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1582 Cherry Hill RdDavie Countv, NC Tax Parcel Report Tuesday, October 11, 2016 WARNING: THIS IS NOT A SURV�Y ' Parcel Information Parcel Number: N60000007107 Township: NCPIN Number: 5754382204 Municipality: Account Number: 27276000 Census Tract: Listed Owner 1: FOSTER THOMAS G JR Voting Precinct: Mailing Address 1: 304 MCCULLOUGH ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-6718 Voluntary Ag. District: Legal Description: 1.312 AC CHERRY HILL RD Fire Response District: Assessed Acreage: 1.28 Elementary School Zone Deed Date: 9/2003 Middle School Zone: Deed Book / Page: 005100032 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: °�°°'F Davie County, i �ot,r� NC 68720.00 Outbuilding & Extra Freatures Value: 15750.00 Total Market Value: 84470.00 Jerusalem 37059-807 JERUSALEM Davie County DAVIE COUNTY R-20 JERUSALEM COOLEEMEE SOUTH DAVIE PaD,PcB2,PcC2 DAVIE COUNTY No 0.00 84470.00 �, , ,._;,_.. .. .. . _ ,. � , t . , - - . - < ,. . ;: . _ . , . , . . , AUTHO��zaTiorr No: �� DAVIE COUNTY HEALTH DEPARTMENT �' �" " `'` Environmental Health Section PROPERTY INFORMATION Pern3i t�eLs {�t,� �� P.O. Box 848 Name: _' �<x%''� l� s�%� �' Mocksville, NC 2702E Subdivision Name: .. . AA-F�/`.�1P �' .R�r-+--4� • I�'�� • � . i„r�r� .�'f � ; � . Phone #: 704-634-8760 � / �- �"" Directions to property: � . /��' � ,�' Section: _ _1.or AUTHORIZATION FOR WASTEWATER "'"�-* r,�iA' �'�' �r SYSTEM CONSTRUCTION Tax Office PIN:#•. � ,..�+` - t.�--.� .- ,� � t:Jl CyY''t' �J7'�� ,�. CL' ; z�v�y� �� Road Name. ___�� Zip: �� **NOTE** This Authorization for Wastewater System Consttvction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections O�ce wh,en applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ;, AL } �`,'�t�'" ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CON$TRUCTION � ,6`".1 � �� " '` '� ., �,%� IS VALID FOR A PERIOD OF FIVE YEARS. H SPECIALIST DATE ISSUED ., ,. . .. , , � _ , _ , - . . ., : _ _ . ��,�„ . �M� u �F � - ;aa d� � � � DAVIE COUNTY HEALTH DEPARTMENT � � � , � _ %�-- � �� ' TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION y--: � ,_ ;. i� ° �Pemtz�� s �,:f ,�.�-� � /� _ Name. \� '"` '��"_'� ^'�� ".�'',� � ��r�*:;��t'� Subdivision Name: , � �y �., ,,.�.. t�� ,�`� �,: f, �, � %-.-- ��--� Direc`fiflns to-property: ;` ,� . f � ' Section _Lor IMPROVEMENT . PERMIT Tax Office PIN:# ��r �=�"�� - ,` ��"r �;� • �`I d "� f y,, L'C . ZvK �� Road Name! si w'. i�°i"'t: �+%�?�f � Zip: `�� . **NOT'E** This Improvement Pernut DOFS NOT authorize the constcuction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fivm this Department prior to the construction/installation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) '"�' '' ***NOTICE*** THLS PERNIIT LS SUBJECT TO REVOCATION IF SITE ;°" ��,�. � r� ;�` ��'� ,� ,= �,�' PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER E VIRONMENTAL HEt1LTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING TI� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS � # BATHS � # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILTI'I' TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �/�`�� TYPE WATER SUPPLY / �' DESIGN WASTEWATER FLOW (GPD) NEW SITE_� REPAIR SITE „ SYSTEM SPECIFICATIONS: TANK SIZE ��G GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH �l LINEAR Ff. �lJ� 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: M�+ �L2. �� '� � Nc r e,� �n/l. rID�.., �,r �� T 2,�',�y� �'`� Td�S / JX �� r � , L!^�►'� y � c3fo �1�5 ��l�l�f ipp � S r � AUTHORIZATION NO. 3� O OPERATION PERMIT DATE: qa **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA THE YSTEM DES RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WTI'H 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 OS/96 (Revised) o,�11�APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC ` � ' v� � Davie County Health Department "� P �'�jL� � � Environmental Health Section Q � � � O � � �Q� �; .�,� z,•}� p ��'/ tne�s P.O. B ox 848 c 3 �" C�C, � Mocksville, N 27028 � 2 3 �� /}'1!Q �� (7 4) 34- 760 � � ...� y ,�, :� � � � � L, ,� �3,, r i��.ti+�� *'�'�IMPORTANT**** � THIS APPLIC�ATION CANNOT BE PROCESS D��7� THE REQUIRED INFORMATION IS PROVIDED. Name to be Billed � v ��'��'`� Contact Person � � Mailing Address Home Phone "� �'� `�� City/State/Zip l�b I`��iM-�� IVC-� �-� ��t' Business Phone�� '' a'�� 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: [] Site Evaluation [] Improvement Permit & ATC [�oth 4. System to Serve: [] House [`�Mobile Home [] Business [] Industry [] Other 5. If Residence: # People # Bedrooms� # Bathrooms �' [�ishwasher [] Garbage Disposal [L}'�Vashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [�County/City [] Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes ["�o If yes, what type? EZTHER A PLtIT OR SZTE PLftN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **�'�T OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: '�� a'� � WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # '�'� � `c �- � - _ '�c� ; Property Address: Road ]�Tame 1r � �� c�ryiz�P �C�S O 1 3� ��I,- C�,�2r� ' �1� If in Subdivision provide information, as follows: Name: � Section: � 1'� � 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�b�ove described property located in Davie County and owned by, SIGNA all Revised DCHD (06-96) " (/ THIS tIREA A1AJ 13E USEb �'OR DRAIUINC JOUR SZTE PLt1N: as necessary to determine the site suitability. pro��'c�- �-r.1,+.�-e�- �.� r � �-��-r�-- �.�-�,l1a�o(� � . ` . , , . „ w .. .►ri �".'1 : G., , , .. ' '�' ' ' Frcm. C. Ray Cate� Cates Survey�ny Fax: p04) 634,2760 Yolcr p04) 630J736 Paps 2 of 2 FNday, Mareh 20,1 , • ' '- - - ..., _ � . ... "'_ �f.�'� . �" ' ' ' '-'-"'-- -'---"------- --------'-------"' ' 998 4:09:41 PM To: Roper Splllmen �' . - -- �_`� � �.'` ; w � � '-�. _ � Cl , � t ------�� """��. ------�_ r:' , �•�r.� , , p2� u�.�nu� p o o,Mxo g �� . • �SL � • � ----- _ � --_-__ . _ .--_.__. . � --- --� - � _—� :� -: �, , . � „, _ � i � � N N � � c�v ''' ,i;_� ' � � ... , � . ! , il . � ! I ` 1 , _ � aa� � . ,Ol l � I '" _' � • � , �o .}"'� � �"S , . I _ � w � o0 1 � ( ~ � � � �� -� ,� ( , 4 � � � � �!=',� 7 . . � "�� . � _ �:�,� � -; �� . l � {� �w � � � � ,15 Q � W � !, 1� � � �� r"'� . �y�. l�` `� � � � M .�� T , .��b � � � .\. • �� ,�� y � . A : � V � � `� U ��'� _ �a -- �- � ..� — � . :,,,;, � .�i y. � '1 b�„ 1 iY. � �� . 11 � �..��`:.•� . : . �' . MF ✓ `� /� V � � � ' I_'-1 �'. { '� �� "� � �i.� l � �� "� � � � � � �, s�� ; • '� � . � Y, tA'�y i . ' � I �•��F . 1� � � I' N : t � �� - �, � � ' }� � ;, � , I X � �� ; i � � ti n� �� i . �,✓ � A �,,,,�y�,.,..-' �/ � 4 —� f � ��r�- � I I ' � V � V v � -.. ��^� �-+�%iD� ; � �i � � �. �T � . i � �� 0 � ✓ ; ' ` , ' DAVIE COUNTY HEALTH DEPARTMENT � r'�� Environmental Health Section SECTION �e-r Soil/Site Evaluation APPLICANT'S NAME �� X�l� DATE EVALUATED y�.� � o PROPOSED FACILITY %%�Y� PROPERTY SIZE ��G' SUBDIVISION ROAD NAME � r/`/'w �`1 �� Water Supply: On-Site Well Community. Evaluation By: Auger Boring ✓ Pit HORIZON I DEPTH Texture group 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 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE REMARKS: DCHD (01-90) Public � Cut EVALUATION 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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 Mineraloev 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 - gaUday/ft2 ■■■�■■ ■�■��■ ■■��■ ■■��■ ■��■ ■■�■■■ ■■�■■■ ■��■�■ ■■�■■■ ■■■■■■ ■��■■■ ■��■��■�■■��■■�■■�■■■��■��■�■ ■■■■��■�■��■��■■■■■■■■■�■��■ ■■■■�■■■■�■■■�■��■■��■�■■�■■■�■■ ■■■�■■�■■�■■■�■�■■■■■�■■■■ ■�■�■■ ■■��■■�■��■■��■��■■�■■■■■■■■■■��■ ■■��■■�■��■■��■■■�■■■■■■�■■■■■�■ ■■��■■�■��■■��■�■■��■■�■■■■■■■�■■■ ■■��■��■��■■��■�■■■�■��■■■ ■��■■�■��■■■�■■�■■�■■��■��■■�■■■■ ■�■■��■�■■��■■■■■�■■■��■■��■ ■�■■��■�■■■�■■�■■�■■��,■ ■■■■��■■■■�■■��■■�■■��i��■�■■■��\` ■��■��■�5��■�■■��■■■■ ■■■■��■■■■■■■■■��■■��■■■■�■��■ ■■■��■�■��■�■��■■■�■■�■■��■��■■ ■■■��■��■■��■��■■��■■�■��■�■�■ ■■��■■�■��■■��■��■■��■■■■■■■■■�■�■ ■■■�■■�■■�■■��■�■��■��■��■■■■■ ■��■■■■��■■��■■■�■■�■■��■��■�! ■��■\�!=CCC�Cii�M■■�■�■ ■■�■■■■■�■■■■■■■�■��■��■��■■■ ■■�■■■■■�■■■�■��■■■�■■■■��■■■��■ ■■�■■�■�■■■��■��■■�■■��■■■ ■■�■■�■�■■■��■�\��■■��■��■��■ ■��■■■■■�■■■��■■■■■■■■�■■■■�■■■■ ■��■■��■■■■ ■■��■■■■��■�■■■■■�■�■��■�■�■��■ ■■■■■■■■■■■�■■■■■��■■�■■�■ ■�■■■■ ■��■■�■��■■�■■�■n�■■■��■�■■■��■��■ ■��■■�■��■��7■■�■��■■�■■■�■ ■�■■■�■�■■■�■■■■�E�\■�■■�■■��■■■■■ ■�■■��■�■ ■�■■�■■■■ ■�■■�■��■ ■�■■��■ ■�■��■�■■ ■��■■ ■■��■��■ ■■■�■■■■■ ■��■�■■■ ■■�■■��■■ ■■��■�■�■ ■■�■■■■■■ ■��■��■■■ ■��■■��■ ■�■■■■��■ ■��■■�■■�■�■ ■��■■�■■■■�■ ■�■■��■ ■■■■�■■■■�■■ ■�■�■■�■■■■■ ■■■�■■��i��■ ■■��C��■■■ ■��■��■ ��■■��■■■�■ ■��■■��■��■ ■■�■��■�■�■ ■��■■�■■■■■■ ■�■■��■■�■�■ ■�■■��■■��■■ ■��■��■■ ■■■�■■��■�■■ ■■��■■ ■■■�■■�■■�■■ ■■�■�■■ ■�■■■■■ ■■�■■�■ ■��■■�■ ■��■■■��■■ ■■■��■■■■��■ ■��■■■■��■■ ■■��■��■■�■�■■ ■■�■■�■■��■■�■ ■■��■��■■■��■ ■■��■�■■ ■��■��■�■■■ ■��■��■ ■■�■��■�■�■ ■■■■��■■■■■��■ ■�■■■■■■��■■■ ■�■■■■�■■■�■�■ ■■■■■■■■��■■■ ■��■ ■�■■�■■■■■■■�■ ■��■��■■■ ■�■■■■��■ ■■��■��■■ ■■■■■■■■■�■ ■■■■��■��■ ■��■��■■�■ ■■■��■■■ ■��■��■■■�■ ■!■�■ ■��■ ■■■■■ ■■��■