119 Somerset Ct, Lot 2 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E713OA0002 Township: Farmington
NCPIN Number: 5871328408 Municipality:
Account Number. 28221000 Census Tract: 37059-803
Listed Owner 1: FUNDERBURK TERRY L Voting Precinct: SMITH GROVE
Mailing Address 1: 119 SOMERSET COURT Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-7471 Voluntary Ag.District: No
Legal Description: LOT 2 ALTON PLACE PHASE ONE Fire Response District: ADVANCE
Assessed Acreage: 0.67 Elementary School Zone: SHADY GROVE
Deed Date: 4/1997 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001930841 Soil Types: Gn132
Plat Book: 0006 Flood Zone:
Plat Page: 161 Watershed Overlay: DAVIE COUNTY
Building Value: 135460.00 Outbuilding&Extra 2560.00
Freatures Value:
Land Value: 50000.00 Total Market Value: 188020.00
Total Assessed Value: 188020.00
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability ortttness for a particular use.All users of Davie County's GIS website shall hold harmless the
NC
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
n0 tyS NC or arising out of the use or Inability to use the GIS data provided by this website.
d' .;af`F. A.Ti• �•si�iFR.k�'iY�p �. ,4.+'i"4..+� :�tY i'+s �Ptil''➢
AUTHORIZATION NO-;;Q 8 5 4 ;;DAVIE COUNTY HEALTH DEPARTMENT
rT `'e Environmental Health`Section PROPERTY INFORMATION
-Pernyttee'sµ: P.O.Box 848
!�Vame:� ,. X12 Mocksville,NC 2702E Subdivision Name:
f Phone#:704-634-8760
Directions to property:_ f ,+?✓ g �. '� Section: Lot:
- j AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:#
�- SYSTEM CONSTRUCTION
Road Name:
**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 of G.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.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
q,y6t"t'``ri5:'�„`y � =;r..r ;-r g.t,",.,5.>c �--y's.,, .,j w1'5.�`�rs p• tf r.v N"c., .. -,.ra ,.j. at,.7. 4 ru i „�.trri` c 1'' - i r .•.� ;.y� +^+$��!\�
„. DAVIE COUNTY HEALTH DEPARTMENT
r=.
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name: O
Directions toproperty: ," r•fir" 1"" Section: Lot: r
IMPROVEMENT ,y
PERMIT Tax Office PIN:#
Road Name 1 r�r fire
tP
**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
constructionAnstallation 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)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
y`r *y'+ y� / T�• '"�/'' ✓J�y,{" PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS c2- #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLYDESIGN WASTEWATER FLOW(GPD)y � NEW SITE.- �''� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �; GAL. PUMP TANK GAL. TRENCH WIDTH . V /ROCK DEPTH ,LINEAR FT.2D d
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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: �a7 JJ IJ1� A tLi✓J
kCJ IS
W
AUTHORIZATION NO. s OPERATION PERMIT BY:�CLL.I DATE: (1��a(p
"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)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC
Davie County Health Department EUNLES Environmental Health SectionP.O.Box 848Mocksville, NC 27028
(704) 634-8760
M
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS
' THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed �• L• Vo49Contact Person
Mailing Address npyn x ���O c7 Home Phone /10—d��'!�— 477
City/State/Zip U (gyp rJ/ E N C_ ?0 Pz) 6 Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [ ]S' Evaluation [ Improvement Permit&ATC [ ]Both
4..System to Serve: House [ ]Mobile Home [ ]Business [ ]Industry [ ] Other
S. If Res' ence: #People #Bedrooms #Bathrooms [k-r6ishwasher[, Garbage Disposal
[ Washing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other:Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: [ County/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes
If yes,what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT***&; F THE PROPERTY MUST BE
SUBMITTED WITH T S APPLICATION.
Property Dimensions: �� ,X ,2 [� WRITE DIRECTIONS(from Iocksville)TO PROPERTY:
Tax Office PIN: #_-6 �Z-
/
Property Address: Road Name /'SAM
city/zip � �Lli ce n/ C —2-�
' If in Subdivision provide information,as follows:
Name:
Section:—A cz I Lot#:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)issued hereafter are
r
subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. 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 condt4t all tes 'ng procedures as necess to determine the site suitability.
DATE SIGNATURE
Revised DCHD(06-96)
THIS AREA MAY $E USED FOR DRAIVINC7 YOUR SITE PLAN:
i
,
DAVIE COUNTY HEALTH DEPARTMENT
- . Environmental Health Section
Soil/Site Evaluation /
NAME DATE EVALUATED
ADDRESS f PROPERTY SIZE OOO-xe,
PROPOSED FACIILTY LOCATION OF•SITEa(i
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring Pit_ Cut
FACTORS .1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence i
Structure C Q11-
Mineralogy
ki .Mineralo
HORIZON III DEPTH
. Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: 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-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
Structure
3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineralo¢y
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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?have County Neall Department
and .?dome Nealf .f1yency
210 HOSPITAL STREET/P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE:(704) 634-5985
March 20, 1996
' I
Richard Short
P. 0. Box 335
Mocksville, HC 27028
Re: 9 Site Evaluations
4 Alton Place/Section 1 (Lots 1-9) .
lBeauchamp Road/Davie County
Dear Mr. Short:
As requested; a representative from this office visited the aforementioned
sites on March 15, 1996. Based upon the information provided on the
1 application(s) for site evaluation(s) and after the evaluations were completed,
- the sites were found to be.provisionally suitable for the installation of an
on-site sewage disposal system on each lot.
.a
s
Before any permit(s) can be issued the appropriate application(s) must be
f filled out and the house location(s) staked off.
_If you have any questions, please feel free to contact this office.
I
jSincerely,
Robert B. Hall, Jr., R.S.
a Environmental Health Section
'( RH/wd
Enclosure(s)
cc: Jesse Boyce, Zoning Officer
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