132 Linda Lane Lot 4Davie County, NC Tax Parcel Report Wednesday, November 9, 2016
All data Is provided as is MMontwemnty or guarantee of any ldnd eller expressed or Implied including but not limited to the
Davie County, Implied wawentles of merchantability orlltness for a pattictiIeruse. Ali users of Davie County's GIs webske shall hold harmless the
County of Dade. Noll Carolina, Its agents. consutianta, MntRelors oremployees from any and all claims or causes a action due to
nOp R NC or asking out of the use or Inability to use the GIS data prodded by this webstm.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
1616OA0004
Township:
Mocksville
NCPIN Number:
5758038746
Municipality:
Account Number:
82524895
Census Tract:
37059-805
Listed Owner 1:
FIRMAN BARTON
Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1:
132 LINDA LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028.9400
Voluntary Ag. District
No
Legal Description: LOT 4 CAROLINA HOMEPLACE SECTION ONE
Fire Response District
MOCKSVILLE
Assessed Acreage:
0.64
Elementary School Zone:
CORNATZER
Deed Date:
7/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006160656
Soil Types: GnB2,GnC2,GaD
Plat Book:
0005
Flood Zone:
Plat Page:
196
Watershed Overlay:
DAVIE COUNTY
Building Value:
165700.00
Outbuilding & Extra
Freatures Value:
9330.00
Land Value:
20000.00
Total Market Value:
195030.00
Total Assessed Value:
195030.00
All data Is provided as is MMontwemnty or guarantee of any ldnd eller expressed or Implied including but not limited to the
Davie County, Implied wawentles of merchantability orlltness for a pattictiIeruse. Ali users of Davie County's GIs webske shall hold harmless the
County of Dade. Noll Carolina, Its agents. consutianta, MntRelors oremployees from any and all claims or causes a action due to
nOp R NC or asking out of the use or Inability to use the GIS data prodded by this webstm.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
989900571
Tax PIN/EH #:
5758-03-8746
Billed To:
Shuler Building
Subdivision Info:
Carolina Home Place Lot # 4
Reference Name:
Location/Address:
John Crofts Road -27028
Proposed Facility Residence Property Size: 140 x 200
ATC Number: 3856
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YE S. HCl .
Environmental Health Specialist's Signature: / Y%/ Date: 2
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
A
Septic System Installed By:
Environmental Health Specialist's Signature
DCHD 05/99 (Revised)
e
/ Date:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760 `CC
IMPROVEMENT/OPERATION PERMIT old
Account #: 989900571 Tax PIN/EH #: 5758-03-8746
Billed To: Shuler Building Subdivision Info: Carolina Home Place Lot # 4
Reference Name: Location/Address: John Crotts Road -27028
Proposed Facility Residence Property Size: 140 x 200
ATC Ngber: 3856
**NOTE** s Improvement/Operation Permit DOES NOT authorize the construction 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). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type hi" #People #Bedrooms #Baths 2
Dishwasher: Garbage Disposal:X Washing Machine:,e Basement w/Plumbing:;T'00' Basement/No Plumbing: 13
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:
Lot Size Type Water Supply 916 Design Wastewater Flow (GPD) 1, !d Site: New-IFT"�Repair ❑
System Specifications: Tank Siz
ys p ft 6 GAL. Pump Tank _GAL. Trench Widttr�G Rock Depth e��LinearFt,7�
Other:
Required Site Modifications/Conditions:
IMPROVEMENVOPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHEDGRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m, to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: 24�X), Date: L `�
DCHD 05/99 (Revised)
CATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
D Lis Davie County Health Department
Environmental Health Section
3,2004 P.O. Box 848/210 Hospital Street
AUG 2 - Mocksville, NC 27028
(336)751-8760
NFA
,APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED_
ON IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
7 1. Name to be Billed zt;ieContact Person, 6ZZn e, aolele
Mailing Address % 02 V �Ule, ,f'n- Home Phone it'? a ' i 47'5
City/State/ZIP MJt1k.V;))g .�/•�'• o?'1ozQ Business Phone 9y/-70�
.2. Name on Permit/ATC if Different than Above -
MailingAddress - City/State/Zip
3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both
s. System to service: 2eHouse 13Mobile Home [3Business [JIndustry ❑ Other
M/
5. Type system requested: Conventional ❑ conventional modified - ❑ innovative -
6. If Residence: # People # Bedrooms 3 - # Bathrooms 2.
251shwasher- 2 arbage Disposal lashing Machine - GBasement/Plumbing ❑Basement/No Plumbing -
.-7. If Business/Industry /Others verify type - # People -# Sinks -
# Commodes .# Showers .# Urinals # Nater Coolers
IF FOODSERVICE:' # Seats Estimated Water Usage (gallons per day)
s. Type of water supply: B'County/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to
serve? ❑ Yes G1Vo'
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: Le D x Zeo WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: # s52 80 3.0 r% 516 /lwh 41 'W47
Property Address: Road Name )0(ti:✓' ��' 41rie( hld '3'Ohr. Crollc- r'gicov r'n:jr
1
City/Zip cmIs, 10 S"7sn
If in a Subdivision provide information, as follows:
Name: aro �ri4� cmr�o%r t
Section: Block: Lot: Date home corners flagged:
8- a3-Oy
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 Depa^tment
to enter upon above described property located in Davie County and owned Is StiL )cr �u: ��:y
to conduct all testing procedures as necessary to determine the site suitability.
DATE &' a3 -t3!/ SIGNATURE#��4f t,'- Xn
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
nrooerty lines and dimensions. structures, setbacks, and septic locations).
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date��,/
Address Lot Size lS/b Vlbh
FACTORS AREA 7 AREA 2 AREA 3 ARFA d
I)
Topography/ Landscape Position
S
S
PS
U
S
PS
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
P
S
PS
U
S
PS
U
3) Soil Structure (12-36 in.)
Clayey Soils
S
S
PS
U
S
PS
U
I) Soil Depth (inches)—S�
/PSj
�
S
PS
U
S
PS
U
i) Soil Drainage: Internal
S
U
S
S
PS
U
S
PS
U
External
PP
U
S
PS
U
S
PS
U
i) Restrictive Horizons
Available Space
S
V
S
PS
U
S
PS
U
i) Other (Specify)
S
PS
U
S
PS
U
S
PS
U
S
PS
U
1) Site Classification
�r–(.
b•),
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: o Z lY97`e-
Described by
SITE DIAGRAM
UCHD (8.82)
Title
14
Date ei-
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4957
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'ss 8332 2324
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(64.17A)
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