1247 Junction Rd, 149 Delanos Ln Lot 15Davie County, NC ` ' Tax Parcel Report Tuesday. January 3. 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS 1S NOT A SURVEY
COOLEEMEE
Parcel Information
SOUTH DAVIE
M401 OA0015
Township:
Mocksville
5726902781
Municipality:
DAVIE COUNTY
82516538
Census Tract:
37059-801
SPILLMAN ROGER P
Voting Precinct:
SOUTH CALAHALN
PO BOX 738
Planning Jurisdiction:
Davie County
COOLEEMEE
Zoning Class: DAVIE COUNTY R-A,R-20
NC
Zoning Overlay:
DAVIE COUNTY CZOD
27014-0000
Voluntary Ag. District:
No
LOT 15 GRANT HEIGHTS 1.53 ac
Fire Response District:
COOLEEMEE
Land Value:
Total Assessed Value:
1.48 Elementary School Zone:
COOLEEMEE
12/2013 Middle School Zone:
SOUTH DAVIE
009450507 Soil Types:
GnB2,GnC2
0006 Flood Zone:
158 Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
I v�
t o UN 4County
Davie County,
1\ C
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the i
of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to j
or arising out of the use or Inability to use the GIS data provided by this website.
•
-• �✓moo -
AUTHQI���TION NO: '
` J
DAVIE CbUNTY HEALTH DEPARTMENT
'Environmental Health Section .
PROPERTY INFORMATION
Permittee's -
P.O. Box 848
Name:f
Mocksville, NC 27028
Subdivision Name:
�/,
Phone # 336-751-8760
l
l 4
--Si
Directions to property: �,To,;f
,.
}
Section: / Lot: h5 .
AUTHORIZATION FOR
WASTEWATERTax
Office PIN:#1� ?1/
SYSTEM CONSTRUCTION
Road Name: L,�,i'� . .,!; " "Zip:/� ✓w
**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 compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
kr_
JAL HEALTH SPECIALIST
f J
DATE ISSUED
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
DAVIE C OUNTY HEALTH DEPARTMENT r�
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permlttee's
Name: ` Subdivision Name: '� f T
,r
- dr
Directions to property: Section: - Lot:�i4:�'.
IMPROVEMENT
PERMIT, Tax Office PIN:#Lzlr! _
Road Name: r . Zip:
**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
constructionlinstallation 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
F . i 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 TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT � � # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE , TYPE WATER SUPPLY l v DESIGN WASTEWATER FLOW (GPD) NEW SITE Pf� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEf91 GAL. PUMP TANK GAL. TRENCH WIDTH "ROCK DEPTH LINEAR FT. �..5 O D ,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**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
SYSTEM INSTALL B
AUTHORIZATION NO. .
OPERATION PERMIT BY: DATE:
.�l �ti�L
i
**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 AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
1.
1
7
` APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
Name to be Billed k0&f1P'
JP 1' [ r / oul Contact Person R"'Ie-r
Mailing Address V 0?—( -89 Home Phone
City/State/Zipy lee /;iee a a �o Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ❑ Site Evaluation 31/improvement Permit & ATC ❑ Both
4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms 3 # Bathrooms
d45ishwasher ❑ Garbage Disposal O" Washing Machine ❑ 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: R--County/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes U No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 1 WRITE DIRECTIONS (from
1 Mocksville) TO PROPERTY:
Tax Office PIN: # �a � _ � o _ a �$1 1
Property Address: Road Name ow -m 1
ac.S U►I (� �-�a� 1
1
City/Zip 1
1
If in Subdivision provide information, as follows: 1
V ►" - 1
Name: 1
1
Section: 1
I
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 �l� '^�' `y��''" to conduct all testing procedures
as necessary to determine the site suitability.
DATE - SIGNATURE
Revised DCHD (06-96) A�
�--=
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT/S"
Soil/Site Evaluation T s� z
APPLICANT'S NAME .` ( �� DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE
SUBDIVISION�/- JC��Y� ROAD NAME
Water Supply
Evaluation By:
On -Site Well
Auger Boring
Community
Pit
Public a�
Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group�i
Consistence
/
Structure ,C
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 i
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: l
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
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I
I
Davie Countv. NC
Tnv Pnrnel RPnnrt
Wednesday, January 4, 2017
Parcel Number.
NCPIN Number:
Account Number.
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage;
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WAKNING: THIS IS NUT A SURVEY
COOLEEMEE
Parcel Information
SOUTH DAVIE
M4010A0015
Township:
Mocksville
5726902781
Municipality:
DAVIE COUNTY
82516538
Census Tract
37059-801
SPILLMAN ROGER P
Voting Precinct:
SOUTH CALAHALN
PO BOX 738
Planning Jurisdiction:
Davie County
COOLEEMEE
Zoning Class: DAVIE COUNTY R-A,R-20
NC
Zoning Overlay:
DAVIE COUNTY CZOD
27014-0000
Voluntary Ag. District:
No
LOT 15 GRANT HEIGHTS 1.53 ac
Fire Response District:
COOLEEMEE
Land Value:
Total Assessed Value:
1.48 Elementary School Zone:
COOLEEMEE
12/2013 Middle School Zone:
SOUTH DAVIE
009450507 Soil Types:
GnB2,GnC2
0006 Flood Zone:
158 Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
f All data Is prodded as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the I
Y 9 " Davie County, impaled warranties of merchantability or fitness for a particular use. All users of Dade County's GIS website shall hold harmless the
I County of Dade, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
1�T
i r'pUN.� l� C or arising out of the use or Inability to use the GIS data prodded by this website.
AUTHORI7,ATION NO: 053' 1 DAVIE COUNTY HEALTH DEPARTMENT
i� f C Environmental Health Section PROPERTY INFORMATION
Permittee's
.P.O. Box 848
Name: �
Mocksville, NC 27028 Subdivision Name:
Y/ Phone #: 704-634-8760 ^�
Directions to ro ert :'Z/;J-'l r' - '
P P Y % e� Section: Lot:
-AUTHORIZATION FOR
WASTEWATER -
SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name:(lnGlldl!
**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 compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/ ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
}t,ts',y.,%3 f IS VALID FOR A PERIOD OF FIVE YEARS.
�Pel IENVIRONMENTAL HEALTH 9kCIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
_ Permlttee� 5 �- .
Name:
Directions to property:,./.
/: r'
IMPROVEMENT
PERMIT
Subdivision Name"
Section: Lot:
Tax Office PIN:#
Road Name: Zip: - i 11,
**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)
***Nl1TT(1V*** TTTTC D OMIT TC CTn2TPVT Tn DVVIVAT1FnN TF CrIT
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 TYPE e4- ff # BEDROOMS ',-? # BATHS -.2_# OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
/i # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE /tile TYPE WATER SUPPLY C f, DESIGN WASTEWATER FLOW (GPD) lie 1/) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -71 ROCK DEPTH _/,:) LINEAR FT. J l J
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
LIJ
**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) 6348760.
OPERATION PERMIT /
SYSTEM INSTALLED BY: � i2l'��'P
u
AUTHORIZATION NO. DS� f OPERATION PERMIT BY: 'e&� DATE: 1,&�
**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 & A J�
Davie County Health Department LS @ M 07,7
Environmental Health Section
P. O. Box 848 OCT
Mocksville, NC 27028 3
(704) 634-8760
i
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL
LL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed Contact Person
Mailing Address ✓ Home Phone 2O c
City/State/ZiC / Business Phone7A �f'a�`� _ ,'�^ r
2. Name on Permit/ATC if Different than Above
Mailing Address 120 e" f % � X City/State/Zip( *D-LC00 ag-,, t-JC4 QrZQ1 y
3. Application For: ❑ Site Evaluation ❑ Improvement Permit & ATC ❑ Both
4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms 3 # Bathrooms Q_
❑ Dishwasher ❑ Garbage Disposal ZWashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type OJ 14q" # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
If Foodservice: # Seats
�� Estimated Water Usage (gallons per day)
7. Type of water supply: '/ County/City ❑ Well ❑ Communit
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 4a' No
Y P P Y Y
If yes, what type?
INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: % &9 . n 0' ^ 6 �'! • � , 1 WRITE DIRECTIONS (from
- - 1 Mocksville) TO PROPERTY:
Tax Office PIN: # 1
. n n 1
Property Address: Road Name ! � cL�-` hod . 1
M� 1
city/zip
1
If in Subdivision provide information, as follows: 1
Name: /ice /`'CILl
Section: Lot #:
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
1 A A /1 - _ A A
and owned by
as necessary to determine
the site suitability.
DATE /D /n3D9� SIGNATURE
Revised DCHD (06-96)
conduct all testing procedures
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME /
ADDRESS ,l,�
PROPOSED FACIILTY � Ar
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well _ Community
Public V
Evaluation By: Auger Boring Pit d�— Cut
FACTORS 1 2 3 4
Landscape position .L <.1
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
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: ��l
LONG-TERM ACCEP NC R TE: OTHER(S) PRESENT:
REMARKS:
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- Vc.-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
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
DCHD (01-901
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