359 IJames Church Road Lot 14Davie County, NC I Tax Parcel Report Wednesday, December 28, 2016
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All data is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitnessfor a particular use. All users of Davie Countys GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
G3060B0014
Township:
Mocksville
NCPIN Number:
5820213342
Municipality:
Account Number:
82530601
Census Tract:
37059-806
Listed Owner 1:
ONEAL BRADLEY FRANKLIN
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
359 IJAMES CHURCH 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:
LOT 14 FOREST BROOK
Fire Response District:
CENTER
Assessed Acreage:
2.71
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
3/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
007850992
Soil Types:
PaD,PcC2,ChA
Plat Book:
0006
Flood Zone:
Plat Page:
137
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
101
All data is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitnessfor a particular use. All users of Davie Countys GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHORIZATION NO: Q % 3 9 DAVIE COUNTY HEALTH DEPARTMENTr' 0'
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848 1'
Name:' A�X-Q Mocksville, NC 27028 Subdivision Name:t 31�.
s Phone #: 704-634-8760
Directions to property: t�l (�) - 1h._ Section: , Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN: (b _ 41
SYSTEM CONSTRUCTION d
Road Name-1:!�£JffiZip:e
**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 System's, 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
�• �1`. _.,t� � f'1, +'> P3, ri P�)rr" w.'v,,, �., 4.Y f+-yy, ,xt C:>". t i. yt:�, it "' .,., .�, I ^y ".¢ t/h i'' 1#'Iv/Y`/
DA, IE COUNTY HEALTH DEPARTMENT
ND 6PERATION PERMITS PROPERTY INFORMATION
.• IMPROVEMENT A
Pen
' `Namey ' ~ ' Subdivision Name:
Directions to property: r'. it f) - _ r.. Section: Lot: Ll
t E%1PROVEMENT
r _y
PERMTT Tax Office PIN:#L, .}.b
Road Name:.t—1p
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATEI(SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or theissuance 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
PLANS ORT 9INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST "DATE ISSUEDSYSTEM CONTRACTOR MUST SEE TMS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPEIAQ VSQ # BEDROOMS # BATHS_ # OCCUPANTS �"�� GARBAGE DISPOSAL: Yes
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS' INDUSTRIAL WASTE: Yes or No
LOT SIZE • TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
I li �
SYSTEM SPECIFICATIONS: TANK SIZE be GAL. • PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH D LINEAR FT
OTHER
..REQUIRED SITE MODIFICATIONS/CONDMONS:
"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 NS�AI LED BY:
LlQ
AUTHORIZATION NO.—V ,-1-1—OPERATION PERMIT BY: DATE:
"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 05/96 (Revised)
• APPLICATION FOR SITE EVALUATIONAMPROVEMENT
M "
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNI
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed Ert(1, Contact Person Lr%e MV ers
Mailing Address 331-0 5, A4raWrA R-4 &-r'- Home Phone -779-/yG8
City/State/Zip Wtpmr n- Jalcrn n/G .1716A ` Business Phone 766-733 )
2. Name on Permit/ATC if Different than Above .�me o -s ) a bo6c
Mailing Address
3. Application For: [ ] Site Evaluation
City/State/Zip
M Improvement Permit & ATC
MAR 1 9 1997
[ ] Both Sec
4. System to Serve: [k] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People 3 # Bedrooms 3 # Bathrooms1_ pr] Dishwasher [ ] Garbage Disposal
Dd Washing Machine M 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: X County/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [d No
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AOF THE PROPERTY MUST BE
SUBMITTED WITHAPPLICATION.
Property Dimensions: 3113 X 350 X 3,43 X 350 ; WRITE DIRECTIONS (fromr
ksville) TO PROPERTY:
Tax Office PIN: # S$40 - 41 - 33y'oi Coal N fo 4 -'MCA 0-6tCJ RdAf)
Property Address: Road Name name -5 C�.re.)• R,ho �1c1^,�r on=`i arae C� rely 1 /1o.w
City/Zip /_vim l•iU r!.ap p)amatdk 3J milcs d1 tc�i
If in Subdivision provide information, as follows:
t
Name: 50re6l "Btook
Section: Lot #: 1 '
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 Lng. Q►.d Ue-bbic 121ye
DATE 3-18-9-7
Revised DCHD (06-96)
to conduct all testing procedures as necessary to determine the site suitability.
THIS AREA MAY 13E USED FOR DRAIVINC7 YOUR SITE PLAN:
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CHAIRMAN. COUNTY PLANNING BOARD
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!PUBLIC ROA01
(fie)
HARVEY L. ADAMS .
D.B. 102 PG. 791
SA 1307
��ME3 CHURCH/ROAD
N 80'
42' 00" E
60.00
D.B. 93 PG. 317 "
(zonei RA 8 R-20)
1 5 80' 42'00" E
`—
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5 80. 42' 00" E —�
(225.72 total)
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. CONMOL
CORNER
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksvilie, NC 27028
1. Application/Permit Requested By �> e i•
Mailing Address �% ('1 r t (� Cd C I r C) C. S U t
Home Phone b� Business Phone
2. Name on Permit if Different than Above
E
3
3. Application/Permit for: �General Evaluation ❑ Septic Tank Installation
s;
4. System to Serve: HouseElMobile Home [IPlace of Public Assembly t,
"-TZ i'
❑ Business ❑ Indust ❑ Oth r ❑ Unknown
5. If house, mobile home: Subdivision d <� _ Section Lot #
❑ Basement/Plumbing. I
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine !
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
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
Public
7. Type of water supply: 03/
❑ Private
8. Property Dimensions
-Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sylem is intended to serve? ❑ Yes
If yes, what type?
_
❑ No
'NOTE: .Improvements Permits shall be valid for a period of 5 years from dale issued. Improvements Permits are subject to
revocation, If site plans or the Intended use change. Effective October 1, 1989.
Directions to Property: t
L _
cl--1r11 '
�-� �� �� � 01' grytt-Q•i 1�%�t.cp {'ice - �� �•� /ITS _ ��-
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
inqurred from this application.
& i!- x(7311'-t1F L
DATE �' SIGNATURE
f
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED P O� PERTY
Land
ECK ONE: (] 1. 1 OWN the property. L>� 2. I DO NQT OWN the property.
cked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by � V . _> f�. �_ `. �) r~ 1 (-
to all testing procedures as necessary to determine said site suitability for a ground absorption sewage treatment
al system.
—OATE SI ATURE
DCHD (12.90)
" , = DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section I
Soil/Site Evaluation Q
NAME ►J 4 DATE EVALUATED '� 1
ADDRESS `S PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE -L
Water Supply: On -Site Well Community Public
Evaluation ByIz't �ugerBoring Pit V Cut
FACTORS
1
2 3 4
Landscape position
S
.S
Slope %
_"Ab'
HORIZON I DEPTH
U -M
Texture group�-
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
'
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S
RESTRICTIVE HORIZON
�—
--s
SAPROLITE
—�
---�
CLASSIFICATION
,
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: a
LONG-TERM ACCEPTANCE RATE: _ 44
REMARKS: • \
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 -
EVALUATED BY: H _ a
OTHER(S) PRESENT:
A cs T
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
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