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443 Oakland Avenue Lot 86 Davie County,NC Tax Parcel Report Wednesday, February 8, 2017 128 fr ,, 462 r d � r 142 r Q � t tir 450 Z - --- -44Z J/ �l 1 +1 Z 7 J 1 WARNING: THIS IS NOT A SURVEY Parcel, ormation, Parcel Number: 11110D0003 Township: Calahaln NCPIN Number: 5708070082 Municipality: Account Number: 27458500 Census Tract: 37059-801 Listed Owner 1: FOWLER JAMES O JR Voting Precinct: SOUTH CALAHALN Mailing Address 1: 443 OAKLAND AVENUE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-8316 Voluntary Ag.District: No Legal Description: LOT 86 OAKLAND HEIGHTS Fire Response District: COUNTY LINE Assessed Acreage: 0.49 Elementary School Zone: COOLEEMEE Deed Date: 7/1995 Middle School Zone: SOUTH DAVIE Deed Book/Page: 001820053 Soil Types: WeB Plat Book: 0004 Flood Zone: Plat Page: 122 Watershed Overlay: DAVIE COUNTY Building Value: 98300.00 Outbuilding&Extra 410.00 Freatures Value: Land Value: 17000.00 Total Market Value: 115710.00 Total Assessed Value: 115710.00 All data Is provided as Is without warranty or guarantee of any kind 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 Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to nDUN� NC or arising out of the use or Inability to use the GIS data provided by this website. • Davie County Health Department 18 � Environmental Health Section P.O.Box 848 , ?NIP 210 Hospital Street I 0 tA � 1 Courier#:09-40-06 1911 Dai '3 Mocksville, NC 27028 gecowedb ' _$k Phone:(336)-753-67 Fax:(336)-753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: � I4�1� ��� Phone Number p' 1 ' bb L( (Home) Mailing Address; q3 'b u W�n� �- _(Work) C ag Email Address: yRthg 'ELukK lb a �X1Ptl 1 Detailed Directions To Site: Property Address: e. Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under.—Qa M PS /`Q �J2.I Type Of Facility: S Date System Installed(Month/Date/Year):_ 9�n Number Of Bedrooms:3 Number Of People: Is The Facility Currently Vacant? YesSNo If Yes,For How Long? Any Known Problems? Yes 0 If Yes,Explain: Please Fill In The Following Information About The AWW—Facility: Type Of Facility:_ Number Of Bedrooms: Number of People 'Pool Size: GarageSize:a4,a(, T) Other: Requested B4igna Date Requested: ture) For Environmental Health Office Use Only Approved Disapproved ents: Environmental Health Specialist ate: 1 —1 *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the y -site wastewater system will function properly for any given period of time. Payment: Cash Check Money rder # Amount:$ Date: Paid By: Received By: Account#: Invoice#: ��9S'LS.I4.oe-�- 157iIIttes*p..cuecniiin f- --. / vob CD n fir/ 4 t. r dam. ,r z 900 41wlyxapu�sdewo6 ainepryau gDalla•Zsdew a' X+eNOD-ON'/4unO3D!-aQ X i� ��y•�junoJa,nead3' ."ate ' ".F ':id o i:7*: a ✓-t fF tc .. y4 x._'/'+...• �_ �.J. - _ :._.. - - ` = v- DAVIE COUNTY HEALTH DEPARTMENT 4 b� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION '.NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems Permit Number' Name. M021Cf„/�K_ — Date ` ' N2 8119 , v Location Subdivision Name f %' t ` Lot No. Sec. or Block No. Lot Size _/ZL11 --- House _L____— Mobile Home ---_ Business --__ Industry No. Bedrooms C--.No. Baths - No. in Family Public Assembly Other Garbage Disposal YES ❑ NO a Specifications for System: Auto Dish Washer YES [7 NO ❑ /(mac:=� �-:: � ✓, .�` � Auto Wash Ma':hine YES ,..t., NO ❑ pp ' '' ` 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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. 67,V mp v ments p rmit,by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M.on day of completion.Telephone Number: 704-634-5985.,g'/60 Final'Installation Diagram: System Installed by —1'\. --L e'v 1� 70 F� N • s Na vs � 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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE Davie County Health Department Environmental Health Section , ...6 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit quested By //! Mailing Address o ' Home Phone �� ^ 649'6 Cfp o g Mqq_ Business Phone 0,41 2. Name on Permit if Different than Above 3. Application for: 0 General Evaluation 11J Septic Tank Installation Permit 4. System to Serve: E mouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry �1 ❑ Other ❑ Unknown 5. If house, mobile home:Subdivision �An� T�1 14 114— Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms B�Washing Machine No.of Bathrooms ❑ Dishwasher Dwelling Dimensions J I 'K 2D (N ❑ 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: E�rP ublic ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes VNo i If yes, what type? '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. Directions to Property: qi) u Ci0 I nc, 19� Coin V iEnT S+Ot2E9. I�vec� S�-e�erf- onhE rh+ 1`'' P l?veck 5+e,t~4- on s 4���th�- 0*k2i 49,e J n, This is to certify that the information provided is correct t e best of my knowledge, and I understand I am responsible for all charges incurred from this application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: . UA. I 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 represe a of the Davie CourHea epartrAent to enter upon above described property located in Davie County and owned b ll!! to conduct all testing procedures as necessary to de ine said site's suitability for a ground absorption sewage treatment -and disposal system. DATE SIGNATURE DCHD•(1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME fDLcr � DATE EVALUATED "1.4- ADDRESS PROPERTY SIZE /dJG PROPOSED FACIILTY d �Z' LOCATION OF SITE Water Supply: On-Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence £' Structure / S/J/4/ Mineralogy HORIZON III DEPTH Texture gr0u2 Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: � l� 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+,.-y friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely fine 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 Mineraloicy 1:1, 2:1, Mixed Notes Ilorizon 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 watef 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 ■■■■■■..■■■.■■■..■■■■■■■.■■■■■■■■■.■■■.....■....■.■■■■■■■■ ■■■mono ■■■■.■../■■■■■■■.■■/......■.■■.■...■m■■.■.■■■■■/■■/noon/.■■■■■■■■■ .....■.....................................�........ .........■■.■ noon■/.■■..■■..■■..■■■■■... ■.■■■■■.■.■..■■■./■ ■E■ ■MM■MM■M■M■■■ ■■.■■/■■.■■■■■■■..■/■.■■■■■�■■■■■■■■■■■■■■■■■■■ ■■■■i■■■■■■■■/noon ■.■■■/■■.■.■■.■■■■■■■■.■■.■■■■■■■■■■■■.■.■■.■■ noon■EH ..■■■■■■■■ ■■.■./■■■■■■■.■■...■...■..■..■■.■.■.■■■■�■■■_�■I■_■.■1�■■.■■■■�■■ ■■/■■■/■.■mono■/■■■■...■■■■..■■■..■■■■■■ ■■■ ■ ■o ■■..■.■.■■■.■..■/■■■.■■■...■■■.■■■■■■■.■■.■■■■■/■ .■.■■.■■mono■■.■ ■■■■■/■■■...■■E■■■En■■EE■■■m■■NNOMEMO■■■m■■m■■■■■■■■■■.■■/MEN n■■■ ■..■■.■■.■.■■.■■■■■■■.■■M..■■■/ ■mono■■N■/.■■.■■■■■■■■■■■■■■■EN ■ ■.■■....■■■EEEmEmEE■■mEnE■MESE■EE■.■■.EE■mE■m■■.�o=■=o■■■N■000■.■■ ■■■OE■■n■EEE■EE■■■.■■■.■■■■MEm■■n■■■■■■■■m■■M■■ _ M■MEMMEMEMEME■ ■■■..■■■...■■.■■■.■■■.■■■■.■■.■..■■■ ■MEN m■ m■mom■ ■■mm. mom■OE■■ MONO ■■/.■.■/■■.■Em■■/.■■■.■.■■■■■■/■■■ Emommo■■■■H■■■■E�■■.E■ ■oiME mlom No mom ■■■■.■mEEE■E■■■noon■EN■.■■■■■■■■.■.■■.■.■■■/■■ .■■. ■..mm■.■EE ■■■■■■■■■■m■■MO■E■■■O■n■m■MEO■/■■■■■■■■■■ noon■ ■ ■■ OM ■■■nano iiiiiiiiiiiiiiiiiiiiiuiiiiiiiii■Eiiiiuii iiiiii.i■=iiii�irE=iiiiii0 /���■ii�������ii�mum��lE���IE��������■.�����.���■��� ■■N■omo�Monsoon IMMOMEM ■■■■■MMMMMM■■/■■M■■■■E■■m■IIE■OON MEMO ■ . 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