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1179 Eatons Church Rd �avie County, NC Tax Parcel Report ✓� � �tj Friday, September 30, 201E . , � I ' I .t � , � ; ( � , ; � I � 11�1 � . I +t ji I "fs 3 t f t , �f „ ��r I � � ,� !� � r� � � � r� ' � 1�� ���� �� � . t t � � �r I � 1 � � � (� ° � i i ?'� j � � 1�1 � . . � . I � ` �.�_--M._,4�� I ��".� � t � _...__...____....- -- -_ _--- -....................................__.__-..II'........................_..............._......._.1._�.4.�.�1..�_�.........................__....._�................................._......__.._......_....I�. _._.__......._......_..._.._--� ' . . . � . WARNING: THIS IS NOT A SURVEY � ���..,,-'-���'�sj, �'�s�`���� ��:�r ' �3 : : .. � ,.- l- ��s��"'���y���� '� .a��'"���,��'i���„ >, .� � ;�,,: ,. �e v�. ,.,t.s. .. ,-� .r��� ,�,.�;.� ...a�.....z..�..,.» �..r< '��:;�''..s.�.--.���'��,�._...�. �...W....u.�� Parcel�Iriforniation y ; � ; Parcel Number: . � ,D30000005601 Township: Clarksville NCPIN Number: 5822421450 Municipality: Account Number: � 82518220 Census Tract: 37059-801 Listed Owner 1: HURSH SAMUEL R Voting Precinct: CLARKSVILLE Mailing Address 1: 5008 PEPPERTREE ROAD Pianning Jurisdiction: Davie County City: CLEMMONS ° - " • Zoning Class: DAVIE COUNTY R-20 ' State: NC Zoning Overlay: Zip Code: 27012-0000 Voluntary Ag. District: No Legal Description: 1.002 AC EATONS CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: , 1.00 . Elementary School Zone: WILLIAM R DAVIE Deed Date: 9/2003 Middle School Zone: NORTH DAVIE Deed Book/Page: ° 005140660 Soil Types: MnC2,Mn62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 54400.00 Outbuilding &Extra 0.00 Freatures Value: Land Value: 12610.00 Total Market Value: 67010.00 Totai Assessed Value: ° 67010.00 ,9[��1�, All data is provided as is without warrenty or guarantee of any kind either expressed or implied including but not Iimited to the Davie County� Implied warranties of inerchantability or fltness for a particular use.Ali 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 ��UN`�� NC or arising ou!of the use or inability to use the GIS data provided by this website. . -_._a:. � ,...._.,-.:.-....�-. _.,..,, d..,,�. .�,..4��qa ��`�:;;�,�m .+ , . . . . :•5.,` � . . ,. .. . ,. .� . . . ..�. . ,.�.. �.:. . . ..,p:.,. . . �� �., ` . � , ,. . . . . . .. . ��, .�,. . yF v � � ,` �� � DAVIE COUNTY HEALTH DEPARTMENT � '� IMPROVEMENTS PERMIT AN�D CERTIFICATE OF COMPLETION„ � *NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a nit ry Sewage Systems , , Permit Number . . . �� C� f� .� ����'�'°'�.�� '�"� �f,F�,�/'� S"-,,/' j'_>" Name '� _ � Date NO 7�6 0 �z"';,i.�i,-' ,,+";;'/Y �,✓�r;-i., '�,.�. . r� /':. .. _ r�1 v �''r' �'�` i`�;.xc- f��;'.,�,-. , , �'J-f Location ��" — � ,' { f [ /�,�� // j�; �' � �. r f �(. , >�;�;,,..ltJ !!'L";.�+ ' � 1�7� ��TJK� (��'` �� .l , Subdivision Name Lot No. Sec. or Block No. �l Lot Size � House � Mobile Home ��_ Business _— Speculation No. Bedrooms � --.No. Baths _�— No. in Family _ Garbage Disposal YES ❑ NO 4. , � Specificatio.n�for,;eS�stem: �.-� ,_ ;, Auto Dish Washer YES �f�0 � -��� U';,,,;;�' Auto Wash Ma^hine YES : NO ❑ �-�-�. ��r , " ,� ��>t:,,,,.,�.r l� 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. ,�.,,.,....�.�.�...�:�....,.-w-....,m-��,.�..�,�.._,.p.-,.�., , ._.._._._..___...._ __-..__ ,.� -_-� _ .�.._._ � ! ,� "``.---.� ``�`�' ""--�--.,�,....,. --�'`� r ---.._...�__._�.—-�" � �_� �.......� �,�.. .r ! � ---�-__- .,,._--_-��-...� � }�fl ' / /� .� '� 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�T�l�phone Number 704-634-5985. �Q� ,�t� � ----- � ` Final Installation Diagram: � S�'"ys,tem Installed by _ ��'� � � ' ' F� �`� �r" ``�o� ~`'`� � � � y � � _ - � t f f___�...------_�_._.____._..' ;�f� � fi � z � � ���. r-� � �, � �----,.� ; , i_ ____---- -- ______ _.� �_ 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. > ' ,�. �,;, '� , , ��. � APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER � � � M �p� ���� Davie Counry Health Department � � � � `� � i C�r � Environmental Health Section D '�� � P. O. Box 665 � �'j�'� �,4 '�F''� �� Mocksville, NC 27028 ` ; I � 1. Application/Permit Requested By /'� ��� ! � ��--I /2� � `/.,���.�� ,�5v,���� /U� �-���-� � Mailing Address � Home Phone �l��_�% /J —r.�/(�� Business Phone Ii 2. Name on Permit if Different than Above �I 3. Application/Permit for: ❑ General Evaluation �Septic Tank Installation I 4. System to Serve: ;� ❑ House `�Mobile Home ❑ Piace of Public Assembly ` I ❑ Business ❑ Industry ❑ Other ❑ Unknown I 5. If house, mobile home: Subdivision Section Lot # � ' ❑ BasemenUPlumbing III No. of People � ❑ BasemenUNo Plumbing No. of Bedrooms � , �Washing Machine I No. of Bathrooms � ❑ Dishwasher � I Dwelling Dimensions ❑ Garbage Disposal � 6. If business, industry, place of public assembly, other: Specify type I i 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 � Private ❑ Community 8. Property Dimensions � a�� Sewage Disposal Contractor r" �^� 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? *NOTE: Improvements Permits shali 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: �O � �^ _�i� /� ('�/� � � n�SZ�� �i,))�� 1/J �a��� �w�( l /')T l �� J // K� ���� > �� 1.��l� ,�i S�cond lu�c� �� �� °' � d n ��l P� /����� �� �a /n;l e s, 'fl�i� � C� a-�o� � /��'lP� at1 ��� w,�r � �. y������ �u� . �� ;Y,� ��� W� � ���� � �,� - � �.-�, � � �- �-�- C;Fd� -� �.� ��i� �,,.� . h�.k �- b� . r�"° .� y ) 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. s��93 9 DATE SIG AT RE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: � 1. 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. � '��'�l —� DATE SIG URE DCHD(12-90) ! � . . • :�,� . . `'� ' " DAVIE COUNTY HEALTH DEPARTMENT , Environmental Health Section Soil/Site Evaluation NAME �✓ DATE EVALUATED `� J� �� ADDRESS PROPERTY SIZE ���C PROPOSED FACIILTY ,�Z,� LOCATION OF SITE .��4�✓���+' Water Supply: On-Site Well r� Community Public Evaluation By: Auger Boring � Pit Cut FACTORS 1 2 3 4 Landsca e osition y- L �— L- Slo e z �— — — � HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH ��- -7 �' ,��t � Texture rou � ` Consistence � � Structure � Mineralo /.`% ,�/ HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LONG-TERM ACCEPTANCE RATE , C SITE CLASSIFICATION: !I EVALUATED BY: ,/`Y!C�� LDNG-TERM ACCEPTANCE RATE: . I OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Tenace 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-Finn 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--SYngle grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�r 1:1, 2:1, Mixed Notes H orizon depth - In inches Depth of fill - 1n inches Restrictive horiZon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - 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 ■■�■��■■■�■■■����■■��■■���■��������������■������■�����■��■ ■s ■ ■���■������■���■■■■��■���■��■■■����m■��■�■�■���■���■����■��������■ ■�������■�■���■���■�����■��■■��■ ■����■��������■���■�■����■■s���■ ■■���������������������������■■��s■�■���■�����������■����■��■■��■ ■�■��■�■�����■■�■���■�����■���■�■��■■���■■���������������������■�■ ■■�■����������������������������■��■���■����■■��■�■��■■■���■�■■��■ ■�■���■■��■�������■�����■�����■��■����������������■��■�■������■■�■ .....�.....................................�..■..■................ .......................................... ...................... .■........................................■................■...■.. ............................�... ................................ ................................i3.........■.......■...........■.. ...........................■.................■._■..............■.. 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