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181 Hillcrest DrnnviP Cnnnty NC . r Tax Parcel Rannrt Thiirsdav Rentemhar 99. 91119 °u pt Davie County, NC Parcel Information Parcel Number: F80000005301 Township: Shady Grove NCPIN Number. 5870891210 Municipality: Account Number: 3668000 Census Tract: 37059-803 Listed Owner 1: BATTY JERRY HARDING Voting Precinct: WEST SHADY GROVE Mailing Address 1: 181 HILLCREST DRIVE Planning Jurisdiction, Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7606 Voluntary Ag. District: No Legal Description: 0.77 AC HILLCREST DRIVE Fire Response District: ADVANCE Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE Deed Date: 10/1995 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001830243 Soil Types: Gn132,EnC Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 31180.00 Outbuilding & Extra 3330.00 Freatures Value: Land Value: 17170.00 Total Market Value: 51680.00 Total Assessed Value: 51680.00 °u pt 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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT J **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. , iln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Syst'eis) MAME J ee�•r �- J aN P•A RAY PROPERTY ADDRESS -na4 to ►�� C fp s �P. DATE )D 5 75 LOCATION �5 ���c►`�. b� 1� 1 6h t� s .�ry �1F�'i. Cacao �rvt� c� 3v1 SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS a• # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes,J%o r COMMERCIAL SPECIFICATION: FACILITYTYPE., # PEOPLE # PEOPLE/SHIFT `, #,SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 3k cis + TYPE WATER SUPPLY DESIGNLWASTEWATER FLOW,..(6PD) � :_ � NEW SITE REPAIR SITE 3 , SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMPTAMGAL. TRENCH WIDTH - .3- ROCK DEPTH I LINEAR FT ` b OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM,CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. 4. .,. 60 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. F AUTHORIZATION NO. 60111 OPERATION PERMIT BY DATE **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 Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR. WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter,160A, Wastewater Systems) 16 o 6 ***This Authorization For Wastewater Syste■ 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.*** i AUTHORIZATION NUMBER NAME, Ati �,s�, tea. DATE - 4 ' 1 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION��ti4.r� �•�_ COMENTS/CONDITIONS .ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **+MgTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 R SITE EVALUATION/IMPROVEMENTS PERMIT �TDavie County Health Department .9 9�/-°r$r Environmental Health Section P. O. Box 6653 o o70r o°Avm7 0' 70'%Mocksville, NC 27028 work Ck1. Applicatio 4 6 G 9 Mailing AddressI �l f) G �� Y' re 5 ) Home Phone 6/}�� Ul{ rl CP_ lilc-- 2 %Q O Business Phone 2. Name on Permit if Different than Above 50—dl-- 3. 0—dB 3. Application for: W'General Evaluation &/Septic Tank Installation Permit 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions ®" Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing WW'ashing Machine ❑ Dishwasher ❑ Garbage Disposal 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 ❑ PrivateCommuni 8. Property Dimensions �y A0 rC. Sewage Disposal Contractor COO unlj &/` 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes C '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: �Xo74 8o/ -524(A, %'o 3 Yq M., `/e, S -)—o f�illCrPSf /fir. Tu/,,v rl5h7" '0 '0 /������ �•� iro�Pr�ys 4 es %d e a 6�4 IJ 0 4t 5 o n J".)e ';'�'4(>` %, w4Pre mo6��'/� Z �`Yi � �Lh-U� �/7`lr�W cz-�� • ��� � /"� do % 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 inc red from this application. DATE I SIGNXTURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. I 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. DATE SIGNATURE DCHD (1193) W LLL F - Q_' 4 U 3 IdQO) Of- [L 0 (nQ cD Lj Lr)Of .- Q Q MM -) :2i 00 IRON FOUND Z 0 0 cu O 00 G7 W 0 tA THOMAS W. & wife, FOUND MARY P. BRUEBAKER DB 88 PG 587 IRON FOUND DB 66 PG 577 S 210 40' 12" E 1.91' FROM LINE /RON P44C111-6 TRACT I I I 0.7500 ACRES N O �o 2 o S680 9X48„ 41 HT \ 30 Acc"*" 56 85 \ \ DOUBLEWIDE MOBILE HOME a Q MOCKS CHURCH RDA LOCATION MAP \ N 89 63 42, P \ \6 X9'48,, p I JOHN RICHARD HOWARD certify that \w X834 p / this map was drawn from an actual \ �p field survey under my direction and i 139 68' /RON A 17 a u b,l e ��Fo TRACT I \ RpN superyision, that the ratio of precision is 1 1 -STORY REGISTERED LAND SURVEYOR Wk -2890 1.5545 ACRES FRAME �o�� O ;N U" F?O HOUSE �` OP Li) `'• S 600 � TRACT 1 s 49" 469 0. 706 ACRESi ;,e� � 3 OTq< rJ ` O 29 80 NAIL AT BENT ANGLE -IRON ems' W 427 5 JAMES R. & wife, MARGARET A. CARTER DB 159 PG 790 TOTAL AREA: 3.0752 ACRES nV� > • SEAL f ^^� � cy : � r L-2890 �• Sul'\ O Q� / 60 0 60 120 ���������,,� 180 IRON '� GRAPHIC SCALE — FEET 'ON FOUND MOR ti m U TOWNSHIP COUNTY STATE \o SITE 1 " = 60' i I o DAVIE MOCKS CHURCH RDA LOCATION MAP \ N 89 63 42, P \ \6 X9'48,, p I JOHN RICHARD HOWARD certify that \w X834 p / this map was drawn from an actual \ �p field survey under my direction and i 139 68' /RON A 17 a u b,l e ��Fo TRACT I \ RpN superyision, that the ratio of precision is 1 1 -STORY REGISTERED LAND SURVEYOR Wk -2890 1.5545 ACRES FRAME �o�� O ;N U" F?O HOUSE �` OP Li) `'• S 600 � TRACT 1 s 49" 469 0. 706 ACRESi ;,e� � 3 OTq< rJ ` O 29 80 NAIL AT BENT ANGLE -IRON ems' W 427 5 JAMES R. & wife, MARGARET A. CARTER DB 159 PG 790 TOTAL AREA: 3.0752 ACRES nV� > • SEAL f ^^� � cy : � r L-2890 �• Sul'\ O Q� / 60 0 60 120 ���������,,� 180 IRON '� GRAPHIC SCALE — FEET 'ON FOUND MOR JESSE F. & MARY J. THOMPSON SCALE TOWNSHIP COUNTY STATE DATE, S_ 1 " = 60' i SHADY GROVE DAVIE N. C. 8-22-95 DB 108 PG 33 RICHARD HOWARD SURVEYING P.O. BOX 276 ADVANCE, N. C. (9 10) 998-5396 JOB NO. 95082 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �>` cy DATE EVALUATED ADDRESS S A�� PROPERTY SIZE \ Q�2�� PROPOSED FACIILTY ` d `�P LOCATION OF SITE Water Supply: On -Site Well _ Community Evaluation ByC"CL Auger Boring ✓, Pit Public Cut FACTORS 1 2 3 4 Lands cape position 5 S Slope % HORIZON I DEPTH Texture group L �-- Consistence Structure MineralogX HORIZON II DEPTH " 22 11 6V Texture group Consistence Structure Mineralogy_ t i HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON --- SAPROLITE �-- CLASSIFICATION LONG-TERM ACCEPTANCE RATE ^} L SITE CLASSIFICATION: EVALUATED BY: LONG-TERM_CE`PTANCE RATE: t� OTHER(S) PRESENT: a N REMARKS: ':'_ -� t� J �5�. --� 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- Vf---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 ■����■�����������■����■/����/���������■���������■ �/������ ■�Y� ■■ ■■��������������������N��\��������n������������ ������� ■������■ ■����■�����■ ������������������■ ■�����r■ ■������������\��������■ ................................�........�.�..................... .......................................... . ..................... ............................■...........................■........■ .................................................................. ...........................................�..._....�............. .......................................... ... ■... ............. .................................................... ............. ■��������������������■���������� . 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