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264 Becktown Rd Davie County, NC Tax Parcel Report 1� Monday, September 26, 2016 �f j� 5 13U t-�20a 232 WARNING: THIS IS NOT A SURVEY _ _. , Inn.. Parcel formation Parcel Number: M60000002102 Township: Jerusalem NCPIN Number: 5755257374 Municipality: Account Number: 8302191 Census Tract: 37059-807 Listed Owner 1: BRAKE DANIEL R Voting Precinct: JERUSALEM Mailing Address 1: 264 BECKTOWN ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 1.00 AC BECKTOWN RD Fire Response District: JERUSALEM Assessed Acreage: 0.90 Elementary School Zone: COOLEEMEE Deed Date: 5/2013 Middle School Zone: SOUTH DAVIE Deed Book/Page: 009250765 Soil Types: WeC,PcB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 165610.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 18000.00 Total Market Value: 183610.00 Total Assessed Value: 183610.00 �v All data 13 provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 9 u,•F Davie County, Implied warranties of merchantability or fitness for a particular use.All 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 NCor arising out of the use or Inability to use the GIS data provided by this website. vfcdc c rfau /k) DAVIE COUNTY HEALTH DEPARTMENT � IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION 1&b, pU *NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a Sanitary Sewage Systems. 1` j Permit Number Name flu�.c,s 1;��\i �}�1x.;>.t-:�,v �. Date _ i N2 t Location L ` �� .�1 �' ,, ��>I �v��sv�\�c,N`d { 37 e Subdivision Name o o. Sec.,or Block No. Lot Size House t/�MobileHome —�� Business Speculation No. Bedrooms No. Baths �� No. in Family 4 _ Garbage Disposal YES ❑ NO p/ Specifications for System: Auto Dish Washer. YES Q' NO O Auto Wash Ma shine YES ®/ NO ❑ Type Water Supply --y *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. y : . I Ll V t p-. Improvements permit by *Contact a representative of the Davie County Health Department for final inspection of this system betweenx,8:30- 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by �"� �U 2 I Certificate Completion cae of .�- ,• i �� 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 Environmental Health Section RECEIVED APR } 7 10 P. 0. Box 665 Mockaville, NC 27028 1 . Application/Permit Requested By 1�,45 'fib &iL y W1hrN6- &A&1' • _ Mailing Address (-/c e►/ �D i i emF--- 4- �1 -96 alt QU•'ryr[-(_E .z7oz� Home Phone q)q qTQ- 7f)4--7 Business Phones 2. Name on Permit if Different than Above 'q14 3. Property Owner if Different than Above 4. ,Application/Permit For: 0 General Evaluation B `"Tank Installation S. System to Serve: House u Mobile Home 0 Business Industryu Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot* No. of People Dwelling Dimensions o�8 y- No. of Bedrooms 7✓Basement/Plumbing No. of Bathrooms 2- 72— ^ Basement/No Plumbing Washing Machine Dishwasher 0 Garbage Disposai 7. If business, industry, 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 S. Type of water supply: 3/public 0 Private 0 Community 9. Property Dimensions 10. Sewage Disposal Contractor 6 11 . Do you anticipate additions/;To nsions of the facility this system is intended to serve? 0 Yes If yes, what type? *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. This is to certify that the information provided is correct to tree best of my knowledge, and I understand I am responsible for all charges incurred from this application. 3�zkl�i I Date Signa u e �d 0r_.--k°a_l.� Iy, i:!ir_. �� //11 -'X ! L W; �ea 0 v1 Directions to Property : d4 � DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, R O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: DATE RECEIVED (office use only) M yes no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from i . V. Fe i� , owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. u.c,ut� DATE �� SIGN 4. 1 hereby authorize the Davie Count YHealth Depar en `ease site evaluation resOts from the above described property to the following: �wner only — Owners designated representative —Anyone requesting results — Only those listed below DATE SIGNATURE DCHD(11/84) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME A 5 a- Woarr..Q�QR1.nty DATE EVALUATED y— ab -9/ ADDRESS S 0, a, ks PROPERTY SIZE PROPOSED FACIELTY ay s A- LOCATION OF SITE Water Supply: On-Site Well Community Public 1� / Evaluation By:C_t_L,Auger Boring LI-11 Pit Cut FACTORS 1 2 3 4 Landscape position S Sloe % _ 1 S-30 HORIZON I DEPTH Texture group Consistence Structure Mineralogy ►;) ; 1 HORIZON II DEPTH 14Z '• 11 Texture group Consistence IP- Structure A B k-- Mineralogy + + HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S 5 S s Ss RESTRICTIVE HORIZON --- SAPROLITE -- -- -- CLASSIFICATION S S 5 LONG-TERM ACCEPTANCE RATE ,S -. e S- SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: o �-5 - .yam OTHER(S) PRESENT: REMARKS: a- � X51- 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 ■■■■...■■■..■.■■.....■■■■...■■■■�....■.■■■■.■.■■.■...■MME■...■■.■ ■.■..........■..■■..■MMM.E.M.■■..■■■■■.■.■■..■■...■.■.■■■■■■■.■..■ ■■■■■..N■■■■.■■■.■.■■■■■■■■■■■■�■■■■■■■■■■■...■t...t.■.EE■■M ■■E ■■■.■.■ESS■SS■SSS..■■.tt.SS.MMM.■■■N■■■MMEMOEEN■■..■.■.■■■..■.■■ ■■t..■.■.■.....MM■■.■.MME......■E■■■.■■■..■M.EEEM■.■■.....■..■■..■ ■■■...■■■■■.■.■■.■.■..■■■■■■■■.■...SSSS..■i■■■■■i■■■■■■■■■■■■■■■■■ ■.■■.■.■.....t.■■■■■■..■.■■ESE■t...MOOS.■■®A�.....M.SS■■..■.E■...■ MMMEEMMEMEMEEMEMEM MENNENMEMEMEMMEMEMEMEMME ■..■■....■..■■■■....■....■■■■■...■■.■■...■■EEE.■.■■■.■■■■■..■.■■■■ .■..............................�.................. 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