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3015 US Highway 601 South Lot 46-47Davie County, NC , Tax Parcel Report Thursday, November 3, 2016 Plat Book: 0004 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY Building Value: 48910.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 15000.00 Total Market Value: 63910.00 Total Assessed Value: 63910.00 4 A a!F All data is provided as is without warranty or guarantee or any Idnd either expressed or Implied including but not limited to the Davie County, implied warranties of merchantability or Mess for a particular use. AN users of Davie County's 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 nop pS NC or arlsing out of the use or inability to use the GIS data provided by this website WARNING: TMS IS NOTA SURVEY Parcel Information Parcel Number: M50000003204 Township: Jerusalem NCPIN Number: 5745960802 Municipality: Account Number: 51273000 Census Tract: 37059-807 Listed Owner 1: MIXON ERNEST WILLIAM Voting Precinct: JERUSALEM Mailing Address 1: 3015 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: .870 AC HWY 601 LOTS 46-47 Fire Response District: JERUSALEM Assessed Acreage: 0.87 Elementary School Zone: COOLEEMEE Deed Date: 5/1996 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001870441 Soil Types: WeC,PcB2,RnD Plat Book: 0004 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY Building Value: 48910.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 15000.00 Total Market Value: 63910.00 Total Assessed Value: 63910.00 4 A a!F All data is provided as is without warranty or guarantee or any Idnd either expressed or Implied including but not limited to the Davie County, implied warranties of merchantability or Mess for a particular use. AN users of Davie County's 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 nop pS NC or arlsing out of the use or inability to use the GIS data provided by this website ,..1;' ��t r ::4 SjE.. .-..,. :•.; , .ri<5°.'•a :y:,: its `4S-f,,,A,°Ye ,:},, :jy' .. .. ,,. ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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 kto, th,e,� 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) NAME Py `� SZ �Q-�\ PROPERTY ADDRESS DATES 11-q LOCATION C o SUBDIVISION NAME `D ok k_0 o o C_ \k QS LOT NUMBER ` 1 b 0 SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE -'Aom # BEDROOMS 3 # BATHS ��# OCCUPANTS -I GARBAGE DISPOSAL:(Yes o COMMERCIAL SPECIFICATION: FACILITY TYPE, # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No- LOT SIZE 10o )< TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE V REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE }000 GAL PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH ��LINEAR FT. 3i3 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MAST. SEE THIS PERMIT BEFORE INSTALLING THE -SYSTEM. F IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPA TMIENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:00 -1:30 -P.M. -ON .THE DAY OFT T LAT ON. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYST M S ALLED BY U AUTHORIZATION N0.-Mqb OPERATION PERMIT BY 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 10/95 Cl ��,_--- Davie County Health Department ENVIRONMENTAL HEALTH SECTION 00 P.D. Box 665 "�f +Mocksville N.C. 27028 • • AUTHORIZATION FDR WASTEWATER SYSTEM CONSTRUCTION ..lam (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wasf`ewater 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.*** a` C AUTHORIZATION NUMBER . NAME ��,��• U\-"�" DATE 3 NAME ON IMPROYMIT PERMIT (If different than above) �� S ` 0— SITE LOCATION Nh IV66 COOMS/COMITIONSON AUTHORIZATION TO CONSTRLET WASTEWATER SYSTEM �. *HNDTICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIROIENTAL HEALTH SPECIALIST DATE DCHD 10/95 ., D 196 FEB ~ 9 1. Application/Permit Requested By TION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health SectionO P. O. Box 665 Mocksville, NC 27028 Mailing Address 2 c E� 7 d! C Home Phone bri Business Phone �f D 2. Name on Permit if Different than Above 3. Application for: a General Evaluation eptic Tank Installation Permit 4. System to Serve: ❑ House E Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown , 5. If house, mobile home: Subdivision ,/6 c,�' �° v � 1 Section Lot # `� �'�a7 ❑ Basement/Plumbing No. of PeopleZ ❑ Basement/No Plumbing No. of Bedrooms —3 _T -I --Washing Machine No. of Bathrooms ishwasher Dwelling Dimensions 'Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 2 Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ YesN0 If yes, what type? "NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: ��, �- /)-75 409wap,21 V-4 -,oq LI -1, Tax Office PIN: #.-jy--5 ,y(- o 0 2— PROPERTY ADDRESS, as follows: Road Name: City: SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. 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 SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 0 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) M ,DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation I NAME WU.\ 0s.\� DATE EVALUATED p ADDRESS S R `� Q PROPERTY SIZE 601- PROPOSED FACIILTY n CLQ LOCATION OF SITE 1,4 S u Water Supply: On -Site Well _ Community Public Evaluation By:Q _ Auger Boring T Pit Cut FACTORS 1 2 3 4 Landscape position 1- -S Slope R 1 -30° HORIZON I DEPTH L `' Texture groupL_ CL �- Cl� Consistence Structure `2 Mineralogy HORIZON II DEPTH _X Texture group Consistence T, Fz:!r- Structure Q Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS SS IsS RESTRICTIVE HORIZON -- r SAPROLITE - — — --� CLASSIFICATION LONG-TERM ACCEPTANCE RATE ,3 SITE CLASSIFICATION: - \)'->' LONG-TERM ACCEPTANCE RATE: ° REMARKS: ' DCHD(01-901 EVALUATED BY: OTHER(S) PRESENT:- - -� _N\ _ LEGEND _ ��NN 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- Vu. -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