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1011 Eatons Church Road Lot 7Davie County, NC ' t Tax Parcel Report Tuesday. November 29. 2016 WARNING: TMS 1S NOT A SURVEY Parcel Information Parcel Number: D312OA0007 Township: Clarksville NCPIN Number: 5822621184 Municipality: Account Number: 65877750 Census Tract: 37059-801 Listed Owner 1: SHORE SHAWN KELLY Voting Precinct: CLARKSVILLE Mailing Address 1: 1011 EATONS CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 7 COUNTRYSHIRE WAY Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.35 Elementary School Zone: WILLIAM R DAVIE Deed Date: / Middle School Zone: NORTH DAVIE Deed Book / Page: Soil Types: MrC2,MrB2 Plat Book: 0006 Flood Zone: Plat Page: 051 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 1:01 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 Illness Wa 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 ail claims or causes of action due to NCor arising out of the use or inability to use the GIS data provided by this webaita DAVIE COUNTY HEALTH DEPARTMENT I' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 1 'NOTE': Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems L Permit Number Name = ;� '- � _---Date N. 7 9 6 :� Location_ sic. .� 1;�, X--. ©��� Subdivision Name`' �� �, �`--'\\ '4 Lot No. Sec. or Block No. Lot Size House — Mobile Home --__ Business -- Industry No. Bedrooms _— No, Baths---r\-L-- No. in Family _ Public Assembly Other Garbage Disposal YES ❑ NO D' Specifications for System: Auto Dish Washer YES ❑ NO [2f Auto Wash Ma^hine YES NO ❑ t 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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS L. -M-21 �1• 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: System Installed by •S� ` -Q� cN a Certificate of Completion �_��=`_ Date '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 P R n m� RM Davie County Health Department n t5 U V l5 Environmental Health Section U P. O. Box 665 7WARQ 10Mocksville, NC 27028 ih 1. Application/Permit Requested By. Sl Aud! �i el /� S iOD 1 n •• �' PKeSe/►T Mailing Address 314' z :sh GRAJ0160.0 P-6, Home Phone VADK,`h oBusiness Phone 1 of 10 -%6e R- 77�y 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve: (Ja nouse ❑ General Evaluation Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision CU Uh �`/[ 2 ( z Ay Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms &? Washing Machine No. of Bathrooms > ❑ Dishwasher Dwelling Dimensions / ��� ���//� ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type ko a No. of People Served No. of Sinks a /OUS x/a Z _S: l'Ile No. of Commodes No. of Lavatories No. of Urinals No. of Water Coolers No. of Showers 6;� Water Usage Figures 7. Type of water supply: ❑ Public CvUnTtf ❑ Private ❑ Community Pr pert Di sions i5CK�S'� age Disposal Contractor 9. Do you anticipate additions/expansion of the faci i`f'fy h sytem is intended to serve? ❑ Yes No If yes, what type? *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: �a%}'1 %% DGIGS 1/i lie, , I b� — d Lc p�' S Ti q li,eco 4(oq 0;// See, AIR,'Ck 40EQ U1113-eZ 6alsT. G H F 7-&11 /1 O XJ /Q GTT, W '14 A f)Q� NJ {R(6 0 - This is to certify that the information provided is correct to the best incurr d fr this appl' atio� DATE knowledge, and I S TURE am responsible for all charges CONSENT FOR SITE EVALU ON 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 s' e's suitability for a gr u absorption sewage treatment -and isposal system. 'i� zy"DATE SI URE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME A.w J �S DATE EVALUATED r - ADDRESS `7 Q� PROPERTY SIZE e Css-t�R.c� PROPOSED FACIILTY v 5`Z LOCATION OF SITE Cov v—'CRy Sti\P,Q WAV Water Supply: On -Site Well _ Community Public V Evaluation By: Z Cr—% -Auger Boring3 ►/ Pit 1 Cut FACTORS 1 2 3 4 Landscape position Sloe 7. o - ° co - g� HORIZON I DEPTH Texture group C L L C L L Consistence Structure Q Mineralogy HORIZON II DEPTH Lk" IA2` Z " 2' Texture group C Consistence —I.: Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE-- CLASSIFICATIONEM S .S LONG-TERM ACCEPTANCE RATE , , SITE CLASSIFICATION: - EVALUATED BY: �. LONG-TERM CCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: �l may LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS-Footslope 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- V+:t.-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 3C --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 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT--- Davie County Health Department ��� �. � u Environmental Health Section 6 ley P. O. Box 665 MAR 1 Mocksville, NC 27028 1. Application/Perm Mailing Address Home Phone qU E 17 Business Phone 2. Name on Permit if Different than Above /od� wa." 3. Application/Permit for: 4. System to Serve: ❑ House General Evalu ❑ Mobile Home ❑ Septic Tank Installation ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision ,.Ci , 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: R"Public ❑ Private 8. Property Dimensions /II:r Sewage Disposal Contractor ❑ 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 Property: G a/ 6144 - a fti 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. DA E SIGNATURE CONSENT FOR SITE EVA6UATION TO BE PONE 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 absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12.90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME AP'"r! /l ADDRESS PROPOSED FACIILTY/bjr ! eg_7 " Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE LOCATION OF SITE _=d9 Xo.,- � Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope % -- HORIZON I DEPTH Texture groupC .f' Consistence Structure Mineralogy HORIZON II DEPTH r' Texture groupC Consistence ,- Structure Mineralogyi; 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: ez/4 1 LONG-TERM ACCEPTANCE RATE: 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