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152 Pudding Ridge Rd Davie County,NC Tax Parcel Report �'� Tuesday, October 4,2016 � � � � r i 1 i i I I 1 I i i 1 I I I f�~^� 188.��� � �•--- 132.,�_ 130 � 152 �"--150 ' A� � r i � , i i i j � , � , �' i i , ' , � � � 172.� i � ' � �ti�--�164 � � i ti i i PUDUINGRIDGC RD � , I �` I , r r r r r WARNING: TffiS IS NOT A SURVEY ;,_ _ -- --, _ _ ._ „_ . ____, .,_ ____ �_.____ ____ . �__ _ _ _ __. ..__ ___. . _, __. . ,_ : Parcel Information Parcel Number: D50000006404 Township: Farmington NCPIN Number: 5841585789 Municipality: Account Number: 76548500 Census Tract: 37059-802 Listed Owner 1: WALLACE DIANE B Voting Precinct: FARMINGTON Mailing Address 1: 152 PUDDING RIDGE ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC 2oning Overlay: OAVIE COUNTY QD Zip Code: 2702&7756 Voluntary Ag.Distric� No Legal Desc�iption: 1.00 AC PUDDING RIDGE RD Fire Response District: FARMINGTON Assessed Acreage: 0.81 Elementary School Zone: PINEBROOK Deed Date: 6/1997 Middle School Zone: NORTH DAVIE Deed Book/Page: 001950072 Soil Types: En6 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 150010.00 Outbuflding&Extra 0.00 Freatures Value: Land Value: 22540.00 Total Market Value: 172550.00 Totai Assessed Value: 172550.00 9���, All data is provided as b wMhout wartaMy or guarantee of my kind eMher exprcssed or Implted Including but not Iimked to the Davie County� implied wamrAles of inerchairtability or fltneas tw a particular uaa All users of Davle Courrtys GIS webafte shatl hold harmless the CouMy o(Davte,North Grolina,fts ageMs,consulhMs,wMractors or employees trom my and a6 daims or puses of actlon due to �'p�N.t� NC or aAsing out oT the use or Inabitity to uu thc qS dah provlded by thls websfta ��. _.. . , , � Davie County Health Department � �P8 j� ���� ' nmental Health Section � . `� P.O. Box 848 .,~ �" � . C� � ��`s. MAY 1 U 2011 210�Hospita1 Street O U �'t � � Courier# : 09-40-06 �1911 �.�(.�,:,,.,,,..�:______._ .�.,�.:F- Mocksville, NC 27028 '• ' Phone:(336)-753-6780 ON-SITE WASTEWATER CERTIFICATION F�:(33s>-�5�-lsso (Check One) Replacement Remodeling Reconnection Name:_ �i�)F}�J� �j/�-L{�i4G� PhoneNumber (Home) � Mailing Address: ��Z- �w�)N(p �)tJCD.s� �1.� (Work) P"YlC9Gk--5V�C1,�� �? L Z�G2Q� EmailAddress: Detailed Directions To Site: ���'y11�Q �)J J`7'�- C wQ� J�V� J2�� � �T�jJ f,�� O 1J �� r�B� 3 0�- ��-d�� Property Address: �s'�i �i.t� /W(d Z�� �(;' � Please Fill In The Following Information About The EXISTING Facility: , Name System Installed Under: Type Of Facility: Date System Installed(Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes No If Yes,For How Long? Any Known Problems? Yes No If Yes,Explain: Please Fill In The Following Iqformation About The NEW Facility: Type Of R L-- Number Of Bedrooms: Number of People Pool Si���. � -- % Ciarage Size: Other: ' r �_. Requested B . �"` t Date Requested: ���d'�,/ (Signature) �' ' _____ For Environmental Health Office Use Only Approved isapproved '--..___. Comments: � , Environmental Health Specialist Date: 20l/ *The signing of this form by the Environmental Health S ff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash. Chec Money Order # Amount:$ � Date: �v � Paid By: �/a'���/�l%L/ Received By: ��l Account#: ��V[l D���� Invoice#: Z7� �d� "hf y:. - I F -^-F} 'TMt.f� .:. { . ,S rr -,� r i...� � h:: ,. W,:�tr t2 . rii� .. 'ti.�.. ��. , 7 . . . . . . 4, •����yi,�� ' AL'THORIZATION NO. � '� ��� DAVIE COUNTY HEALTH DEPARTMENT � � � ,"`, � � _Environmental Health Section PROPERTY INFORMATION � ; Perrhittee's � P.O.Box 848' . Name:' -�-�%��_�����F? Mocksville,NC 27028 Subdivision Name: Phone#:704-634-8760 Directions to property: �+ � "-�'^ � �, Section: Lot: ` AUTHORIZATION FOR . �g,J�(_ �I _ 4 �D ,r� � WASTEWATER �'i . , 1�3� •.x' -� I'Y�l 1,2��` Tax Office PIN•# ��� �, ;-�--�� SYSTEM CONSTRUCTION , � Road Name• +.� �np ���c� **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts.This Forn�/Authorization Number should be presented to the Davie County Building Inspections O�ce when applying for Building Pernvts: (In compliance with Article.l l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCT'ION �.�.� �i_.P � / .w � �� , IS VALID FOR A PERIOD OF FIVE YEARS. , EN 1 'NT ' L FST .; DATE ISSUED �qr••c �j x i���Y ' ��^.'h• `5�-� h' ! .1� 'y"`�:Yr-r�':k `-�,-��-M.- <) -r<<�..• _ i �'"s � n .. ' � 4 .., ,c . . . � . - . ...� . � ��. s!M Y� , .. `Y � 't-' �4 'b ` �'1' ' ' . i�I���� t' ..: •. � . - . . x } � . � .. .. �-. �fa �" ^ '��` `� �"'�""�'• '. � ��� DAVIE COUNTY HEALTH DEPARTMENm "�'' ��`����"''"- � �Y TMPROVEMENT AND OPERATION PERMITS r PROPERTY INFORMATION '� ' A �,y:�<-:--� ..��-' ,r- "�,P�117�P�'S�I��� � � .� � . � . ' . .. . . �Name ;j ra, +�1,*, �` � � � � �,, l �� �,�Ct ��� Subdivision Name: � ,�� , . .. Directions to property: �'�;����lt. �,:� ���`'�t' Section: Lot: -` �� �,��` ' ;•::4��� �I��` �ERMIT � ���'�jf`�_ �t _ �0�+� ' ,,�� %� ? Tax Office PIN:# �p :.�,. � . � . . . �'r _,��...w ar��- w /':p� _ Road Name: � C/�ip: �G�C� **NOTE**This Improvement Pernut DOFS NOT'authorize the construc6on or installa6on of a septic tanlc system or any wastewater system.An ALTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the i' construction/installation of a system or the issuance of a building pernut. � (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposai Systems) ,� � g� ***NOTICE"'**THIS PERNIIT LS SUBJECT TO REVOCATION IF SITE � PLANS OR TI�INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL 1� T ST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTI'BEFORE INSTALLING TI�SYSTEM. RFSIDENTIAL SPECIFICATION:BUILDING TYPE� #BEDROOMS � #BATHS�#OCCUPANfS of GARBAGE DISPOSAL:Yes or No. �/lLS� COMMERCIAL SPECIFICATION: FACILIT'Y TYPE #PEOPLE #PEOPLF/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE� TYPE WATER SUPPLY�DESIGN WASTEWATER FLOW(GPD)� NEW SITE ✓ REPAIR SITE /� �' / / SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH Ic� LINEAR Ff. G� �D OTHER ��f�+^ l�� . REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT --���.._..� Jr' **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECfION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALL TTON.TELEPHONE#IS(704)634-8760. OPERATION PERMTf SYSTEM ED Y: �" � � � � r : �pD� ( 6 �'�` � � - AUTHORIZATION NO. OPERATION PERMIT BY: �C��DATE: � -.�e'� *•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 OSN6(Revised) . - � " \ . ._______ � �.. �.. . ,. �� }u;���a�• APPLICATIOI�[FOR SITE EVALUATION/IMPROVEMENT PE emr�_.__;� ,. w Davie County Health Department �,� � � � r � Environmental Health Section ��� . ' P.O. Box 848 ;,��V � 2 3 � Mocksville,NC 27028 (704) 634-8760 - :� ,� �� , ��- �� • y,.�fi.� ,,.��: �. ****IMPORTANT**** THI5 APPLICATION CANNOT BE PROCE5SED N ES5 ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed�arl�L�� � ��'4- �( �tr Contact Person���+�-St�" �A-��h`� Mailing Address �� � Home Phone �4��z.0� City/State/Zip OZ Business Phone 7��t--gg�-00'�� 2. Name on PermidATC if Different than Above �����T�� A�A ��,v c�' Mailing Address � '�o Pu Y��� �c� 1�.�nc, � �.�. City/State/Zip IV�o�.�S V,•��ts y �� Z��i 3. Application For: [ ] Site Evaluation [✓j�Improvement Permit&ATC [ ]Both 4. System to Serve: [�use [ ]Mobile Home ]Business [ ]Industry [ ] Other 5. If Residence: #People � #Bedrooms #Bathrooms � [ ishwasher[�Garbage Disposal [�shing 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 [.�j�Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [.a-IQo If yes,what type? PROPERTY INFORMATION REQUIRED:***IMPORTANT***A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: � � v� �WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: #��- 5� _ �Z'�O ! I �Q7 "�'c�cc�fl R-O �(�',i.�,�t o�15 - l o Property Address: Road Name ����1 nD�n�a ��Dc,���•� ,�A�, �r.�:�e�`I�r�( . (..C'F7 m►� ��?_.+t��1cTo City/Zip �1 a��c..s�f► �l�� IvC-'�7v2� ��A-,— `Tb �u n'P� �c: Q-� n�� - If in Subdivision provide information,as follows: � LEP7 01.� P4�i��i r.�c� �t D�c�= - Name: � ,.AFTF2 �2Q hto3itx- alonir o tJ D_T � � Section: Lot#: ; IJ�XT LoT- 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 chazges 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 � t '� /�:� c-- duct a t ' ocedu s as cessary to deternune the site suitability. � DATE �- �� ��S SIGNATURE Revised DCHD(06-96) _ _._..._ • A n i e c r .. _. . ,i.. ..JA, r ..y , � "- . __ . . __ _ . . �. �" ,- ''� n,l ' . . ' ..�.! .i;, �- 11La}� ..�',' I . . . . . .. , ,^ y�-+��f�� Y_<^�.ti _.z• ,_ ,v��� �:-- .$��,x,;.�.k ''�"�:��x .�c 7... ,,�r' .�:�..�.�,... i,�., 1235�f . -•>-1;• .s--,;,. - .�,_� - ,:2�t� , ! �l�d! � ,4�..'v' �*M�j �3. p F,'z,J�``'4..'_^ YT S�`'-�'i-'t.r 't� } �s"�'.,�f� `,�. y _ . . �L L �,r.' ',�a.s�... I ^ ' • r , .` . .I� .�. ",:. ._i.v ... ,:.. ` : � t 7i. _'� '"..�� �'1Y.., A��i �'i .�:�. ,b 3... I ii .,. � . ., _ . . " j �' �., : ' ' _ y..«: .. �:, „ :_,: _,.,.. �t,�,. 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"�i �40 � 1330�.' ,�` •53 0 � � �..a :;.`4�'_`�;-"�!.,°.•,�+v :�-,v-,w�.,� ,c �,,:... _ �' ` � -� �,.*� � ' _ , . •� . . - �j p U N T ,. �.� � � � �� •����� � ��� DAV I � . �" � . ����„� �� � �.»��-X T H � '��* .� A . -;. N 0 R � `t �.�. ('. _'4 � _ 5 C - 6 � � / `' �t �• � � � . F � li ••. \ , I II � � - ;� � - 4 D -- 5 � - 6 SCALE� = 40 � , _ � _y__._,.._....- �X E - 4 E - 5 t 6 � ; ... , ..- . . ,.. .. . -.. .. . .. ,� .�i�v�5. ._. .. v �.� - � • • STATEMENT . • ��'�DAV�COUNTY HEALTH DEPARTMENT . ENVIRONMENTAL HEALTH SECTION � 210 HOSPITAL STREET P.O.BOX 848 MOCKSVILLE,NORTH CAROLINA 27028 (704)634-8760 Payment Due Upon Receipt of this Bill. Detach and Mail a Copy of Bill with your Check.� Your cancelled check is your receipt. i�ar�ch 3, 19G8 Di�nne Lfallace 13� F'u�ding Ricigi }?d. hSocksville, i�C 27Q28 �3—�3—�8 P�r�c►a.tlA7C *�'�12:?3 �`�'�•�� _��_��,�__�, � ---� �__._�. ��,;� I.r---�-�.=-" � � _� ��. 'r_. �-. 90�6 : � ____. � , � ��� ___.__�___ y �_.________._ �3' � fl,'�.CE E3��.P:I's'.;f — } �S':�.��:3 � .. 1✓ • ,� . �p�p APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMI �C �� � �R „ , •r �� Davie County:iealth Department U L� c� ', � � n j � �; Environmental Health Section r ' �j C ``_ � �f� .7 _ °�:; P o.soX 84s �� 1 519�7 �l f�;J BJ ,� �a ''., Mocksville,NC 27028 ���( � '•' '' (704)634-8760 3 r,.-.�'' I , �/ �� • � .� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS , ALL THE REQUIRED INFORMATION IS PROVIDED. ;: � L J . �; 1. Name to be Billed �Q_/)L1, C�75 Contact Person� G t�/j � � Mailing Address � i Home Phone�r��U �'�D� ,� I r� (� p/ � ' City/State/Zip ��5Y1 � lP� _� �"7�a"b Business Phone gl� /���� t(lO� 2. Name on PemudATC if Different than Above i Mailing Address City/State/Zip � � ; 3. Application For: f� Site Evaluation ❑ Improvement Permit&ATC ❑ Both ; .. 4: System to Serve: ❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms : ❑ Dishwasher 0 Gazbage Disposal ❑ Washing Machine ❑ Basement/Plumbing, ❑ Basement/Na ltimbing 6. If Business/Other: Specify type . ` # People # Si:...,. . #' Commodes # Showers '� # Urinals # WaterCoolers If Foodservice: # Seats Estimated Water Usage(gallons per day) 7. Type of water supply: ❑ County/City � ' 6�Well ❑ Community `1� 8. Do you anticipate�dditions or expansions of the faciliry this system is intended to s ve? ❑ Yes ,�No i . :i . .,.. � ;��.1 - { If ycs,what type? �,� „Z: •., , '- `= � PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE � --� SUBMITTED WITH THIS APPLICATION. r � Property Dimensions: � U.CYP� � WRITE DIRECTIONS(from -- � Mocksville)TO PROPERTY: .�� Tax O�ce PIN: # �` �y� - 5 � _ � �D � � . , . ._. . � �, m�� h�d Property Address: Road Name � ����L. 1 , � � ^+ . , . � f.(�C� 1� I�:`� � �- ) c;cyrz�p De.�sY�/�� � 7o a� � ._ ' �D D � ' If in Subdivision provide information,as follows: � __ _ _ _ . � Name: __ __-_ '` 1 s/�7�- � � ' -- � I Section• -�ot'� � �� '�' � � _ 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 revocadon,if the site plans or intended,use change,or if the information submitted in this application is _ ,, , i� i �,. . , ,� falsified or changed.I,also,understand that I am responsible for all chazges incurred from this application.I,hereby,give consent to' tf, ��� the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie�County and owned by �'� (`�°C, ��I'?!'! to onduct all testing procedures � a' � � �; as necessary to determine the site suitability. � ��" DATE �-��'9�o SIGNATURE --- Revised DCHD(06-96) � � ; - � ; a. --- � � � �-. :,, . ..;_: k �` �... ,.� _ - � pt. of 72 � ,` ;�;; - � _ .�� ,�T �c ,,� }� .�[ . _ E.- • ;.ai�., ' ,. -d�.�.,. .'.` . ���. .::; . �'`� -. �,�7f^'.H"�Yk t8'�K 't'1.� �.�; •fr.. � � . - �o -/i � .`���,; � r a" � �' ' �,�" . 7� h� �"� �p?� � . , , , . , 1 � ,>. � r . ,� . �,� ;- _ - �j., ' � ,_ ��� , : d:xr , . . . . �r�: .: �-. . . . .�s ��� �,� . �7t at;�'� ��.i-> ��.� � . . .. •�4'� AC ��R 3� � � � . � _ . , ,� � ; _{�:.•F .t� �:.: , r ,.�,�„ � _ ,C,:,r� +E. , . . pC1` �7 .:;;t�«'���? .. ��lN: ,�i�� ��:- _- � '�'�'� - �:._ , .. �5�.�'�`,f a�.�,...h.u-��,°' O `„� �K�J� y . . . . . 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EVALUATION BY:���� LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: vOm p /�G� P�����r vl�C- LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Tenace 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 tructure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloev 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 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COURIEA#09-40-06 � � MOCKSVIILE,N.C.27028 � � � � PHONe:(704)634-8760 . ; 4 3anuary 29, 1997 Dana Sheets . 130 Pudding Ridge Rd. Mocksville, NC 27028 Re: 2 Site Evaluations/Pudding Hidge Road Tax Office YIN: #58��-59-8230 Dear Ms. Sheets: As rEquested, a rEpresentativE frum this office visitEd the aforementioned site(s) on January �3, 1597. BasEd upon the infarmation provided an the applica-tiun(s) far `site evaluatiants) and a�te•r ttie evaluations were carnpleted the findings rrere as �ollows: � 1) 5ite #1 was found to be provisionally suitaDlE for the installation of an on-site sewage disposal; system. 2) Site �2 was �ound to t�E pravisionally suitable for trie installation of a madified, uversized on=site sewage disposal system. If�you have any questions, please feel freE ta contact�this office. SincerEly, ����/ �� CE'� r!L � �� � +`! t� / }?abert B. Hall, Jr�. , R.S. • Environmental Health Section RH/Kd � Enclosure(s) cc: Jesse Boyce, 2oning Of�icer � c,,