128 Somerset Ct, Lot 6 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E713OA0006 Township: Farmington
NCPIN Number: 5871324361 Municipality:
Account Number: 82522784 Census Tract: 37059-803
Listed Owner 1: KOEVAL KARL R Voting Precinct: SMITH GROVE
Mailing Address 1: 128 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 6 ALTON PLACE PHASE ONE Fire Response District: ADVANCE
Assessed Acreage: 0.73 Elementary School Zone: SHADY GROVE
Deed Date: 4/2012 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 008880112 Soil Types: Gn62
Plat Book: 0006 Flood Zone:
Plat Page: 161 Watershed Overlay: DAVIE COUNTY
Building Value: 148850.00 Outbuilding 8r Extra 2440.00
Freatures Value:
Land Value: 50000.00 Total Market Value: 201290.00
Total Assessed Value: 201290.00
161 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 or fitness for a particular use.Ail 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 ail claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
Au oRizaTION No: 0978 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INF�O!RMATION
Ferc£utfee'sf. ��,/ P.O.Box 848
Name: Mocksville,NC 27028 Subdivision Name: 1
,.,property:. . � Phone#:704-634-8760
Directions to
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# L-
SYSTEM CONSTRUCTION
d4
Road Name: � "o' �'►�l (r Zip: �
**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
7�1 cf� •_ ( f /�f`� ,� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HifALTH SPECIALIST DATE ISSUED
�,�-.� r.,,,+k�- ,3,a rr�.{ r `xsiv„ .}•,�ar `—^sq-- r ,� x•,y rn �4x '.lY"hts °' ,v5,�,,�r:, _ rt .�r:-�r n ',a a�—a-... _ ,,}V ;._... ,r' ,;
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Fe`'rl�y.ee
Name: Subdivision Name:
Directions to property: -•-. f Section: Lot: .
- IMPROVEMENT
- PERMIT Tax Office PIN:# Of
Road Name: *1 w^ ^� Y, F` "P r
**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)
' ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
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 OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE L-' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE,Z&�2_GAL. PUMP TANK GAL. TRENCH WIDTH s(� ROCK DEPTH 1” LINEAR FT.,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
---------------------
�..
H �
"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
SYS ALLED BY:
/01
DI
AUTHORIZATION NO. y _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 05/96(Revised)
A APPLICATION FOR SITE EVALUATIONAWROVEMENT PERMIT&ATC
{ Davie County Health Department T �� []
Environmental Health Section D
P.O. Box 848 JUN 1 71997
Mocksville,NC 27028
(704) 634-8760
1
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE ESS ALL
? ' THE REQUIRED INFORMATION IS PROVIDED.
i
1. Name to be Billed ( Contact Person G
{ Mailing Address Home Phone�"/ ywe-
t ' City/ tate/Zip A p'rf{-��"_ 70��� Business Phone
1 2. Name o. ?ermit/ATC if Different than Above
Mailing ddress City/State/zip
3. Application For: [ ]Si Evaluation [ Improvement Permit&ATC [ ]Both
4. System tc Serve: [' ouse [ ]Mobile Home [ 1 Business [ ]Industry [ ] er
5. I7Re ence: #People #Bedrooms #Bathrooms [ Dishwasher[ GazbageDisposal
h ag Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing
i 6. If Business/Other:Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
1
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: County/City [ ]Well . [ ]Community,
L;
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ No
i If yes,what type?
i E I THEM A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT***AdE 'XOF THE PROPERTY MUST BE
SUBMITTED WITH T S APPLICATION.
9 / � ( )
Property Dimensions: WRITE IRECTIO/NS from oeksville TO PROPERTY.
Tax Office PIN: # �- _- i51,1_C f'1 GZ7'1'1 � ,
Property.Wdress: Road Name ��/�`�
City/Zip4
k dC ��
--l?��11�Y1��- . �
j' If in Su':;:ivision pro id i Vatiop7follows:
Name:
Section:., Lot#: (O x
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
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 a^ r el / l�S to nduot a5 testing procedures as n ssary to et me the site suitability.
DATE / SIGNATURE
i! Revised DCHD(06-96)
THIS ARE MAY RE USED FOR bItAWINC JOUR SITE PLAN:
I.
o
. �l
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &ATC
Davie County Health Department
Environmental Health Section D
P.O. Box 848
Mocksville, NC 27028 AUG - 61997
M (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED
THE REQUIRED INFORMATION IS PROVIDED.
/ C 11ED.
1. Name to be Billed ^D�' Contact Person 101/
Mailing Address Home Phone
City/State/Zip /���n/Le Z)-74( e Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [ ]Site Evaluation [AKmprovement Permit&ATC [ ]Both
4. System to Serve: Ouse [ ]Mobile Home [ ]Business [ ]Industry [ ]Other
i
5. If Residence: #People _ #Bedrooms #Bathroomishwasher[ arbage Disposal
[ ashing 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: ounty/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes r- o
If yes,what type?
PROPERTY INFORMATION REQUIRED:***IMPORTANT***AOF THE PROPERTY MUST BE
SUBMITTED WITH'Tr APPLICATION.
Property Dimensions: WRITE DIRECTIONS(from VIolcksville)TOPRO ERTY:
Tax Office PIN: # $7 - - ! / J �!` k� 7�( /C
Property Address: Road Name SD m e r_e 4= C4 l-
City/Zip 4d0e.✓tc 0. 7466 ;
If in Subdivis' n provide information,as follows:
s,v !2/
Name: /AXt-1Z
Section:
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
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
Re ative of the Dav' County Health Department to enter upon above described property located in Davie County and owned
by con t all testin proce a necessary to determine the site suitability.
DATE '3 " — GI' SIGNATURE
Revised DCHD(06-96)
THIS AREA hfAJ $E USED FOR DRAWINCG YOUR SITE PLAN:
1
I ! I
� I
DAVIE COUNTY HEALTH DEPARTMENT
=` Environmental Health Section
Soil/Site Evaluation
DATE EVALUATED
NAME
ADDRESS PROPERTY SIZE QO73.r
PROPOSED FACIILTY dSX LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 1 2 3 4
Landscape position
Sloe % 2
HORIZON I DEPTH A Al
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy i41
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION ri
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY: T
LONG-TERM ACCEPTANCE RATE: - OTHERS) 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
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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