308 Pleasant Acre Drive Lots 90-91Davie County, NC , Tax Parcel Report Thursday, November 3. 2016
WAKNING: '1'11151S NUT A SUKV.LY
Parcel Information
Parcel Number M50000003303 Township:
NCPIN Number: 5745970313 Municipality:
Jerusalem
Account Number.
82525212
Census Tract:
37059-807
Listed Owner 1:
JEFFERSON KEVIN GRAY
Voting Precinct:
JERUSALEM
Mailing Address 1:
308 PLEASANT ACRE DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-6802
Voluntary Ag. District:
No
Legal Description:
LOTS 90-91 BOXWOOD ACRES
Fire Response District: JERUSALEM
Assessed Acreage:
0.85
Elementary School Zone:
COOLEEMEE
Deed Date:
10/2005
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
006280634
Soil Types:
WeB,PcB2,CeB2
Plat Book: 0004 Flood Zone:
Plat Page: 048 Watershed Overlay: DAVIE COUNTY
Building Value: 78790.00 Outbuilding 8r Extra 730.00
Freatures Value:
Land Value: 15000.00 Total Market Value: 94520.00
Total Assessed Value: 94520.00
F-01
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
* DAVIE COUNTY HEALTH DEPARTMENT�
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
S7tary. Sewag ystems -,, TI'
Name ate
Location
PermiYM or
No
Subdivision ,Name Lot No. Sec. or -Block No.
Lot Size House —- Mobile Home._ Business -- Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES p 1 NO e i �c tions
Auto Dish Washer iYES Q` NO U R_,�) .��
Auto Wash Ma thine YES NO p * u ( \X
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.
l
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 Install tion Diagrarr
System Installed by
I'
Certificate of CompletionDate
doll'ell-f
*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
Davie County Health Department ���t� Q��®
Environmental Health Section l�
P. O. Box 665 _ g 03
Mocksville, NC 27028 MAR
1. Application/Permit Requested By 9,110 Cbr�-
dpma"�,
Mailing Address o n
Home Phone 2 F5� Business Phone 2 Ffl ,2 v o
2. Name on Permit if Different than Above
�
3. Application/Permit for: V General Evaluation ilgeptic Tank Installation
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other u>B49 Y3 ❑ Unknown
5. If house, mobile home: Subdivision /�o2`(�oa
No. of People
No. of Bedrooms
No. of Bathrooms
Dwelling Dimensions
o�-
3
6. If business, industry, place of public assembly, other: Specify type
3' Section Lot # 9 ) (]
❑ Basement/Plumbing
❑lBasement/No Plumbing
a Washing Machine
n Dishwasher
❑ Garbage Disposal
No. of People Served
No. of Sinks
No. of Commodes
No. of Urinals
No. of Lavatories
No. of Water Coolers.
No. of Showers
Water Usage Figures.
J
7. Type of water supply: C1p Public "3
❑ Private
8. Property Dimensions Q_ -A
Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes ❑ 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:
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.
MAMc-k P , /sF3
DATE 61-GNATUtIE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: t, 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. A „ Al
DCHD (12.90)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY S R'
DATE EVALUATED 3 - V&
PROPERTY SIZE ;,q Q!3.9,
LOCATION OF SITE @ p�
Water Supply: On -Site Well Community Public
Evaluation By:Auger Boring Pit LI/ Cut
FACTORS
1
2 3 4
Landscape position
.S
-S
Sloe %
O - °
o -(20
HORIZON I DEPTH
'
1'
Texture group
0, L
L
Consistence
Structure
V1
Mineralogy
',
.I
HORIZON II DEPTH
40
0'
Texture groupC
c
Consistence
t
fS
Structure
Pd k
Bk
Mineralogy
t1 I
I'll
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S s
Ss
RESTRICTIVE HORIZON
SAPROLITE
--
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: _ W -_�>
EVALUATED BY:
LANG -TERM ACCEPTANCE RATE: L\ OTHER(S) PRESENT:
REMARKS: ? s ��-►•. �� �\' S
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
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
• C
rDfl e County .7[ealtkr De artment
and .dome Nwltli Ayency
210 HOSPITAL STREET/ P.O. 80% 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
March 17, 1993
David Correll
Rt. k, Box 337
Mocksville, NC 27028
Re: Site Evaluation
Boxwood Acres/Lot 90-91
Dear Mr. Correll:
As requested, a representative from this office visited the aforementioned
site on March 12, 1993. 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,
Charles E. Little, R.S.
Environmental Health Section
CL/wd
Enclosure