228 Ralph RdDavie County, NC
Tax Parcel Report (U Thursday. October 6, 2016
WARNIIN J: THIS IS 1VUT A SURVEY
Parcel Information
Parcel Number:
H70000000905
Township:
Shady Grove
NCPIN Number:
5769336408
Municipality:
Account Number:
35502000
Census Tract:
37059-804
Listed Owner 1:
HEPLER SAMUEL RAY JR
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
228 RALPH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-7359
Voluntary Ag. District:
No
Legal Description:
1.96 AC RALPH RD
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
1.60
Elementary School Zone:
CORNATZER
Deed Date:
12/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
002070805
Soil Types:
MrB2,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
52850.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
27460.00
Total Market Value:
80310.00
Total Assessed Value:
80310.00
91 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
r'oU N�'4 NC or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO:;; 17 05 DAVIE COUNTY HEALTH DEPARTMENT
�t� Environmental Health Section PROPERTY INFORMATIONyg 5 q g
Permittee's Cl 'T QK P.O. Box 848
K
Name: i L. �--( ksville, NC 27028 Subdivision Name: W
('c� �O /�,��� Phone# 336-751-8760 p-
Directions to property-.,_ `i � [, r Section: Lot:` 2
AUTHORIZATION FOR T J/ ( j
WASTEWATER Tax Office PIN:#5 +u' i -. 2 {�"
SYSTEM CONSTRUCTION 8 —
Ro d Name: V40ti R) Zip: X76M
**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 1 I of G. . Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
c***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
14-.� '"'L`'t% IS VALID FOR A PERIOD OF FIVE YEARS.
E IRONM N ; FAft SPECIALIST ODATE ISSUED
J'.•.
0
"7
�AI/S!
0 if
DAVIE
IMP
�OUNTY HEALTH DEPART' BENT � a
VEMENT AND OPERATION PERMITS ITS PROPERTY INFORMATIO � -' 9
Permittees F
`s
A'I
Name: ���
t
Subdivision Name:
Directions to property:
v
Section:
Loj: t " $�
ll
PERMIT NT
' {.
Tax Office PIN:# /L
«4 n t �.i.tt )
I
Road Name.
Zip;
**NOTE" This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system Ior 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 IF SITE
F!} ''} PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENT' L HEALT`Hii SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
t INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �_ # BEDROOMS -3- # BATHS # OCCUPANTS ,S GARBAGE DISPOSAL: Yes o&D
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE 1'9 k'eP-;�PE WATER SUPPLY V t- LL- DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE' CC AL. PUMP TANK GAL. TRENCH WIDTH " 1 ROCK DEPTH LINEAR FT.
OTHER �i�j"(�I�l��te7•.) LS
REQUIRED SITE MODIFICATIONS/CONDITIONS: ('"STAB'` tO C-0,YlOJ e`► u l>E-. ` 10 U a -r ��� L t �c� ICS is Y -Sb,
IMPROVEMENT PERMIT LAYOUT
W' xF(,,")4j -2 /
t
"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 (336)751-8760.
OPERATION PERMITg9
1� SYSTEM INSTALLED BY: N
�q•.t 1C'i
8'
o�
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: ) Z O
*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTE DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GI`VEN PERIOD OF TIME.
DCHD 05/96 (Revised)
1 .
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED
ALL THE REQUIRED INFORMATION IS PROVIDED.
/07 1. Name to be Billed +lam, �� �`�� �� 0 "� r ` �� Contact Person �z �- Ie�ANt�
Mailing Address �s S` ly t���egs�a� Home Phone 9
City/State/ZipBusiness Phone % 1' a4)09- �icTa o7
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: &0 --Site Evaluation El Improvement Permit & ATC Both
Eon
4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People 5- # Bedrooms 3 # Bathrooms
9151shwasher ❑ Garbage Disposal O'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other:
# Commodes
If Foodservice:
7. Type of water supply:
Specify type _
# Showers
# Urinals
# People # Sinks
# Seats Estimated Water Usage (gallons per day)
❑ County/City ff Well
# Water Coolers
❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes a—No
If yes, what type?
PROPERTY INFORMATION REQUIRED
• *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
p�-C u Dom? R -—;"-Z' P. ---e f-- (3 SUBMITTED WITH THIS APPLICATION.
A C/�Ze-
Property Dimensions: a 51� X L D x bD J � J ecP -4_-.D 5je� TE DIRECTIONS (from
c ocksville) TO PROPERTY:
Tax Office PIN: # - 33 - / ' LOjli5l
11 1 1v o
Property Address: Road Name
T
city/zip '^'�b C C S' 1 `1'e—
1
D+� G w - 0 w
If in Subdivision provide information, as follows: 1
Name:
1 Opt/
1
Section: Lot #:
1 -,�,�. �/� �� • to -/
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter
are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is
falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to
the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County
t-�
and owned by '�\ y `� P S to conduct all testing procedures
as necessary to determine the site suitability.
DATE /D^ �' SIGNATURE
Revised DCHD (06-96) /a 5
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• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION
Soil/Site Evaluation
APPLICANT'S NAME CAY
PROPOSED FACILITY Nk• 1-�fl '
SUBDIVISION
LOT
DATE EVALUATED loll ►zI I j a,,e
PROPERTY SIZE
ROAD NAME 1-P�120
Water Supply: On -Site Well V Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2 3 4
5
6
7
Landscape position
L
L
L-
L
Slope %
o
(y 7a
HORIZON I DEPTHO
-C�Al
^
Texture group
C
L
Consistencer.S-'
j
r 5 Q
SP
or
Structure
A51e-
Mineralogy
.
/tit V
/.* I
HORIZON II DEPTH
69
-
Texture groupG
Consistence
r . S`P
Structure
ARv
Mineralogy
f"I r ,_0
"
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION i
V5 V
LONG-TERM ACCEPTANCE RATE 1
O. 7—
SITE
SITE CLASSIFICATION: PS
LONG-TERM ACCEPTANCE RATE: 0.2 -
EVALUATION BY: �ff�' �
OTHER(S) PRESENT: —&k* WALL 10[6 -
REMARKS: 14&Ct' 5y �gh�15ijaLu `J i 117 r �-f! (l1/'p,-j' PWS • `;NCi 70 AiD%9 Gyiws GW 70YIP.
LEGEND SILL _ R-�— t I Q �= P0,�,P„`1G� ,-T—
Landscape Position
R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope 64)r i -F
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 (01.90)
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