366 Bingham & Parks Rd (2) 3avie County,NC Tax Parcel Report Friday, September 23, 201E
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WARNING: THIS IS NOT A SURVEY
Parcel Information A g� �]
Parcel Number: E70000016610 Township: Farmington
NCPIN Number: 5871092297 Municipality:
Account Number: - 8305395 Census Tract: 37059-803
Listed Owner 1: DULA KEITH J Voting Precinct: SMITH GROVE
Mailing Address 1: 366 BINGHAM&PARKS ROAD Planning Jurisdiction: BERMUDA RUN
City: ADVANCE Zoning Class: BERMUDA RUN CM
State: NC Zoning Overlay:
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: 2.451 AC OFF BINGHAM PARK Fire Response District: SMITH GROVE
Assessed Acreage: 2.45 Elementary School Zone: SHADY GROVE
Deed Date: 8/2015 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009980078 Soil Types: GnB2,GnC2,GaD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: BERMUDA RUN
Building Value: 277850.00 Outbuilding&Extra 30230.00
Freatures Value:
Land Value: 27640.00 Total Market Value: 335720.00
Total Assessed Value: 335720.00
4 t18! � All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
Y
IMPROVEMENT PERMIT
**MOTE** 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.
Un compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
\ • � a7DD,F q
NAME S �o N l2 J 1e�PROPERTY ADDRESS (�/Q 273,_ a r o�DATE
LOCATION J� v ��. F� .�. V) a - 6 ow
SUBDIVISION NAME LDPNUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICA ION: BUILDING TYPE # BEDROOMS # BATHS _�Q_ # OCCUPANTS ?S GARBAGE DISPOSAL: Yes o
COMMERCIALSPECIFICATION: FACILITY TYPE, ,# PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Y /No
LOT SIZE TYPEWATERSUPPLYA,1 M- DESIGN WASTEWATER FLOW.(GPD) NEW'SITE }REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SI 6AL. PUMPt TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT:'�Q4
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR,WASTERWATER SYSTEM CONTRACTOR MNST
SEE THIS PERMIT BEFORE INSTALLING THE/SYSTEM.
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. 134
IMPROVEMENT PERMIT BY
**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.`bN THE DAY OF INSTALLATION. :.TELEPHONE # IS (704) 634-8768.
OPERATION PERMIT SYSTEM INSTALLED BYAtie,R,r,._ � �.•
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AUTHORIZATION NO. 0 1 DATE
Dr.Ai
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE li 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
_ r Davie County Health Department
a ,ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028 .�
/06, Q
AUTHORIZATION FDR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
B.S. Chapter 130A, Wastewater Systems) .
***This Authorization For Wastewater System Construction gust be issu by th "Davie Cqu Envir nme tal Healt rior to
issuance of any Building Permits. This Fors/Authorization Nulber Jo9� t Cprpspnt t tye- t+ C i1q Bui ding Inspections
Office when applying for Building Permits.***
NAME � ' �v e S � e DA � „�, AUTHORIZATION NUMDiH:R
( 1 ( -
NO 0299
3 _
NAME ON IMPROVEMEN(TT PERMIT (If different than above) \
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
• ;` �3y 1 t, � �
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HWICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONlENTAL HEALTH WPEiAusT DATE
DCHD 10/95 a . a
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE
Davie County Health Department
Environmental Health Section APR — 9 IM
P. O. Box 665
Mocksville, NC 27028 `
1. Application/Permit Requested By ��
Mailing Address �•D • �X lei Home Phone 94a
_,d- "G7YS'
Chron., forts , Att 27-012. Business Phone 1P2 y4
2. Name on Permit if Different than Above
3. Application for: General Evaluation Septic Tank Installation Permit
4. System to Serve: Cf!House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People 7%w<< r eBasement/No Plumbing
No. of Bedrooms Are Washing Machine
No. of Bathrooms 3�1 R (Dishwasher
Dwelling Dimensions 2729 $4-Fr. eGarbage 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: ❑ Public P/Private ❑ Community
8. Property Dimensions Qom. �� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, what type?
'NOTE: Improvements Permits shall be valid 11119511110from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective.October 1, 1989. ,
Directions to Property: Tax Office PIN: .# h X71- 0? $3
-�I'orW MOCj65VI11C, ywy 158 F. PROPERTY AbbRESS, as follows:
Road Name: �i d
ro Gan Club Rd 7-urn f,hr• city: 101:;ce.
ellingh"'t I Parks 9-4 Tarn L,4T SUBMIT A PLAT WITH THIS APPLICATION.
Lo fi SOO yQrd3 O/t Lt fl-- Revisions effective October 1 1995.
This is to certify that the information provided is correct to the best of my nowledge, and I understand I am responsible for all charges
incurred from this application.
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DATE SIGNATURE
i
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: V1. I OWN the property. ❑ 2. 1 DO NOT OWN the property.
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If you checked Box#2,the rest of this form MUST be completed by the owner or a person authorized by the owner. i
I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
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DATE SIGNATURE
DCHD(1193)
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- DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME �• N N� �� '6L DATE EVALUATED L\ -
ADDRESS �`n`�\ PROPERTY SIZE
PROPOSED FACIILTY `tea P LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By�L Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4
Landscape position S S -S
Sloe R —e
HORIZON I DEPTH U,
Texture group C L
Consistence
Structure
MineralogX
HORIZON II DEPTH \•
Texture group �.
Consistence
Structure s4�C--
Mineralogy
`
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE --
CLASSIFICATION .$
LONG-TERM ACCEPTANCE RATE -3 1
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: --A-3 OTHER(S) PRESENT:
REMARKS: s_', '
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-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
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
DCHD(01-901
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