109 Bradford Place Lot 1Davie County, NC Tax Parcel Report Thursday, November 3, 2016
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Legal Description:
WARNING: THIS IS NOT A SURVEY
Fire Response District:
MOCKSVILLE
Assessed Acreage:
Parcel Information
Elementary School Zone:
Parcel Number.
H506OA0001
Township:
Mocksville
NCPIN Number:
5749654038
Municipality:
Soil Types:
Account Number:
82530000
Census Tract:
37059-805
Listed Owner 1:
EVANS DEBORAH A
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
109 BRADFORD PLACE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE OSR
State:
NC
Zoning Overlay:
Total Assessed Value:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 1 BRADFORD PLACE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.55
Elementary School Zone:
MOCKSVILLE
Deed Date:
8/2008
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
007680082
Soil Types:
GnB2
Plat Book:
0006
Flood Zone:
Plat Page:
091
Watershed Overlay:
MOCKSVILLE
Building Value:
123890.00
Outbuilding & Extra
Freatures Value:
760.00
Land Value:
21000.00
Total Market Value:
145650.00
Total Assessed Value:
145650.00
10:1
All data Is provided as is without warranty or guarantee of any Idnd 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
N`' County of Davie, North Carolina, Its agents, consultants, contractors or employees frown 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.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
p�
*NOTE: Issued in Compliance With Article 1 �G.Pha gter130Sanitary Sewalge Sy ems 1 7 f� 6 I 9105201�alPermit Number
Name � 1 'c r �✓ Date �IV5K N2
7737
Locations
Subdivision Name <'A&Z9 Lot No. Sec. or Block No. J
Lot Size 3/y� House h/000' Mobile Home —T Business —_ Industry
No. Bedrooms .No. Baths —�2 No. in Family _ Public Assembly Other
Garbage Disposal YES ❑ NO Z Specifications for System:
Auto Dish Washer YES NO ❑ /&���
Auto Wash Ma shine YES NO ❑
Type Water Supply — '(10
*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 or the intended use change. j
F
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by���
SIU
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.
s, K'
DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
* NO7E Issued in Compliance With Article 11 f G.S. ChapJer 130
�Sanitary Sewa�e Syst ms /�T /""'!'G PH Permit Number
Name Date/c�� /�� N2 1 7 7Locatiop
Subdivision Name Lot No, Seca or Block No.
Lot Size House Mobile Home Business -- Industry
No. Bedrooms . No. Baths �2 No. in Family Public Assembly Other
Garbage Disposal YES ❑ NO E? �,, Speciffcafioris for System:
F
Auto Dish Washer YES NO E)
Auto Wash Ma^I hine YES NO ❑ f , �))
Type Water Supply — w
*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 or the intended use change.
F
s
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by�
z 1 / 1w
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.
�' • APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Q ��� Davie County Health Department
Environmental Health Sections
P. O. Box 665
S Mocksville, NC 27028
r
1. Application/Permit Requested By.
Mailing Address -� 14 Home Phone
d L Business Phone
2. Name on Permit if Different than Above
3. Application for: 0' General Evaluation Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Indus(tr�, %1 ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision I�i4G+ TU�� A/ C4° Section Lot #
No. of People
No. of Bedrooms _
No. of Bathrooms
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: KPublic ❑ Private
8. Property Dimensions /-?S' X.09b Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
❑ Yes ❑ No
❑ Community
'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.
Directions to Property:
]fie S a
60 10�
This is to certify that the information provided is correct to the best of my knowledge, and I understand
incurred from this application. s
_ 7
DATE SIGNATURE
responsible for all charges
CONSENT FOR SITE EVALUATION TO BE DONE QN ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
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 said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
WHO (1193)
SIGNATURE
y
A., ,
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
��a `' /
ADDRESS
PROPOSED FACIILTY uS
PROPERTY SIZE X?,oD /
LOCATION OF SITE Ste-- '/16 2e
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring low,
Pit t
Cut
FACTORS 1
2 3 4
Landscape position L-
L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH r
r
Texture groupC
Consistence
_C=
Structure <AsL
S' /C
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: EVALUATED BY: /% //
LONG-TERM ACCEPTANCE RATE: 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
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
3C -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(01-901
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