516 Sain RdDavie Ckiinty, NC Tax Parcel Report 61,L _I Thursday, October 6, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H50000005309 Township: Mocksville
NCPIN Number: 5749757039 Municipality:
Account Number: 9382000 Census Tract: 37059-805
Listed Owner 1: BOYETTE JOSEPH B Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 516 SAIN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
.668 AC SAIN RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.66
Elementary School Zone:
MOCKSVILLE
Deed Date:
11/1996
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001930569
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
189840.00
Outbuilding & Extra
Freatures Value:
2230.00
Land Value:
20000.00
Total Market Value:
212070.00
Total Assessed Value:
212070.00
Davie County,
N^
1.
All data is provided 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
County of Davis'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.
AUTHORIZATION NO: Q % 6 4 DAVIE COUNTY HEALTH DEPARTMENT
w,. Environmental Health Section PROPERTY INFORMATION
Permittee's --�'lw P.O. Box 848
Name:' tS� F',�' / t. Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot: `
AUTHORIZATION FOR /,C� � f
WASTEWATER Tax Office PIN:#101 - V, - ~`
SYSTEM CONSTRUCTION
Roa Name: i t'/!✓ %� Zip:
**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 A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
iT11_.
DAVIE COUNTY HEALTH DEPARTMENT
-- IMPROVEMENT AND OPERATION PE_ ITS
�Permtiees
Name
"Directions to property:
r IMPROVEMENT
PERMIT
PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
Tax Office PIN:#r'� -�= - !_ °_•
Road Name: Zip:
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
e �,' + i , 4` !" 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 ,V # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE r 2&1 TYPE WATER SUPPLY tl DESIGN WASTEWATER FLOW (GPD) l NEW SITE /% REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE &GOO GAL. PUMP TANK
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
GAL. TRENCH WIDTH S,2' ROCK DEPTH—,/,:) LINEAR FT. EA
"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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
bo
�ro
AUTHORIZATION NO. V OPERATION PERMIT BY: e�" I DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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)
i
/ A APPLICATION FOPtSITE EVALUATIONAMPROVEMENT
'.V
•
� e �4� �' Davie County Health Department
Environmental Health Section
9P.O. Box 848
Mocksville, NC 27028
(r �� V' (704) 634-8760
****IMPORTANT****
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed 5 `Z O t \ T d\-1 e- Contact Person V 0�.�0�1 � 1� sct iU
Mailing Address ��1!�� ��1,(� Home Phone
City/State/Zip I��C�cSv ►� , 1 1 C' f�� �i, Business Phone (0",)q
2. Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3. Application For: Site Evaluation [ ] Improvement Permit & ATC
4. System to Serve: V, House [ ] Mobile Home �[ ] Business [ ] Industry [
5. If Residence: # People 4 # Bedrooms J # Bathrooms D,
VBoth
] Other
[X] Dishwasher 1] Garbage Disposal
[� Washing Machine [ ] Basement/Plumbing V( 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
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [`[J No
If yes, what type?
1;L IMLK A YLA1 VA 011G 1'1-tl1V
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AWOF THE PROPERTY MUST BE
Va ���
SUBMITTED WITHT�' APPLICATION.
Property Dimensions: + !
WRITE DIRECTIONS (fromocksville) TO PROPERTY:
Tax Office PIN: #'-;-IpprC-
Property Address: Road Name 5 ( �n 'S i
n Rd,
city/zip TY2 �)aS\ i Q
l na.c�
;
y -n i (�
If in Subdivision provide information, as follows:
&51jt6u
Lane
Name:
Section: 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 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 0 ,L � ! �,ni2:ffik
DAT' SIGNATURES
Revised DCHD (06-96)
THIS A1ZEA MAY 13E USED FOIZ DRAWING YOUR SITE PLAN:
as necessary to determine the site suitability.
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// �
DAVIE COUNTY HEALTH DEPARTMENT
-, Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring 1/ Pit
ROAD NAME _ _�- ✓�
Public v
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
,1 -2
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
c 0 r
Texture group
Consistence
Structure
<11
Mineralogy,
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
f'
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �f
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: A Y
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 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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