898 Ralph Ratledge RdDavie Countv. NC
a
Tax Parcel Report b 6,1-1 �),� Thursday, October 6, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: F20000004402 Township: Calahaln
NCPIN Number: 5810154079 Municipality:
Account Number: 8304727 Census Tract: 37059-801
Listed Owner 1: EATON TERESA B Voting Precinct: NORTH CALAHALN
Mailing Address 1: 1014 SHEFFIELD ROAD Planning Jurisdiction: Davie County
City: Mocksville Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.00 AC RALPH RATLEDGE RD
Fire Response District:
CENTER
Assessed Acreage:
0.95
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
2/2015
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009790808
Soil Types:
MnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
7330.00
Freatures Value:
Land Value:
17810.00
Total Market Value:
25140.00
Total Assessed Value:
25140.00
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
NC or arising out of the use or Inability to use the GIS data provided by this website.
Permitte-'s- ; �, DAVIE COUNTY HEALTH DEPARTMENT
Name: 'X Environmental Health Section PROPERTY INFORMATION
? Y" P.O. Box 848
Directions toro ert : ' � (� �' �� e
P P Y Mocksville, NC 27028 Subdivision Name:
s .; ; r. (�,. �� f� .,n% • ' C i`�.t ct
Phone #: 336-751-8760
Section: Lot:
( AUTHORIZATION FOR
r.
e2 tw; WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# - -
AUTHORIZATION NO: 0 0 2 72 5 A Road Name �, _f,' L-Al.t .�3 �'`�Zlpt o
**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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
? ✓ L (I r 1� Oma_ IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST `DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE M k I # BEDROOMS . a # BATHS 2- # OCCUPANTS i GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY { ���xf DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH = LINEAR FT,
OTHER_c > 1.�1 r o.tP �C/%/%� .t" _'��C' S G{�L iL' ? 0/.)�. t_t�t t/4,tjt.%
REQUIRED SITE MODIFICATIONS/CONDITIONS: ��L' +>� �%� r~'Ii 1_ L7 C.t Z' 3 x Vit.•
IMPROVEMENT PERMIT LAYOUT—It'f r
1
A LT" + �'� 4�" •,
-7
C9
L
M ry
1 0��
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:3 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERA T QA�PERMIT '
,,G SYS I LLIED IBY:
--s frG-1\• " C"��� V
l w 1 v�
' �4-
G (� n
IY
AUTHORIZATION NO. OPERATION PERMIT BY:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T TH D A HAS N INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATME ND DISPOSAL SYSTEMS", B HALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) flet # L(,% 07 -LV1 d; / /, AIL , ffd d
Permitte!s---- _ t -� { DAVIE COUNTY HEALTH DEPART�I�EN�
Namg?= Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 ed
Directions to property: ' Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
! _ _ Section: Lot:
fa.'� : - 1','i +' n) L / AUTHOWAASTEWATOER OR -
L L ('�
SYSTEM CONSTRUCTION Tax Office PIN:# - -.-�
� / r
AUTHORIZATION NO: 002725 ;_ '�+L.i F- ►..'1 ' i tr L
A Road Name: '� � • —zip: _-
**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.
ENVIR6NIMENTAC HEALTH SPE51ALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE M 0 # BEDROOMS . �# BATHS -=~ # OCCUPANTS _:;� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
J
LOT SIZE TYPE WATER SUPPLY ,C vn171� DESIGN WASTEWATER FLOW (GPD) .y" 1 �_ -7 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ---'� ROCK DEPTH LINEAR FT. 0,x_.:>
i
OTHER - I • �1 �N`YJ7/�? j'i !;'C J� d \L")1 ,��)/�,4��; /�� t .�ti7y�C ✓U%
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT _
AL F �I,�,/ + t :L+
"IP
f T 4
'>
_�;' &W A•CC.JTC--1-!�
�SLF Li,- - �"\A`t'
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 11
OPERATION PERMIT
+ 1Y0 LE I LLE� BY:
_
1S+T
AUTHORIZATION NO. �L� OPERATION PERMIT BY:
1
k
C�
�n
+ 1Y0 LE I LLE� BY:
_
1S+T
AUTHORIZATION NO. �L� OPERATION PERMIT BY:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM -DESCRIBED ABOVE HASPE
WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT ND DISPOSAL SYSTEMS", BIJr
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
>xHDOM2 «v,sed, &e 207
1 DATE --
INSTALLED IN COMPLIANCE
kLL IN NO WAY BE TAKEN AS A
k
�n
y�
IV)
Y �
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM -DESCRIBED ABOVE HASPE
WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT ND DISPOSAL SYSTEMS", BIJr
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
>xHDOM2 «v,sed, &e 207
1 DATE --
INSTALLED IN COMPLIANCE
kLL IN NO WAY BE TAKEN AS A
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name ' '' % f _ Date
Location , r'
Subdivision Name Lot No. - Sec. or Block No.
Lot Size House Mobile Home Business __ Speculation
No. Bedrooms _ No. Baths _ No. in Family _
Garbage Disposal YES ❑ NO ❑, Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES Ef] NO ❑ ,, r
Type Water Supply
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
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
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.
1. Permit F
2. Address
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. ,, \\
`^ Home Phone L_M' –t§1R�
f1 ip0prt RV� '� �. �;.�1i ,1�� Business Phone
3. Property Owner if Different than Above 1k I -A
Address,
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Homey Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions I'1 X LDC
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 I urinals
lavatory
showers
garbage disposal
washing machine
dishwasher sinks a 1
8. a) Type water supply: Public— Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions \ QCrC_
b) Land area designated to building site
c) Sewage Disposal Contractor sen Fr
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
-s-(5-29 CM-
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
/ SOIL/SITE EVALUATION
Name Date —
Address Lot Size
i
FAr:TnRC AREA 1 AREA 9 AREA 3 AREA 4
Topography/ Landscape Position
9)
S
S
S
S
PS
PS
PS
U
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
(kc:>
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
< ?1S
PS
PS
PS
tr"U
U
U
Soil Depth (inches)
S
S
S
S
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
S
PS
PS
PS
U
U
U
External
S
S
S
S
PS
PS
PS
U
U
U
�) Restrictive Horizons
Available Space
S
S
S
S
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
U—UNSUITABLE
Recommendations/ Comments:
S—SUITABLE PS—Provisionally Suitable
Described by�� / Title
SITE DIAGRAM
DCHD (6-82)
Date
ADDR
iffy Wq-p
e /per
✓i I le,
1 S
AS
DAVIE COUNTY ENVIRONMENTAL HEALTH SECT
I N c7r'ej J GcN ILI
APPLICATION FOR IMPROVEMENT PERMIT (REPA ) 77
PHONE NUMBER LT
I
`� t? SUBDIVISION NAME
2z� LOT #
A
DATE SYSTEM INSTALLED ��T /��� NAME SYSTEM INSTALLED UNDEROVdk ' /��
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TXPE WATER SUPPLY SPECIFY PROBLEM OCCURRING &/akt &W% Z '
DATE REQUESTED /- 6'U / INFORMATION TAKEN BY jrn �L�+
This is to certify that the information provided is correct to the best of my knowl e, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGEN
Rev. 1193
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT
TINFORMATION
Water Supply: On -Site Well / Community
Evaluation By: Auger Boring Pit
PROPERTY INFORMATION
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
D - 26
Texture groupC
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC,•
+
Consistence
- S
Structure
Mineralogy
HORIZON III DEPTH
Texture groupS,
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
�f(i
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATION BY: �� t 'WJCk
LONG-TERM ACCEPTANCE RATE:
REMARKS:
OTHER(S) PRESENT:
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
CONSIST +.N .E
mfliq
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
M'd
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 05105 (Revised)