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206 Long Meadow Road Lot 38Davie County, NC r Tax Parcel Report Wednesday, December 21, 2016 9A1� All data is provided as Is without warranty or guarantee of any kind 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 shag 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 rpUN S� 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: H501OA0038 Township: Mocksville NCPIN Number: 5749064442 Municipality: Account Number: 51859500 Census Tract: 37059-806 Listed Owner 1: MORELAND ROBERT J III Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 206 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 38 FARMLAND ACRES SECTION FIVE Fire Response District: MOCKSVILLE Assessed Acreage: 5.04 Elementary School Zone: MOCKSVILLE Deed Date: 4/1997 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001930766 Soil Types: SeB,EnB,MsC,MsD Plat Book: 0006 Flood Zone: Plat Page: 021 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9A1� All data is provided as Is without warranty or guarantee of any kind 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 shag 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 rpUN S� NC or arising out of the use or Inability to use the GIS data provided by this website. `,' az � f � , � .: '>`�„,•rs,�i;Ry ort',,,:' . z..: `f .;�,.dr.> d'r ! DAVIE COUNTY HEALTH DEPARTMENTAlk IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pe�nlftee�s ;l' ti I Name: e/''f 'Subdivision Name:r Directions to property:. �'' �' r` Section: r Lot: IMPROVEMENT PERMIT Tax Office PIN:#'` r - Com' ( _. Road Name: rt j ? r. /4� ( p'� .� **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. (Incompliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) y r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ”' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPEf f # BEDROOMS `j-�% # BATHS # OCCUPANTS .:Z GARBAGE DISPOSAL: Yes or No z COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFf # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE '� TYPE WATER SUPPLY / DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK Sicr;/ GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT K - OTHER�C REQUIRED SITE MODIFICATIONS/CONDITIONS: **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPART BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTAL OPERATION PERMTf �� CVCTRM iNRTAi.i.Fill ?OR FINAL INSPECTION OF THIS SYSTEM !( TELEPH # IS (704) 634-8760. AUTHORIZATION NOOPERATION PERMIT .0! / BY:_4 �1 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 EVALUATION/IMPROVEMENT PERMIT D Davie County Health Department Environmental Health Section FS P. O. Box 848 1997 "p� Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS /� ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed )Q O's E/L i 2-. i� /�i4 �t-A^�� Contact Person /1_D 6 Mailing Address C20 / d F_ A5011w o o-0 J-)9. Home Phone 7,7q - 6 3 City/State/zip YVLo 'G�--SV,-< z- 6' 1A C, l2 7028 Business Phone 9l o 7// — 6 S i y 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: J Site Evaluation % Improvement Permit & ATC 0 Both 4. System to Serve: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People ` # Bedrooms _ # Bathrooms y• .Dishwasher Garbage Disposal )d Washing Machine R 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: JK County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. I Al P ooperty Dimensions: �� /� C62 ES %3 X y 9 8 x % 9/ x $ ZZ 1 WRITE DIRECTIONS (from X ,�(, Mocksville) TO PROPERTY: /Tax Office PIN: # r / - �/ - / 1 J' 1 J0 Property Address: Road Name L0l%fCr i'n41"OW R 0 t1h 1 P' 1 city/zip 2.7 D ZY 1 1 1 If in Subdivision provide information, as follows: 1 1 Name: FIV11h L-AWD /Zr,'- S 1 1 3 Lot #: A 1 Section: 1 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 _ E4 A -D'2 /-, A "y Gr GL to conduct all testing procedures as necessary to determine the site suitability. j I DATE �- C 2 SIGNATURE r Revised DCHD (06-96) S y '! ��4��M.^s�"� iti ,,'c..�.�{w ��n, At thy.• d''.� .�' � r ��tT�l�i��' �r�+14' •-wrr •C �� Vis. �4 .j:!� 9 #�:. 4 • + ! S ,� � ^: . . �,,f 4:-tt"^9t'4�w'Tr2. � r. ��.w`* � >w -'s � i ' .• 1ot WIs 7 _ u D gL 134 2AS maw Cat no _.. _ sIA-AL NIr. N 3f r a IL W3CrE V, t 3 v►Ago. O u '3r 4r C 5� �•� (n '? P s 5 u zff { • w CONTROL. CORNER s d �f t s W or'Sw E raw �0� � - 397.05 6 b N INS u HELEN C. 0J. G9 s lt4O 39 �O AREA : 5.190 ACRE 1 AREA a 3.010 ACK$ DiL C 61 AlLt1 •K>s.2f I MARGARET C. FM c 01 34 M 212 •y • /r k�y♦ti4+ tI �` .+.u.w,Mlcler.9eM.MM.► �r.w ^sty..+.... �_ • • ., _ ! ""4 • DAVIE COUNTY HEALTH DEPARTMENT V Environmental Health Section SECTIONZw LOT_S94 Soil/Site Evaluation APPLICANT'S NAMEcaif� 1.6 DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION/Ll� IAS✓ �v!` ROAD NAME Water Supply: On -Site Well Community. Evaluation By: Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG 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 -Z I SITE CLASSIFICATION: G LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) J EVALUATION BY: 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 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 ■■ME■ ■■NE■ ■E■■■ ■E■■■ ■ENE■ SEEMS ■E■E■ ■■■E■ ■E■E■ ■EN■■ ■EE■■ ■E■E■ ■E■E■ ■E■E■ ■■EE■ ■E■E■ MESON ■EEE■ ■E■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■■■ ■■O■■ ■■■■■M■■MEM■■■■ ■E■■■M■■M■■MO■■ ■E■EMEME■■■■EM■ ■■■E■M■M■UMME■ ■■M■■MM■■ NONE ■E■■MME■■EMM■■■ ■MMEMMEMMEMEME■ ■E■■M■MEM■■■ME■ MM■■M■MM■■■■MM■ ■■■E■■EM■■MEME■ ■M■E■■E■■■MEM■■ ■■MEM■■■■UM■■■ ■■MEM■■M■ ■■N■ ■M■■M■■■■EM■■■■ ■E■■■E■E■E■■■E■ ■E■■ MEMO ■■ ■■M■ ■■N■ ■ME■ MEMO SEEN OMEN ■O■■ NOON NONE SEEN NONE ■■E■ R■■■ ■IR"I■ ■■■N aNN ME ■■EE■ NONE" ■ NONE ■■ ■EME■■■■■■ ■■■■■M■■M■ ■■■MME■ME■ MEMEMMERIME ■■MEM■E■M■ ■EME■■■■■■ ■EM■■■E■■■ ■■■■■■MME■ ■■■■M■■EM■ ■■■EME■EM■ ■■■E■■EMME■■M■■ ■■EM■EMEM■■EM■■ ■MM■■MEM■■■E■■■ ■EMMEME■■■M■■E■ ■E■■E■■EMEME■E■ ■■■E■■EMEME■ME■ ■EMEMEM■MMEMEM■ ■EE■■ ■■■ME■ ■ME■S�■■■■EN ■E■EM■■■■■M■■E■ ■E■■■■■■■EM■■E■ ■■■■EO■■■E■■■EN ■E■■EEE■■■M■■■■ ■■■■■■■■■■■■■■■ ■NEE■■■■E■■EE■■ ■■■■E■■■■■■■■■■