136 Orchard StDavie County, NC
Tax Parcel Renort G GO Thursday. Sentember 29. 2016
WAMNIINU: lllla n 1VV1 A ZllUnVE1
�ParceI' hiformation
Parcel Number:
M50000001101
Township:
Jerusalem
NCPIN Number:
5735978981
Municipality:
Account Number:
82532130
Census Tract:
37059-807
Listed Owner 1:
LINK RONALD HOWARD SR
Voting Precinct:
COOLEEMEE
Mailing Address 1:
136 ORCHARD STREET
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
.33 AC OFF JERUSALEM AV
Fire Response District:
COOLEEMEE
Assessed Acreage:
0.33
Elementary School Zone:
COOLEEMEE
Deed Date:
7/2010
Middle School Zone:
SOUTH DAVIE
Deed Book/ Page:
008320099
Soil Types:
Gn62
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
59380.00
Outbuilding 8r Extra
Freatures Value:
3290.00
Land Value:
5130.00
Total Market Value:
67800.00
Total Assessed Value:
67800.00
161
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 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.
f DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
Sanitary S//ew//age Syste s Permit Number
Name ;�I ll.+�,i�.lJ��/Date`��` ND .
6669
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home -- Business Speculation
No. Bedrooms 4 No. Baths No. in Family
Garbage Disposal YES p NO Specifications for System:: i
Auto Dish Washer. YES p NO
Auto Wash Ma .hine YES Z- NO
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.
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 704-634-55985.
Final Installation Diagram: System Installed by
ti
l
i
Certificate of CompletionDate
*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 PERM T RECEIVED
Davie County Health Department FEB 19 1992
Environmental Health Section
P. O. Box 665 _ _ _ _ _ _ -
Mocksville, NC 27028
1. Application/Permit Requested By/
Mailing Address._- oZ /%1 d G /� S �J L L /Y• C �13 02
Home Phone O , - �� -3 Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General Evaluation Septic Tank Installation
4. System to Serve: 24ouse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms j�Washing Machine
No. of Bathrooms-- �/ 1 �/ •$�_ ❑ Dishwasher
Dwelling Dimensions _ /t / 4Gc,t ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: ❑ Public WPrivate
8. Property Dimensions 90 ~ /d d Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes
10
❑ 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.
Directions to Property: C
r_pk
10
J�
Y` Y rn
pare
This is to certify that the information provided is correct to the best of my knowledge, and I understand II 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: ❑ 1. 1 OWN the property: Pr2. 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 the pie Countty Health Dep rtment to enter upon above described
property located in Davie County and owned by �A�� I 1� I �� J
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (12-90)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
/ Soil/Site Evaluation
NAME L./ DATE EVALUATED�f
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY �Dl� l LOCATION OF SITE a
Water Supply: On -Site Well Community
Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1
2 3 4
Landscape position
Sloe %
_
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
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
,
SITE CLASSIFICATION: N EVALUATED BY: I -la -/Z
LANG -TERM ACCEPTANCE RATE: � 7 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
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