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119 Bradford Place Lot 2Davie County, NC Tax Parcel Report Thursday. November 3. 2016 State: WARNING: TH1S 1S NOT A SURVEY Zoning Overlay: Zip Code: Parcel Information Voluntary Ag. District: Parcel Number: H5060A0002 Township: Mocksvilie NCPIN Number: 5749644926 Municipality: Elementary School Zone: Account Number: 82523168 Census Tract: 37059-805 Listed Owner 1: KELLY JENNIE JEANETTE Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 119 BRADFORD PLACE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-4159 Voluntary Ag. District: No Legal Description: LOT 2 BRADFORD PLACE Fire Response District: MOCKSVILLE Assessed Acreage: 0.57 Elementary School Zone: MOCKSVILLE Deed Date: 8/2004 Middle School Zone: SOUTH DAVIE Deed Book / Page: 005640886 Soil Types: GnB2 Plat Book: 0006 Flood Zone: Plat Page: 091 Watershed Overlay: MOCKSVILLE Building Value: 114490.00 Outbuilding 8r Extra Freatures Value: 1700.00 Land Value: 20000.00 Total Market Value: 136190.00 Total Assessed Value: 136190.00 161 �T 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 County of Davie, North Carolina, tis agents, consultants, contractors or employees from any and all claims or causes of action due to l� C or arising out of the use or Inability to use the GIS data provided by this websfte. •n a "-DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND„CERTIFICATE OF COMPLETION *NO'T'E: Issued in Compliance With Article I I of G.S. Chapter 130a --- _ Sanita ,Sewage Systems Pl�G 9;f7 ee kd• Permit Number Name �'� �a.��`.�l ��-r' - _f%j✓, Ahf ate � rim, �i� N2 7 6 55 Location / 1� �u �`? h'+ . js'O• ��. /r. T Subdivision Name el,—, � D�r�� /fll f Lot No. Sec. or Block No. T Lot Sizes House Mobile Home Business Industry No. Bedrooms -- No. Baths_ No. in Family Public Assembly Other Garbage Disposal YES ❑ NO 8' Specifications for System: if Auto Dish Washer YES NO ❑ Auto Wash Ma^hive YES NO ❑ Type Water Supply _ ____ V2 ///02 / *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. r .. Improvements permit by A42 *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: 704634-5985. Final Installation Diagram: 4-N System Installed- by �1 m+� IIJIA im Certificate of Completion zl Date 'y Zl '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 PE WSECEDVED Davie County Health Department 18 1994 i Environmental Health Section JULV P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Mailing Address _ 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: Z House Home Phoned l Business Phone � A� A 12 -Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Indust ❑ Ot/hh �J ❑ Unknown 5. If house, mobile home: Subdivision �� �U ✓ ��L Section Lot # Z No. of People No. of Bedrooms �7 No. of Bathrooms Dwelling Dimensions 0 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: Q Public ❑ Private 8. Property Dimensions %l'5' Xaa& Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes ❑ Basement/Plumbing El Basement/No Plumbing U3 WWashing Machine Cy Dishwasher ❑ Garbage Disposal 2 -'N' -o ❑ 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: / -14-V- 5,,-) /'p, k&� l5 �,,, X 4 M/� v h R This is to certify that the information provided is correct to the incurred from this application. DATE of my knowledge, and I understan responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON 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 a sorption se ge treatment and disposal system. DATE 9IGNATURE DCHD (1/93) NAME _ ADDRESS PROPOSED FACIILTY DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 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: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-901 Landscave Position EVALUATED BY: OTHER(S) PRESENT: LEGEND 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!-y 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 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT _Davie County Health Department Environmental Health Section 00) . O. Box 665 Mocksville, NC 27026 \� •Oq 1. Application/Permit Requested By Mailing Address r e �' Home Phone 9 % — 5� d &,_ Business Phone 9"5�G — % 7 2. Name on Permit if Different than Above 1, Application for. eGeneral Evaluation O Septic Tank Installation Permit +! J,101tem to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly business ❑ Industry/I / /Other ❑ -Unknown 6i If house, mobile home: Subdivision _S 1A �`� z Section, lot # _e2 No. of People NQ, 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 Lavatories No. of Urinals No. of Water Coolers No, of Showers Water Usage Figures 7. Type of water supply: Public ❑ Private 8, Property Dimensions Sewage Disposal Contractor ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9, Ou you anticipate additions/expangion of the facility this sytem is intended to serve? ❑ Yes ❑ No It yes, what type? O Community 'NOTE: Improvements Permits shalt 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: �1 Jo certify that the information provided is correct to the best of my knowledge, and I understand j from this application. DATE SIGNATURE responsible for all charges MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MU_,JJ 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 a, 4p� L �i SIGNATURE �`- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED ADDRESS PROPOSED FACIILTY i ivur`C Water Supply: On -Site Well Evaluation By: Auger Boring PROPERTY SIZE LOCATION OF SITE Community Pit G -I ­"— Public Cut FACTORS 1 2 3 4 Landscape position L L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 't l9t r 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 Of LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY:�� LONG-TERM ACCEPTANCE RATE: r 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 -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 DCHD(01-901 ■■■■■■■■■..■....■.■.■.■■■■■■■.■■..■.■.■■■..■......■■■t..■■■..moms■ ■........■■■o..■■■..■■.■■■■ ■■...■■■■.■■■■■.■.■ ■■■■.■■.■■■■■■■■.. ■.....■...■■■■■■■■■.■■■■■.■■■■■■.■■■■■■.■ ■...�. mm...m■�■■.■■■N.■ ■■■■■■■■■■■■■■mmm■■■■■■■■■mm■■■■■■..mm.■�.■■..m ■■■■..■■■■..■.■■. ■.■.....■■■....■.■■.■■■■■■■■■■■■...■R■....■.■■■■■■�■■■■■■.■■■.■■■■ ■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■■■ ■Ii■■■■■■■■H■■■■■�■■■■■■■■■■■■■ ■■.....N...■■■.m■....■■.■.■■■.■ ■..I/�■... ■■■....■.■.■.■■■■■�■■■ ................................ ................................ iiiiiiiiiiiiiiiiisiiiiiiiiiiiiii=iiiiiii�iiiii'iriiii=iiiiiiii�■iii ■■■■■■..■■■■■■.■■■■■..■.■■■m■mmmmm■mm.■.■■.■■■■. ■■■■■mmt■■..mm■mo■ iiiiii"Miiiiiiii MBEEMEiiiiiNON iiiii■ MENNEN ...................................... ■■C■■■■..■ ■■�■■■■■■■m■ ■ m■mm■ ......................................�y.�■ ■■■. . ■■■■■■■!■.■o.o NOME ■■.■t■■.■m■..■.■■mmm■■H■■.....m■■■ ■■...Nm ■ ■■■■■■■ ■m■■■■ ■ ...■■■m■■■■mm.■.■m■■■m.m■■m■■m■■mm■�i■■■■■■■■I■■■._ ■■■■!■■■■■■■■■■■ .................■...■■■■■■■■■■■■■���u�u��■ =a=Elmo�i■■■■■■.■ ................................ . ............ ■....■■■■...mmm■■ ■m.....mmmllr/m.�■■■■■Nm■.. ■■ m■■■m■■....■■ .■■■■■■ C::':::::::�::::::: :�:::::_::::�::■ on :mommom:�MEMO :::::::N■■mC....■■■■....■.■■.i...■...■.■■■. 1 ..m■..N■■■�■■ .................■■■■■■■■■■■■■■■■m■■■m=■..=�■�...■'.�i■■..=■■.■.■■..■ ■..■H.....■......■■.■■■■...■■■■ ■■■■■■■ ■■..■N■■■■■■■■■■■■■■■■■ ■.■■■mmmm■Hmmm■■■m■.■■.■........■....... ■■■■.■■■■.■■■■■■■■■■■■■■ ..................■......C.........■....■........■■■■■■..H■■■■■■■ :::::::::::.::::::::I::::::C::::'::::::CC:C::::::::::G::�:::NNE ...................................... ■■■■■■■.o.■■■■...■■■.■..... .................................................................. ...........................■.................................■■■■■ ............................... ................................ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMir RE C. VV E0 Davie County Health Department • Environmental Health Section FEB 2 3 i995 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By. a.&I QL /L' 211 /4,) AZ!' , JZM / Z 4/6 �U Al Mailing Address 2348 &- A d11A1b %n/ - II IAAZ Lc LN Home Phone'd 3 y W—VAr- �/1 IV C Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Ur§eptic Tank Installation Permit 4. System to Serve: mouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision—8440I=21Pn A441-- Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms KrWashing Machine No. of Bathrooms ITD shwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers 2"Public Usage Figures, 7. Type of water supply: LAS Public ❑ Private 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If ves. what tvnP? ❑ Yes r2-lqo ❑ 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: 14" yt / S- 6 A .5,4 /N led . SA/ Al 4 c/ �SX'q'olr �C R LC' Jhdguse, 4041 L -r 4 This is to certify that the information provided is correct to the incurred from this application. - `2—T, 0C DATE my knowledge, and I understand I am responsible for all charges NATURE CONSENT FOR SITE EVALUATION TO BE DONE ON 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 sai te's suitab' 'ty fo ground absorption sewage treatment and disposal system. flDATE NAT DCHD (1193)