206 Redwood Drive Z-Lot 9. Davie County, NC
Wednesdav, January 4, 2017
4 .
Parcel Information
Parcel Number:
K5070B0009
Township:
Mocksville
NCPIN Number:
5747330342
Municipality:
Account Number:
8301573
Census Tract:
37059-805
Listed Owner 1: -:_.' .
, . HERBERT KRISTY LYNN
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address -1:
303 CHARLESTON RIDGE DR
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 9 SOUTHWOOD ACRES .
Fire Response District:
JERUSALEM
Assessed Acreage:
0.50
Elementary School Zone:
CORNATZER
Deed Date: . -
11/2012 _
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009070563
Soil Types:
PcC2,RnD
Plat Book:
0008
Flood Zone:
Plat Page:
179
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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 Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
�OUt3� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION l
Agpount #/: 990003556 Tax PIN/EH #: 5747-33-0342ticlfw'-
Billed To:- Joyce Peak Subdivision Info: Southwood Acres Lot # 09
Reference Name:. Location/Address: 198 Redwood Drive -27028
Proposed Facility: Residence Property Size: see map Date Evaluated: rj�-dS
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
.C.,
L
Sloe %
HORIZON I DEPTH
Texture groupG
Consistence
i
Structure
1
Mineralogy
A `
HORIZON II DEPTHp"
Texture groupC
Consistence
Structure
S
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:_` 4
LONG-TERM ACCEPTANCE RATE:
REMARKS:
0/1
EVALUATION BY:
OTHER(S) PRESENT:
a Ar -
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
T x ur
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
ois
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
r)ri ir) o,;ioQ (nevi -,ed)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Heath Section,
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name � V�! date
Address Lot Size ZLCyZ;T J �Zl
CAI'IrnmC ARCA 1 AREA 9 ARFA 3 ARFA 4
1) Topography/ Landscape Position
w
9)
S
S
PS
S
PS
(�2
��jj
U
U
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Cla 2 ��� i�
S
P
S
P
S
PS
S
PS
1/
U
U
f) Soil Structure (12-36 in.)
Clayey SoilsP
S
S
S
PS
S
PS
�
U
U
1) Soil Depth (inches)
S
S
S
S
pS
PS
®
PS
U
PS
U
i) Soil Drainage: Internal / s �T
S
PS
S
PS
S
PS
S
PS
ci�p
0
U
U
External
C5
pS
PS
PS
U
U
U
U
1) Restrictive Horizons
Available Space
®
S
PS
S
PS
U
U
U
U
q Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
Site Classification
61. S I
(% �--
U—UNSUITABLE %S—SUITABLE PS—Provisionally Suitable
�� �l`
Recommendations /Comments- e
WeZZ
Described by �` Title Z Date C
SITE DIAGRAM
1�1
DCHD )L 82)
Zay 9
SW 14
:�Or
Account #: 990003556
Billed To: Joyce Peak
Reference Name:
Proposed Facility Residence
ATC Number: 4172
DAME COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028 nr n
(336)751-8760
Tax PIN/EH #: 5747-33-0342
Subdivision Info: Southwood Acres Lot # 09
Location/Address: 198 Redwood Drive -27028
Property Size: see map
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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: / Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall ii
has been installed in compliance with Article 11f q
Disposal Systems," but shall in NO WAY be tak as
given period of time.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
the system described on Improvement/Operation Permit
pter 130A, Section .1900 "Sewage Treatment and
intee that the system will function satisfactorily for any
eAq,-, �- / /
Date:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003556 Tax PIN/EH #: 5747-33-0342
Billed To: Joyce Peak Subdivision Info: Southwood Acres Lot # 09
Reference Name: Location/Address: 198 Redwood Drive -27028
Proposed Facility Residence Property Size: see map
ATC Number: 4172
**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 11 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 #People #Bedrooms �If— #Baths
Dishwasher: Garbage Disposal: ElWashing Machine Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply //1 o_ Design Wastewater Flow (GPD) -'FZ 0 Site: New/ Repair ❑
System Specifications: Tank Size �V 00 GAL. Pump Tank
Other:
Required Site Modifications/Conditions:
GAL. Trench Width[ Rock Depth Linear Ft,:?,
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a�rj+entative 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. oll:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
F
Environmental Health Specialist's Signature: Al-w1l Date: p O 4S/V f
DCHD 05/99 (Revised)
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