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138 Bradford Place Lot 5Davie Countv, NC Tax Parcel Report Thursday, November 3, 2016 W A KA JUN l=: Is'J IBJ A V I A a U A V Vj I Parcel Information Parcel Number: H506OA0005 Township: Mocksville NCPIN Number: 5749642578 Municipality: Account Number. 61714500 Census Tract: 37059-805 Listed Owner 1: ROACHE W KERRY Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 138 BRADFORD PLACE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 5 BRADFORD PLACE Fire Response District: Assessed Acreage: 0.99 Elementary School Zone: Deed Date: 5/1995 Middle School Zone: Deed Book / Page: 001800551 Soil Types: Plat Book: 0006 Flood Zone: Plat Page: 091 Watershed Overlay: MOCKSVILLE MOCKSVILLE SOUTH DAVIE GnB2,GnC2 MOCKSVILLE Building Value: 104210.00 Outbuilding & Extra 140.00 Freatures Value: Land Value: 24000.00 Total Market Value: 128350.00 Total Assessed Value: 128350.00 No Davie County, NC All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. Ali 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 or arising out of the use or inability to use the GIS data provided by this website. ._; �,,, ;-,.- ... ., `K�r 7.�. _c • ,. I.r. 1"�1 J�L v, _r,.. -x 4r�:.x.r y _ w -c 5 - _ ., - e's_ _ DAVIE COUNTY HEALTH DEPAI. TNENT Environmental Health Section, f P OPERTY INFORMATION � r P.O, Box 848 Dir.ections to property: �'� �.A_�Y j `� Mocksville, NC 27028 Subdivision Name: � f" Phone #: 336-751-8760 ,� `7t i .: Zit Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - - 329 AUTHORIZATION NO: A Road Name: Zip; **NOTE** This Authorization for Wastewater 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 7't1 Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r', ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION C �,: IS VALID FOR A PERIOD OF FIVE YEARS. E NML EARTH SPE IALISd DA E IS UED RESIDENTIAL SPECIFICATION: BUILDING TYPE U4% # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) DCOD NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH Z LINEAR FT. . OTHER�hb' REQUIRED SITE MODIFICATIONS/CONDITIONS: - -" I �� T 1 TL! D"i Wr4loo IMPROVEMENT PERMIT L Y016T A LTL iJ •�• r �kLSTI� t "i * W A 1,T FLn.J JAI. Utz" d»I -7.5 **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTA DEPA MENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 -1:30 P.M. ON THE DAY INST LATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT SYSTEM I TALLE BY: W �o 1.7 110t r AUTHORIZATION NO. OPERATION PERMIT BY: DATE: T O� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS SCRIB D ABOVE HAS B N INSTALLED IN COMPLIANCE WITH ARTICLE I I 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. DCErn 0vo2 (Revised) � 3 1-5X 9 t ,DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ` APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) ' NAMff I'?_0" C_4' - PHONE NUMBER �� ! 1 `J_ ADDRESS i i a d �L SUBDIVISION NAME f'VLa G�C s, ✓ c C s_ LOT #� DIRECTIONS TO SITE c A�) DATE SYSTEM INSTALLED �S NAME SYSTEM INSTALLED UNDER I !'a-c� TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY_C y SPECIFY PROBLEM OCCURRINGT E -e4 -1c- DATE REQUESTED "y . INFORMATION TAKEN BY 0111 This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT. Rev. 1193 DAVIE COUNTY HEALTH DEPARTMENT . „ IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION NOTE: Issued in Compliance With Article I I of G.,,yy$�. Chapte 1 Oa Sanitary, Sewage Systems �C`�6 6 /��r�Permit Number Name r,LL�if/%: %c Z%��r' Date "I�-y- N° 7 6 5 9 Location J.•'�r -.1 i! if Subdivision Name Lot No. _�7 Sec. or Block No. Lot Size�1 G a — House le Mobile Home —T Business Industry No. Bedrooms No. Baths _— No. in Family _ Public�A�sembly Other Garbage Disposal YES ❑ NO Z' Specifications for System: Auto Dish Washeri i ( YES NO ❑ Auto Wash Ma shine YES [ NO ❑ Type Water Supply — 41� '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 ,, 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: nstalled by ��- Certificate of Completion % Date • 2 / A' '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 Z DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION. ��!N!OtE: Issued in Compliance With Article I I of 0. Chapte San itary Sewage Systems 86 (o Wft Permit Number Name —Date N 7659 Location Subdivision Name . . Lot Size House Le--' Mobile Home Bus1gqss/L1)-L— Industry_ No. Bedrooms No. Baths N6. in Family Pubi sembly------Pther Garbage Disposal YES M " NO Specifications for System - Auto Dish Wasperi) YES NO Auto Wash M',;hine YES T N 0 Type Water Supply . ^ *This permit Void ifsewage system described below is not installed within 6years from date of issue. This permit.is subject to revocation if site plans or the intended use change. ' ~— ~� � Improvements permit by """a^a'e"e"='=",=="=~~`=~~~^v'~~~'~~r~~'^~~'~'^^~^inspection of this system between ------- —` 1:00'1:30P./N.or4:30-5:OOP.KA.onday ofcompletion. Telephone Number: 7O4-%34-5QB5 Final Installation Diagram: ^ nntaUedby - Certificate ofCompletion Date *The signing of this certificate ohoU indicate that the system described above has been installed in compliance with the o��ndandoset fo�hinthe above regu|abon.but oh�way taken eaaguarantee that �esystem will function satisfactorily for any given period of time. . \ tAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Je Davie County Health Department Environmental Health Section 0 Q) P. O. Box 665 y Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Home Phone 9%�' 7-6 d C /4." Businass Phone -7.7 f I 2. Name on Permit if Different than Above 3. Application for. I6eneral EvcMuation 0 Septic Tank Installation Porrrtt 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ZA ?�` [3 Unknown q, It house, mobile home: Subdivision �,/ �/ Section Lot # ❑ Basement/Plumbing of People Nq. of Bedrooms No. of Bathrooms ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher 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 Showers 7. Type of water supply: Public No. of Sinks No. of Urinals _ No. of Water Coolers Water Usage Figures ❑ Private 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ 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: o fZ /, y i,* U h l.5 6 i'h s e, 1 c e *7 This Is to certify that the information provided is correct to the best of my knowledge, and I understand Incurred from this application, DATE SIGNATURE responsible for all charges CONSENI E0.61M EUATION TO 13E DONE QN ABOVE DESCRIBED P JOPERTY MUST CHECK ONE: El 1. I OWN the property. ❑ 2. i 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 OCHO (1197) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation ���,� .10450 NAME DATE EVALUATED /,is- 5P ADDRESS PROPERTY SIZE PROPOSED FACIILTY�� LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring '4 Pit Cut FACTORS 1 2 3 4 Landscape position ,L Slope % --- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 32FT Texture group AIG' Consistence Structure / Mineralogyi l 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: 1� EVALUATED BY: ..21,o !/ LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 OTHER(S) PRESENT: 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 Mineralotty 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 wate[' 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 ........................... ................... .................. ■.■■■..■...■■■...■.....■.■..■.■ ■■........■.....■■.■.■....i..■■■ ■.....■n........■■.....■....... .........�..■.■.■■......■■..�■■■ MOMMEME ME .............■.....................■.. ■■......■■.......� ....... .........►\............................ . ■■■.■■■ N■■■■■,�■■■■■■■■ .........,,............................ ■■�■■■■■■. u■■■■I■■■■■.■■■ ..........�............................ ■■■■■ ■■...■■■■■..■■ ::�::::":::: ::::C:CC'� ::�:C:C=::::::l ..■■..■...■...■...■...■...■H..■..■■..■■..■■..■.f►.\.i■.■!■.■■■.■■■.■■■.■■.■.■.■■.■■.■.■.■.■.■.■■■.■.■.■■■.■■■.■.■.■■■.■■■.■.■.■.■.rG�,■.a■.��.■■■.■.■.■N ■�■■■�■ I■ ■ ■=N MOM■■■■■■■■■ : :Ho C : ' :�N: : �HC' ■ HH■ : . ■. No iiiiii"'iiiiMMNiiiiiiiiiiMMiiiiiiiiii '�MFA' """"""" ::::::: M::C: :::�.:::::::::::::::::�::::� ::' .::::::.':_::�No ...............►\..................... .■■ �..■.■'Qi■... ■■■■■■■■■■ ................................ .■■.... ■■r,■ ■.■n■■■■■.■■. ..■■ ....H■■.....■■■ ■..■.■........■ ■■■■■■._.....n........■■■..■■■■ ■...■■...■■■■....7...■.■...■■■.N■...■■■■ ■/I■■■u■■■■H■■■■■■■■■■■ ■■■...■■■.H■■■.■�►■■.■...........■....■.. WA... .■............■.■ .......N..........�...... ............■.. .inn.=C............n■■■. ■.■■ ■..■.■.■.■..■.■...■..■■...■ .....■■........■........■■n...■ ...■■..■...■.■............■.■.n..■....■.■■■.■■■■■■■■.■■■■■.....■ r i Davie Coun%, Nealtfr le altni ent and Noine Yfealtl n eJ' 210 HOSPITAL STREET i P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 May 18, 1994 Jimmie Caudle Rt. 6, Box 84 Mocksville, NC 27028 Re: Additional Site Evaluation Bradford Place—Lot 5 Dear Mr. Caudle: On May 13, 1994, this office evaluated an additional lot in the proposed Bradford Place on Sain Road. This lot is shown on the newly revised map of Bradford Place at the end of the cul—de—sac and numbered 5. Based on the information provided on the application for a site evaluation and after the evaluation was completed, lot 5 is provisionally suitable for the installation of an on—site sewage disposal system. The new map shows nine lots. Lots now numbering 1, 2, 35 4, 6, 7, 8 and 9 were evaluated on April 25, 1994. These lots are provis,onally suitable for the installation of an on—site sewage disposal system o.i each site. It should be noted, however, that surface water should be diverted off lots 6, 7 and 8 before construction begins. Sincerely`, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure cc: Jesse Boyce, Zoning Officer �5/c S�Jice�odd Tj f 1. Application/Perm Mailing Address APPLICATI N FOR SITE EVALUATION/IMPROVEMENTS PE ARIG``oIEOVED Davie County Health Department J U L 1 81994 Environmental Health Section a� P. O. Box 665 Mocksville, NC 27028 2. Name on Permit if Different than Above 3. Application for: / ❑ General Evaluation 4. System to Serve, Z House Home Phone 4:W5 S 1.5 7 Business Phone Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly O Business ❑Indust ❑ Ot/h� / ❑Unknown 5. If house, mobile home: Subdivision i, �� ✓ �� e r— 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 Sinks No. of Urinals No. of Water Coolers No. of Showers �� Water Usage Figures _ 7. Type of water supply: ft3 Public ❑ Private i 8. Property Dimensions �� U 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 CR WWashing Machine CEJ Dishwasher ❑ Garbage Disposal 2 --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: 7"ic PA h This is to certify that the information provided is correct to the incurre from this application. DATE �7v of my knowledge, and erstan� responsible for all charges SIGNATURE CO SENT EQH EIM EVALUATION !Q BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 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 a sorption sewage treatment and disposal system. e f�� T, ,�- lG DATE IGNATURE DCHD 0193) 4