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204 Long Meadow Road Lot 37Davie County, NC I iTax Parcel Report Wednesday, December 21, 2016 WARN ILN T: '1'Nl�!i lit NOT A,UKVEY Parcel Information Parcel Number: H501OA0037 Township: Mocksville NCPIN Number: 5749062656 Municipality: Account Number: 59148870 Census Tract: 37059-806 Listed Owner 1: RAISBECK ROBERT H JR Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 204 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 37 FARMLAND ACRES SECTION FIVE Fire Response District: MOCKSVILLE Assessed Acreage: 5.17 Elementary School Zone: MOCKSVILLE Deed Date: 12/1995 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001840389 Soil Types: SeB,EnB,MsC,MsD Plat Book: 0006 Flood Zone: Plat Page: 021 Watershed Overlay: DAVIE COUNTY uildin& Extra Building Value: FOreatur s Va Value: Land Value: Total Market Value: Total Assessed Value: 161 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, Impliedwaranties of merchantability orfitness 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 anyand all claims orcauses of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. .� .+�f:w+•i.^.� -Rd., ark. 4 i . i •4. ,x _ � .:- K ,a � 'lY; ri'�' . �:'a s"'-tii{ir-''wtic.wK , t . � t ,, .f.,:, ry .. .. ,. - y��0 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETI N O *NOTE: Issued in Compliance With Article II of G. . Chapter 130a anitafylsew Pcs!st�yn��r f _ Permit ber Name ` Gt' iC Alt"111 Date ��1 // �� Np �W 4 Location G �77� .Cf/i�C' "T• k�f Jc,,2�� Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business Speculation No. Bedrooms 3 No. Baths _�� No. in Family a _ Garbage Disposal YES ❑ NO ❑ Specifications for S. Auto Dish Washer YES NO ❑�}��,�'/o'%'-�P/ �d,�'r`S Auto Wash Ma^hine YES 4,AO ❑ Type Water Supply *This permit Void if sewage system described below is not inst Iled within 5 years from date of issue. This permit is subject to revocation if site plans or the intengeuse change. Improvements permit by *Contact a representative of the Davie County Health Dep 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Tele I_ � 7 Final Installation Diagram: 0 t for final inspection of this system between 8:30 - Number 704-634-5985. Installed by d 1� �JG 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 _ il,iT/1 �L' `< DATE EVALUATED--��_9� ADDRESS PROPERTY SIZE PROPOSED FACIILTY —� LOCATION OF SITEri��.4��✓ Water Supply: On -Site Well Community Public c Evaluation By: Auger Boring t/ Pit Cut FACTORS 1 2 3 4 Landscape position /1 Sloe % HORIZON I DEPTH 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 RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: Z41,15 // LONG-TERM ACCEPTANCE TE: OTHER(S) PRESENT: REMARKS: et / LEGEND Landscave 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 DCHD(01-901 ■■■■■■■■.■■M■MM■■■■.■■■■.■■.■■■■.■■NOON....■■...e■■■.e■M■...■■.■■■ ■■....■■■■tele■■■■N■■O■■ON■M■OOO■■■■■■■■■■■■■.IMM■■.t■.■■■■.■■O■■■ ■■■■.■■N■■■■■■NN■t■NNN■■■■■NNM■■■■■■■ttttttt■■■■■■■■■■■■l■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■M■Oe■■e■■■■■. ■■t■■■M■■■■■■■■t■t■t■■l■■M■■Ott■ ■tttt■■■■■■■tttt■■■■■■■Mt■■■■■t■■ttt.■t.■tt■tt■ttt..■■■t..■■t.■■■■ ■■■■■■■Ott■■■■■t■■■t■■■tttttt■■tt■■■tt■tt.tttt■tt■.■■■ttttt■■.■■■■ ■■■Ott■■.■■■.ttttt■Ott■■t■■tttt■ ■■tttttt■tttttt■■■tti■.■ttt■ttt■ ■■ttt■t.■■■ttt■■■■.■tt■.■■■■ttt■■■■■ttttt■■.■tttt■■■■lOtt■Ott■■■■■ ■■■■■.■■■■■■■■■..■■■■■■a■■■M■■■■■■■■tttt■tt■ttt■■■=■ttttt■■■tt■tt■ ■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■M■■■lt■■t■t■■tttttt■ ttttt.■tttt■■t� ■.■■■■tlt■■ttttt■at■■■■M■■■■t■■t■■=■ttttt.t■..ttt■..�..t■■■■■tttt■ ■■■■/■■n■■NOON■■t■NMM■■M■■■■■■■�■■■/■■■■■■ttttttt/MIM■.t■■■■�■■N ■■■■■■■■t■tttt■ttt■■■■■■■■■■/■t■■■■.t■ttttt��tott��ttt■ttttt■t■■ ■■llt■tttl■tt/■.■■■t■■.■.■■■■■■■■■■■■..t��t■t■■M■■ttttlttt■■tttt=■ ■■.■■■■■■.■■..tt...t■■■■.■■tttttt.■■.Ott...■■■■.....■...■■....■■.■ ■.ss.//..■■■■■■■■O■■M■■.■■■MMM■■■■■■■■■■..■■■■■■■■■■■�Mtt■MM■■.eO■ Ott■■t■■■■■■■■tttttt■\1,■��it■Olt■�t■■ttttttOttNOON■■///tt.t■.t.tt■ st■tt■■t■.■■■■t■ttt■■■.►alt■t■ltt■tt■■■■.t■■tt■■t.t■■t■ttt....■.■t.■ ■■■t■■■.■■■■Mtt■t■■■■■/■■■■MMttttt■t■■■■.■■tt��■t■■t■.tt■ ttt■t■■■ ■tt■■tl■■■■■■■■.■■■tttt■■■■■..■ttt■Litt■t■■■■■ttttttt�::�.t..■tttt■ iiiiiiiiiiiiiiiiii iiiiiiiiiiii ■iiiiiiiiiii NOONttttttt■■■■tt■■M■tt■■■■■t■■ttt■tt■■t■.tttlt■■■■■■■■■■■■■t■■■t■ ■■■■■■■■■■ttttt■■■■■■■■■t■■■■■■■■■■■■.■■.■ttttttt■t■.■■■■.ttt■Ott■ ■■■■Mttlttt■ttttttt■■■■►it■tt■tt■tttttt■■■.■■.■.tt■t.Mtt■■■■■■■■■.■■ ................■■■M.■■■■e/M■■■■�MEN■�MMMMMMMM■ M■M.MM■MMM■■ MONO MEMMEMEMME O:::::�: ■■/■M■■■■■ttt■t■■■lttt■.�■tttt■tt�.�ttOtt■t■t■■■...■..■..■t..■tttt■ ■■t■■■■■■■■t■tttt■■■■t■■�.tttt.■t.�i..■.■■■■■■■■ ■■ttttt.t■ttttttt■ ■■■tttt■ ■tttttt■.M■ ■■■■\'l:�llll:l!ttttt■tttt..�■■■.t.■■■Ott t■tt■ MOSEEME mom ■ ME .........................■......■■■■tH■■■■�■■....■�■■.■■_....■.t■■■ ........................................... ........... ..... ... .........■........................................................ .................................................................. ■■■■■■■nM/■■■■■■■■■■■■■■...■.■■■■■■■H■.■■■.■.t■■■t■■Ott■■■■■■tlt ■■■■■■■t■M■■■■■Olt■■■//■M■■■..■■■■■■■■■■■■■■■■■Ott■■■■■ttH■■■■..■ ■■■■■■■■■.■■■■■■■■■■ ■■■.■■■MM■■■■■■■..■■■■■■■ttt■.■■■■■■■■tttttt■ ■■■■■■■tt■■tl■■■■..■■■■■■■■■■M■.■■■■■■■Olt■■t■t■■■ttt■■■tH■■■M■■■ ■■■■■■■■■■■.■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■.■ww■■.■.NOD■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ NOON■ttttttt■■.■■■.■■■■.■Ott■■■■.■■■tttttt■t■■■■■.tt■ttt■■■■.■■.t■ • APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 NOY 12 1992- Mocksville, NC 27028 1. Application/Permit Requested By nQ Mailing Address_ Home Phone `—S Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation eptic Tank Installation 4. System to Serve: [j Nouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown t�- 5. If house, mobile home: Subdivision t ,K tYN NoQ A- Section Lot # No. of People a No. of Bedrooms _ No. of Bathrooms 142 Dwelling Dimensions CA )� :5 � 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Basement/Plumbing ❑ Basement/No Plumbing "ashing Machine ishwasher ❑ Garbage Disposal 7. Type of water supply:ublic ❑ Private ❑ Community 8. Property Dimensions s Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ti, - 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: Mkt 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. DA E CONSENT FOR SITE EVALUA TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. I OWN the property. ❑ 2. I 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12-90)