106 Hawthorne Road Section 1 Lot 1Davie County, NC Tax Parcel Report Thursday, January 26, 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:
Land Value:
Total Assessed Value:
WARNING: THIS IS NUT A SURVEY
Parcel Information
J6050E0001 Township: Fulton
5757896697 Municipality:
25130000 Census Tract: 37059-804
FEDERAL NATIONAL MORTGAGE Voting Precinct: FULTON
950 EAST PACES FERRY ROAD Planning Jurisdiction: Davie County
ATLANTA Zoning Class: DAVIE COUNTY R-20
GA Zoning Overlay:
30326-0000 Voluntary Ag. District:
LOT 1 HICKORY HILL SECTION 1 Fire Response District:
0.46 Elementary School Zone:
8/2008 Middle School Zone:
007680662 Soil Types:
0004 Flood Zone:
105 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
No
FORK
CORNATZER
WILLIAM ELLIS
Gn132
DAVIE COUNTY
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Davie County,
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NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHORIZATION NO: 0763 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: ;,,r, f;�{,•<<?�,tx' Mocksville, NC 27028 Subdivision Name: i►1�lttrp� w'�
';• . / ` Phone #: 704-634-8760
Directions to p 1 %l_` ° ?t I -, Section: � Lot:
property: AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# 61/'§!/ - � - '✓ I I
SYSTEM CONSTRUCTION
Road Name:
otJV1Nt2ip c� r ��. F
**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)
7 1 2 ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
2�J . IS VALID FOR A PERIOD OF FIVE YEARS..
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
Road Name I ° < o o., V1 Zlp'
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
. j,/;/ 1' 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 --f # BATHS -1. # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 4- DESIGN WASTEWATER FLOW (GPD) ^% % NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ?-
_ C ROCK DEPTH Z� LINEAR
'REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
�t
AUTHORIZATION NO. 9& 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 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permit` s;.
Name: .� �' : , .; r 4, r ,< `
Subdivision Name: { f'�; r; ,
,,".,
�'.`)r'`
r :�
Directions to property:
r' { Section: Lot:
IMPROVEMENT rani`'% Vr
PERMIT
f
Tax Office PIN:# - r -
Road Name I ° < o o., V1 Zlp'
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
. j,/;/ 1' 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 --f # BATHS -1. # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 4- DESIGN WASTEWATER FLOW (GPD) ^% % NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ?-
_ C ROCK DEPTH Z� LINEAR
'REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
�t
AUTHORIZATION NO. 9& 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 05/96 (Revised)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT
t Davie County Health Department
Environmental Health Section
P. O. Box 848
' Mocksville, NC 27028
(N (704)634-8760
SEP
2 4�4;o111
.1¢ I I
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDEDiev)
.,
1. Name to be Billed �%% 1 C Q ��Ci' / {�/ e /a /_� %nCt/1 Contact Person ei �o
Mailing Address . X�J� ZVo( `7 /"I r)Cr e C&A -
.1 % Home P one
City/State/Zip I Lam. A d7D,23 A -1 rn �usmess Phone c C 8 ` 30/
�7o1i-
2. Name on Permit/ATC if Different than Above
Mailing Address _
3. Application For:
4. System to Serve:
5. If Residence:
Dishwasher
6. If Business/Other:
# Commodes _
If Foodservice:
Site Evaluation
House ❑ Mobile Home
# People
❑ Garbage Disposal
Specify type
# Showers
# Seats _
_ City/State/Zip
4, 3,q
Improvement Permit & AT( El Both
❑ Business ❑' Industry ❑ Other
# Bedrooms # Bathrooms
,J"Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
7. Type of water supply: ;4-- County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes X No
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: q/ X 206 X /I o x d o
1
Tax Office PIN: #
J�
Property Address: Road Name W) � • 1
city/zip -fflaak uiI I Q 27W 1
1
If in Subdivision provide information, as follows: 1
1
Name: ��rknY l 1
1
Section: Lot #: 1
1
1
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
/h 2/ 1�' - 'n )P'f-f'
Maltd o
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 V1 14
as necessary t determine the site suitabilit,
DATEq1/0
Revised DCHD (06-96)
� ✓/i to conduct all testing procedures
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation //
DATE EVALUATED �/T &
PROPERTY SIZE / Zig
NAME6--j5?
ADDRESS
PROPOSED FACIILTY��
LOCATION OF SITE
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1
2
3 4
Landscape position L_
Slope
HORIZON I DEPTH
Texture RrouP
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
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 79z
7�s
LONG-TERM ACCEPTANCE RATE c
SITE CLASSIFICATION: EVALUATED BY: �/(1/� //
LONG-TERM ACCEPTANCE RATE: 14OTHER(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- V+--. -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
Mi neraloey
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
Davie County Health Department
and Home Health agency
EnvironmentafHeafth Section
P.O. Box 848 / 210 HOSPITAL STREET
COURIER #09-40-06
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-8760
October 8, 1996
Michael & Patricia Dingman
303 Northridge Court
Mocksville, NC 27028
Re: Site Evaluation/Meadowview Road
Hickory Hill I/Sec. E—Lot 1
Tax PIN: #5757-89-6697
Dear Client:
As requested, a representative from this office visited the
aforementioned site on kdd,,ober 4, 1996. Based upon the information
provided on the: application for site evaluation and after the evaluation
was completed, the site was found to be provisionally suitable for the
installation of an on—site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd,
Enclosures)