155 Camden Court Lot 5 Davie County,NC Tax Parcel Report Wednesday,November 9,2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. G703OA0005 Township: Shady Grove
NCPIN Number: 5860933426 Municipality:
Account Number. 82530454 Census Tract: 37059-803
Listed Owner 1: EAGLE CHRIS D JR Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 155 CAMDEN COURT Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: LOT 5 CAMDEN YARDS Fire Response District: ADVANCE
Assessed Acreage: 0.75 Elementary School Zone: SHADY GROVE
Deed Date: 9/2003 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2003EO299 Soil Types: Gn62
Plat Book: 0006 Flood Zone:
Plat Page: 169 Watershed Overlay: DAVIE COUNTY
Building Value: 84320.00 Outbuilding 8r Extra 1480.00
Freatures Value:
Land Value: 30000.00 Total Market Value: 115800.00
Total Assessed Value: 115800.00
161 Ail data is provided as Is without warranty or guarantee of any ldnd 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 websfte shall hold harmless the
rCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all 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.
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-AUTHORIZATION-NO: 0549 DAVIE COUNTY HEALTH DEPARTMENT ��.;XXD ~'
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O.Box 848
Name: 4x/, -;41/G
Mocksville,NC 27028 Subdivision Name:
property: Phone#:704-634-8760
Lot:
Directio
ns to ' !, - / �/ Section:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN13,90,
SYSTEM CONSTRUCTION
Road NameaaL Zip:'I 700to
**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 I I 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 HEAL SPECIALIST: DATE ISSUED
i�'"ai;er—(( c'-b+ 7sY'i'x..+�» .c��„ y >✓.t- t Yr � ...
�. � , - 1 �. ..t_ 1,�1.--.... ..x..xk ' qtr+ _�.y..,::.i r, . -.- r-',p •F.,e, ,, , ."n�Z:� ' 'i n- y . i-- (���f�1 .. „
DAVIE COUNTY HEALTH DEPARTMENT �0
ti
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Name:-- r e, :f.+<
' '.x:v'�', Subdivision Name:
Directions-to property, r �,. Section: Lot:
EUPROVEMENT
•;' PERMIT Tax Office PIN1SY11i) a _r 1•,nL'
Road Name. d i•;» r t'c` Zip: 7 7.10 tr
**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 1F 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 H #BEDROOMS,7_#BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE/ #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY O DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
r
SYSTEM SPECIFICATIONS: TANK SIZE/—,/Q GAL. PUMP TANK GAL. TRENCH WIDTH, ROCK DEPTH LINEAR FT.�c�ei
OTHER
REQUIRED SITE MODIFICATIONS/CONDTI•IONS:
IMPROVEMENT PERMIT LAYOUT
r
"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:
q°
AUTHORIZATION NO. 7 OPERATION PERMrr BY: DATE: Z7?—04
!
"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 EVALUATION/IMPROVEM ' .
Davie County Health Department
Environmental Health Section
P. 0. Box 665 � 0 � a 1996 !
Mocksville, NC 27028 4
i
1..•Application/Permit Requested By
Mailing Address
IllyGS Home Phone 9C/B' 2-C1 20
Business Phone
2.`Name on Permit if Different lan Above '
3 .'Application for: General Evaluation ❑Septic Tank Installation Permit
4. System to Serve: XiHouse ❑ Mobile Home ❑ Place of Public Assembly
f
❑ Business ❑ Industry they ❑ Unknown y
5. If house, mobile home:Subdivision (�Q ��� Section Lot# [[
!:
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No.of Bedrooms ❑ Washing Machine
No.of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal i
6. If business,industry, place of public assembly, other: Specify type
. i
No. of People Served No. of Sinks .
No. of Commodes No. of Urinals
No.of Lavatories No. of Water Coolers {
t,
c.
No.of,Showers Water Usage Figures
t
7 Type of water supply: t'Publi ❑ Private ❑ Community `
8. Property Dimensions Sewage Disposal Contractor
9.. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes KNo
If yes, what type?
f'
i
'NOTE: Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: PROPERTY INFORMATION RE/QUIRED:�7
Tax Office PIN #
Road Name — u--z-�' 1�I"'�p
,l z,r
i Qp_ r Box # (if available)
city Ad✓ate e_Q_
x .
I
f
This is to certify that the information provided is correct tot e o e ea d I understand I am responsible for all charges j
incurred from this/application. !.
i
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. P-12. I 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 th avie Cou ty Health JQepartment to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determin said 7si ' forabsor n sewage treatment r
and disposal system.
DATE SIGNATURE
3 DCHD'03)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation /
NAME DATE EVALUATED - "6 "Qj
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE G
r
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L
Slope %
HORIZON I DEPTH yP
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence 42
Structure
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 J
SITE CLASSIFICATION: 1 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,.-!7y 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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