233 Redwood Drive Z-Lot 14Davie County, NC Tax Parcel Report Wednesday, January 4, 2017
_ WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K5070B0014 Township: Mocksville
NCPIN Number: 5747335475 Municipality:
Account Number: 11394000 Census Tract: 37059-805
Listed Owner 1: ` BULLABOUGH JAMES RAY Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: - 233 REDWOOD DRIVE '- Planning Jurisdiction: Davie County
City: MOCKSVILLE . Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:: :..
27028-0000
Voluntary Ag. District:
Legal Description:
LOT 14 SOUTHWOOD ACRES
Fire Response District:
Assessed Acreage:
0.54
Elementary School Zone:
Deed Date:
9/1992
Middle School Zone:
Deed Book / Page:
001650522
Soil Types:
Plat Book:
0005
Flood Zone:
Plat Page:
065
Watershed Overlay:
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
No
JERUSALEM
CORNATZER
WILLIAM ELLIS
GnB2
DAVIE COUNTY
O t•IA All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
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C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
N�pUN� C or arising out of the use or Inability to use the GIS data provided by this website.
Z
yur . DAVIE COUNTY. HEALTH DEPARTMENT
IMPROVEMENTS PERMIT .SAND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name r,� �'� v. �/r / y Date��`�� a,1 2525
Location��us��
�a
Subdivision Name Lot No. Sec. or Block No. z
Lot Size z House Mobile Home _ Business Speculation `
No: Bedrooms - No. Baths No. in Family
Garbage Disposal YES •fl, NO - Specifications for System:
Auto Dish Washer YES NO : ❑
Auto Wash Machine YES NO ❑ �� r��
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
• ' •' Com• ----�'-�',� ���` f� .
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
ation Diagram: !i System Installed by ��� ✓' �� w'r
loe
u lir
Certificate of Completion Date
*The signing ofthis certificate shall indicate that thei 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 1
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
lop P.O. BOX 57
MOCKSVILLE, N.C. 27029
(704) 634-5985
STATEIMUT FOR SEPTIC TA14K T.MROVEME11TS PERMITS AND/OR SITE EVALUATIONS
NAP IE DATE
ADDRESS«/✓ �''.=.cPERMIT NO.� �' gyp[ �/•,
EXPLANATION OF
AMOUNT DULL � SANITARIANN /-
PLEASE REMIT THE ABOVE AMOUYJT OF RECEIPT OF THIS STATEMENT.
*NOTICE: Evaluation(s) can not be completed until payment is received.
Improvements Permit(s) can not be issued until payment is received.
. o.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department APR 2 1996
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By 6 94-
Mailing Address l7�Home Phone W V
IV , C Business Phone 2Q t,-- J �Z
2. Name on Permit if Different than Above /
3. Application for: ❑ General Evaluation U Septic Tank Installation Permit
4. System to Serve: 0" House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision 29+-?>iLnWr �7 it • Section Lot #
❑ BasemenUPlumbing
No. of People U-0W&AZ 54Z Is ❑Basement/No Plumbing
No. of Bedrooms 3 2 -`Washing Machine
No. of Bathrooms 7,- Rru&shwasher
Dwelling Dimensions ¢-� — SPP, ��� SF O Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
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
7. Type of water supply: Public ❑ Private
8. Property Dimensions 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
PROPERTY INFORMATION REQUIRED:
Directions to Property: Tax Office PIN fir? e 506 1 !Ck
✓ �r Foo-fft �frr 2)Ar4Dmew-dP Rp. Road Name R2L�wy-0c� �IQ
Box # (if available)
Z!5C7-0,j( .D �4�o�A�� `fo w'odT� city
RD-
6fF7r D N T��D c✓ trd D _ ��vsc
o� LEFV` @ -DA7.v
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. c.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: E 11'. 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.
g- Z-- (F 6 � ea2i��
DATE SIGNATURE
DCHD (1193)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
` Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTYu!^
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITEt�„�
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTHr-
Texture group
Consistence i
Structure /1
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: ;16 EVALUATED BY: 1/ //
LONG-TERM ACCEPTANCE RATE:
REMARKS:
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 ;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+--. -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
5C --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
Ilorizon 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 surfa
with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2