284 Gladstone RdDavie County, NC
Tax Parcel Report I A3 S Thursday, September 29, 2016
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WARNING: THIS IS NOT A SURVEY
All 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.
ParceIInformation
'
Parcel Number:
L5090A000701
Township:
Jerusalem
NCPIN Number:
5736955153
Municipality:
Account Number:
8301616
Census Tract:
37059-807
Listed Owner 1:
FOSTER CAROLYN ALLEN
Voting Precinct:
COOLEEMEE
Mailing Address 1:
284 GLASTONE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay: DAVIE COUNTY CZOD
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
.690 AC GLADSTONE RD LOTS 101-102
Fire Response District:
JERUSALEM
Assessed Acreage:
0.69
Elementary School Zone:
COOLEEMEE
Deed Date:
1/1996
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
1997EO082
Soil Types:
Ce132
Plat Book:
0001
Flood Zone:
Plat Page:
043
Watershed Overlay:
DAVIE COUNTY
Building Value:
42790.00
Outbuilding & Extra
Freatures Value:
880.00
Land Value:
12650.00
Total Market Value:
56320.00
Total Assessed Value:
56320.00
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Davie County,
NC
All 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.
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AUTIJQRIZATION NO
DAVIE
COUNTY HEALTHDEPARTMENT`
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_Environmental Health Section
PROPERTY INFORMATION
PerrWAtee's
P.O. Box 848
- Name%
Mocksville, NC 27028
Subdivision Name: -
':
Directions to property: G(A
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Phone #: 704-634-8760
Section: Lot:
1 - c: c, .3
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:# %��_ _JAI $3
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V7 MI LLL t
SYSTEM CONSTRUCTION
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Road NamA: OTLA 7 rbA r— Zip: L'�
**NOTE** 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 presented to the Davie County Building Inspections
Office when applying for Building Permits. .
(In compliance with Article 11 of4G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
. ENVIRONIvI HEALTH S • ALIST DAIE I SUED
A•-
DAVIE COUNTY HEALTH DEPA'11�iT
A�ti
IMPROVEMENT AND OPERATION PEITS PROPERTY INFORMATION
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Per`mitteg �s
Name.1��'� 1" VC?1. Cl'�7�+"��,, Subdivision Name:
Directions to property: trt;'1' 1�' Section: Lot:
IMPROVEMENT
v^'
PERMIT TaxO:#f
amZip: ..43
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Road N
**NOTE** This Improvement Permit DOES NOT authorize the constriction 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 I I,of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTA "HEALTH SPECIALIST DA E ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _M # BEDROOMS :F> # BATHS _ 7 # OCCUPANTS GARBAGE DISPOSAL: Yes or 0.
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) a4c) NEW SITE� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEI�_GAL. PUMP TANK GAL. TRENCH WIDTH 0ROCK DEPTH L Z30.
LINEAR FT.
OTHER1{'.�T�-{t�it.a*i9
REQUIRED SITE MODIFICATIONS/CONDITIONS: of-) O-C)rXm oe— 1 144O Jam' OFF m l ONI G., CCC Q Ill DFF ,
n- L/ AA:
IMPROVEMENT PERMIT LAYOUT
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PAPALL
4S S Rov5
GLAT Z
"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:
1
AUTHORIZATION NO OPERATION PERMIT BY:! 1� - DATE X. 44
71
"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 05/96 (Revised)
APPLK
1. Application/Permit Requested By
Mailing Address -1TTDW1
1 _ , I n
\q—; L0Z-� Business Phone lcL�o�-`�• �qS q
2. Name on Permit if Different than Above
3. Application for: r�General Evaluation WLSeptic Tank Installation Permit
4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
No. of People
No. of Bedrooms
No. of Bathrooms Ct
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes Z. No. of Urinals
No. of Lavatories 3 No. of Water Coolers.
No. of Showers 2 Water Usage Figures
7. Type of water supply: Public ❑ Private
8. Property Dimensionsl DO X 44 -RS K !Rg-At X �a !L -L9 Sewage Disposal Contractor
9. Do you anticipate additions/epansion of the facility this sytem is intended to serve?
If yes, what type?
Directions to Property:
uD`S•- R.
This is to certify that the information provided is correct
incurred from this application.
Z,
DATE
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing.Machine
Dishwasher
❑ Garbage Disposal
❑ Yes ; KN0
Pi OPERTY INFORi-SATION REQUIRED:
❑ Community
Tax Office PIN #
Road Name C4 -wt u�-
Box # (if available)
Cit:Y,1�C
of my knowledge, and I
,TUBE
am responsible for all charges
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. F---�l 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. P,
1-2z, 3 %,M, -==�
DATE OJGNATURE
DCHD (1/93)
Tax Lot 13.06
Tax Mop L-5
n/f Robert H. Munday
and : We
Lois S. hfundcy
08 105 0 PG 652
Axle (Bent) 1�
99.91 Found 72.95„
-= ti
!RS N 85.4220"E 1-152—round �_ , s 86.56'30"W
N 85.42 0 E 99.9 ,
Tie Line Q Tie Line
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, P/O Tax Lot 7 1 EO
Tax Block "A" Tax Elcck "A" Tax
Tax Mop L--5-9 Tax Mu;, L-5-9 Tax E
D8 49 0 PG 580 4 Lots 1 u 1 & 102 o Tax Uk
Tax Lot 6 Lots 103 dt 104 N a n/J' Ye1an
Tax Map L-5-9 N I
Tax Blotk "A" Mop Book 1 z pc-n 43 Qt 08 61
n/f Robert H. Munday Page 43�/-
and Wife
Lois S. Munday Vcc Lot
08 53 9 PG 504
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3�4" f1R Tie Line i 70.00' . '
in Drive N 87.37'25"E ! 00.00' JRS S 87"37'25"W IRS 150-! 4'
Gladstone Roar':
• ' • DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME ��rh%YZA lL� �' DATE EVALUATED
PROPOSED FACILITY "1-� PROPERTY SIZE
SUBDIVISION
ROAD NAME
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
L�
L
Slope %
HORIZON I DEPTH
Texture group
Consistence
7.5f
5
Structure
C
Mineralogy
1; I
i
HORIZON II DEPTH
U
Z —3
Texture group
Consistence
�;
S
Structure
Mineralogy
HORIZON III DEPTH
Texture groupS
Consistence
Structure
5q0 le,S
Mineralogy1
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
i 05
LONG-TERM ACCEPTANCE RATE
O -
SITE CLASSIFICATION: (23
LONG-TERM ACCEPTANCE RATE:
REMARKS: 40
DCHD (0I-90)
LEGEND
EVALUATION BY:
OTHER(S) PRESENT:
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
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
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
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