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207 Long Meadow Road Lot 39Davie County, NC -.t Tax Parcel Report Wednesday, December 21, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H501OA0039 Township: Mocksville NCPIN Number: 5749068447 Municipality: Account Number: 82529857 Census Tract: 37059-806 Listed Owner 1: ROBINSON SHAWN Z Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 207 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 39 FARMLAND ACRES SECTION FIVE Fire Response District: MOCKSVILLE Assessed Acreage: 5.16 Elementary School Zone: MOCKSVILLE Deed Date: 6/2008 Middle School Zone: SOUTH DAVIE Deed Book / Page: 007630454 Soil Types: SeB,MsC,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: 10:1 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 website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to NCor arising out of the use or inability to use the GIS data provided by this website. —+.:r•�.,. .rt..^-. r-rt�•-w.w'Sw-� 'a v+�,;,�.xc ,:•y.,...-�.•r r••v .�.1,F A is AUTHQRI%4aTr.0*10: 0 ® DAVIE COUNTY HEALTH DEPARTMENT. nyironmental Health Section PROPERTY INFORM��I'�i01�-- _ _ Permittee' _ 1 P.O. Box 848 r ' All, n � � Name - -` L"A t"` AL1 Mocksville, NC 27028 Subdivision Name: '1"f ' N { k-1 5 Phone # 336-751-8760 Directions to property: ' �R 1 D CT�t{ Section: Lot: AUTHORIZATION FOR � WASTEWATER 7tJ, �! (/= i r„I i'+v. c sW Tax Office P N:# - --�Lili—.,SYSTEM CONSTRUCTION lt�rl� e�:� L.' �•)L� tit, �a;;c.J ( Zc>� Road Name:149414gfiPOL4ip: **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 compliancef,wit#t Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NO CE*** THIS IS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 1 _ '7 IS VALID FOR A'PERIOD OF FIVE YEARS. ENViR EA TH SPEC�AL S F DATE SSU D- OPERATION PERMIT,1�, SYSTEM INSTALLED BY: ��•�/�"' .''' r �" DAVIE C UNTY HEALTH D E' J ' I f A •� '; .�'�r� ... EPARTMENT.. `. IMPRO ,EMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's 't Name:•"'' Uii� 9r�F�l.' Subdivision Name: /- 1-��n11 i Y Dlrectidnsto property:. �' r a- i / i# = `� Section: Lot: r UvIPROVEMENT �`_ -`. �;� % %Fr „`'r •, �..,; PERMIT Tax Office PIN:# ! Road :�''1ip . **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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEAD TH SPECIALIST DA - ft ISS ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ._.. INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE hL-AZ�`L# BEDROOMS _ # BATHS 44 # OCCUPANTS GARBAGE DISPOS Yes of No i COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �/' a4YPE WATER SUPPLI^��`{ DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE �I s- • I L7 � � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCHWIDTH ROCK DEPTH 19S` LINEAR FT. ' OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: II\U jA L t- t�� ��crJ70J e- ('E"r `� 1 �' `� Q �� 1 T�''✓�-�"�' } �Ck1%'r IMPROVEMENT PERM LAYOUT +APPROVED EMMERT FILTER* &RISER(S) IF G" BELOW FINISHED GRADE+ ADDI IUD � /So EX **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 (336)751-8760. OPERATION PERMIT AUTHORIZATION NO. (t^'' SYSTEM INSTALLED BY: �' as -2oc)!w OPERATION PERMIT BY: /ADD tT►�'� S Z;j QP%X f 0... **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBEQ} O WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTE] GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) �t;>ATE: HAS BEEN INSTALLED COM IANCE i BUT SHALL IN NO WAY BE TAKEN AS A 1913 v DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) 44 NAME I �S1IC7l.� PHONE NUMBER ADDRESS ?01 LANG V% -040o--1 SUBDIVISION NAME LOT # 3 DIRECTIONS TO SITE 1 l V DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER 5&/V u� TYPE FACILITY 1AW5C NUMBER BEDROOMS- -5 NUMBER PEOPLE SERVED s� TYPE WATER SUPPLY—c"—rJ SPECIFY PROBLEM OCCURRING AbDid Q. tOo DATE REQUESTED 3 I� INFORMATION TAKEN BY A This is to certify that the information provided is correct to the best of my knowledge, and SIGNATURE OF OWNER OR AUTHORIZED AGENT—V __L Rev. 1/83 fin/: �5A I am re p(nsible for all charges ipydrred from this application. oa//-f31r000T, a " DAVIE COUNTY HEALTH DEPARTMENT x 9 IMPROVEMENT PERMIT and OPERATION PERMIT N IMPROVEMENT PERMIT ; 0 **NOTE** This impruvementwpervitlDOES NOT authorize the construction or installation of a septic tank system or any wastewater 6 � system.tfAN'AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be.obtained from this Department prior to the construc`tionj nstallation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME r el 0 PROPERTY ADDRESS 1 eaaO LA�r' • _ a ��DATE LOCATION f /� SUBDIVISION NAME /�/,�/�'I f/��✓�1 .y/ C LOT NUMBER \%/ SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS LT # BATHS yT t OCCUPANTS -:5-* GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE �% /]C TYPE WATER SUPPLY e o DESIGN WASTEWATER FLOW (GPD) -'FKD NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE�1�'0 GAL. PUMP TANK 6F TRENCH WIDTH ROCK DEPTH /,) • LINEAR FT. w OTHER �/,� �� 6(l�i✓� ' �� �G6.�P` REQUIRED SITE MODIFICATIONS/CMITIONS: ***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. r i t JI yyC��I ,Y - IMPROVEMENT PERMIT BY **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. i OPERATION PERMIT SYSTEM INSTALLED BY AUTHORIZATION NO. Q I P J OPERATION PERMIT BY C. DATE b **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 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article it of G S Ch t 130A W t t S t ) . OF er , as ewa er ys ems ***This Authorization For Wastewater System Construction must be issued,6y 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.*** AUTHORIZATION NUMBER NAME i, r'. DATE ,.MK ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION' 41�:,_,71/�V �' CDKWS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE r I Davie County Health Department Environmental Health Section d r P. O. Box 665 Mocksville, NC 27028 s 1. A lication� PP ermit Requested By Mailing Address 2. Name on Permit if Different than Above 3. Application for: Home Phone Business Phone A346-3s`5S 12FGeneral Evaluation ❑ Septic Tank Installation Permit 4. System to Serve: tg House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown p 5. If house, mobile home: Subdivision ��r�� y /"��P —���J ""'Ol`� Ze tion JJP") Lot # 3/ No. of People op`� yeA No. of Bedrooms —5 /�-, �/ 2 k /Ybms- 1per � JQf� No. of Bathrooms .3 Dwelling Dimensions 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 p?,q,/ h e -❑ Basement/Plumbing No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: 5CPublic ❑ Private 8. Property Dimensions Qs�, / F, Ae- Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/No Plumbing Washing Machine Dishwasher ? ❑ Garbage Disposal ❑ Yes ❑ 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:�J d`/vy 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 t� application. _ 01�Z4��I—��-- _ 6� DATE SIGNATURE r CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. X 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 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 (1193) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ` J Soil/Site Evaluation��a1Q NAME L`O L DATE EVALUATED G -W/ ADDRESS PROPERTY SIZES PROPOSED FACIILTYLOCATION OF SITES///' ✓G Water Supply: On -Site Well Community Public _r/ Evaluation By: Auger Boring rr Pit l/' Cut FACTORS 1 2 3 4 Landscape position A57 US' !! L. Z Sloe HORIZON I DEPTH " '' '�r'' Texture group Se Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence SS 55- 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:ls'Gr LONG-TERM ACCEPTANCE/RATE: REMARKS: /J`!J�/`S'i7z!A ow - DCHD (01-901 OTHERS) 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 <.-lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vl---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 Mi neraloey 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 ■O■ ■N■ ■E■ Davie County Yleall/i Department and .��erne Ykallfr ffyency 210 HOSPITAL STREET 1 P.O. Box 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 June 28, 1995 Howard Realty Attn: Diane Foster 330 S. Salisbury St. Mocksville, NC 27028 Re: Site Evaluation Farmland Acres (Section-New/Lot-39) Dear Realtor: As requested, a representative from this office visited the aforementioned site on June 22 and 28, 1995. Based upon the information provided on the application for a site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of a modified, oversized on-site sewage disposal system. Based on the size of the home and other amenities (swimming pool, tennis court, etc.) to be placed on this lot it is imperative that the building contractor, grading contractor and health department work closely together to ensure that ample space is available for the proposed installation, 1000 linear feet for 5 bedrooms or 800 linear feet for 4 bedrooms. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure