4777 Hwy 801SDavie County, NC Tax Parcel Report Tuesday, September 27, 2016
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101
Davie County, NC
WARNING: THIS IS NOTA SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcel Number:
K70000005605
Township:
Fulton
NCPIN Number:
5776294858
Municipality:
Account Number:
82519243
Census Tract:
37059-804
Listed Owner 1:
BLACK CHRISTEL W
Voting Precinct:
FULTON
Mailing Address 1:
254 STONE RIDGE DRIVE
Planning Jurisdiction:
Davie County
City:
JEFFERSON
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
28640-9008
Voluntary Ag. District:
No
Legal Description:
2.330 AC HWY 801
Fire Response District:
FORK
Assessed Acreage:
2.27
Elementary School Zone:
CORNATZER
Deed Date:
7/2002
Middle School Zone:
WILLIAM ELLIS
Deed Book t Page:
004300028
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
46830.00
Outbuilding & Extra
560.00
Freatures Value:
Land Value:
21370.00
Total Market Value:
68760.00
Total Assessed Value:
68760.00
101
Davie County, NC
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 website shall hold
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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-
`"" DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION,
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
—..,Sanitary Size age Systgm Permit„uu� � or
Name '' r !Ic „?�1 Ga .�✓r�:Y�E%' Date r o ((
Location
Subdivision Narpe Lill 7 IV ti alq Lot No. Sec. or Block No.
Lot Size House Mobile Home —� Business Speculation
-
No. Bedrooms No. Baths ` 2 No. in Family
Garbage Disposal YES ❑ NO Q Specif}'catiQ�s f9r`�yjem:
Auto Dish Washer YES NO ❑ 7XIM /�+°
Auto Wash Ma .kine YESMa
NOE]
Type Water Supply __—
*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.
J ............................
� µms.,----'" ,
r r
Improvements 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:
System Installed by
Q
S iib �y[
CA, \�\ f ,-Ip
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 betaken as a guarantee that the system will function
satisfactorily for any given period of time.
r
U UION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
D Davie County Health Department
APR i 5 1 =` �Environmental Health Section
�3
P. O. Box 665�� v7
IMocksville, NC 27028
f�, 11
Application/Permit Requested By J_R %7� - VZ4 C�
Mailing Address 2- Z (o V to -/V 1 P /N 1, &AVfiW/ 1 R# (7-4 S/ 4- %
Home Phone Cf 12 "' Z 2— 0 12- 2— Business Phone
2. Name on Permit if Different than Above
3."Application/Permit for:
4. System to Serve:
❑ Business
❑ House
❑ Industry
5. If house, mobile home: Subdivision
No. of People 2
No. of Bedrooms 3
No. of Bathrooms
❑ General Evaluation
,Mobile Home
/ �
Dwelling Dimensions 20 X �l� ° 4 p
❑ Other
6. If business, industry, place of public assembly, other: Specify type
No. of Peonle Served 2—
No. of Commodes
0—
No. of Lavatories 2 -
No.
No. of Showers i
Septic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
No. of Sinks 4—
No. of Urinals N
No. of Water Coolers
Water Usage Figures
7. Type of water supply: ❑ Public A Private
8. Property Dimensions 2 1 ? 4- �C , Sewage Disposal Contractor
❑ Basement/Plumbing
❑ BasemenUNo Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ,eNo
If yes, what type?
❑ Community
*NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
oin7°c�o�e %
11,41,lil- dds up? �i� �� ° aW"e`er �u7C,�dv)t 0 61 d
This is to certify that the information provided is correct to the best of
incurred from this applic tion.
DATE
and I understand I am respo ible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 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 representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (12-90)
SIGNATURE
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
- Soil/Site Evaluation
NAME /`/GC DATE EVALUATED
ADDRESS PROPERTY SIZE -7 -W�Z a73
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3 4
Landscape positionSlope
%
'—
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
lel
Mineralogy
i
/
/. /
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
77
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: C EVALUATED BY: 11-A //
LONG-TERM ACCEPTANCE RATE: 'i OTHER(S) PRESENT:
REMARKS: Nn (1
LEGEND
Landscave 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
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
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