195 Hillcrest DrDavie County, NC ' N Tax Parcel Report b 3 Q -1 Thursday, September 29, 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:
Plat Page:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
F800000053 Township: Shady Grove
5870892247 Municipality:
35557310 Census Tract: 37059-803
HESTER VIRGIL REICH Voting Precinct: WEST SHADY GROVE
195 HILLCREST DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
Land Value:
Total Assessed Value:
NC
Zoning Overlay:
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 webaRe shall hold harmless the
27006-7606
Voluntary Ag. District:
County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and ati daims or causes of action due to
0.777 AC OFF HILLCREST DR
Fire Response District:
ADVANCE
0.76
Elementary School Zone:
SHADY GROVE
4/2002
Middle School Zone:
WILLIAM ELLIS
2002EO156
Soil Types:
Gn132,EnC
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
0.00
Outbuilding & Extra
4500.00
Freatures Value:
12110.00
Total Market Value:
16610.00
16610.00
«[•:
O A1�
Davie County,
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 webaRe shall hold harmless the
County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and ati daims or causes of action due to
NCor
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
**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 \ �G.� �`(i�t� • \\Q w -z PROPERTY ADDRESS - - 1J7��C �. � . ' a �O O DATE / o
LOCATION t .� `� - ��� Qn�iV� S
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE A o hQ # BEDROOMS 2 (4 BATHS 2 # OCCUPANTS GARBAGE DISPOSAL: Ye/No
COMMERCIAL SPECIFICATION:,FACILITY TYPE # PEOPLE 41 PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE .15 cis ten. TYPE WATER'SUPPLY DESIGN WASTEWATER FLOW (GPD) �I� NEW SITE ✓ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL .f. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH �LINEAR FT. _ 04�
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.
�'a
IMPROVEMENT
BY.c,
**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 J
F
M
C z
AUTHORIZATION NO. O 0 C OPERATIOJ PE IT BY
m
fi
C.
f v �
DATE -33,`U
**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: (1 L1
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 13OA, Wastewater Systems)
***This Authorijation 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.***
AUTHORIZATION NLPXR
NAME 1 F��. �� �i . r\ �r\ AR\1 7. ee'P- DATE! {/ }
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRLICT WASTEWATER SYSTEM
m#NOTICE"t THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONIENTAL HEALTH SPECIALIST DATE
DCHD 10/95 - 4
•APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PEI
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
-F H e
AF'.(! 0 lib 1 LU
E Aii i
Mailing Address M-,� / 1117 I'li � Re( Home Phone
Q 9 � Pe -AA . Al • &, Business Phone
2. Name on Permit if Different than Above
3. Application for: 0 -General Evaluation Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business [I Industry
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms
No. of Bathrooms
b Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
Dwelling Dimensions / Y X. '16
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks
No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures �
7. Type of water supply: ❑ Public ❑ Private f� Community
8. Property Dimensions D. 75ov h6 re -5 �lrcci 11 f Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0Jo
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
E'washing Machine
Z]'6ishwasher
❑ Garbage Disposal
If yes, what type?
'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: �� �k, If /,",9 tall 80 /
PROPERTY INFORMATION REQUIRED:
Tax Office PIN: # 15970 — 9 G/" 12 V-1
PROPERTY ADDRESS, a"s� follows:
Road Name: /f/ 1-j1 1-e_3J /1'
City: Z1VQ1:/�/rC.
SUBMIT 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.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. V2. 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 representa 've of the avie gounty Heal h partment o ter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's sui bility for ro d absorption sewage treatment
and disposal system.
DATE SIG ATURE
DCHD (1/93)
n
IRON
z
G
z
Cr
0
00
c�
W
IRON FOUND
S 210 40' 12" E
1.91' FROM LINE
THOMAS W. & wife,
MARY P. BRUEBAKER
DB 88 PG 587
DE 66 PG 577
Al 7g°47,35„
' K 42 7
JAMES R. & wife,
MARGARET A. CARTER
DB 159 PG 790
TOTAL AREA: 3.0752 ACRES
F X1..1
P
8 �F
MOCKS CHURCH RDS Z�
O
.� r
1
LOCATION MAP
I JOHN RICHARD HOWARD certify that
/this map was drawn from an actual
' field survey under my direction and
.,y0 j supervision, that the ratio of
FO�Ho / precision is 1
p04'7�
Qv / REGISTERED LAND SURVEYOR•.••,•,�-2890
SEA -
2
�V ryO/ 89 '
Q % 60 0 60 120 180
GRAPHIC SCALL - FE;
A
ON FOUND
�\
Q-�
MOP
0
THOMPSON
ti
W
11 TOWNSHIP COUNTY
STATE
C�
2
SITE
a
i N .
MOCKS CHURCH RDS Z�
O
.� r
1
LOCATION MAP
I JOHN RICHARD HOWARD certify that
/this map was drawn from an actual
' field survey under my direction and
.,y0 j supervision, that the ratio of
FO�Ho / precision is 1
p04'7�
Qv / REGISTERED LAND SURVEYOR•.••,•,�-2890
SEA -
2
�V ryO/ 89 '
Q % 60 0 60 120 180
GRAPHIC SCALL - FE;
A
ON FOUND
�\
Q-�
MOP
JESSE F. & MARY J.
THOMPSON
SCALE
11 TOWNSHIP COUNTY
STATE
DATE,s
1 " = 60'
1 SHADY GROVE DAVIE
i N .
8-22-95
DR 108 PG
33
RICHARD HOWARD
SURVEYING
F. 0. BOX 276 ADVANCE, N. C. (9 10)
998-5396
JOB NO.
9508
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
i, 1 ' Soil/Site Evaluation
NAME l/ I RG A- ( � i N e srfe l DATE EVALUATED
3
ADDRESS 5 A PROPERTY SIZE i C}c�sL
PROPOSED FACIILTY 0 ymy LOCATION OF SITE
Water Supply: On -Site Well Community Public
Evaluation By: C� L- Auger Boring Pit Cut
FACTORS
1
2 3 4
Landscape position
•5.
Slope %
-is°
t4 - Z-
HORIZON I DEPTH
Texture groupC
L_
�--
Consistence
F Y
Structure
C, \Z—
Z—Mineralo
Mineralogy
HORIZON II DEPTH
AW
Texture groupC
Consistence
T
F�
Structure
(aa�
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
-�
SAPROLITE
.�
CLASSIFICATION
5,
•S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: 1�2 S EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: ��� 4pp OTHER(S) PRESENT: -
REMARKS: Z,'1 `- A '
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS-Footslope 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
SILL -Silty :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
Structurc
3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineralolty
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
DCHD(01-901
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