182 Cricket LnDavie Countv, NC Tax Parcel Report Wednesday, October 12, 2016
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:
Piat Page:
Building Value:
WAK1V11V(i: '1'Hl5 15 1VU1� A �UKVLY
Parcel Information
J700000093 A Township:
5778114923 Municipality:
72484000 Census Tract:
TALLENT RUSSELL CALVIN Voting Precinct:
148 CRICKET LANE Planning Jurisdiction:
ADVANCE Zoning Class:
NC Zoning Overlay:
27006-7134 Voluntary Ag. District:
3.012 AC OFF FORK BIXBY Fire Response District:
Land Value:
Total Assessed Value:
3.02 Elementary School Zon
6/1979 Middle School Zone:
001080084 Soil Types:
Flood Zone:
Watershed Overlay:
126370.00 Outbuilding & Extra
Freatures Value:
28810.00 Total Market Value:
159680.00
Fulton
37059-804
FULTON
Davie County
DAVIE COUNTY R-A
No
FORK
e: CORNATZER
WILLIAM ELLIS
WeC,PcB2,PcC2
DAVIE COUNTY
4500.00
159680.00
0 �r' I�, All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not Iimited to the
Davie County� implied warranties of inerchanta6ility or fitness for a particular use. All users of Davie County's GIS website shali hoid harmless the
N� County of Davie, North Caro�ina, its agents, consultants, contractors or employees from any and all ctaims or causes of action due to
�pL�Nq'` or aNsing out of the use or Inability to use the GIS data provided by this website,
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�'�!�"f.�'f'-" f DAVIE COUNTY HEALTH DEPARTMENT ��3� --
�` ` 1 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�; .
•NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a �
Sanitary Sewage Syste —� ,, , Permit Number
Name � �� '"r � ,��:� ,r%;,., � . �,���,.-�, .�,�✓';,.L��-�' D te %`���� �'`_� i�� � r� V i
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Location _ _ _ _
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� ����� O f1"I! ✓�� :'%�
Subdivision Name Lot No. Sec. or Block No,
Lot Size ��� --_ House _! Mobile Home `''�_ Business __ Industry
No. Bedrooms �-- No. Baths _�,�- No. in Family �__ Public Assembly Other
Garbage Disposal YES [� NO ❑ Specifications for System:
Auto Dish Washer YES o NO Q .,� f; -' � �` ,�' F;' ,,
�� C�
Auto Wash Ma^hine YES � NO ❑ L�
Type Water Supply ---- --------- �s i�", ri ��,r� � J,'
'This permit Void if sewage system described below is not installed w�thin 5 y�ars from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION; YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
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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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by `�-a �� .�� �''"�r^-
v
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Certificate of Completion ..} _ 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.
�
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address
2. Name on Permit if Different than Above
3. Application for:
a General Evaluation
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
No. of People �
No. of Bedrooms �
No. of Bathrooms � /� �
Dwelling Dimensions �
Home Phone ��� ��_
Business Phone —
�'S`eptic Tank Installation Permit
�+ft6bile Home ❑ Place of Public Assembly
O Other
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Unknown
Section Lot #
❑ BasemenUPlumbing
O BasemenUNo Plumbing
(5"dV�shing Machine
�-Dishwasher
�--6arbage Disposal
7. Type of water supply: ❑ Public L9'�ivate ❑ Community
8. Property Dimensions �Q�� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �'�lo
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.
Directions to Property: ,%�� �jl�JL ��7 'Lf�'L2Gt1Z. f r- �
• . /� . �
(O 1` � • . ,L.� 0��-- �" � � ��i�' ��. �C..y . B7� (����7L • l
) �
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This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this application.
9 -i�- 9 �J ��n���l,� e �,���
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: �yt. I OWN the property. ❑ 2. I 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.
DATE
DCHD (1/93)
SIGNATURE
� } ,
J � r
.c �� '
NAME �� / in ✓
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
DATE EVALUATED �,lvc��/��
PROPER TY SIZE - 7'�� e
LOCATION OF SITE _ ( /`1j''/�"r'i,� .�j%
ADDRESS
PROPOSED FACIILTY � ��
Water Supply: On-Site Well i Community Public
---�--
Evaluation By: AugerBoring � Pit Cut
FACTORS 1 2 3 4
Landscape position ,Z .C. 1 _
Slope �
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 HORIZ01
SAPROLITE
CLaSSIFICATION
LONG-TERM ACCEPTANI
SITE CLASSIFICATION:
L
EVALUATED BY:
LDNG-TERM ACCEPTANCE RATE: / OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscape Position
R-Ridge 5-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-Silt,v :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
,iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineralog]r
1:1, 2:1, Mixed
Notes
}iori2on depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil w etness - Inches from land surface to free wate�' 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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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
22 i�'n�
NAME_�T7/`� /'/�S(�/����i PHONE NUMBER 99k- 7�3�
ADDRESS �O �/�IC�CfT LJ�IV�i 1`/�✓fi}'6�I/CC SUBDIVISION NAME
' c�N No �
�S�R��S S�1e i1�Gf �� ,��.«�pe�� r�nn��ir Ac� Gra�l�l��rc✓� �#
DIRECTIONS TO SITE � � E
��v� �.e-�-� , P�ss ,t3�a��
yrtm� �s� �1vb�l� fforv�e on�
TE SYSTEM INSTALLED _
—� :�bc:� 4 n �/
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AME SYSTEM INSTALLED UNDER
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TYPE FACILITY /57 �NUMBER BEDROOMS � NUMBER PEOPLE SERVED
TYPE WATER SUPPLY YVe 6� SPECIFY PROBLEM OCCURRING ��.�C SU,S7',Oi�/1 /�, (,i
back� n ��f�s i� b�c� r�� ; ti s aii�s
g cc � . �L�� �v-� la-� �r��� �Cuss� ll � /l.e���. �
�' ` C�' �' 3�S
DATE REG�UESTED oZ- a- D� INFORMATION AK N BY •
�'8-z2/�
Thi� is to c�Aify that the information provided is cornct to the best of my knowledgs, and that I understan I am nsponsible }or all charges ineurred from thia application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rsv. 1/93
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` DAVIE COUNTY HEALTH DEPARTMENT .-.---�=�-- ��
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�' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�; �•!
• NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a �
Sa.nitary Sewage Syste �; , Pe�mft NUmbet'
N a m e � :�'` ', r � �,;r': , ;,� ,.��� '�- , � � ���� ,� "`�,. .,w. �°' ;� �� �:. �, -. �% ` -' N �� r � �
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Subdivision Name Lot No. Sec: or Block No: ``
Lot Size ��� _ House —� Mobile Home `""�� _ Business __ Industry
.s.
No. Bedrooms �--:No. Bafhs _� Z' No. in Family �__ . Public Assembly Other
Garbage Disposal YES [� ` NO ❑ Specifications for System: ` � ,.
Auto Dish Washer YES � NO ❑ ,� ,�,� ` ,, ��"' "� �°'e � '`
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Auto Wash Ma^hine YES �- NO [j w�
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Type Water Suppty. —�_. ��" .
� � ,4 ��.�.w ���� � �
• •This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation rfsite plans or the intended`use change �
`ATTENTION: YOUR SEPTIC SYSTEMCONTRACTOR MUST SEE THIS PERMIT�LAYOUT BEFORE INSTALLING THIS
SYSTEM.
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Improyements permit by _� �"� � �
•Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.;
1:00=1:30 P.M. or 4:30-5:00 P.M.'on day of completion, Telephone Number: 704-634-5985.
Final lnstallation Diagram� Systeminstalled by _�''~°�""J'''""� �_-�°"�""`��
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" Certificate of Completion ' �'"' � �--���'�'`��"`"�'�_ 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 N0 way be taken as a guarantee that the system will function
satisfactorilv for arn oiven period of time. _
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