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116 Bradford Place Lot 8Davie Countv. NC n Tax Parcel R ennrt Thursday. November 3. 2016 WARNING: THIS 1S NOTA SURVEY Parcel Information Parcel Number. H506OA0008 Township: Mocksville NCPIN Number. 5749641977 Municipality: Account Number. 82529703 Census Tract: 37059-805 Listed Owner 1: CUMMINGS ROBERT WAYNE Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 116 BRADFORD PLACE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 8 BRADFORD PLACE Fire Response District: MOCKSVILLE Assessed Acreage: 0.58 Elementary School Zone: MOCKSVILLE Deed Date: 5/2008 Middle School Zone: SOUTH DAVIE Deed Book / Page: 007590444 Soil Types: GnB2,GnC2 Plat Book: 0006 Flood Zone: Plat Page: 091 Watershed Overlay: MOCKSVILLE Building Value: 118320.00 Outbuilding 8r ExtraFreatures Value: 220.00 Land Value: 20000.00 Total Market Value: 138540.00 Total Assessed Value: 138540.00 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 tttness for a particular use. AN users of Davie County's GIS webstte 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 n�U N� NC or arising out of the use or Inability to use the GIS data provided by this website. Zo 1 tnt0 4f�v"""" 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 Name. ,,,£-, r' �`,' t .�rl 7Date 2— N2 8086 Location — — — — .`.✓`�'l✓ Subdivision Name Lot No. Sec. or Block No Lot Size House A ---� Mobile Home --__ Business —_ Industry No. Bedrooms �—' —.No. Baths No. in Family — Public Assembly Other Garbage Disposal YES p NO p' Specifications for System: Auto Dish.Washer YES [] NO p f Auto Wash Ma^hive YES [ NO [] Type Water Supply '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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. ------------ =� 6 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 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 r�1 Davie County Health Department Environmental Health Section \) `b(�OrJL, �% P. O. Box 665 d f " 1 Mocksville, NC 27028 r 1. Application/Permit Requested By �Z/ Mailing Address A `� Home Phone d e Bus!ness Phone 9'V6 "' % 7 �- 2. Name on Permit if Different than Above 3. Application for. eGeneral Evaluation ❑ Septic Tank Installation Permit 4. System to Serve: ❑ House O Mobile Home O Place of Public Assembly O Business O Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision �� P _ 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 Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Showers 7. Type of water supply: Public No. of Water Coolers Water Usage Figures ❑ Private 8. Property Dimensions Sewage Disposal Contractor` 9. Do you anticipate additlons/expangion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? O Basement/Plumbing ❑ Basement/No Plumbing O Washing Machine ❑ Dishwasher O Garbage Disposal ❑ 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: f� 40. 1 � c This Is to certify that the information provided is correct to the best of my knowledge, and i understand Incurred from this application. , '; -7 91!4 e" DATE SIGNATURE responsible for all charges 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 SIGNATURE P , >f ` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ,:2,e Y ADDRESS PROPOSED FACIILTYJmf'�° DATE EVALUATED PROPERTY SIZE/Z- _ LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit �� Cut FACTORS 1 2 3 4 Landscape position G Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t Texture group 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: /r"� EVALUATED BY: 11% LONG-TERM REMARKS: DCHD(01-901 UTI LEGEND Landscaoe Position PRESENT: 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 It 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 3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:11 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 ■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■.■ NOON �1■ ■■■■■■■.■■■■■■■■.■■■■■■■■■■■■■■■ ■.■■■■■■.■■■■■■■■■■■■■.■■■■■■■■■ ■■■.■.■■■■■■....■.■■.■...■..■■■■..■■.NOON■./.■.■■■■■.■■■■■■■..■■■■ ........................... ................... .................. ..■........................................... ........ .......... ........................................�....�.■■.■■■■ ■■■■■■N■■ .................■................................................ 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If house, mobile home: Subdivision Z G a ��" c�� Cr-- 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 '2 ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑. Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Sinks t No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 2 Public ❑ Private ❑ Community 8. Property Dimensions 3D x Q-ZO Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes WN—o 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. Directions to Property: C- �l�t - Il / This is to certify that the information provided is correct to the Incurred from this application. DATE of my knowledge, and Iustan I rryresponsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE=D NE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: /S 1. I 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 SIGNATURE DCHD (193)