120 Nebbs Trail Lot 1Dav
1016
9n 8 All data is provided as Is whheutwarraMy or guarantee Many kind either eapmased"Implied Including but not llmitetltethe,
Gq-}�._ii'� Davie County, Implied merengue MmerchaMabllNy orfitness We particular use. Ali users M Davie Counlys GIs website shall hdd harmleae the
�r County M Davie, North Carolina, Its agents, consultants, contractors or employees hem any and all Balms orcouses M actlen tlue to
Will. NC'-.. - or arising out M the use or Inability, to use the GIS data provided by this webslte -
WARNING: THIS IS NOT A SURVEY
Parcel Number:
G306000OD1
Township:
Mocksville
NCPIN Number:
5729398655
Municipality:
Account Number:
82524553
Census Tract:
37059-806
Listed Owner 1:
STONE BRIAN N
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
120 NEBBS TRAIL
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 1 BROOK COVE PHASE ONE
Fire Response District:
WILLIAM R. DAVIE .
Assessed Acreage:
1.47
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
10/2006
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
006860001
Soil Types:
CeB2
Plat Book:
0006
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAME COUNTY
Building Value:
0,00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
22000.00
Total Market Value:
22000.00
Total Assessed Value:
22000.00
9n 8 All data is provided as Is whheutwarraMy or guarantee Many kind either eapmased"Implied Including but not llmitetltethe,
Gq-}�._ii'� Davie County, Implied merengue MmerchaMabllNy orfitness We particular use. Ali users M Davie Counlys GIs website shall hdd harmleae the
�r County M Davie, North Carolina, Its agents, consultants, contractors or employees hem any and all Balms orcouses M actlen tlue to
Will. NC'-.. - or arising out M the use or Inability, to use the GIS data provided by this webslte -
APPLICATION FOR SITE EVALUATION/IMPROVEMENT
Y
' Davie County Health Department
Environmental Health Section
4y P.O. Box 848
Mocksville, NC 27028
(704)634-8760
JUN 1 01997
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed
Mailing Address OT /r/h&'g xa rZz
City/State/Zip Z rd Z
2. Name on Permit/ATC if Different than Above
Contact Person
iiii-:/
,.,.
Business
Mailing Address. City/State/Zip
3. Application For: [ V1 site Evaluation [ ] Improvement Permit & ATC [ ] Both
4. System to Serve: UrHouse [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # PeopleL__ Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal
[ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks #'Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [ ] County/City Vf-Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [PYNo
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** X nPi`aKOF THE PROPERTY MUST BE
SUBMITTED WITH T� S APPLICATION.
Property Dimensions: 5. Z Q!'/Y tiJ/ WRITE DIRECTIONS (from ocksville) TO��PROPERTY-
Tax Office PIN: 60/!%%,
Property Address: Road Name aegi, ,Z12L;A add" R,
City/Zip
If in Subdivision provide information, as follows:
Name:
Section: Lot
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 and owned
by to conduct all testing procedures as necessary to determine the site suitability.
DATE !0-%7 SIGNATURE .[-r 4au 9611ar�
Revised DCRD (06-96)
THIS AREA MAY $E USED FOR DRAtVINC7 YOUR SITE PLAN:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME
PROPOSED FACILITY
SUBDIVISION
SECTION a LOT '
DATE EVALUATED
On -Site Well
PROPERTY SIZE
Public
Evaluation Byt'j,
ROAD NAME
Pit
Cut
Water Supply:
On -Site Well
Community
Public
Evaluation Byt'j,
Auger Boring
Pit
Cut
O -
HORIZON I DEPTH
(o "
Texture groupL
L
Consistence
FACTORS
1
2 3 .4 5 6 7_
Landscape position
I„-
L.
Slope %a
O`
O -
HORIZON I DEPTH
(o "
Texture groupL
L
Consistence
Structure
P�
Mineralogy
HORIZON II DEPTH
-v }
7,
4.1
Texture group
Consistence
t
3.
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S
-.55
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATION BY:
LONG-TERM AaCCE�PTAN(C0E�RATE: •\A 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
_ -
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
DCHD(01-90)
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
ii
.. WIYWJLVI/w J;rvwrr/rr ��•�
Environmenta(Heaftk Section
- P.O. BOX 848 / 210 HOSPRAL STREET
COURIER 009.4-06 -
MOCKSVILLE. N.C. 27028
PRONE: (704) 634.8760
July 3, 1997
Eugene Bennett
107 Hail Ln.
Mocksville, HC 27028
Re: 2 Site Evaluations
Brook Cove II/Lots 1 & 4
Tax Office PIH: 45820-20-4174
Dear Client(s):
As requested, a representative from this office visited the aforementioned .
sites on June 30, 1997. Based upon the information provided on the
application(s) for site evaluation(s) and after the evaluations were completed,
the sites were found to be provisionally suitable for the installation of an
on-site sewage disposal system on each site. '
Before any permit(s) can be issued the appropriate application(s) must be
filled out and the house/mobile home,location(s) staked off.
If you have any questions, please feel free to contact this -office.
Sincerely, I _
Q� �.
Charles E. Little, R.S.
Environmental Health Section
RH/wd
Enclosure(s)
cc:_ Zoning Office
r
° APPLICATION FOR SITE EVALUATION/IMPROVEMENTS IPE11hi' Prj Li, 11
.. JJ
Davie County Health Department
Environmental Health Section f .
P. O. Box 665 7 ISS J. r
Mockswlle, NC 27028
LA1rIE CUUIVTY N: �T;I Uf'1
II,?
1. Application/Permit eqCulestedBy
1
JR
Mailing -Address 1
4! ,
Home Phone t�' D
Business Phone _
2. Name on Permit If Different than Above-``
3. Application/Permit for:
General Evaluation
t{3
❑ Septic Tank Installation [t
4. System to Serve: House
I❑,Indust
❑ Mobile Home
.❑ Place of Public Assembly
❑ Business
- j7 ❑ Oth
r ^
[I Unknown
i� 00
` 4
Lot
5 ,If house, mobile home: SubdivisionN
Qv
Section _. #
i
❑ BasemenUPlumblr g
No. of People
_
I
❑ Basement/No Plumbing
No. of Bedrooms
❑ Washing Machine
l
No, of Bathrooms
❑ Dishwasher
Dwelling Dimensions
❑ Garbage Disposal
6. 11 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
f
No, of Showers
Water Usage Figures
r,
t
7:, Type of water/supply: it3 Public
❑ Private
❑ Community , `
8. Property Dimensions _
'Sewage Disposal, Contractor
9. Do you anticipate additions/expansion of the
facility this sytem is intended to serve? ❑ Yes ❑ No .'
II yes, what type?
—
:NOTE: .Improvements Permits shall be valid for a period o15 years from dale issued. Improvements Permits are subject'lo `
revocation, If site plans or the intended use change Effective October 1, 1989.
Directions to Property:
in lU f
{ill y. °)ojl rc (uc��Ckp cC -•11011`(
1,t;i1 lne rn1,.eu.CFecl'
aft, cY airyt¢ ri Cyuul r
om�1.
R era l/icots v
y:.
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 fromthis application.
✓�/s'- " pp
1VA
CO SENT FOR SITE EVALUA 10 TO BE DONE ON AVE DESCRIBE P�?OPERTY
MUST CHECK ONE: ❑ 1. I OWN the properly, f5 2. 1 DO NQ T OWft4 the properly.
If you checked Box r/2, the rest of this form My $T be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representative of the Davle County Healih Department to enter upon above described
properly located In Davie County and owned by 1 �C , .ki rk r• ',1 <�
to conduct all testing procedures as necessary to determine said site' suitability for a ground absorption sewage treatment
and disposal system.
TE .MONATURE
D010 (12-90)
DAVIE COUNTY HEALTH DEPARTMENT \
- Environmental Health Section
�j Soil/Site Evaluation - Q
NAME E \� DATEEVALUATED IJ
ADDRESS s P t� g PROPERTY SIZE
PROPOSED FACIILTY \X LOCATION OF SITE 0 Raga '
Water Supply:On-Site Well _ Comm uni y Public
Evaluation ByQ%\ Auger Boring Pit Cub - - -
FACTORS
1
2
3 4
Landscape osition
S
S
Slope z
HORIZON I DEPTH
lot`
Texture group\
\
Consistence
_
Z
Structure
CK
Mineralogy1
HORIZON II DEPTH
Texture group
Consistence
Structure'
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture grou
Consistence
Structure
Mineralogy
SOIL WETNESS
S -S
r 5
S
RESTRICTIVE HORIZON
-�
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
t
t
SITE CLASSIFICATION: \\ •S - EVALUATED BY:
LONG-TERMACCpEP ANCE RATE: �`�� OTHERS) PRESENT:
REMARKS:, V�.e'1�. ��\ - �,+�y'n�l ��• 14NZ��.
v 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 -Finn 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
Iforizon 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/fu
DCHD (01-901
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