227 Claude Ratledge RdDavie County, NOS: j Tax Parcel Report 1 Tuesday, September 27, 2016
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WARNING: THIS IS NOT A SURVEY
• parceflnformation""`"'"' """"°"
Parcel Number: G100000042 Township: 'Calahaln
NCPIN Number: 5800321629 Municipality:
Account Number: 9521500 Census Tract: 37059-801
Listed Owner 1: BRACKEN TERRY Voting Precinct: NORTH CALAHALN
Mailing Address 1: 227 CLAUDE RATLEDGE ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
State: NC Zoning Overlay:
Zip Code: 27028-8129 Voluntary Ag. District: No
Legal Description: 44.574 AC CLAUDE RATLEDGE Fire Response District: SHEFFIELD - CALAHALN
Assessed Acreage: 44.25 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 1/1900 Middle School Zone: NORTH DAVIE
Deed Book f Page: 083-E0055 Soil Types: PaD,RnC,PcC2,RnD,CeB2,ChA,WATER
Plat Book: Flood Zone: AE,X
Plat Page: Watershed Overlay: WS -III -BW
Building Value: 130740.00
Outbuilding & Extra 3970.00
Freatures Value:
Land Value: 175140.00
Total Market Value: 309850.00
Total Assessed Value: 164400.00
141
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, NCimplied 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 or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMP TION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a ,I eta �
'._.Sanitary Sewage Systems )A
A Permit Number
Name Date 1 i < N2 6936
Location -t c�}.
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Subdivision Name
Lot No. Sec. or
oc o.
Lot Size , E ;_:"
" House
Mobile Home w Business
Speculation
No. Bedrooms
No. Baths
No. in Family
Garbage'Disposal
Auto Dish Washer
YES ❑
YES ❑
NO p�
NO el
Specifications` for System:
Auto Wash Ma^hine.
YES p'
NO ❑
h, n j'
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. ty�
I (�\,. �A n-
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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram:em Installed by
Certificate of Completion E ,ZZ Date Z:2r_:- '
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
i the standards set forth in the above regulation, but shall in NO way betaken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By--Rig
II , R H _C Ken
Mailing Address Ria , Box a, 4'f 1 A-?,Pwn,tM- C Q?(p34
1-3-2Home Phone 5`L- IMP: " liq oL - S 5'1 d Business Phone 3113-
2.
. Name on Permit if Different than Above
3. Application/Permit for: 5AGeneral Evaluation Septic Tank Installation
4. System to Serve: ❑ House e Mobile Home
❑ Business ❑ Industry ❑ Other
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms a
No. of Bathrooms a
Dwelling Dimensions 12 X LOO
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
7. Type of water supply: ❑ Public
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
ErPrivate
8. Property Dimensions R8 80—M Z -S . Sewage Disposal Contractor
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
Q"Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? R Yes ❑ No
If yes, what type? ,lc� Y10 t� Se i Y. Q., m oth C A& rnolo . Ve �'16 ^^Q -
❑ Community
*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.
Directions to Property: UL\ l'�, e5 -V1 ' .� Ori
?W -
This is to certify that the information provided is correct to the best of
incurred from this application.
DATE
7q'x2 l 1-<.-4' Ar on.A o
y
knowledge, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 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.
IeI_tir0
DCHD (12-90)
SIGNATURE
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation .
NAME R t" DA EVALUATED 0 - 1
ADDRESS S Q PROPERTY SIZES A
PROPOSED FACIILTY LOCATION OF SITE 1 `F U a NA o 5g Rd
Water Supply: On -Site Well Community Public
Evaluation By:C•"\ L Auger Boring Pit Cut
FACTORS
1
2
3
4
Landscape position
S
r
-r
Slope 7.
o- x
a- 8G
8
b- 8
HORIZON I DEPTH
"
i'
Texture group
C L
C L
C L
L
Consistence
-L
F�
Structure
Q.,
91C
Mineralogy
P.1
:1
'
HORIZON II DEPTH
qj %\
�1
Texture group
Consistence
Z
Structure
UZ \C
'ACiEc.
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
�
S
S
RESTRICTIVE HORIZON
SAPROLITE
-
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
0-I
'-
1`1
SITE CLASSIFICATION:• S EVALUATED BY:
LANG -TERM ACCEPTANCE RATE: OTHER(S) PRESENT:, _T
REMARKS: �C��\ "�+� - -- 7!5Z- a -4"
100►wl.
Landscape Position 1'
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
r
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
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STATEMENT
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
210 HOSPITAL STREET
P. 0. BOX 665
MOCKSVILLE, NORTH CAROLINA 27028
(704) 634-5985
October 22, 1992
Terry Bracken
Rt. 2, Box 241
Harmony, NC 28634
Site Eval.& Permit "6936 - $100.00
ftnent Due Within 30 Daps
MA" AHO M" YOUR CHECK. v0UR cAwC[Ltio C"= O vwA 8ww.
--------------------- ----------------------------------------
10-22-92
---- -----------------------------------+--------
10-22-92 ISite Eval. & Permit 6936/Terry Bracken 1 $100.00
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1 BALANCE DUE - 1 $ 100.00
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