140 Sweetwood Ln Davie County, NC Tax Parcel Report l,� � �1 Tuesday, October 4, 2016
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WARl�TING: THIS IS NOT A SURVEY
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' 'Parcel_Information '; '
Parcel Number: G500000084 Township: Mocksville
NCPIN Number: 5840527836 Municipality:
Account Number: 8304353 Census Tract: 37059-803
Listed Owner 1: GLAZIER NICOLE FAM TRST Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: PO BOX 365 Planning Jurisdiction: Davie County
City: JUNCTION CITY Zoning Class: DAVIE COUNTY R-A,R-20
State: OR Zoning Overlay: DAVIE COUNTY QD
Zip Code: 97448-0365 Voluntary Ag.District: No
Legal Description: 4.592 AC HWY 158 Fire Response District: SMITH GROVE,MOCKSVILLE
Assessed Acreage: 4.79 Elementary School Zone: MOCKSVILLE,PINEBROOK
Deed Date: 11/2014 Middle School Zone: NORTH DAVIE,SOUTH DAVIE
Deed Book/Page: 009730492 Soil Types: MrC2,ChA,WATER
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 209070.00 Outbuilding&Extra 7280.00
Freatures Value:
Land Value: 41990.00 Total Market Value: 258340.00
Total Assessed Value: 258340.00
9�,+���, All data Is provided aa la without warranty or guanntee of any kind either expressed or Implied Ineluding but not Itmlted to the
Davic County� Implied warranties of inerchantability or fltness for a partleular use.All users of Davle County'a GIS vwbsite shall hoid harmless the
County of Davie,North Carollna,Its agonts,consultants,contractors or employeea from any and all clalms or causes of actfon due to
n��N,�'� NC or arising out ot the use or Inabltity to use the GIS data provided by this website,
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�^" /� " � DAVIE COUNTY HEALTH DEPARTMENT E` -.''```'� ` "''' ''
��/ ` IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �
�''NOTE:Issued in Compliance With Article II of G.S.Chapter 130a � � �
Sanitary Sewage Systems �y Pe�mit Numbel'
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Name b ��-' �
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Location t ' � �� �'� ' ' - �
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Sub ivision Name Lot No. Sec. or Block No. �,�J(�t��"-
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Lot Size `�- L.'�� House Mobile Home_T Business__Speculation
No. Bedrooms _� .No. Baths No. in Family
Garbage Disposal YES NO p
� Specification for System:
Auto Dish Washer YES � NO ❑ �OOO ��' .J""�`^"' � ����'�
Auto Wash Ma;hine YES NO ❑
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Type Water Supply � -- .�^ J� � �C �� �OPi��/
'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.
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Improvements permit by �__ --
•Contact 2 representative of the Davie County Health Department fpr final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. T epho e NJ ber 704-634-5985.
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Final Installation Diagram: �eO.S ftifm,�r�alled by�-�- ������
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Certificate of Completion '�- '�� ����=� Date b���� �a•
'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.
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;. ,. -,;-. �,,�.� DAVIE COUNTY IiEALTH DEPARTMENT _
'"' '""• � IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION
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��" *NOTE:�Issued in Compliance With Article II of G.S.Chapter 130a ' ' ''
Sanitary Sewage Systems Permit Number
Name �. �` � �a �� ��J � ;, '� Date � { :-1_.. NO
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Location
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� Sub ivision Name �rv ✓�Q.��7�r� 1�-�" Lot No. Sec. or Block No.
Lot Size `� � '-� House � Mobile Home _ � Business Speculation
No. Bedrooms -=� . .No. Baths r No. in Family �-� _
� Garbage Disposal YES p'' NO ❑ Specifications for System: ��
Auto Dish Washer YES p� NO p �F:::'> .�'� _ �� `4.. ` �..�:� ` a,_ ..,; '
Auto Wash Ma:hine YES p'" NO p � , .,
�YPe Water Supply ;� �, � ,� --- �` . �', � _ -;t,
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'This permit Void if�sewage system described below is not installed within 5 years from date of issue.
Thispermit is subject to revocation if site plans or the intended use change.
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Improvements permit by �--` � ,°,, ___'. ' ,'
*Contact a representative of the Davie County Health Department f r final inspection of this system between 8:30-
9:30 A.M. or 1:00-.1:30 P.M. on, day of completion. Telepho e N mber 704-634-5985.
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Final Installation Diagram: � Sy t�m Is talled by ���=- ���
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Certificate of Completion �- -��� � Date � --1� � ��
•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. '
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' ��� .� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT .
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� , ;� 1' Davie County Health Dopartment .
� � Environnontal Hoa►lth Soction /� M.
+� . „`� � / �(,v P. 0. Box 665 'RE�:��: � � v7/,• �
�P`� �, �' '� � Mockaville, NC 270Z8 �
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l . Applioation/Permit Requested 6y �
Mailing Address �0• �o X // , �l�/rlmons, /V• C� . �7��Z
Home Phone 9!9- rG� "�O y/�v 13usines� Phond �1�1- 7°�0 -Sad d
2. Name on Permit if Different than Above
3. Property Owner if Different than Above �'QS, �eu-� � �2E41E�,
4. Application/Permit For: � General Evaluation � S/Tank Installa�.ion
5. System to Serves � House U Mabile Home , f�usines�
� Indusci•y u 4:.her � Unk�own
6. If house, mobile home: Subdivision Sea. Lot�
No. of People Owelling Dimensions
No. of Bodrooms � f3asement/�'lumbing
Na. of Bathrooms ` Basamont/No Plumbiny
0 Washinq Machine � Uir�hwasher � Garbage Gaspusal
7. If business, industry, other: . Specify type
No. of People Served No. 'of Sinks
No. of Commodes No. of Urinals
No. of Lavatories Na. of Watar Coalars
No. oE Showers
8. Type of water supply : � Publ�c, i7 a.Uai��/� Private p Community
9. Property Dimensions 5`` �S a-��� �
10. Sewaqe Dispo�eal Contractoi• �
11 . Do you anticipate additians/expansions of the facility this system �.�
intended to serva? G Yes � No
If yea, what type7
*NOTEs Improvemente Permita ahall bo valid for a period oP 5
years from date isaued. Improvements Permits are subject
to r�vocation, iP aite plan� or the intondod u8e chanqe.
EPfective October l, 1989.
This is to cer•tiFy that the infurmati�r► pravided is correct to triE.^
best of my knowledga, and I understand I am rE:sponsibla fc,r all
charges incurred frum tt•►is applicatic�n
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Uate ' Signature
Uirdctionp ta Proporty :
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DCHD (10-89)
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� ., ' ' DAVIE COUNTY HEALTH DEPARTMENT
� � ENVIRONMENTAL HEALTH SECTION �
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Hea�th Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form �
LOCATION OF PROPERTY: /y DATE PECEIVED
�,/w y !S�E a � Ja.�"'C�R��►l�� (.��E'e (office use onlY)
yes no 1. I am the owr�er of thE above described property.
yes no 2. I am not the owner of the above described property, however, I certify that I
have consent from �f�R� �2�w£'e-� , owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. I hereby give consent to the authorized representative of the Davie County
, Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system. �
3�-ds-9/ � '
DATE SIGNATURE
4. I hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
—Owner only
_ Owners designated representative
Anyone requesting results
✓Only those listed below
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DATE S ATUR
DCHD(11/841
• � ' DAVIE COUNTY HEALTH DEPARTMENT
: � Environmental Health Section
Soil/Site Evaluation
NAME �1Z�►'�`� � � ���s \N�Z�c� DATE EVALUATED � � �� ��
ADDRESS � � '�� PROPERTY SIZE
�� �.3�4-c
PROPOSED FACIILTY
� 0 vS Q LOCATION OF SETE 4 �O � S1g �
Water Supply: On-Site Well Community Public v
Evaluation By:��L'AugerBoring Pit Cut
FACTORS 1 2 3 4
Landsca e osition S S S S
Slo e 7. $- I� � - IS � '° -13
HORIZON I DEPTH $ -(o ' ' "
Texture rou S [--. SL SL-
Consistence
Structure R
Mineralo ', 1 � 1 '� '�
HORIZON II DEPTH O ' 2 2 �
Texture rou C
Consistence
Structure <.
Mineralo � '.
HORIZON IIZ DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence �
Structure
Mineralo
SOIL WETNESS ,S _S ,S' S�S
RESTRICTIVE HORIZON �' � � —
SAPROLITE — .- —
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE - ,V - ,`1 ,3 _, ,-�.�
SITE CLASSIFICATION: � ' �' EVALUATED BY: C q_��=o ���� a hdR1'N W�o�
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-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-Finn 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 plarstic
Structure
SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky
SBK-Subangularblocky PL-Platy PR-Prismatic
MineraloBY
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 wate�' 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(O1-901
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- - �� .. � �Davie Courr�y .�fealff�r �e arfinent
,
� and .�lome �fealtfi� yency
210 HOSPITAL STREET I P.O. BOX 665
MOCKSVILLE.N.C. 27028
PHONE:(704)634-8985
April 1, 1991
I.orin & Dorie Wood
P. 0. Box il
Clemmons, NC 27012
Re: Site Evaluation
Hvy. 158E. /4 1/2 acres
Dear Ms. Wood:
As requested, a representative from this office visited the aforementioned
site on March 27, 1991. The site vae found provisionally suitable for the
installation of a ground absorption ser+age system.
If you have any questions� please feel free to contact this office.
Sincerely,
� `���
Charles E. Little� R.S.
Environmental Health Section
CL/rd
Enclosure
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