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687 Gladstone Rd Lot 3 Davie County,NC Tax Parcel Report Thursday,December 29, 2016 r` 681 i i i 120 ,i..,0 687 -----v--- /r i WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M404OA0003 Township: Jerusalem NCPIN Number: 5736615265 Municipality: Account Number: 82519510 Census Tract: 37059-807 Listed Owner 1: COCKERHAM WILLIAM LEE Voting Precinct: COOLEEMEE Mailing Address 1: 687 GLADSTONE ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 3 GLADSTONE ESTATES SECTION ONE Fire Response District: . COOLEEMEE,JERUSALEM Assessed Acreage: 0.48 Elementary School Zone: COOLEEMEE Deed Date: 9/2002 Middle School Zone: SOUTH DAVIE Deed Book/Page: 004390016 Soil Types: GnB2 Plat Book: 0006 Flood Zone: Plat Page: 012 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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.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 ail claims 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 C �o f` IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance With Article 1.1 of G.S.Chapter 130a vhf Sanitary Sewage Systems y: 07 Permit Number /�,>: 1%> ��/'>!` ,, i. - - -moi, N2 5994 \ Name �,rF. . ,r ,� i r Date � 'o % Locations/,�S-� ✓ Subdivision Name ,/i?/1'c�Jt^�� }%/iii-f Lot No. : Sec. or Block No. Lot Size-.1.1e "A940 House Mobile Home �-^' Business —_ Speculation No. Bedrooms — No. Baths �'� ' No. in Family llz�lq" Garbage Disposal YES ❑ NO p' Auto Dish Washer YES NO ❑ Specifications for System: Auto Wash Machine YES j NO ❑ (/ y , Type Water Supply i -- ✓ -T AW *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Z3 Improvements v r1' 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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: ystem Installed by �/��°' f Certificate of Completion � � Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. g ' 4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section / Soil/Site Evaluation / NAME DATE DATE EVALUATED ADDRESS , PROPERTY SIZE ff�l��b'o?�✓D PROPOSED FACIILTY /// '< LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By: Auger Boring r/ Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z HORIZON I DEPTH `1 Texture group e-- S L Consistence Structure S, le Mineralogy HORIZON II DEPTH Texture group l Consistence r Structure S'Xle Mineralogy 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 SITE CLASSIFICATION: �/'. 51 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 clay 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 SC-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 ■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■■■ ■■■■■■■■■.■■.■■■t■■■■t■■■.■■■■■■ ........................... ............................■......... .................................................................. ■■■■■■■■■■■.■■■■■■■■■■■■.■■■■■■ ■■■■■■■■..tt■■■■■■■■.■■■■tit.■■■ ■■■■.■.■■.■■■.■■■■■■■■.■..■■■.■■.■■■.■■■■■■.■■■■■.■■■■■■■■■■■■■.■■ ■■■..■■■■■■■■.■■■■■■■■■..1�....■■■Gf■■.■■■�■■■n■tri.■..■.■■■..■■■■■ ■■■■■■■..■■■■■■■■■t■■■■■[��■■■■■■ +�t■■■■■!1J■■.■.■llrJ.■■■.■■■t■■■ ■■■ ■■■■■■■■■■■■■■■■■■..■■■tee.c====="i•..e=========t■■■■t■■.■■■■■■■■■■ ■■■■■■■e■■■■■■■■t■■■■t■■■■■■■■■■iii■■■■■■■■■.■■�■■■■■■■.■t■■■.■■■■ .....■.........................................�.......... ■■■■t■■■ UiiiiiiiiiiON Emmiii� MEMNON MEMNONMiiiiiMMEMEiiiiiiiii ■■■■■..■.■■■■■■..■■■■■■.■■■■■■■■■■■■■■■■■■■.■■■..■■■■■■■■■■■■�■.■■ ■..■.■■■..■■■■■.■■t.■■■...■....■.■■■■■■.■■■ONE�■■■■■■u.■M■■■■■■I■ ■t■ .■ ■■■■■■■■■■tt■■■■■■■■■■.■t■■tt■.■■■■■t.■■■.. ■■■■■■■ ■■■■■■ ■ ■.■■■■■■■■.■■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■M■■■■■■■■■■■.MEMO MENEM iiiiiiaiiii�■iiiiii■�iiiiiii�■ii.�iiiiii■■■i=ii�■iii.�iiiiiiii= ■■■■■■■tori■■■�i■■■■■■■■■.■■..■■■■■.■■.■■■■■■■■■■.■■■■.■.■..■t■■■■.�■■ ■■■■■■■■■.■t■■■■■■■■■t�■■■■■■■■■■■■■■■■■■■■�tt■■■■■■■■■■■■■■..■■■ ■■■■■■■■■■..■■■■■.■■■■■■■t■■■■■■■■■■■■■■■■t■.■■t■t■■■.■■■■■■■t■■■■ ■■■■■■■H■■.■■■■■■■■■■■■■■■■■■■■t■■t■N■■■■■■■tt■■■■■■■■■■t■t■■t■t iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiutii■iiaiiiiiiiiiiiiiiiiiiiiiiiiii APPLICATION FOR SITE EVALUATION/IMPROVEMENTS'�PERMIT r Davie County Health Department Environmental Health Section r P. 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone _ _;2 L �:✓ 1. Permit Requ s d y © , (A,yi Business Phone 651 2. Address W11 Cle) 3. Property Owner if Different than Above Address _ 4. Permit To: a) install Alter Repair_.__ b) Privy Conventional Other Type Ground Absorption c) Sub-Division Sec. Lot No. S. System used to serve what type facility: House Mobile HomeNo. IndustryOther b) Number of people 6. a)If house or'mobile home, state size of home and number of rooms. House Dimensions Bed Rooms Bath Rooms Den w/Closet ' b) If Business, Industry or Other, State: Number of persons served What type business,etc. Estimate amount of waste daily (24 hours) 7. Number and type of water-using fixtures: , commodes urinals garbage disposal `y k lavatory showers washing machine ;. t . dishwasher sinks kr, 8. a) Type watersupply: Public Private Community b) Has the water supply system been approved'. Yes No- 9. o 9. a) Property Dimensions ' b) Land area designated to building Site c) Sewage Disposal Contractor 10. Do you anticipate any additions or-expan'sions of the fe+ tty this sewa ;aysisfent is} tb ? What type? 411 This is to certkN than the informationj> err t t . he best Date er ignature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANE WITH ALL,STATE AND LOCALLAWS Allow 5 days for processing ls; Dire 'bns to p.roperty: � �'• :�� ' x LV12{+r I� Ct.n. tA: 1 . i + a a i # ` DCHD 16.821 l '