No. Sec. or Block No. Lot Size l��'� �� House Mobile Home— Business_/�Industry No. Bedrooms�[c.�.�.No. Baths_�No. in Family _ PublicAssembly Other Garbage Disposal YES ❑ NO p Specifications for System: Auto Dish Washer YES ❑ NO ❑ /�U�� f� Auto Wash Ma:hine YES ❑ NO ❑ � Type Water Supply � -- --- /�'I �X�� ' '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. � � c�`' 7'�� Nu' �'�'l� � ., _ � , ; � , . , �/,,��:.� , Improvements permit by —,��'�V�-,t'�� •Contact a representative of the Davie County Health Department for finai 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:704-634-5985. Final Installation Diagram: System installed by '� ' t - ,w,.--� /-7o,r� Y��' 'l �— - �._,vx� ��„ � �f ryu �� "�" S'r ^^,�. Certificate of Completion ��-�� _Date ��'��°'�X' �igning of ihis certificate shall indicate that the system described above has been installed in compliance with ndards set forlh in the above regulation,but shail in NO way be taken as a guaranfee that the system will function .. ____ _ _ . ., ,. . . . : _ ,., . . .. . . �,,,�� a�- - a . � �. .. �_ �c f - ��..�':..�'a �'' `� �f-�r`��..�- � �"�" DAVIE COUNTY HEALTH DEPARTMENT �'��3'`� _`�a � � �� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �� h _ G J� 'NOTE:Issued in Compliahce With Article I I of G.S.Chapter 130a P�-��" .,�;, _ - - Sanitary Sew ge Systems Permit Num er n, S: Name_�i��`, ca ' ��`�✓' X ' ' % r!� �'',�'� NO � 6 6 S (��.: Location r.-l/.�`,�- /,'' ��_ ,/��r''�rl. � 6�''r/ �,�.�'' </ ,i'/'�'�'/ .�,�s;r�r"l, � �,J�� _. __ ��_P`^"�'C�'p�T� /�" I� �p' Subdivision Name Lot No. Sec. or Block No. Lot Size�� _ House _ Mobile Home _ Business _d°''r Industry No. Bedrooms �.��.No. Baths _�— No. in Family _ PublicAssembly Other Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ �,.��,��,� ��;,,✓��f Auto Wash Ma^hine YES ❑ NO ❑ '�`� �� TYPe Water Supply — � �s ------ /l�/'��/.� ' '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. � , � 7'�� N�' �'�'6� � � . ; � � � � � - Improvements permit by _�✓��-�'�C'�� '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:704-634-5985. Final Installation Diagram: System Installed by �� r, , /' ia �— ��"�� ..._---�J'� ��''� �/�„ a 1 c �� a * . � � � , �7��.; ,,,�„ Certificate of Completion ��'�' � Date r��'��'r'' '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. S � � i �' • �PPLICATION FOR SITE EVALUATION/IMPROVEMENTS , c • � � Davie County Health Department •��u�� - � !� 1 �'� Environmental Health Section t�1 tt t' �n / �� '� P. O. Box 665 1'tAf � tiP 1�� D� � Mocksville, NC 27028 __-_ ! `__ __ _ � 1. Application/Permit Requested By °��/�/, � SCO l I ./�i �1 �tc l I Mailing Address /"�� Cl !�d�G� � b Home Phone 70 S�'6 3 �-.3 7��q ��0(.l� S lI �� 1 C , ,/�.�' 7-7 0 7� g Business Phone �U�► P . 2. Name on Permit if Different than Above 3. Application for: �General Evaluation ��eptic Tank Installation Permit 4. Syst to Serve: ❑ House ❑ Mobile Home O Place of Public Assembly Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ BasemenUPlumbing No. of People ❑ BasemenUNo Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type � � ► � � e-- ��«��F �` No. of People Served � No. of Sinks No. of Commodes � No. of Urinats No. of Lavatories � No. of Water Coolers � No. of Showers � Water Usage Figures 7. Type of water supply: Public ❑ Private p Community 8. Property Dimensions .� � �c.v�C 5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes C�3-P4o 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: ��y . S � u��`��fao� �. � 0►�.1 �, x�' �`°' • 3 �k�ye� u� ��n y � 5 ,L/ f`C� � � 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. �5—�— 9� ,�� . ,�. DATE T SIGNATURE 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 f the D vi Coun H Ith Department to enter upon above described property located in Davie County and owned by �(1 �� to conduct all testing procedures as necessary to determine said site's s�iitability for a ground absorption sewage treatment and disposal system. s-�-y � DATE SIG ATU E DCHD�(1/93) . a � • � • , • �• ► DAVIE COUNTY HEALTH DEPARTMENT ' ' Environmental Health Section Soil/Site Evaluation NAME � �!/ DATE EVALUATED �� .S��y ADDRESS PROPERTY SIZE / ��C PROPOSED FACIILTY �L�'��C LOCATION OF SITE /'�/i//:So�-.��N Water Supply: On-Site Well Community Public � Evaluation By: AugerBoring �� Pit Cut FACTORS 1 2 3 4 Landsca e osition .�.. .0 Slo e 7. � " ' HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH 3 � �"G Texture rou C' ' Consistence ,l ✓ Structure ,,f"' /� S' �/ Mineralo ,- `� < < HORIZON III DEPTH Texture rou , Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASS.LFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: � EVALUATED BY: LDNG-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 �:lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vcry 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 Structurc ;-SYngle grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky ''C-Subangular blocky PL-Platy PR-Prismatic eralagy 2:1, Mixed n depth - tn inches of fill - In inches ive horizon - Thickness and inches from land surface - S(suitable), U(unsuitable) ess - Inches from land surface to free wate�' or inches from land surface to soil colors na 2 or less ion - S(suitable), PS(provisionally suitable), U(unsuitable) ng-term acceptance rate - gal/day/ft2 ■��/��■ ��H■ ■■��■■�■��■��N��/��■��■��■ ■��■��■��■��■ ��■�r��\��■■■��■ ■��■��■��■��■��■��■��■ ■��■��■��\��\��■�■��■�� ■��■�/��■��■■��■��■��■��■ ■�� ■��■��■��■��/■■��\■��■��■�■ ■�■��■��■��■��■�■��■��■��■ ■��■��■��■��■��A��/��■■ ■�� ■■■��■��■�■��■ ■��■��■■�� ■�■��■■��■��r��■■■��■ ■��■�■��■��■�� ■��■��■��■ ■�� ■�i��\��■�■■��■��■■��■��■��■�■ ■��■��■■�■�� ■■ ��■ ��■� ■�■�■� ■■ ■■�■��■��■��■�� ■��■��■ ■�■��s��t��■��■�■ ■��■��■■��■�� ■■��■��■��■��■�■ ■■��■��■��H��■�■�� ■��■■��■■�■�■e��■■��■��■�■��_��■��■■��■ ■��■��■��■��■��v�■��■■ ��■�■■■ ��e��n%��%�� ....................................................C......... ... :::C:::::C::C:::C:::C:::::::C::�3C::::::::_::�::::::::C:�:::_::: ..........................................■......■■■._..■■......■_ ..................................................... .......... ::::::::::::::::::C:::::C::C:�::C::::::::::�::::C:::�:::�:��: :::::::::::::::::::::::::::::::::::::::::::::�::::::::::�::::::: ................................ ................................ ':::::::::::��:::::�:::::::::�:::::::::::::C:::::::::::::::::: .........................................................�......_ ��\��H��t��■ ��■ ■��■��■��■��■�� ■��■��■�� w�s��■��■ �ii�■iii�iiiiii�iiiiii�iiiiii�i��iii�� ■�� ■��■��■�� iiiiii i=iiii��iiiiii�■ ........................................�........�....... ........ .....................................■... ■....._ ......■C........ ...................................... .E...... .�.............. ...................................... ..... . .............. ....................... .............. . ... . .. . .. ...... ................................ . .... .... ..C.C..C=......� ................................��.. ...... � �::::::::�:::: ■��■��■��lii:i�� ■ ��■� ■��■�■��■��u��■■�� w�e� �� ■ ■........■........■.�■......■..■.■■. .. .■ ■�■ ■■■■..■C..■...�■ ::::::::::::::::::�:�::::::::��_:�•��C.��. � ■■■��■■■.■■....■ ■�■��\��/��■ �� ■ ■ N�� ................................ _.....�.�i.'�': �:��C:: ::::::::. ................. ..............�..... .. . ................ .........■...■...5............■■■..■ ■■� S .■.....■......... ■��■�� .■� �� h�� ■��. �■ ��v�� ...............................•_,.....�.�.��► ��■.5�::::C:::C:..... ■■��■��■��■■��■■��.■�i..�►�► ■ ■ .i.s►/l.�i� �� ■■��1/�►\I��\1�irul�T.T�`iir��b��■ ■��■��I�■�" �//[ILi1i/� ��■��■�■ ■��i��■�■��■��■��1\�//t�■/%�� /� ■��■��u■��■��■��\�!_.�� N�� ■��■ ......................................... ... '�C....... .......■ ■��N��■ ■��H �h��■�■�■��M�� .':::':C::::::::::::'::::�:C:�::::C...:C ........................ ............■................. �i��,��■��■�� w��1�� ■11�■L'Cii��1■I�I�v��v��■��■��■��■■��■�■■�N■�� ■/1��■��■��/�� /��■��A■ ��I��■��■��■��Cii�� ■�I��'_'i��/��v�� ■�'��■■��■��■��■■��/��■��■��■��■��■ �%��I��H��■��%�� l��l��Ar��'� . , � • . • - ' - . -. �� avie County .I-fealtfi� �epartme�lt and .1�ome .7�ealtF� ��yency 210 HOSPITAL STREET I P.O. BOx 665 MOCKSVILLE.N.C. 27028 PHONE:(704) 634•5985 May 11, 1994 W. Scott Angell Rt. 9, Box 386 Mocksville, NC �70�8 Re: Site Evaluation � Off Evans Road/8�.�sines� Dear Mr. Angell: As requested, a repr,esentative from this office vi.sited the aforementioned site on May 6, 1994. Aased upon the information provided on the application for a site evaluation and after the eval�.�ation was completed, the site w�s found to be provisionally suitable for the installation of an on—site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, ,��'��' �'S Robert B. Hal l, Jr. , R.S. Environmental Health Section RH/wd Enclosure