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177 Linda Lane Lot 15Davie County, NC Tax Parcel Report Wednesday, November 9, 2016 Parcel Information Parcel Number. 16160A0016 i Township: Mocksville NCPIN Number: 5758048443 Municipality: Account Number: 82524099 Census Tract: 37059-805 Listed Owner 1: BURRIS AARON W Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 177 LINDA LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: I NC Zoning Overlay: Zip Code: 27028-9400 Voluntary Ag. District: No Legal Description: LOT 15ICAROLINA HOME PLACSECTION ONE Fire Response District MOCKSVILLE. Assessed Acreage: 0.91 Elementary School Zone: CORNATZER Deed Date: 312005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005970286 Soil Types: GnB2,GnC2,RnD Plat Book: 0005 Flood Zone: Plat Page: 196 Watershed Overlay: DAVIE COUNTY Building Value: 136320.00 Outbuilding S Extra Freatures Value: 680.00 Land Value: 20000.00 Total Market Value: 157000.00 Total Assessed Value: 157000.00 ,9w�8 �Og 4 Davie County, NC All date is provided as Is withoutwamardy or guarantee of any kind eHher expressed or Implied Including but not limited to the Implied wamatles of men hantablllty or mness W • particularuse. All users m Davie County's GIS webstte shall hold Im 1. the County of Davie, Norm Carolina, Its agent , consuNards, contractors or employees from any and all clalms orcausas of action due to or arising out of the use or Inability to use the GIS data provided by this weballe " ' • DAVIE COUNTY HEALTH DEPARTMENT` C IMPROVEMENTS' PERMIT AND CERTIFICATE OF COMPLETION "NOTE: Issued in Compliance With Article II of G.S. Chapter 130a ,- Sanitary Sewage Systems Permit Number Name IIA /o`irb! -/V ILZ,,e -iii e Date moo?/• s� N2 7489 Location ��. 7/ Subdivision Name Lot No. -� Sec. or Block No. Lot Size—a1���� House —l�/— Mobile Home _ Business _ Industry No. Bedrooms .No. Baths No. in Family— Public Assembly Other Garbage Disposal YES NO ❑ Specifications for System: Auto Dish Washer YES NO ❑ /ODDy �r Auto Wash Ma^hine YES NO ❑ Type Water Supply *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. i I I. 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 4:30.5:00R.M. on day of completion. Telephone Number. 704-634-5985. A Final Installation Diagram; System Installed by V / i Certificate of Completion Date -- '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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department tp Environmental Health Section 7MAR 0�®P. O. Box 665 Mocksville, NC 27028 4 Sa54 1. Application/Permit �.Requested By Mailing Address 4"}}2,iZ L "1 da a h 2 Home Phone Business Phone S-M-rwf 2. Name on Permit if Different than Above 3. Application for. ❑ General Evaluation QrSeptic Tank Installation Permit 4. System to Serve: AHouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, Vie: SubdivisionSection Lot # �S asemenf/Plumbing No. of People FA No. of Bedrooms �3} No. of Bathrooms '; & 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 Sinks No. of Urinals No. of Water Coolers ❑ Basement/No Plumbing @Washing Machine 0Dishwasher II2,'Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: ublic ❑ Private ❑ Community 8. Property Dimensions 119A• 99 X 3 S% 6-7 D. Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes P40 If yes, what type? [_:OTE. 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: � V q� ^J / A This is to certify that the information provided is correct to the best of incurred from this application. DATE knowledge, and I understand I am responsible for all charges CONSENT FOR SITE EVALUATION M aE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: I 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. ATE SIGNATURE WHO Mp3) r ' DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation. NAME f0//SG DATE EVALUATED S-01i1VI�y ADDRESS PROPERTY SIZE o PROPOSED FACIH TY LOCATION OF SITE Vl!k'loteo l L/✓ Water Supply: On -Site Well Community Public Evaluation By: Auger Boring 41-11 Pit Cut FACTORS 1 2 3 4 Landscape position Slope Z h' HORIZON'I DEPTH Texturegrou Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence ' r Structure S l" 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 v i SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: - DCHD (01-901 EVALUATED BY: 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 -Finn 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/ftz Address DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION �IS Date c h7l'd Lot Size /DlJ Y_TySJ( eO Ys.�e FACTORS AREA 1 AREA 2 AREA 3 AREA 4 I) Topography/Landscape Position S S S S CNS PS PS PS U U U U ?) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay)PS PS PS U U U 1) Soil Structure (12-36 in.) S S S S Clayey Soils �� PS PS PS U U U U g Soil Depth (inches) S S S S PS PS PS U U U i) Soil Drainage: Internal S = S S S PS PS PS U U U External S S S S PS PS PS U U U i) Restrictive Horizons Available Space S S S PS PS PS PS U U U U Other (Specify) S S S S PS PS PS PS U U U U Site Classification U—UNSUITABLE S—SUITABLE Provisions (Y Suitable Recommendations/Comments: • �4WI 6A e - Described by - SITE DIAGRAM 05 DCHD W 82) Title Date 17 jbfj-s�'.