Loading...
128 Springdale Court Lot 8Davic County, NC i Tax Parcel Rcport TIMI -Slay, Octobcr 20, 2016 Parcel Plumber: NCPIN Number: Account Numb -or: Listed 0,64mer 1: r0ailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Va!ue: NVAHNENU: IS NOT A. SURVEY 1 1.. .... ... t tl'.� .....+ ... .. ..-a ilii.... ii...iii ii..1. G806OA0003 Township: Shady Grove 58800027 18 N'lunicipality: 16670500 Census Tract: 37059-804 CONNOR FRED E Voting Precinct: EAST SHADY GROVE 128 SPRINGDALE COURT Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY 1-1,R-20 Land Value: Total Assessed Value: NC Zoning Overlay: 27006-7319 Voluntary ^g. District: LOT 8 BENTBROOK Fire Response District: 1.72 Elementary School Zone 2/2002 Piddle School Zonc: 004070007 Soil Types: 0006 Flood Zone: 112 Watershed Overlay: 232010.00 Outbuilding & Extra Freatures Value: 40000.00 Total Market Value: 279680.00 ADVANCE SHADY GROVE WILLIAM ELLIS WeC,WeB DAVIE COUNTY 7670.00 279680.00 No All data Is provided as is vithovt warranty or guarantee of any kind either expressed or implied including but not limited to the iivie Count �r� ? implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the i- -I I County of Davie, North Carolina, its agents, con su;tatits, contractors or employees from any and all claims or causes of action due to NCnUN� � I or arising out of the use or inauiiiiy to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT r Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002135 Tax PIN/EH #: 5880-00-7630.08 Billed To: Fred Connor Subdivision Info: Bentbrook Lot # 8 Reference Name: Location/Address: 128 Spring Dale Court 27006 Proposed Facility: Residence Property Size: 1.7 acres ATC Number: 3056 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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/installation of a system or the issuance of a building permit (in compliance with Article 1 l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type /jam #People_ #Bedrooms F_ #Baths Dishwasher: Garbage Disposal: ❑ Washing Machine:/ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size % Type Water Supply_ Design Wastewater Flow (GPD) � Site: New,,21'o' Repair ❑ System Specifications: Tank Size ✓Opti GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width .� Rock Depth /02 " ' Linear Ft. IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) Account #: 990002135 Billed To: Fred Connor Reference Name: ATC Number: 3056 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5880-00-7630.08 Subdivision Info: Bentbrook Lot # 8 Location/Address: 128 Spring Dale Court -27006 Size: i.t acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWANSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. 'x 4AEnvironmental Health Specialist's Signature: � Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: o'er JAN2� O IN FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed v LI �i7 Al i1/ J �— Contact Person �%�/,/ /ri/; L l /��/- �'ti�✓e/110� Mailing Address �� ��� �. /� Home Phone /// �X�—�/ d' 3 City/state/ZIP /i )/ R- n! r2< Business Phone / T 2S U 3 5 2. Name on Permit/ATC if Different than Above ( Mailing Address �G /it�2 ��P i2 r /state/Zip bl Improvement 3. Application For: Evaluation Permit AT ❑ Both 4. System to Service: House ❑ Mobile Home ❑ Business s ry ❑ Other 5. If Residence: # People # Bedrooms r _ # Bathrooms P-15ishwasher ❑ Garbage Disposal V4ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # Commodes # Showers # Urinals # People # Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City ❑ Well ❑ Community / e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes d If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: #�' �� o `�A " � I? a . Property Address: Road Name :-� S v'✓?� a� Psz WRITE DIRECTIONS (from Mocksville) to PROPERTY: City/Zip If in a Subdivision' provide, information, as follows: Name: 4�v'c//1�--a-- �- -< ,l.Uz Section: Block: Lot: t Date Property Flagged: / — ;- r --e 2 -- 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 Representative of the Davie ount health Dcpartmc t to enter upon above described property located in Davie County and owned by d` to conduct all testing procedures as necessary to determine the site suitability. DATE o�-�--y 7f- SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). L n 6 &. 7� . , EHS: Account No. Invoice No. 1 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 Mailing Address 2. Name on Permit if Different than Above Business Phone 3. Application for. XGeneral Evaluation O Septic Tank Installation Permit 4. System to Serve: J Houses ❑ Mobile Home ❑ Place of Public Assembly ❑ Business Odustry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision 5,?hT��"o0� 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 —/ 7. Type of water supply: 0 Public No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Private 8. Property Dimensions Sewage Disposal Contractor O Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 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: This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. -:9 -� 2 - DATE CONSENT FS29 BM EVALUATION IQ 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 jy1UST 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 (11R ,i Ir ..S 'DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME " T e" _ ADDRESS PROPOSED FACIILTY l yele�ysK Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Community Public a--- Evaluation By: Auger Boring Pit d---- Cut FACTORS 1 2 3 4 Landscape position L Slope 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC' Consistence ., Structure ,lam 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 RATEE HE�, SITE CLASSIFICATION: �_ EVALUATED BY: 19?Z ZZ LONG-TERM ACCEPTANCE R/TE: REMARKS: SPI /NA.(' t ,- i 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 -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 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Acco u rll 9: 990002135 Biiied To.- Fred Connor oell'G -once 111-la—me: 1\GIGi Gi1GG Proposed Facility: Residence Property Size: PROPERTY INFORMATION Tax PINIEH 9: 5880-00-7630.08 Subdivision info: Bentbrook Lot # 8 128 Spring Dale Court -27006 ;%tIQ LIJi 1!llUUi GJJ. 1.7 acres Date Evaluated: Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 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: LEGEND Landscape Position EVALUATION BY: OTHER(S) 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 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 05/99 (Revised)