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155 Longmeadow Road Lot 41Davie County, NC Tax Parcel Report Wednesday, December 21, 2016 Building Value: Outbuilding & Extra 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 fitness for a particular use. All users of Davie Countys GIS webslte shall hold harmless the Cowley 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 websHe. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H501OA0041 Township: Mocksville NCPIN Number: 5749076353 Municipality: Account Number: 68022000 Census Tract: 37059-806 Listed Owner 1: SMITH PHILLIP GRAY Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 155 LONGMEADOW 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 41+P/O 42 FARMLAND ACSECTION FIVE Fire Response District: MOCKSVILLE Assessed Acreage: 7.05 Elementary School Zone: MOCKSVILLE Deed Date: 3/1997 Middle School Zone: SOUTH DAVIE Deed Book 1 Page: 001930425 Soil Types: SeB,MsC,ChA,MsD Plat Book: 0006 Flood Zone: Plat Page: 021 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra 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 fitness for a particular use. All users of Davie Countys GIS webslte shall hold harmless the Cowley 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 websHe. 0 ? .� '•4i5 •4 `i`"'1'f:'•1+(V .ysy.•c.. PY "�L�"r M1, f. p.`.� 1 '•.i - '/i►J/�C:I` 1 'I _,. � �. 4 .� t. ��,. JR,i�yi t�:. 3�':!� t i�.'..:h i � M '�'.* (� r `"3 'r+� t. r V 4 TF'u' Vi4-- .♦ -� P- -two - ,� F-' 1['�/ .•'M� DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS'PERMIT AND CERTIFICATE OF COMPLETIONi NOTE- Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewa e�SS stems /1 Permit �+Number Name ��'; 4-� 1.0 /�/y._J.9�]'� ., �/ <<' Date ��– U 9 N_ Location Subdivision Name Lot No. Sec. or Block No. �}� Lot Size —� House Mobile Home _ Business -- 'Speculation No. Bedrooms No. Baths �2 No. in Family — Garbage Disposal YES NO ❑ Specifications for System: Auto Dish Washer YES NO ❑ , Auto Wash Ma thine YES NO E]1(�, X/,/ L� Type Water Supply *This permit Void if sewage system described below is not installer with 5 ye� s iom date of issue. This permit is subject to revocation if site plans or the intended usesqhan e. r. - 4 Improvements ermit by --1� *Contact a representative of the Davie County Health Department for fAl, inspection of this system between 8:30- 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number lq,4 4-5985. Final Installation Diagram: System In a d by \ a� l70 A t Certificate of Completion �' `' Date+ '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. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME /yili` DATE EVALUATED ADDRESS PROPERTY SIZE ��f alC- PROPOSED FACIILTY /t�6llsr LOCATION OF SITE Water Supply: On -Site Well Community Public c/ Evaluation By: Auger Boring Pit Cut Texture group Consistence FACTORS 2 3 4 Landscape position Sloe % 1 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 3 b Texture group Consistence Structure Mineralogy HORIZON III DEPTH l Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: 2��c LONG-TERM ACCEPTANCE RATE: - 2 REMARKS: DCHD(01-901 EVALUATED BY: llez_ fZ OTHER(S) PRESENT: 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 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 -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 Mineraloity 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 ■E■ ■E■ ■ 1 t - __ APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS 0 V rl Davie County Health Department Environmental Health Section NOV �0 1999- P. O. Box 665 Mocksville, NC 27028 , 1. Application/Permit Requested By �'`� I I I Q (3 Mailing Address c1 5 fJC F ri rJ r c V4 0 54, r-1 - Sale, N c 7-7 1 a-1 Home Phone `c� 5` 3 -�'1 S Business Phone � 1 S 1 i 6 a a 6 5 2. Name on Permit if Different than Above — 3. Application/Permit for: ❑ General Evaluation 5� Septic Tank Installation 4. System to Serve: 0 House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision w MLA N c1 c S Section Lot # 4 1 W Basement/Plumbing No. of People LA ❑ Basement/No Plumbing No. of Bedrooms 3 Washing Machine No. of Bathrooms a Dishwasher Dwelling Dimensions Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type �A 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: [�Z Public ❑ Private 8. Property Dimensions P QM S Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? N 1 A a 1J "IC -c ❑ Yes 4 No ❑ Community "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: L D 1 T', C ov1J�-r � LPN Q� C wri+r� ��►�. �, ��'t-/ EO 11 OF Fn�Mlnr�cl Rel I. nark. -J i lr j 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 incurred from this application. 11 jz-0Sz — " DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: W 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 or a person authorized by the owner: 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 P k "► k t r 5>r; 'fi to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIG RE DCHD (12.90)