178 Mohegan TrailDavie County, NC
Tax Parcel Report (� l I Tuesday, September 27, 201 E
All data is provided as Is without warranty or guarantee of any kind 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
CDU N� NC or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
777 7,
Parcel Inforrriation _
_
Parcel Number:
060000003102
Township:
Jerusalem)
NCPIN Number: 7
5754137660
Municipality:
Account Number: -
82526476
Census Tract:
3705 807
Listed Owner 1:
EVANS GLENN P `
Voting Precinct:
JERUSALEM
Mailing Address 1:
108 BLAKE TER
Planning Jurisdiction:
Davie County
City: WARNER ROBINS
Zoning Class: DAVIE COUNTY
R-20
State:
GA
Zoning Overlay:
Zip Code:
31088
Voluntary Ag. District:
No
Legal Description:
5.000 AC OFF HWY 601
Fire Response District:
JERUSALEM
Assessed Acreage:
5.04 Elementary School Zone:
LOOLEEMEE
Deed Date:
5/2006
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
006630470
Soil Types: PaD,PCB2,PCC2,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE
COUNTY
Building Value:
54170.00
Outbuilding & Extra
Freatures Value:
2930.00
Land Value:
29340.00
Total Market Value:
86440.00
Total Assessed Value:
86440.00
All data is provided as Is without warranty or guarantee of any kind 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
CDU N� NC or arising out of the use or inability to use the GIS data provided by this website.
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a* ^. ' 'AUTHO.,I7ATION NO: 0991 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
' Pertnitte-er « P.O. Box 848
�' Name: "' Mocicsville, NC 27028 Subdivision Name:
Phone #: 704-634-8760—r-•.,• r
Directions to property:Sectiou�':
lot:
AUTHORIZATION FOR
WASTEWATER
SYSTE'I MM CONSTRUCTION' Tax Office PIN: ` + c`
oad Name: ` I zip: 4 J QA�
**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 PERIOD OF FIVE YEARS.
tNViR0NMEN-fA1!HEALTH SPECIALIST DATE ISSUED
°79 �,^�.r_�I��,�,_ ,a -r Y:,i� Y'n�i�%7Y ,,r'„i,;. a.... r�':„ vri . -3a,..N,cE *�.. � � aj'^t:as �"Y-L n`.y F>'.,-'. L�. :"� i •,,.r^- ..w"'r` "fis ,,�=.y`'�..-_,n ,y�i'v \
DAVIE "COUNTY HEALTH DEPARTMENT JCC
PO
ROaVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name:
•w
Directions property' Sections a r Lot
i� IMPROVEMENT
r PERMIT Tax Office PIN:#�»
f oad Name: Zip:
**NOTE** This Improvement Pernut 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
r 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
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 t # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
_ I
COMMERCIAL SPECIFICATION: FACILITY TYPE,/t # PEOPLE # PEOPLE/SHIFT l# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE _ TYPE WATER SUPPLY C 1S DESIGN WASTEWATER FLOW (GPD)( NEW SITE L—,-,-” REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 4&.0 GAL.PUMP TANK GAL. TRENCH WIDTH. ROCK DEPTH `LINEAR FT
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
Reel,
rp
\D�
i
fCT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIIJSYSTEM
ETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 63487 I .
OPERATION PERMIT �.L{N� Imo, I (,L
SYSTEM INSTALLED BY:
Go
/cso
AUTHORIZATION NO. r OPERATION PERMIT BY: J 6&06% `' DATE: ` 84-:1,
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN C LIANCE
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) J
J
F APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & AT 1
- •- '>; Davie County Health Department
V
Environmental Health Section
r_- P.O. Box 848 D
Mocksville, NC 27028
M (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED VNJ
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed 51.4 J6 Contact Person
Mailing Address Home Phone
City/State/Zip lJs'o�S�l� �� � a!�'da'p Business Phone 37 i
2. Name on Permit/ATC if Different than Above
M
Mailing Address I City/State/Zip
3. Application For: [] Site Evaluation [ ] Improvement Permit & ATC [Y1 Both
4. System to Serve: [ ] House [L] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People # Bedrooms --V— # Bathrooms_2 [ ] Dishwasher [ ] Garbage Disposal
[ •}mashing 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: [ ] County/City [ ] Well [ ] Community Z,
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes M -No
If yes, what type?
EITHER A PLAT OR SITE PLIAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** APFCAWOF THE PROPERTY MUST BE
I
SUBMITTED WITH APPLICATION.
Property Dimensions: 1 WRITE DIRECTIONS (fromksville TO PROPERTY -
Tax
i
Tax Office PIN: # 5:7 E:4� 13 2 4 7 R
Property Address: Road Name 0 L*�-'
City/Zip
If in Subdivision provide information, as follows:
Name:
Section: Lot #: '
i I
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit( I) issued hereafter are
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this app,
p Ilication 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 Count/ Health Departmegt 1t enter upon described property located in Davie County and owned
by �� Ll, --RA Q� t con�uct all testing proceduures �s't�ecessarY to determine the site suitability.
Revised DCHD (06-96)
THIS AREA AlAy $E USED FOR DRAWING YOUR SITE PLAN:
p�4on
P – Po
– y _
– PoirirPPol•
RIGHTS OF WAY OF RECORD PRIOR -TO THE DATE OF THIS PLAT.
CAA – Conent* Yonun+•nt
NIP tope Iron'
((pp
A4I HOI•
Line
P/l ..- Property L IR•II
R - Radiw"
THIS SURVEY 1t SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL I
C A – ContrdMd Acessa_.
RCP R•infore d
'
ANO AcC% ATE TITLE SEARCH. NOT FURNISHED TO NE K OF THIS OATE.
=- Concret Pipe
SE Easeffient
CCP– Comgot•d Plastie
CHIP – ConugoA•d U•tot��
Fbod
Mo.
I '
_
Parcel 1
29.0
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William C. Sanderson
5-89.58'55"E-532:0
.7t EIP 507.95'
24.13'
W
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N 88°23'W
Zo V °— Proposed
of
Z point 856.12' _
N 88°23'W
Parcel 34.01
Jerry J. Daniel
D.B. 163 - 440
10C 0 100 200 300
37RAPHIC SCALE — FEET
D.B. 192 - 895' -
f
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N John A. Fox s 0 I
D.B. 182-144 I
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John A. Fox �
D.B. 182 - 144 ° I
NIP S 88°23'E E►P S 88°23'E
S 8— 8023 E pP
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Parce134.01 O O
303.63'
point in el O
N 88623'007'W y
Parcel 35.13
A.H. Inc.
D.H. 181 796 Plot For
1. C. ft cx��e,
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Portion of Deed Book 1
wwwhM'n'""'a'"'d •.el ��` �;, ••,...•,•� �,� Part of Parcel 31, Davie Cou
19th June A.o. 1997 '.`�0: \ST4%' S TOWNSHIP COUNTY
�G RF •�
SEAL 1" = 100' Jerusalem Davie
Seal or Stomp — _ 8 a
K
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME i///lIG�y.��y`/!✓S�
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well i Community
SECTION LOT,
DATE EVALUATED
PROPERTY SIZE L��e
ROAD NAME
i
Public
Evaluation By: Auger Boring t� Pit Cut
i
FACTORS
1 2 3 4 5 61 7
Landscape position
j
Sloe %
2 I
HORIZON I DEPTH
I
Texture groupj
Consistence
I
Structure
I
MineralogyI
HORIZON II DEPTH
1 I
Texture groupC
I
Consistence
I
Structure
CZ .%' I
Mineralogy
HORIZON III DEPTH
I
Texture group
Consistence
I
Structure
I
MineralogyI
HORIZON IV DEPTH
Texture groupI
Consistence
I
Structure
Mineralogy1
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
I
LONG-TERM ACCEPTANCE RATE
I
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
Landscape Position
EVALUATION BY: Jvw</
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
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
Mois
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 wit]
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD (01-90)
chroma 2 or less
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2
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- + c 32
Parcel .O1
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Joh A. Fox
-�- D.B� 2 -
8144
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2!'P ebit -- --••L- e' 6.12' P1W 34.01 - I C? P
N E8•23•W - -- _- 303.63•N 88.23'00"W
Parcel 34.01
Jerry J. Deniel
D.B. 163 - 440
100 0 100 200 300
GRAPHIC SCA•_E -FEET s.et a MP
Parcel 35.13
A.H. Inc.
D.B. 181 - 796. Plot For
"3".04•�"� 1� Jerry J. Daniel `
«..+./ w w.1 .n. °n. 3". 04 (.a+k wt w E...e.r. .1 - 1
►•w _� aw w .w. • r..w .. wkw�w Portion of Deed Book 127• Page 399
...
.w .......4w.s.w... a. as 47-30-4.4. ra....v .,y:S •....,; ::;.: -
rrwo.,..}w..a...�a...r..w ,.•(1Ci C;• ;"`� Part of Parcel 31. Davie County Tax Mop 0-6
e+ 79th June Aa. 1997 .` OC.••'• = "•• 'Y `+, SCALE TownHIP COUNTY STATE DATE
2•Q�G\5rE9Fo 9
1" a 100• Jerusalem Davie North Carolina 06-19-1897
SEAL
C. Ray Cates
L•2623 0 SURVEYED: 119 Depot Street JOB NO
2623 -0 W CRC Mocksville, NC 27028. 3MAP NO.
V ,�•
2623 ., SUR,�y Phone (704) 634-3735 3182-10
s,.~r..,... '�'�'•C Rey C - CRC I -
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