138 Fletcher StDavie County, NC Tax Parcel Report Wednesday, September 28, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Information-'
Parcel Number:
L50000001303
Township:
Jerusalem
NCPIN Number:
5736950591
Municipality:
Account Number:
70316000
Census Tract:
37059-807
Listed Owner 1:
SPRY JAMES C
Voting Precinct:
COOLEEMEE
Mailing Address 1:
334 GLADSTONE ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.714 AC OFF GLADSTONE RD
Fire Response District:
JERUSALEM
Assessed Acreage:
1.71
Elementary School Zone:
COOLEEMEE
Deed Date:
4/1978
Middle School Zone:
SOUTH DAVIE
Deed Book/Page:
001040516
Soil Types:
CeB2
Plat Book:
10
Flood Zone:
x
Plat Page:
319
Watershed Overlay:
WS -IV -P
Building Value:
0.00
Outbuilding & Extra
4890.00
Freatures Value:
Land Value:
19910.00
Total Market Value:
24800.00
Total Assessed Value:
24800.00
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Davie County, NC
Al data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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 or arising out of the use or inability to use the GIS data provided by this website.
`� .`-,_;� � - �� � fr�'�' Davie County Health Depart�ent �
; �•"'...�9"`�'. ENUIRGNMENTAL HEALTH SECTION
�� ' � .�' .-� _ � P.O. Box 665
.,:� - '�..� '. :
Mocksville, N.C. 27028
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ye � � ..
;� �. .':i.,.".. �' AllTHDRIZATID�! FDR WASTE4)ATER SYSTE�I Ca�STRUCTION
a� . . . . . ,
� i�` tIssued in coipliance with Art u1e.11 of
� ;' � • � G.S. Ghapter 1s0A, Wastewater Syste�sl , ; �
� .
� *�*This-.�uthorization For Waster►ater Syste� Construction �ust be izsued by �he Davie County Environ�ental Health�5e::tion`prior.to: �"�
`�� '� -issua�ce�of any Building Per�its. This Far�/Authorization Nu�ber should be presented to the Davie County Buildi�g Inspections �:
j Dffic�..when applying for Building Per�its.+�* A���p � ',.
� ., /��p�r� � . AL(TF�]RIIATION �eER
;'y� � . ' Np!¢ r� j� !✓ � UATE '<' �� /�� �� �? a � r`.'� �u
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:s�� NAFE ON �IQROVQENT PERMiT iIf different than a6ove)
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� '. _ SITE LQ:'�TIW __/fY" /��'r ���f
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���: COlI�E?1T;;%CONDITIWS ON RUTNORIZATIDN TD [XINSTRUCT 41ASTEWATER SYSTEM _ �
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4 ;��� �::. �JUTICE� THIS AUTHDRIZRTIO -f R ASTEWATER SYSTEM CONSTRUCTION I5 VALIU F R A PERIOD OF FIVE.(5) YEARS. `�, ,:�
' ` .�.�� �� . �'� / � `"` ���d�� .
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, . . � . � ENVIRO!l�7JiAL tfALTH`SPECIALI5T: DATE
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rr �'�� , DCHD 10/95 t ;` t , �
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, -, �L.;r:�Yti„11SS1Jsr�i.+ile��rNJh��.vlSu:.;•L�H�«r�iJrtnu�iwMiSri6�k�:+.wx-.`ksx�:nS`.i,i.:�+�.w:... �.. _'.i.A..'.°f,._���'�,�iy,..,.�. ,�te�C �ittty.;y'F:��? )x ,.,5_i.,�„tb�:+r',.e�,�•.y�,�l�,!'R,�t �,k,w .�a�� +j'�F����.
:� . 5EE THIS PERMIT BEFORE INSTALLIN6 THE SY5TEM. -. '
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IMPRDUEMtNT PERMIT BY i i'GI -
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�. .*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEAI.TH DEPflRTMENT FOR, FINAL INSPECTIDN OF THIS SYSTEM AETWEEN
� - 8:30-9:30 A.M. OR 1:�-1:30 P.M. ON TFIE DflY OF INS?ALLATION. TELEPNONE � IS t704) 634-8760 '' �
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�. OPERATION PERMIT . SYSTEM INSTALLED BY
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'AUTHORIZATION N0. DPERATI�J PERMIT flY � DATE �
1� f�THE ISSUANCE DF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ASOUE HAS.BEEN INSTALLED IN'CDMPI.IR:;,E'WITH ,
s ARTICIE 11 OF 6.S. CHAPTER 13@A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS"� BUT SHALL IN NO WAY BE TAK�tr iaS A'.
� Gl1A�iTEE THAT THE SY57EM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIt�. �
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NOTE** 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,
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME �.�ri7'"T �� PROPERTY ADDRESS DATE
LOCATION / 1/�/l ,�L s'>�
SUBDIVISION NAME
LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE —10-41 # BEDROOMS -4 # BATHS , f) # OCCUPANTS GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE 2 r __ TYPE WATER SUPPLY_ DESIGN WASTEWATER FLOW (GPD) NEW SITE _Z REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEAL. PUMP TANK GAL. TRENCH WIDTHIROCK DEPTH LINEAR FT. - Go
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE DANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
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. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY L-A162M
AUTHORIZATION NO. V2-2 OPERATION PERMIT BY
PZW
DATE 1
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
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 10/95
i
' Davie County Health Departme�t
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be present.ed_to.Ahe Davie County Building Inspections
Office when applying for Building Permits.***
NAMEr� ,� N DATE /!��AUTHORIIATION NZAR
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,
NAME ON IMPROVEMENT/PER/MIT (If different than above)
SITE LOCATION /" / % 4,-P 54-
COMMENTS/CONDITIONS ON AUTHORIIATION TO CONSTRUCT WASTEWATER SYSTEM
}+{NOTICES THIS AUTHORIZATIO -f R ASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE
DCHD.10/95
• , •� • , APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE I
�c�cae�
Davie County Health Department
Environmental Health Section f ;ti
P. O. Box 665
Mocksville, NC 27028
3
1 Application/Permit Requested By 8 rLCLYN Pau ICS l 6o -4I e—i c
Mailing Address '53 ecL Home Phone 10U - (o 3 i0 f
I I S b u ry KI C, ag 1 (4-7 Business Phone
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve
❑ Business
❑ General Evaluation
❑ House
❑ Industry
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms o) -
No. of Bathrooms d"
Dwelling Dimensions 1 x 70
% Septic Tank Installation Permit
V Mobile Home
❑ Other
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
No. of Water Coolers
No. of Showers Water Usage Figures _
7. Type of water supply: Public ❑ Private
8. Property Dimensions a //2 Of'�4 a�ZQo Sewage Disposal Contractor
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes LAY No
If yes, what type?
❑ Community
`NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
(0 p j Sou--i-i -b 61 as s- D n e- Pc(,
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M,o(K.so I(� fvG
Tax Office PIN: # ?'36- 9
PROPERTY AWRESS,, as follows: f /
Road Name: I30 FlE7Ld'Lley' YZC,
City: Mo cti VI IL-, c )-7o29
SU13MIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
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.
y/ 9 /9�
DATE USIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: t! 1. 1 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 _PCZ eS (: S.,o"
to conduct all testing procedures as necessary to determine said site's �uitafility for a ground absorption sewage treatment
and disposal system.
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DATE SIG URE
DCHD (1193)
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DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
Soil/Site Evaluation
NAME L iyNi` ` DATE EVALUATED
ADDRESS PROPERTY SIZE IS RC
PROPOSED FACIILTY LOCATION OF SITE �/ C �i' l 1 "
Water Supply: On -Site Well _ Community Public_e_/
Evaluation By: Auger Boring Pit Cut
FACTORS 1
2 3 4
Landscape position
Sloe %
15/
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 77
7 F 77
Texture group
Consistence
T
Structure /
Mineralogy✓
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
4_ _
LONG-TERM ACCEPTANCE RATE ,
SITE CLASSIFICATION: — EVALUATED BY: zy�-lz
LONG-TERM ACCEPTANCE RATE: Y 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 -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- Vc-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
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
Ilorizon 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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