270 Riverdale RdDavie County, NC
Tax Parcel Report I WA Thursday, October 6, 2016
WARNING: THIS IS INUT A SURVEY
Parcel Information
Parcel Number:
N60000005501
Township:
Jerusalem
NCPIN Number:
5754085236
Municipality:
FV]
Account Number:
55373750
Census Tract:
37059-807
Listed Owner 1:
PARKER JOHN STUART
Voting Precinct:
JERUSALEM
Mailing Address 1:
270 RIVERDALE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-6851
Voluntary Ag. District:
No
Legal Description:
4.03 AC RIVERDALE RD
Fire Response District:
JERUSALEM
Assessed Acreage:
4.03
Elementary School Zone:
COOLEEMEE
Deed Date:
10/1992
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001660003
Soil Types:
PaD,PcB2,PcC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
70350.00
Outbuilding & Extra
3280.00
Freatures Value:
Land Value:
34110.00
Total Market Value:
107740.00
Total Assessed Value:
107740.00
Davie County,
AlldataIsprovided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
FV]
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO:, 18 9,4DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee 1 r rl P.O. Box 848
Name: - r3 �{ff, U/ �'-' Mocksville, NC 27028 Subdivision Name: IJ"
Phone # 336-751-8760
Directions to property Section: r` - Section: Lot:
AUTHORIZATION FOR
-: WASTEWATER
z SYSTEM CONSTRUCTION Tax Office PIN:# - -
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 corn iance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
S " IS VALID FOR A PERIOD OF FIVE YEARS.
E VIR NMENTAL HEALTH SPECIALIST DATE ISSUED
u DAVIE COUNTY HEALTH DEPARTMENT
r IMPROVEMENT AND OPERATION,;PtRMITS PROPERTY INFORMATION
Permittee's
- Name: Subdivision Name:
Directions to property:_ Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zip:
**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)
i r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
`, %,�. ✓ t ,>t �- , % 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 # BEDROOMS # BATHS _ # OCCUPANTS S'5— GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT�,����j # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ;�/�/ DESIGN WASTEWATER FLOW (GPD) r NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT tAPPRDVED EFFLUENT FILTER: rRISER(S) IF 611 BELD,�3 FIHJISHiwD LiRAPE*
r
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTI ,�y, � IsSyS STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELE
PHONE # IS{(!4)4`N608760
OPERATION PERMIT
INSTALLED BY:
4
"ffqAUTHORIZATION NO. ERATION PERMIT BY: DATE:
"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)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Y A�
Mocksville, NC 27028
Phone: (336)751-8760 �r�7ALilEALTH
ON-SITE WASTEWATER CERTIFICATION FOR
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑
Name: J OXrt Phone Number ���% % (Home)
MailingAddress:
(Work)
;Ile
Detailed
/ted,
Detailed DirectionZ'7.-A
Site: (oD�-moi 7�0 it tiL�/��e�2� Ol?
/9. ✓' s�r,� r V 9 x,10
Property Address:
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: o�/ —fes �L-�— Type Of Dwelling: o�
Date System Installed(Month/Day/Year): 0 _A% —1f 0 Number Of Bedrooms: `� Number Of People:
Is The Dwelling Currently Vacant? Yes No ff Yes, For How Long?
Any Known Problems? Yes ❑ No ;If Yes, Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: -D6 6 k-% l P_V A -e/ Number Of Bedrooms: Number Of People:
Requested By: a Y/� ��� v� _ _ Date Requested: L�
For Environmental Health Office Use Only
*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 on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ CheckL8'Money Order ❑ # 7 2e Amount: $ y ' Date: -U /
Paid By: , / p Received By:
Account #: Invoice
#: �--�- g
��
�i,`:' �:��<�5 _:.;.�, .�: � DAVIE COUN.T,1(�.HEALTH .DEPARTMEIVT r�r; :v� � ��,3��
���� � .
� ,, :, .;: ., �:.-�. `�-----�
I `-- � IiVIPROVEMENTS�PERMIT�AND' CERTIFICATE OF COMPLETIOId .�.
� ` ' .,� . : . :; a;:�, yr ,�i;�,�, � .z��. :,:;�= . � � ` x
; *NOTE:Is��ed in Compliance With Article II of G S Chapter 130a h � k y a�; .7r ?�# j,,;�; ; � . �_ �
� �5anitary�Sewage Sy tems ����'' �� - ' 42� �s�. ':�';.�'�' ;Permit Number:
t / 0 � ,-
I NamP..�/����� � ���i`��• Date g`�"`��7 M :,` 6�. �,-
I �7�T , o} , '
Y { y CY t.';' ' ` '' t " ` , ° :f P� �. �
� ""Locat�on , � r ,., . _ .. �; ,; }M ' �"
4 �J_ � ;`
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, . .. ".... '.-. /. ^ � 1_ 4 ' , ' ' ''. '•
� . . . . . .� -.. . ,. .
� Subdivision�Name'� �` ' • � Lot�•No.�° ''`='•`' `Sec...or.Block~No.. f� ff
I � : ,, ... . ,. _,
�Lot�S¢e•`'�'z<< " ��4 � �House' t ? Mobile Fiome�' A��`,B,usiness Speculatio�
.
, ,
� < ,
��` No rBedrooms �_� •Baths_�_ No_m Family��_:r�� •_, - �. �
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' �: Garba e Dis osal � � ` Sp c � `"
�
g p , YES p NO p e ifications for: System� I �" �
�Autojpish�Washer7�� r 4'YES NO p `�'� " 4'{. yt� � "�'���., { �; �
/� ��'� �� ��
� ,`Auto Wash Ma,�hine ��YES.�[� NO ❑ , �
.•. y.:"1 "+,�: M. a W r ✓ � �i.x �. �i.. ,:e ti ! �'r �t �� � : � r �
i , Tjrpe Water Supply -; , Ar^_',�t - µ��v��/Y�+J:, .,
: ,': ;.
, . � �- •s� r•. , � .� ��
, , . ,�, �
. . .
, , . ,. ..: _-
; ` � *This permit Void if sewage system,described bel w is not installed within.5years fro�n date of issue• ' � �
_ . . , .
: �,,>
� �This permit is sub�ect,to revocation if site`p ns o the intended use change: % � ^
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� , ,., Contact�a represen,tativ.e of'the Davie�County Health�Department for�final inspecfion�of this�system�bet�reetn�8 30 ,�, s `
, '' < 9�30 A M 'or 1 00 1 30 P M�on�day"of-�completion 'Telephone Number 704 634 5985 ; , •�i
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e;of Completion ate
Certificat,
:, -; ;;- .' t:
` "The�signing of this;certificate;shall:indicate�that:the system�descnbed:above has;been installed `m 'compliance with �
;�`the standards set'forth in the above regulation, but shall in NO way.be taken�as a:guarantee that the�systerii will function '
� satisfactorily:for any given period of time. `
.. . . w:.x, _ ,
• is '.. �� >\
t DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Nam�1f� .✓�� f,/,,'�"%'�` r - �`' -��'� N2
Location �cJ,✓�' ,2LEL A ,
Subdivision Name
Lot No
Sec. or Block No.
Lot Size
House
Mobile Home w-�Business
No. Bedrooms ;-_
No. Baths —r
No. in Family _
Garbage Disposal
YES ❑ NO
❑
Specifications for System:,.
Auto Dish Washer
YES NO
❑
Auto Wash Machine
YES NO
T
❑
y
Type Water Supply
__—
Speculation
*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 o% the intended use change.
Improvements permit by _ Ila 1I//
*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.
{\n ' t,
System Installed by -j'A' - J' 1 } ` "5`'
U
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.
t. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. BOX 665 ! RECEIVED rrUJ 13
Mockaville, NC 27028
1. Application/Permit Requested By 6
Mailing Address K 1,g% A pic (O(aD MOC-Liol(fI A)C 2TOL-2c4
9/I- we - zvls
Home Phone V-&-37- Z4/00 Business Phone 70el- 6,3Y- 0311
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: General Evaluation S/Tank Installation
5. System to Serve: House09- Mobile Home (] Business
Industry u Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lot#
No. of People �_ Dwelling Dimensions
No. of Bedrooms o2 Basement/Plumbing
No. -
o. of Bathrooms _ 7 Basement/No Plumbing
�ashing Machine dishwasher 0 Garbage Disposai
7. If business, industry, 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
8. Type of water supply: V Public 0 Private (s<ommunity
9. Property. Dimensions
10. Sewage Disposal Contractor
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes 2 No
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.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
�- /3 ^ 90
Date I OSignature
nr i r f 4 416C—
Directions to Property: 77
qhs
01 - dol 4qw 2%y
Red hal/ MaK61 s-,
1�
DCHD (10-89)
Z'
f DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
• Soil/Site Evaluation
NAME ��DATE EVALUATEDll
ADDRESS'7PROPERTY SIZE
PROPOSED FACIILTY 'e ,�+ � LOCATION OF SITE w lewillF
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring 1Z Pit Cut
FACTORS 1
2
3
4
-
Landscape position
FS
AS
77
Sloe%.
Slope %
.7
HORIZON I DEPTH G.
Texture group
V -
-,V'
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group�1
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: O•
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY:
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
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
■EN■