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139 Shirleys WayDavie Cobnty. NC Tax Parcel Report A D, X12 Friday. September 30. 2016 WARNING: THIS IS NOTA SURVEY Parcel Information Parcel Number: G400000046 A Township: Mocksville NCPIN Number: 5820909616 Municipality: 1\ Account Number: 54920000 Census Tract: 37059-806 Listed Owner 1: OWENS WADE GLENN JR Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 139 SHIRLEYS WAY Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5885 Voluntary Ag. District: No Legal Description: 10.365AC MAIN CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 10.19 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/2009 Middle School Zone: NORTH DAVIE Deed Book / Page: 007800213 Soil Types: GnB2,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 44120.00 Outbuilding & Extra 11730.00 Freatures Value: Land Value: 74150.00 Total Market Value: 130000.00 Total Assessed Value: 130000.00 Davie County AlldataIsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Im lied warranties of merchantabilit or fitness fora articular use. All users of Davie Coun� p y p lys GIS website shall hold harmless the E@1 �7/-r C County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to the Inability to the GIS data 1\ or arising out of use or use provided by this website. �Xo .Z IMPROVEMENT PERMIT DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT **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 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME --� /lam %lii�� t-1 //ll%Pri f� PROPERTY ADDRESS /,1171 0.11.7,t r-i r Davie County Health Department ENVIRONMENTAL HEALTH SECTIO;`— .� P.D. Box 665 Mocksville, N.C. 27028 „= AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRLICTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** --�— AUTHORIZATION NUM�iER AME �.J N /! 011l rJ ( DATE 90 ,�' j fl 0 2 4" r NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION %I%1✓ �,•�� COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM y* APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE T E Davie County Health Department Environmental Health Section P. O. Box 665 (� APR 2 1996 Mocksville, NC 27028 I` 1. Application/Permit Requested By 7j; -,L' v G `� S Mailing Address 3o,'? Home Phone k-57-11 r C 2 `7 O Z Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation e�eptic Tank Installation Permit ❑/ 4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People 3 2 No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers _ No. of Showers Water Usage Figures _ 7. Type of water supply: ❑yoo Public X Private S'D ' 8. Property Dimensions f Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/Plumbing ❑ Basement/No Plumbing j"Washing Machine @,Dishwasher ❑ Garbage Disposal ❑ Yes X No ❑ Community "NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: (D/ Nope 7L�r, r, 9i lk 02 lea �Ls o A Q, o k4- P 1 i,Jo 50 401(0&W This is to certify that the information provided is correct to the best of my kni incurred from this application. DATE PROPERTY INFORMATION REQUIREb: Tax Office PIN: #5$.20909&) PROPERTY ADDRESS, as follows: CRoad Name: - City: SU13,11IT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. and I understand I am responsible for all charges SIGNA CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: Li1. I OWN the property. ❑ 2. 1 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�r ] f th Day.``�� Cour Health Denartment to enter upon above described property located in Davie County and owned by - 4 to conduct all testing procedures as necessary to determine said site's suitability 0 a ground absorption sewage treatment and disposal system. f A )1Z" DATE GNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Snil/Site Evaluation NAME enAz ,' -5- ADDRESS ADDRESS PROPOSED FACIILTY lb DATE EVALUATED 1V4 & PROPERTY SIZE LOCATION OF SITE -el-_V 41 Water Supply: On -Site Well _ Community Evaluation By: Auger Boring Pit FACTORS 1 2 3 4 Landscape position 4 Slope Z — "- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Et/ Structure �C E Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 77 77 LONG-TERM ACCEPTANCE RATE , Public Cut SITE CLASSIFICATION: 1�S EVALUATED BY: LONG-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- V+:: -y 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 3C -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 DCHD(01-901 ■■���■���■��������������■��������������■ ■��������■e����■ ���� ■■ ........................................ ......................C.. ................................ ................................ ................................�......._..�..................... ......................................... .. ..................... .................................................................. .................................................................. ...........................................�........�............. .......................................... ........ ............. .................................................... ............. ■��������\������■������■���������N��������������� ■���■����■���■ ■�■������■��������������������■� ��������������������������■�■��■ ■��■����■�■�■��■��������■■�������■�■��������■�■���� �■�����■�■���■ ■����■■■■�■��■��■■���■■���� ������������������■ ■■�■ ���� �������� ■�■��■■��■�������������������■��������■������■ ■�����H���������■ ■�■��������■■■��������������■������������ ��� ■ ■ ��� ■■■��■ ■■ ■�■�■��■���■������■�������������������������_ ���������■�■��n�i■■ ■���������■■������■��������■■��■����������������� �■■���■����■���■ s■■�■����■�■■■�������������������■��■�����■���������������■����■ ■■��■���■���■�����������������■ ■������N�■���__ _ ■■����■����■■ ■■���■�■�����������■���������■������■■�����N�■ ■ ����N��■���■■ ■�■�■■���������������■�■���■��■���■����■��■���� � �������������■ ■��■��������■■■�■■■�■��■��■��■�����������������■■ ■�■■■��������■� ■o■�■�����������■����������������■ ■ ������ ■ ■� ����■■ ■ ��■�� ■������■■■����s■��■■������■����■■�_�����■�■���n��= ■ ■����_■■ ��_ ..................................................�.�........� .._ ■■■■���n�■����������■�n��������■��■�Nv�����Mu����■�■�■����� ■■�����■■�������■����■�����■■■�� ■■��N�■ �� ���■�■����������� ���������������������Nn�����������M��N�����■.■������■��������� ................................................. �....C......1� ...............................................■ . ......... ::::::�::::::::::::::::::�:::::::�::::�:::::'_ :C:'.=:'5::::::: ................................�.............�.........C........ ■���■■���������������■�■�������� ■■��H■����■ ��N���� �■����� .::C�:::::CC:::C:�:::'::C::::::::'::CC:::.�:"':_:�_:::::C� ...........................,-..... .� .... . . ...C......._ :::::::::::::::CC::::Z'.::�::C::��. _. :�CC�� ■ �::' _:::� ................................... .. ....� .... .�....._ i�::::::�l::::::�3:::::i�......�.... .�.�-'°�: ..:��...... . _����� ��7� ■ ���� �������i ■��■■����lN�■��������u�/_!�i�/����I1� ��■��������� ■�■�������'I/f��u�������■�L�■�����■■��11� �NN�■ ����■��■ ■���■����L/'L•�J������������I�u��������ll �� ■�■�■�■■ ■������������n■�■��������■����������1 ■ ■� �N���■� �����������vn����������������■� 1� � ������� :C:::::C::::::::::::::��::.....•-=�. .�C=.....�� :C::::::::::":::::::::�C::='■:: .. 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