117 East Ridge Court Lot 4 Davie County,NC Tax Parcel Report Tuesday, December 20, 2016
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62 333
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E8110D0004 Township: Shady Grove
NCPIN Number: 5881140006 Municipality:
Account Number: 82520070 Census Tract: 37059-803
Listed Owner 1: WOOD KEVIN LEE Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 117 EASTRIDGE COURT Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: LOT 4 EASTRIDGE Fire Response District: ADVANCE
Assessed Acreage: 0.99 Elementary School Zone: SHADY GROVE
Deed Date: 1/2003 Middle School Zone: WILLIAM ELLIS
Deed Book I Page: 004620053 Soil Types: Gn132
Plat Book: 0006 Flood Zone:
Plat Page: 099 Watershed Overlay: DAVIE COUNTY
uilding&Extra
Building Value: FOureatbtures Value:
Land Value: Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
DDavie County, 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,Worth Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
EO NC or arising out of the use or Inability to use the GIS data provided by this website.
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`64ifORIZATION NO;,,Qj6 2 8 ' DAVIE COUNTY HEALTH DEPARTMENT 'fid`op
Environmental Health Section PROPERTY INFORMATION
Permigee s`1 , P.O.Box 848 i
Name: Mocksville;NC 27028 Subdivision Name: t\5y \r.�q
- Phone#:704-634-8760
Directions to property: V - Section: Lot:
AUTHORIZATION FOR
U t S ,�or.�) c "�-.� WASTEWATER Tax Office PIN:#SA t 14 0 t10
SYSTEM CONSTRUCTION.
Road Name: n 'F.%.Nge �bUt�Zip: .��6
**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
{�'s{!„a4'�1si,igstyayry,�( ;4e Yia..�:i�ssi�Sk`.'y�.4uy p"b+.•n. <.sky+Cg;y.Crq' '�'�y.C+'�;^r"w^jrv�,s si'9.'Q�Lr I"»-,1�+ r r ,. », ,.. .. . '`,L. .>q 1 r^.v';t..
P 't Y,+>.,a,�"� l r„ i�".�`.'-�'''i+s\'+',v,1a r •.(� :.:.rO
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perini � 4 a .. ,
Rim �� i���a��y) Subdivision Name: � ,�
Directions 1: property:, Section: Lot: Li
IMPROVEMENT
PERMIT Tax Office PIN:#S? _ _ 3
w`�� „�.;, t, C �. `r • Road Name:I- F-i:k«P ;`,:ZiD: P106
**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 t
(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 -!� #OCCUPANTSGARBAGE DISPOS v' Ye or No
{
COMMERCIAL SPECIFICATION:;FACILITY TYPE #PEOPLE #PEOPLE/SHIFf #SEATS' INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) 3 NEW SITE V1-'-")' REPAIR SITE
` I l �^,�^^(
SYSTEM SPECIFICATIONS: TANK SIZE b D GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
_)�? c�
OTHER 9.1 _
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERM LAYOUT
��►1-E`� ,� S y �1es
F
r+�
o od
o
x
*"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)6348760.
OPERATION PERMIT --�-
SYSTEM INSTALLED BY:
N011
o s�
r�, a
(' Q!6-
AUTHORIZATION NO.v OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE AT SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S.CHAPTER 130A,SECTION.1900"SEWAG TREA AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII I.FUNCTION SATISFACTORIL_ FOR A41 GIVEN PERIOD OF TIME.
DCHD 05/96(Revised) C
Z
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department
Environmental Health Section AUG 2 61996
P. O. Box 665
Mocksville, NC 27028
J 'tir'I N
1. Application/Permit Requested By 10 1
Mailing Address_&K A ep&-&-A� Or Home Phone �
dU we";_ NZ, Business Phone 7:79"'
-
2. Name on Permit if Different than Above
3. Application for: L-1-General Evaluation ❑Septic Tank Installation Permit
4. System to Serve: louse °❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. It house, mobile home: Subdivision _ Section Lot #
B'BasemenUPlumbing
No. of People ❑ BasementlNo Plumbing
No. of Bedrooms--3—_ 9'GVashing Machine
I
No. of Bathrooms �7 C�'Dishwasher
Dwelling Dimensions 'Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served _ No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: Public 171Private ❑ Community
/
8. Property Dimensions 11kre— Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes f� No
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.
PROPERTY/ INFORMATION REQUIRED:
Directions to Property: Tax Office PIN: # SfM --/S(-pmpl
UlVdP�PjtSS PROPERTY ADDRESS, ams, l,follows:
Road Name: FA 1C1dr16 e4lfI4
C i t y: .CAz"'Ole N.(f.
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1 , 1995.
IV
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 appli�cation.
g � li/
DATE� SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DQNE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. I OWN the property. f�2 I DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County He Ith Department to enter upon above described
cated in Davie County and owned by_,T�An a om��pW
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DATE SIGNATURT
DCHD(1193)
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,TOTALS
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' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
v
NAME 1 q_s DATE EVALUATED
ADDRESS PROPERTY SIZE t�b $ q-f
PROPOSED FACIILTY
OU'5 o LOCATION OF SITE ���� Lot"
Water Supply: On-Site Well _ Community Public
Evaluation ByC-I'AugerBoringy Pit Cut
FACTORS 1 2 3 4
i
Landscape position
Sloe 7.
HORIZON I DEPTH u N
Texture groupL C L
Consistence
Structure 2 C
Mineralogy I''A 11"I
HORIZON II DEPTH
Texture group
Consistence
Structure 1�
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS SIsS
RESTRICTIVE HORIZON
SAPROLITE — ---
CLASSIFICATION . S
LONG-TERM ACCEPTANCE RATE i
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RAT : �� OTHER(S) PRESENT:
REMARKS: AI
\
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-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
3C-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
MineralafZy
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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Davie County Health Department
andHome-Come Health agency
Environmenta(Heafth Section
F.O.Box 848/ 210 HOSPITAL STREET
COURIER#09-40-06
MOCKSVILLE,N.C.27028
PHONE:(704)634-8760
August 30, 1996
i
Hilton Sykes
c/o Hubbard Realty
Attn: Gray Potts
5342 Hwy. 158, Suite 1
Advance, NC 27006 i
's
Re: Site Evaluation/Eastridge-Lot 4
Tax PIN: #5881-14-0006
Dear Client: .
As requested, a representative from this office visited the aforementioned
site on August 29, 1996. Based upon'the information provided on the
application for site evaluation and after the evaluation was completed, the
site was found to be provisionally suitable for the installation of an on-site
sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Charles E. Little, R.S.
Environmental Health Section
CL/wd
Enclosure(s)
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