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2993 US Highway 601 South Lots 38-39Davie County, NC, i Tax Parcel Report Thursday, November 3. 2016 WAKNMG: '1'li1S 1S NUT A SURVEY Parcel Information Parcel Number: M50000003305 Township: Jerusalem NCPIN Number: 5745877122 Municipality: Account Number: 38427830 Census Tract: 37059-807 Listed Owner 1: HUNT RONALD DOUGLAS Voting Precinct: JERUSALEM Mailing Address 1: 2993 US HIGHWAY 601 SOUTH Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOTS 38-39 HWY 601 Fire Response District: JERUSALEM Assessed Acreage: 0.68 Elementary School Zone: COOLEEMEE Deed Date: / Middle School Zone: SOUTH DAVIE Deed Book / Page: Soil Types: WeB,CeB2 Plat Book: 0004 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY Building Value: 75040.00 Outbuilding & Extra Freatures Value: 9900.00 Land Value: 15000.00 Total Market Value: 99940.00 Total Assessed Value: 99940.00 161 Davie County, NCor Ali data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the Implied warranties of merchantability or Illness for a particular use. Ali users of Davie countys GIS website shall 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 arising out of the use or inability to use the GIS data provided by this website, .: -, � � ��.F�a.Ff....t�•r+��•r�r.Gy'�«'''�SFn»:>.t�its �s�waf�.:"i = �.a� i. .".�C,rv��e _ , .. �.. , � : � , . - .. -._ _ VXO 14 5�... DAVIE COUNTY HEALTH DEPARTMENT ✓ IMPROVEMENTS -PERMIT AND CERTIFICATE OF COMPLETION V %� b * NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a y anitary Sewage Systems sts Permit Number Name 1r> 7f t >D /f..>: , %ter 1 Date ,,�'Q'" '�c�'/ N2 7 7 4 6' �- Location� Subdivision Name Lot No. Sec. or Block No. Lot SizeHouse Mobile Home No. Bedrooms J' —.No. Baths R— No. in Family. Garbage Disposal YES p NO 0 -- Auto Dish Washer YES NO ❑ Auto Wash Ma -hive YES g NO ❑ Type Water Supply Business _— Industry Public Assembly Other_ Specifications for System: *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. r - r Improvements permit by _ *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Certificate of Completion ► Date low 1 '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. 00 l A" APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ►�;,� Davie County Health Department Environmental Health Section S i P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address ��L • �� f Home Phone``���?� Business Phone 2. Name on Permit if Different than Above 3. Application for: 111'C eneral Evaluation peptic Tank Installation Permit 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry//�� ❑ Other ❑ Unknown s�r�irl 5. If house, mobile home: Subdivision ra,4 yy�� ' ` Section Lot # 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 7. Type of water supply: 2-1 ublic ❑ Private 8. Property Dimensions / AC Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Q-ITo If yes, what type? ❑ 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: uin This is to certify that the information provided is correct to the best of my knowledge, and 1 underste incurred from this appli�catign.� DATE 'Ul�l SIGNATURE I am responsible for all charges CONSENT FOR SITE EVALUATION 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 (193) ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 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 7. Type of water supply: 2-1 ublic ❑ Private 8. Property Dimensions / AC Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Q-ITo If yes, what type? ❑ 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: uin This is to certify that the information provided is correct to the best of my knowledge, and 1 underste incurred from this appli�catign.� DATE 'Ul�l SIGNATURE I am responsible for all charges CONSENT FOR SITE EVALUATION 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 (193) ti APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section [9= P. O. Box 665Mocksville, NC 27028 1. Application/Permit Requested By %,AKQ C-0 r r* I Mailing Address�"� `� X 3 3:7 !Dcaue Home Phone -2 eFV --? y %,F Business Phone % -2,F4- -2v gF b 2. Name on Permit if Different than Above 3. Application for: JU eneral Evaluation ❑ Septic Tank Installation Permit 4. System to Serve: ❑ House 9/Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Indust A[I Other n nown 5. If house, mobile home: Subdivision l>%l Gyd d,ofly J Section Lot # No. of People No. of Bedrooms No. of Bathrooms {{�� Dwelling Dimensions N� ��-�-� A -Q- 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 7. Type of water supply: IPublic ❑ Private 8. Property Dimensions I a-cj • Sewage Disposal Contractor ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ 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: Lo 0 This is to certify that the information provided is correct to the best of my incurred fro this application. C DA E and I ndersta I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: K(1. I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MU T 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 disposals tem. DATE SIGNATURE DCHD (1193) ti NAME < (%�1Ly </ ADDRESS PROPOSED FACIILTY DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well Community Public-)-,- Evaluation ublic/Evaluation By: Auger Boring L1__' Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence i Structure /C S 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 Al Y I 1Z S' SITE CLASSIFICATION: ` p A EVALUATED BY: Ala, f LONG-TERM ACCEPTANCE RATE: _z��l ,� 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 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 DCHD(01-901 Dame County Aealtft Department and .dome NealtF A-elu y 210 HOSPITAL STREET/ P.O, Box 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634.5985 May 31, 1994 David Correll Rt. 4 Mocksville, NC 27028 Re: Site Evaluation Boxwood Acres/Lot 38-39 Dear Mr. Correll: As requested, a representative from this office visited the aforementioned site on May 27, 1994. 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 in the back only for the installation of an on—site sewage disposal system. If you have any questions, please feel free tc contact this office. Sincerely, ��X_ .;vaA Robert B. Hal 1, Jr. , R. S. Environmental Health Section RH/wd Enclosure APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT • Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By /✓/t/1C Mailing Address %�� en2lvi1- ZG-� t4 10 Home Phone G/CSy/LCC /t/C Z7 2 Business Phone 2. Name on Permit if Different than Above ;P0,1V K/, ,41,0 �' f�ti ir�✓� 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 4. System to Serve: [.VHouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Bmwoeo QC2CS Section_ Lot # 3f 439 No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions iQl LK 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 7. Type of water supply: X Public ❑ Private 8. Property Dimensions /O0 rX 300 Sewage Disposal Contractor ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes (?' No If yes, what type? ❑ 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: 601 sou /17 T2d�" /�70Gi�SviC L L= G p 5' vJ J �i�AA 47L erlC;#i5 � G l r}FTCf! /0 21-5 ori lL"cT 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. DATE SIGNATUR CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 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 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 (1/93)