234 Allen Road Lot 5Dai n
?016
,9 VId, All date is provided as is wlMoutwarranty or guarantee a any hind ehherexpresed or Implied Including but not limited to the
Davie County, Implied wamniles of merchantability or Erman for a pargcularuse. All users of Gavle County's GIS website shall hold harmless the
County of Devle, North Carolina, Its agents, consultanK contractors or employee hem any and all claims or causes of action due to
BOG 4 NC or arising out of the use or Inability to use the GIS data provided by this missiles '
WARNING: THIS IS NOT A SURVEY
Parcel Number:
G306000005
Township:
Mocksville .
NCPIN Number:
5729494789
Municipality:
MOCKSVILLE
Account Number:
8302158
Census Tract:
37059.806
Listed Owner 1:
GRIFFITH JOSHUA BRYCE
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
234 ALLEN RD
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY,MOCKSVILLE R-A,CB
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 5 BROOK COVE PHASE ONE
Fire Response District:
WILLIAM R. DAVIE, MOCKSVILLE
Assessed Acreage:
1.10
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
5/2013
Middle School Zone:
NORTH DAVIE
Deed Book IPage:
009240763
Soil Types:
CeB2
Plat Book:
0006
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAVIE COUNTY,MOCKSVILLE
Building Value:
126930.00
Outbuilding & Extra
Freatures Value:
900.00
Land Value:
22000.00
Total Market Value:
149830.00
Total Assessed Value:
149830.00
,9 VId, All date is provided as is wlMoutwarranty or guarantee a any hind ehherexpresed or Implied Including but not limited to the
Davie County, Implied wamniles of merchantability or Erman for a pargcularuse. All users of Gavle County's GIS website shall hold harmless the
County of Devle, North Carolina, Its agents, consultanK contractors or employee hem any and all claims or causes of action due to
BOG 4 NC or arising out of the use or Inability to use the GIS data provided by this missiles '
�. ii,f ..-.•T ri: os ,^�.... -w r�,.7.y .. :.�... .Y i"-^'pr.> --,yo.• _y ... - . r' 1C0
z / liATIONf NO. , O 7 2 O DAVIE COUNTY HEALTH DEPARTMENT �b °
Environmental Health Section PROPERTY INFORMATION
Pertmtte P.O: Box 848
Name g&C.9 9DO4 � D '� X1(1
Mocksville, NC 27028 -' Subdivision Name �YD d ( ye—
Phone #: 704-634-8760 "
Directions to property �o U I N _ �, o�.:: Section: -� Lot: '
' AUTHORIZATION FOR
WASTEWATER'�--tt ��G�
�` x SYSTEM CONSTRUCTION .. Tax Office PINZI; -' r„ � ;-901
Road NameWeA np! Zip:
**NOTE** This Authorization forWastewater 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
3.91
IS VALII) FOR A PERIOD OF FIVE YEARS
r ENVIRONMENTAL HEALTH.SPECIALIST..; DATE ISSUED i
' 1 , rr� S� t 4✓ +i " Y.i ✓ n v HTr)(✓ra' 4* YYrr- � a,• .qv i.... ..v vttry 'k0
r.,
e� * DAVIE COUNTY HEALTH DEPARTMENT /8 c, ""+� a
��'"
rntet°;:.-,
�" k.� - 0 IMPROVEMENT AND PERMITS
OPERATION PROPERTY.INFORMATION
Peiinit t .
Namez :logo' 1 i COQ. Subdivision Name:. .A)i'd d k
,Difeotmns topropertyi _ 61U I W Section: Lot:'
IMPROVEMENT
PERMIT / ' Tax Office PIN:I �- �. o i ?
i .
Road Name;' Zip: O .
!*NOTE** This Improvement Permit DOES NOT authorise 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/mstallation of a system or the issuance of a building permit.'
(In compliancewith 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
PLANSORTHEINTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM:
RESIDENTIAL, SPECIFICATION: BUILDING TYPEVkC,)—�� #BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes o t4 '
COMMERCIAL SPECIFICATION:FACILITY TYPE #PEOPLE_ # PEOPLEISHLFT _ # SEATS _ IND[ STRIAL WASTE: Yes.or No
r'.. LOTSIZE .b - TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE' !!�".REPAIR SITE "
SYSTEM SPECIFICATIONS: TANK SIZE 010—GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH s -[ LINEAR FT. 3D pi
r
'OTHER,.
REQUIRED SITE MODIFICATIONS/CONDITIONS: - -
**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 (704) 6348760.
v
a,
AUTHORIZATION NO. OPERATION 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 05196 (Revised)
:r APPLICATION FOR SITE EVALUATIONAMPROVEMENT PEW
r Davie County Health Department
Environmental Health Section J.=7MARI
P.O. Box 848
Mocksville, NC 27028
(704)634-8760
11
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed t � ,,�( i ...... fra.A.t1 Contact Person A6`/ �nc. til
Mailing Address C� 30 Lri, Home Phone Ass— 3ab7
City/State/Zip /V,-eS[�i& JVC— 29!%W Business Phone A-6
2. Name on Permit/ATC if Different than Above .Same
Mailing Address 567x' City/State/Zip .2�e-
3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [AJOBoth
4. System to Serve: [v - ouse [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People # Bedrooms_ # Bathrooms-_ [ ] Dishwasher [ ] Garbage Disposal
rkrWashing 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 D -?*ell [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [/,No
If yes, what type?
ra L vlc OLAL ra-ruv
PROPERTY INFORMATION REQUIRED: ***IMPORTANT **SAT OF THE PROPERTY MUST BE
SUBMITTED WITH�H,L4 APPLICATION.
Property Dimensions: s= e / aG��2y-� i WRITE DIRECTIONS (fro Mocksville) TO�PROPERTY-
Tax Office PIN: # 57 99 (p �P ? G $S� / L f ew /% eJZ Al
Property Address: i RoadName��yy///�s/�>�/�sM�Lo �'1ir7�✓ T/Y��j�/��Sl�
city/zip //,E'6'AW4 /7//-'/7//-'nZ'11, �f � �T � 5X, dg
If in Subdivision provide information, as follows:r
Name: AY'OOrZ CO yc i
Section: I 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
ve of the Davie County Health Department to enter upon above described property located in Davie County and owned
n
all testin¢ procedures as necessary to determine the site suitability.
DATE,, J -nO
Revised DCHD (06-96)
THIS AREA MAY BE USEDFOR DRAWING YOUR SITE PLAN:
(tel.
PLANNING ( Seel n Sump) J4—ow Nimber • ( Seel or S P A11 coremissioe expires
O� CAP,p�%9,I.
zi SEAL
L-2527
•'(9�O s�����Q. a . l
�YI.TUR.
WILLIAM E HALL, ETAL
D-9,92 P6.556-559
( +xadRA and R-20 1
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► DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME CWo \� DATE EVALUATED
PROPOSED FACILITY 6 ° s" PROPERTY SIZE
SUBDIVISION ROAD NAME
Water Supply: On -Site Well' Community Public
Evaluation By:Q�_..AugerBoring i/ Pit. 1"", Cut
FACTORS.
1 3 4 5 6 7
Landscape position
E -7--E
Slope %
HORIZON I DEPTH
Texture group(
._.
Consistence
Structure
—
Mineralogy
4Vyl
HORIZON II DEPTH
"
Texture group
Consistence
-
Structure
MineralogyN
; 17
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON...
— —
SAPROLITE
— —
CLASSIFICATION
,S,
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �' S EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:\ '� OTHER(S) PRESENT: N o
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 SI. - 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
ist
Mo
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
i
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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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P�iN�
- Davie County Health Department
Environmental Health Section17I�,O.
Box 665
Li,
:Mocksville, NC 27028OUNTY
ii PuT'I Drp,
1`
�� e P -,
1. Application/Permit Requested 8y _
^r
Mailing.Address V 1, I Y t
b c� c Y A U c. S U t I I et:
N
Home Phone Ll' b �I 7 Business Phone171
' 2. Name on Permit If Different than Above -
3. Application/Permil for: tit] General Evaluation
❑ Septic Tank Installationi
.
4. System to Serve: J House ❑ Mobile Home,
.❑ Place of Public Assembi
b
❑ Business ❑ Indust ❑ Oth r
ego fC 0 O %7 Q
❑ Unknown
Section Lot #
5. If house, mobile home: Subdivision
❑ Basement/Plumbing
No. of People
❑ BasemenVNo Plumbing
It
No. of Bedrooms
❑ Washing Machine
No. of Bathrooms
O Dishwasher
Dwelling Dimensions
❑ Garbage Disposal
6. If business, industry, place of public assembly, other: 'Specify type
No. of People.Served No. of Sinks _
N If, m d s '' No. of Urinals
0.0 o mo e
No: of Lavatories No. of Water Coolers
No. of Showers_ Water Usage Figures
7: Type of walersupply: Y/
Public ❑ Private
S. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
❑ No
}
c ti�
}r
❑ Community''
'NOTE: .Improvements Permits shall be valid for a period of 5 years from date Issued. Improvements Permlls are subject to
revocation, iI site plans or the Intended use change. Effective October 1, 1989.
Directions to Property:
W' 111.
U��acc--1lbfiCC. p c�gle_. tl4Nc
`7�[u5c C)( yC 1, C h
91 Coivt, �f110 iue,� tw" teat(- Gt&4"-v 1"f -V IlYaZV �c
PA" — l.?6
Or
This is to certify that the information provided Is correct to the best of my knowledge, and 1 understand 1 am responsible for all charges s .
{<<:
ingurred from This application. - /
DATE SIGNATURE :; • .i:
CONSENT EOR SITE EVALUATION TO BE DONE ON ABOVE D�ESCRIBE POR PEBTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. 2. 1 pQNOT (AWN the property.
If you checked Box #2, the rest of this form Iv1Q5.j be completed by the owner or a person authorized by the owner:
1 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 datermine said site'A suitability for a ground absorption sewage treatment
and disposal system.
TE SMISIATURE
DCI ID 112.99)
r: DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
R p
NAME LJ SS DATE EVALUATED
ADDRESS S t> M Q- PROPERTY SIZE
PROPOSED FACIELTY \A ism LOCATION OF SITE s�
Water Supply: On -Site Well Community Public
Evaluation,, By-tZAL uger Boring - - Pit_ : Cut
' FACTORS
1
2 3 4
Landsca a osition .
Slope %
o
p _
HORIZON I DEPTH,.'
"
Texture group
Consistence
Structure
CR
R
Mineralogy
I'll
'\
HORIZON II DEPTH
LA pl`LAn11.
Texture group -
Consistence
F T
IFM
Structure
p
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
e
SITE CLASSIFICATION: S. EVALUATED BY:
q
LONG-TERMp� �ACCEP ANCE RATE: - 64
OTHER(S) PRESENT:
REMARKS: t�o�AV i Qne� o�',�.$ n j �•tio,
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 -.lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
- . - Moist
VFR-Vc.ry 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
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/fta
DCHD(01-901
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I 95 Pg. 720 1
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32& 39
47�TQTAL I
F' 4'
TRACT #
AREA - 15.�
2
EUGENE BENNAL
D.B. 184 Pg. 792
`y:� r• dr• S 771.63
N 94.01'44' W
AMOS S. BROWN
(BY WILL)
Pg, 115)
n.
' I. Grady L Tutterow. certify that this plat was drown
under my supervision from on actual survey made
` under my supervision (dead description recorded in
r� F gook 164 : Page 792 . eto�) (oth=r)ahat the
boundar�i -not wrw arj clearly indicated as drown
from information found in Book _. Page _: that
that the ratio of pred0m in calculated as 1: 30-000;
that this plot ww in accordance with G.S.
7-30 as om Witness my original signature.
regisbvtion number and T1115thr of
;F„. R, MLttY A.D.. 1998.
Surveyor
>(sed or Stomp) RON Number L-2527
t. 'CARp''.
Yyyyy ,�o�..t
7•�!J^�tat• O\i O
CI
x� =Tics CREAM A SON OF LAND WITHM
r1 i OF COUNTYOR WMICIPMITY THAT HAS
SEAL? IMT PARCELS OF LAND.
• A 9 O-3�
r �� G> 1:1 . R.L.S. L-2527
I �
1 1
r 1
1 1
I I
1 1
I MARC L. WILLIAMS 1
1 D.B. 187 Pg. 451 II
l
I 1
1 1
1 1
I
1521.24 TDTe, 1
i
I
I
EUGENE BENNETT,1
D.B. 184 P9. 9 AL
9 792 1
I
I
j
299.97 � I
TOTAL_
AMOS S. BROWN
B � PILL)
9• 115)
CENTER OF 60' EASEMENT DATA
"NO APPROVAL IS REQUIRED BY THE
DAME COUNTY PLANNING DEPARTMENT`
DAVIE COUNTY PLANNING DEPARTMENT
REVIEW OFFICERS CERTIFICATE
1, John Gallimore, Review officer of Davie County,
certify that the map or plat to which this certification
is affixed meets all statutory requirements for recording.
REVIEW OFFICER DATE
;044
I
'ARLAND CARR 1 za
186 P 1 a�
9. 312 j WILLIAM BOWERS I
D, 13, 190 Pg. 197
S 84.65'42' E 1 1
375.54 -.I_______-_ 1
1
TRACT #5 00 "Tract #2 1
tEA 5.100 AC. o� BROOK COVE, PHASE TWO WILLIAM E, HALL
,R ti PLAT BOOK 7 PAGE 7 D• B• 92 P ET AL
1
�2�� 9. 556-559
1
I
Llz I
c L13'' f---- I
Tr
►OR rHE pOF AIENr
rpOSE
(Ex 1 NEGRESS
/G
Op^ 1 KAt \
►C• r Tract #1
460 o BROOK COVE, PHASE TWO
v, PLAT BOOK 7 PAGE 7
1
1 - ROA
LLEN 1304
UNE
BEARING
DISTANCE
Lt
S 84 01'42' E
73.57
L2
N 7507'25" E
50.00
L3
N 61'33'36" E
50.00
L4
N 40'57'51" E
100.74
L5
N 6358'54" E
35.52
L6
N 6358'54' E
129.15 I
L7
N 70.53'02" E
120.85
L6
N 70'53'02' E
54.95
L9
N 81.57'33' E
160.28
L10
S 82'40'01" E
165.02
L11
S 82.09'26' E
310.75
L12
S 82.00'26' E
130.08
L13
S 8209'26" E
272.45
CURVE
DELTA
RADIUS ARC CHORD TANGENT CHORD 8RG
C14
31'59'23'
233.80 131.65 129.95 67.59 S 66.09'44' E
C15
W1918"
235.80 149.50 147.01 77.36 S 32'00' 14' E
UNE
8EARING
DISTANCE
LIS
S 1350'25" E
243.49
NOTES:
O - existing iron stake
• - new iron stake set
+ - unmarked point in center of esoement
No N.C.G.S. monument within 2000'
MINIMUM SETBACK LINES, Front - 40' '
Rear - 30'
Side 15'
This parcel and all adjoining parcels
are zoned R-20 and RA
Road construction is to meet the Davie Co.
'Private Road" Standards.
Each lot shall have separate sewer systems.
Water source will be private wells.
Meas include 60' Easement as shown.
TAX MAP REF: 0-3. a portion of PARCEL 24.01
Flied for registroWn at 1115 o'AaA A. M.
JULY 21st 19--26- and recorded in
Plat Book 7 , Page 41
lllni 'a Z Edi• :..!' W, L Sr w ' - s, Wo of D"ft
by
PHA SE rexsa
BROOK COVE
OWNERS ------------------ DEVELOPERS
EUGENE BENNETT, FRED ELLIS
DELBERT BENNETT
107 NAIL LANE
MOCKSVILLE, N.C. 27026 s
(910) M-4727
r�.
CAI TOWNSHIP
Yiy Lk
DANE COU NORTH , y
1[AY 181 1498
SURVM BY:
TUTTEROW SURVBI7NG COMPANY
127 U WATY 6WRCH ROAD
MOCKSVN.LE, NC 27=
(704) 492-5816
200 100 0 M-. +400.
SCALE IN FEET
r
.
60000-
00
Y �1 r •... 1' }'.
2
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