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154 Long Meadow Road Lot 35Davie County, NC I I Tax Parcel Report . Wednesday, December 28, 2016 WARNING: TMS 1S NOT A SURVEY Parcel Information Parcel Number: H5010A0035 Township: Mocksville NCPIN Number: 5749071279 Municipality: Account Number: 50573500 Census Tract: 37059-806 Listed Owner 1: MIGHION PAUL D Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 154 LONG MEADOW ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 35 FARMLAND ACRES SECTION FIVE Fire Response District: MOCKSVILLE Assessed Acreage: 5.32 Elementary School Zone: MOCKSVILLE Deed Date: 12/1995 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001840300 Soil Types: SeB,MsC,MsD Plat Book: 0006 Flood Zone: Plat Page: 021 Watershed Overlay: DAVIE COUNTY BuildingValue: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Ali 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 fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ag daims or causes of action due to r'o U x�4 NC or arising out of the use or Inability to use the GIS data provided by this websfte. Aiu 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 6.5. Chapter 13OA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME f� PROPERTY ADDRESS Z 0 it 711. g b � cc • DATE /? o7T LOCATION 7%% D2v SUBDIVISION NAME LOT NUMBER S J SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS '�/ # BATHS -�/ # OCCUPANTS �/ GARBAGE DISPOSAL: es No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No LOT SIZE SAC TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD) NEW SITE Z REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE IMP GAL. PUMP TANK GAL. TRENCH WIDTH ..� ROCK DEPTH %� �r LINEAR FT. Yl0 OTHER &UeZ.0 r, 10 '!d GYPS REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. v L IMPROVEMENT PERMIT BY /4/// **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 AUTHORIZATION NO. SYSTEM INSTALLED BY �lfx�cSj✓ly'!.� 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 13OA, 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.6IVEN PERIOD OF TIME. DCHD 10/95 I'� m.t � ifi'ytx x y°r *�'w air S,?y: •'w + �r'.:j'1,f}, t Y:,� .yF ;�,,;:. , +r; , _„ >._ : : �, : � . , . r _ X �1 Davie County'Health D pa"rt;ent ENVIRONMENTAL HEALTH SECTION Y, rr*F P O.Iiox 665 r. _ Mocksville, N.C. 27028 AMURIZATIOr FOR WASTEWATER SYSTEM CONSTRUCTION (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,En ironmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented`t,o•the Davie County Building Inspections Office when applying for Building Permits.*** AUTHORIZATION NUMBER WE T t t � D DATE N o j '4 y - NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM f+WICEW THIS AUTi RIZATION FOR STEWATER SYSTEM CONSTRUCTION I5 VALID FOR A PERIOD'OF FIVE (5) YEARS. La �-/-d ENVIRONMENTAL HEALTH SPECIALIST DATE DC 10/95 © �APPLICA ION F 5ITE EVALUATION/IMPROVEMENTS PE Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 W Mi. Application/Kermit Requested By Q �� a Mailing Address �l I Y \ a inn S� Home Pt Z T- � � Business 2. Name on Permit if Different than Above 3. Application for: ? Vceneral Evaluation XSeptic Tank Installation Permit 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision leas A—T Section Lot # )(Basement/Plumbing No. of People X ❑BaPlumbing No. of Bedrooms Washing Machine No. of Bathrooms 1 r' `"'� �'Oi�K��C •( Dishwasher Dwelling Dimensions 70X 7 b Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type I iiW knAF .. E 1I I o .. 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: Public, Co --43 ❑ Private ❑ Community 8. Property Dimensions 3 �a Sewage Disposal Contractor 7 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes XNo If yes, what type? "NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: Fhk 114 l �0.r�'t�•1inl'rv� y� I 0 '�-1'�-Q, Rt '`T as ��Q. G�r�h�w {gym-�uSe. d�t�, �•t h� � S(� LAD Thisis to certify that the information provided is correct to the best of my incurred from this application. /aZ/6/ �Kc DATE I gn6i7stland I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 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 ora erson authorized by the owner: I hereby give consent to the authorized representative oft Qa •e Cou Health partment to enter upon above described property located in Davie County and owned by . / I to conduct all testing procedures as necessary to did site' i ility for a ground absorption sewage treatment anddisposal system. , 1E Z � ��. DATE SIGNATURE e DCHD (1193) i'G Q1 V --7—l'N.j I,/ a J a `� � �•`.r � Lei ��t: 4�StMh� ._ t� ,�h' 3g6,0o03., 3.603 ACRES PlC '• , t � a � ti + t c i, N`1.1b215� 06 ,1.1.06�� 42 v {L, r.it. ,t t� ',�,► / P1Ct' ' AREA = 5.083 ACRES 15" E 8�• 39' 06" E-� 675.65 r' CG' U - 5 04 p rn t. PI 0`�' `' S9� 96w ARC= 361.29 ' . gl' A q$ c,• ao� 22 WO 1,. v`+ E O N rs •t � 09' 9". AR ;', •.' 6 5.89 Ir•nrtn �, '/� 5'LO\p`j° j"� 397.05 S5 57" E NCH 06G�`9 °T e g pRGy v o .% / +l r • , r r / GY0 a 'a c:Ct, 0 `' i�R a t• AREA - S 188'ACRES '7 0v • ^ W yp r j Aril',\ ').UI0 ACRES r t• ,-, t'•• t1 ',;� 36533'. 791.74 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME .moi p1" ADDRESS �•�/ PROPOSED FACIILTY /WBuf t Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE S-r�c LOCATION OF SITE /79trrfl,�i�C� Nr' Community Public L,-"' Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L L L- I- Slo e % HORIZON I DEPTH Texture group P'L S' L S Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC C C Consistence All Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 1 73- 1 77 77 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: _ ! l_laie I"4 1417e LONG-TERM ACCEPTANCE RATE: oC REMARKS:11eey �_ oma„' DCHD(01-901 EVALUATED BY: OTHER(S) PRESENT: a➢%dY. 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- Vcry 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 'CCCCCCCCCCCCCCCCCC::::CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC ................................ ................................ 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NONE MEMMMEMOMMMEM MEN ■ MMU ■■■ ■■■■■ ■■■.....0■■OOO.00OOOO■O..000.00.00■■N HW.O ■ ■■ ■■■■■■■H■ ■■■■■■■■■■■O.■.■CC■■O.. .O■■■O.■.uO■ NOME�■...CC■■NCCC'CCCC.�'NCCCCCu�.. ■ .��ECCCCO■CC MEN ■O■■N■O■�■■■O■.C■■■■OH■. . ■ . .H.■C■N■■■■■■. .■...■ .■�■■■■■ ■O■■■.■■■.O■■.■■ ■.■MO■■ ONO� .....■■■■■■■■... ■.■.. .■ ■■■■O■.. ■■■O■■..■■■ . . ■■ ■■O■... ■0....N.■■O■■■■■ ■..............N..........■...■ ..■■�■■■.■■■■O■.■■.00■.■.■O■■..■ ■■■....■■............................. .......................... .................................................................. C/CCCCCCCCCCCCCCCCCCCCCCCCC■ !'■ . ■ ■CCCCCC0 Dw e County Nealii 7yen; aent and Nome Nealt§ a 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 November 21, 1995 Paul Mighion 501 N. Main Street Mocksville, N.C. 27028 Re: Site Evaluation Farmland Acres/Lot 35 Dear Mr. Mighion: As requested, a representative from this office visited the aforementioned site on November 2, 1995. Based upon the information provided on the application for a site evaluation and after an evaluation was completed, the site was found to be provisionally suitable for the installation of a modified, oversized on-site sewage disposal system. If you have any questions, please feel free to contact this office. Enclosure(s) Robert B. Hall, Jr., R.S. Environmental Health Section