185 Willboone Road Section 1 Lot 2 Davie County,NC Tax Parcel Report Thursday,December 15,2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: L600000004 Township: Jerusalem
NCPIN Number: 5756070091 Municipality:
Account Number: 39722500 Census Tract: 37059-807
Listed Owner 1: JAMES MICHAEL KEITH Voting Precinct: JERUSALEM
Mailing Address 1: 185 WILL BOONE ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A R-20
State: NC Zoning Overlay:
Zip Code: 27028-5481 Voluntary Ag.District: No
Legal Description: 4.945 AC WILL BOONE RD LOT 2 DAVIS Fire Response District JERUSALEM
Assessed Acreage: 4.75 Elementary School Zone: CORNATZER,COOLEEMEE
Deed Date: 11/1997 Middle School Zone: SOUTH DAVIE,WILLIAM ELLIS
Deed Book/Page: 001980376 Soil Types: MrC2,GnB2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAME COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value: -
[all
al dare Is provided as b withoutmy orguanmee of any Wed either expressed or Implied Including but not limited to the
Davie County, Implied wamamies of merchamabilgy orfhness for a particular use.M users of Davie Coumi/s GIS wmbshe shall hold harmlessthe
County of Davie,NorthCarolina,IIs agents,consultants,contrsmrm or employees from any and all claims or causes of ace..due to
NC or arising out ofthe use or Inability to use the GIS data provided by this means.
APPI JCAUON FOR SITE EVALUATION/IMPROVEMENT &ATC. .
s rl''ir Davie County gpalth Department D Q n n
!tl Environmental Health Section V
P.O.Box 848 ' SEP 81997
j Mocksvilld�NC 27028 '
(704)•634-8760
****IMPORTANT**** THIS APPLICATION"CANNOT BE PROCESSED UNLESS
lL
THEREQUIREDINFORMATION IS PROVIDED.
1 Name"�o be Billed I I!t l C� ;_S / � Contact Person Fy� 6L Il-
G1
/� I I t-S
x Mai)tiitgAddress C W • ,56ky-w Home Phone 2 98 x'27 4g e, 1
4Gity/State/Zip, �VLI) f-I-S V.�(e , C, 7� 7 Business Phone a 0 4-40 b
2 :Name ort Permit/ATC if Different than Above b'
1 Muhng'Address City/State/Zip
3 Apphcatton For: Site Evaluation [ ]ImprovementTermit&ATC [ ]Both
t a ,4 Systerii'to Serve �j House [Mobile Home [ ]Business [-]Industry [ ]Other
Residence #People #Bedrooms��#BathR6msZ12-Z�[ ]Dishwasher[ ]Garbage Disposal "
[r]VVnshing"Machine [ ]Basement/Plumbing [ ]Basementnf Plumbing
6 ^If Bu§iness%Othei Specify type #people #Sinks #Commodes -
#Stic'- ,rs #Urinals #Water Coolers
If Fooc ..,crvice.#Seats Estimated Water Usage(gallons pet day)
7..,Typet4.1water supply: County/City ( ]Well [ ]Community''
¢ G .
°Do yk anticipate additions or expansions of the facility this system is intended to serve?[']Yes [ ]No
,if yes',what type,?"''
EITHER A PLAT OR SITE PLAN
PR( `*IMPORTANT**' T OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dim.---.� �WRITE DIRECTIONS(from Mocksville)TO PROPERTY:
Tax Office PIN: # /gypp / '/ - �D/2, ; �aO 6.6( h ho �-, r-e-&sV C'i
Property Address: Road j e � tj' i t t Nyte _f 2 } �7� �`, ( pI nwr�r
city/Zip flecKS t, I(e r 7 o71Y ; �iVS� ISt� SL byt L�P� 'i T
E If m Subdivts provide mformaf on follow —� hA P-1
p,
'S 'Name � ���i '
Sechbn Lotlt"
(
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
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subject to suspension or revocation,if the site plans or intended use-change,or if the information submitted in this application is falsified of
change&.I,(also, understand that Lam responsible for all charges incurred from this application. I, hereby, give consent to the Authorized >,
Repi�ese::' Gve"of the Davie Cobnty Health Department to enter upon above described property located in Davie Count; and owned
-by' S c: A O�1 r- . �/j��. /mad 1S to conduct all t ting procedures as necessary to determi a the site suitabi'ity.
DATE SIGNATURE
H r'., • W /�+ W"�'✓";-moo' }
+Rev(`sed DCEID(OGsJ6)
THIS yAJ $E USEb )6R"DRAWINC7 110UP SITE PLAN:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION___/_LOT..f'
Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE /,' �•�5 �/
SUBDIVISION ROAD NAME Glii��,dcl�e
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit ✓ Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
"HORIZON I DEPTH
Texture group -
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure L /[
'Mineralogy
HORIZON IH DEPTH
i
Texture group
Consistence
Structure
Mineralogy
j HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: - �� EVALUATION 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 clay loam SII,-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 fret "
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 OR-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(01-90)