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112 Brockland Dr Lots 59-60Davie County, NC Tax Parcel Report Tuesday, January 3, 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: HIGH POINT State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS I5 NOTA SURVEY Parcel Information H7020A0012 Township: 5769869103 Municipality: 78709900 Census Tract: WHITE TERESA D Voting Precinct: C/O TERESA MONEY Planning Jurisdiction: Zoning Class: NC Zoning Overlay: 27265-7227 Voluntary Ag. District: LOTS 59-60 GREEN BRIER Fire Response District: 1.54 Elementary School Zone: 11/1996 Middle School Zone: 001910317 Soil Types: 0005 Flood Zone: 099 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A ADVANCE SHADY GROVE WILLIAM ELLIS GnB2, EnB DAVIE COUNTY No 9 huyfA ^All data is provided as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the R I 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, Its agents, consultants, contractors or employees from any and all claims or causes of action due to mop �' NC or arising out of the use or Inability to use the GIS data provided by this website. ,' ....r. ,,... ;.4RgFY1. =Rid�``q;F�9��-�F'� '�{'�'L',�:/.f':��1-: "'..3✓"c..rv'�`�h..r.:�• �T ? • 1�a.�Wi. �`� ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a • Sanitary SewagQ Systems Permit Number Name Location Subdivision Name % a0 �4 AIL f ate N2 66,98 Lot No. Sec. or Block No. Lot Size &C House Mobile Home _ 4e< Business Speculation No. Bedrooms .No. Baths _�_ No. in Family Garbage Disposal YES ❑ NO GR--' Specifications Jor System: Auto Dish Washer. YESNO EJ Auto Wash Ma^hine 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. I 0 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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by �-J Certificate of Completion tad Date 7S 2 *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. z 1. Application/Permit Mailing Address _ Home Phone APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 ;sted By G /?� 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: ❑ House ❑ Business ❑ Industi 5. If house, mobile home: Subdivision Business Phone 1?5'V 1— / 1Sb/1-)i, 1-1G General Evaluation obile Home ❑ Other No. of People No. of Bedrooms No. of Bathrooms 4 Dwelling Dimensions /,L/ y 7 d 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes Z' No. of Sinks _ No. of Urinals No. of Lavatories No. of Water Coolers. No. of Showers Z— Water Usage Figures, 7 Type of water supply: Public El Private roperty Dimensions 066 Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? EVE® SEP 2 6 1991 0 ❑ Septic Tank Installation ❑ Place of Public Assembly ❑ Unknown Section Lot # X7-6 a ❑ Basement/Plumbing ❑ Basement/No Plumbing G-Wa-shing Machine Dishwasher ❑ Garbage Disposal ❑ Yes 0-140- ❑ 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: / .t� `Y a /-_7 A 16 A n- - This is to certify that the information provided is correct to the -best oflny- incurred from this application./ / DATE and I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 71--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 representativ�gg --of JE Davi County Health Department to enter upon above described property located in Davie County and owned by H� _ -- /_ d C _ � 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 (12.90) NB5° 20E► Y''v 7J� IRON /) U 345.0 1p I ` r -nctsf 3 /73L-_- �'-� BRANCH NUEEN , ACR •� B `O © ; 4 RMAN C. _t p i 3 BK- 9/- PG. 5y5 `� a o pi- A $K. Pr -/ 2 !`O O a AC g a 2 7 © / �AD 60 j o Q IB EEK i = h h BRIER CR 100.0• Y' t W OB 0N / 04095.0 42 I5(pAVEDi I " A -,T J . 345.0 R. 169 49 a O_ 5►!1 r,�;1. jdsfA. WiL 2W-� /P 1 cuS85 -2 64VRES\ /P 23700' 1.p mCEEK ROAD dOB O0 o® BRIER -172v /OOB4 I.O 3 7 4oo '�N 842-4/- �0 `N p Z 243.05 m o N - IRON O © . g 3 O /0985' C /000 0�O.50AC. Q O 9 0 Y /000 1005845BW 0 N85°52 -22E' B5 w I 4 p 236.84 J 5 b o b b •� OD �� O $' S = N 50AG O. B. MEB 3A vi B Q S a g 2 ?XJ.O _ N B4 -58 E 303.05 m 230 i -587025-11 W Q g S85° 20 © 2 0 0 CERTIFICATE G1� APPROVAL BY 0 i p) g 0 ©^ g Q b I CH.GRnu O 200 V W 400.0 S�C �O O C7 Z O CERT/FY THAT SAID RD OL h `�_� { ¢� O Op Q SUBD/VIS/AV ENTITLED ADD/T70 MILLER i 1 IV 20 E lV _ O Q o 4000 - xa.o d m ®� CERTIFICATE OF APPROML BY T, Ic 1.70AC g 3 N651t2 W 400 Z o TO g p 2 Q- r cHAIRYA , v 200.0 Ei 200-0 Q N Z - y W ®� !� 4 crwwY .THAT SAID BOARD DOZY . p0 ZD OU ✓`� -4 - 5° 20 W p ® ENT/TLED ADD/`/ON 7U 'GREEN 6 �a Q J a �da O V Q�0 ©_ o Q R G B00£R . ((CsSvaBJli 50LD O t cCXi-O o 41-39 SB4�i N pod m /E STATE ROAD 4J 20x/.0 NB5°-xfE © g N 14 - � 16 !" 585°-20 0 4 { �r /060' EX/ST / HEREBY CERT/FY TH.: 4GY10 h ai• IRON O b © 0-24 EVALUATED THE suaDN/S/ON EA O O Z4 4AC 4 0 of b w .g N B5 2u O I p O NBS J7 �•`! b V G .b RESPECT TO CRITERIA AND GONG o/Q j�00 cs .0 , JOO_ /20-00 Z _ .4 - THEREUNDER AAD THE S4AIE /S FO[.A^ o• p N 200 EXCEPT AS SET FORYN. IN SKI/ E VAN v 0' 3 O r N ti o / 2i4gc w MIS CERTIFICATE "s Avr cows AV SAID SUBD/V/S/ON FAR /NsuuA7 N 85i tb. 1 o m m M a cS �o ec H Zip O i� a Y tato. DA1F , a ® �� ®U -9 ti ADD/TION Tc 20/.28 o 43.73 20/28' 28' 20/3 20/3' /40L 95.4.4' 9.3 ti R-60• SBB°-Q-4B E� ;t �,.Fq� - - cac Is,1 BR/ER 5 REEK �Q,q j—j�dC /I-5 » R 5 0 u SHADY 6Pt. } /Ago /00. U 2 .O S88--/r-59"E+ 9 �l 0 O� W 3 4000 30/.OB 5.0 Z 3 E N E D ry W , 3 1517 34 b 9 R.1 N OWNERS • H( U a ® o8) ® BOUNDARY S& 0 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ` Soil/Site Evaluation i NAME D S ADDRESS PROPOSED FACIILTY I DATE EVALUATED PROPERTY SIZE ✓talC'- LOCATION OF SITE Water Supply: On -Site Well Community Public Evai luation By: Auger Boringy Pit Cut I FACTORS 1 2 3 4 Landscape position ,C .L- L G Sloe % a o't 3 HORIZON I DEPTH d7s 7' </- Texture groupS[. C � Consistence _ i Structure Mineralogy HORIZON II DEPTH -7/1 Texture groupe 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: >� EVALUATED BY: �l.J LONG-TERM ACCEPTANCE RATE: d roL OTHER(S) PRESENT: REMARKS: LEGEND DCHD(01-901 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 Mineralo[ty 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 ■■■■■!■■■■■■■■■■■■!■■■■■■■■■■■■■■■.■■■..■..■..0.■■■.■■■.■..e.■■■■■ ■.■■■■....E.■■■.■■■■■■.■■.■■■.■.■.■■■.■■..■.■....■..■■.■.....■■.■■ ■■■■■■.......■.■■■.■■.■■..■.■... ■..■....■..e..■■.■■..■■..■■■■■■■ ■■.■...■.■■■■.■....■.■..■■■ ■■.■.....■...■..■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■.■.■■■e■■ .....■■.■■...e.■E..■■■.ONE■■■■E■.■■■■. ■■...■..■...■.■■.■■■■■■■■.■■■■.■■..■....■.■...e■..■.■■■.MEMO■.■■■■ ■■■■■E■■■■■■■■■■■.■.■...■..■..■..■■EE■.■�■■■■■■■■EOMEN■■E■■■■E.■■ ■...■■...■......■■■.■.■■...■.■.........■■.E....■■.■■■■■■■EEE■■■■■■ ■■■■■■■■■.■■.■■.■■■■.■■■■■■.■■.■..■■■.■.....■......■■..■..1.■.■■■E■ ■■■.■.■■.....■.■..■...■.■■.■■■.■.■ ■........■......E■...■.son.ONE C ■■.■....■...■..E.......■■........■C....■■..M■..■■..E■..■■.i�.■■EMO■ ■■.■■■.■■..■■.■E..■■■■...■E...■...■C.■.....■...■■..■.■....■1..■.■E■ ■■■■.■...■E■.■■.e■■..■.■�iEe■■■■..■■■■.EEe■■■Ell■■■■■■■■■.■ ■.■E■..■ .........................IEEE■■EE■■■■■■■■.E■■■i■.■.■ ....�.........■ lCCCCCC�iMOMMEN MEMENO EMMMEE MENNENCC:CC':CC EMERIME •MOMEME OMEME ■■..■■■■■■E■■%�In■■..e■..■�=�:::::we■.■■■■!.■■■.■■■■■■■■■■■ MIME■e■.■ ■■....ee...■.iii/.e■■..■....■■.■...EFi■.■■E ■■■■■■■■■■■■■■■C.I■■.■■■■ .■.............................. .... .......... 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N.C. 27028 PHONE: (704) 634.5985 October 8, 1991 Bobby Hodges c/o Roy Potts P. 0. Box 11 Advance, KC 27006 Re: Site Evaluation Greenbriar-Lot 59-60 Dear Mr. Hodges: As requested, a representative from this office visited the aforementioned site on September 27, 1991. The site was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure �sy DAVIB COUFTY HEALTH DEPARUIEM E£?VIR0I4I0ITAL HEALTH SECTION SOIL/SITE. EVALUATION I?A£M �o p � 6,P�f �l' DATE ADDRESS LOCATIO? �t LOT SIZE Zoo X06 o a«� 7.aP s.:L- Y mss" .BRA%�o4�►y TOPOUARHY: Ff A.'L s/Ai er S-1 ?vera. 4 - b a B.4'..r.MIel"� _ S. Gr o: L - s✓i• u y rr - SOIL TEZTURE:us �s Cly - SA,o�ve1A- ..?4Z rx ' 0/ t SOIL STRUCTU : yr -..CV DEPTH: 4s _ ,, yr RESTRICTIVE HORIZOFS: y �_ ,02,gr. ? %y' PERCOLATION PATE: Presoak Hark & time Drop Time Pate/iii%. Inch 1. 2. s. i *- CLASSIFICATIOIT:Suitable Provisionally Suitable Ct ,unsuitable COM -MITTS: f'tra/ a.�. 'lam �Sto*l. 4d7 -/'9%% Welt Jw��st:•b�t `,fie ,��.;,iraeg���. 'th_�tsrr_ cit �.3� " ciut civl�St['a4�na.�t�e.,. �`?"']g4..0 _�c.-�u:R�. Z CCO y+.T� �'l�, o w w.� � r n �`. cQ....i� �. `n+ .'car. d^ �+., t t l t 1�•�^.�st�- - P cn..� 'ala i C � F j t S 71t •►� SAVITARIAI? SITE DIAGP.AM DATJIL COUI?TY HEALTH D%PARTIE'cdT EPIVIROFIMETAL HEALTH SECTION SOIL/SITE EVALUATIOI? VAIS DATE ADDRESS LOCATIO11 e e •ix- !rl- '0- Z a LOT SIZE /. S-2,)iY1•/ ---- %/mss°.L' V-.;" TOPOGRAPHY: S SOIL TEZTURE a ..5 SOIL STRUC-.UREo 5 DEPTH: — W RESTRICTIVE HORIZOVS 8 ,cue irzea3��� S.s�.p�•//fie PERCOLATION PATE: 1. 2. 3. Presoak Hark & time Drop Time Pate/11i%. Inch ***CLA'31F'CkT uitable Provisionally Suitable Unsuitable COIF tTTS sPe4- C ,&..///✓ lnty F`�c, - � G.4 7, I9i7 - .Qr� �1.k� Opp iish t. 49e LIQ'. eAvll _ �t�Oivrt� o7C GVH// a+- �dl�!/i4 Lor SAFITARIAH WAA.Do SITE DIAGMA,i -- PLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT s Davie County Health Department E vironmental Health Section �( P. O. Box 665 Mocksville, NC 27028 r 1. Application/Permit RegLuested By UM/4 Mailing Addressq- 2. �T Home Phone �� / ' 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision r Business Phone ❑ G neral Evaluation Z"'Mobile Home ❑ Other �w� r ACYt'_5 No. of People No. of Bedrooms -'� No. of Bathrooms �2-- \, Dwelling Dimensions X �D 6. If business, industry, place of public assembly, other: Specify No. of People Served / No. of Commodes L No. of Lavatories No. of Showers 7. Type of water supply: ❑ Public 8. Property Dimensions a 64 9. Do you anticipate additions/expansion If yes, what type? / AI.C. 97066,Z d� -_ Septic Tank Installation lace of Public Assembly ❑ Unknown )n Lot # q ❑ Basement/Plumbing ❑ Basement/No Plumbing 2'Washing Machine dDishwasher ❑ Garbage Disposal No. of Sinks o. of Urinals I o. of Water Coolers W fer Usage Figures Private ❑ Community Sewage D sposal Contractor facility this sytem is intended\to serve? ❑ Yes ❑ No 'NOTE: Improvements Perr(nits shall be valid for a period of 5 years from mate issued. Improvements Permits are subject to revocation, if site' plans or the intended use change. Effective Octoper 1, 1989. Directions to Prop rty: 'tWl5 Pro 13 e 4y 'S IN lyre -e N A r R erc5. �Rkeor�xby fid. �tbok� lm�lty �o `13�tAr Cr �urN rtgh�' --her) + rN Jp++ bN `BrocklANd fir. 61kok+ ym;le:5+ rnolb;le. Lofifer br pallier Nes oto X0+4 59 Ir ,—DTIF �/lr5 /S W�1eP U 94" wAti� fo SePk,�,�� h°,,°��e —Eroc k('191A -3r. /Thiuris to certify that the information provided is correct to the best of my knowledge, and I ed from this application. DATE Sid TURE I am responsible for all charges 4 Fdisposal ONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY CK ONE: 5vri. I OWN the property. ❑ 2. 1 DO NOT OWN the property. ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: e consent to the authorized representative of the Davie County Health Department to enter upon above described ated in Davie County and owned by all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment al system. DATE SIGNATURE DCHD (12-90)