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112 Eric Road Lot 3Davie County, NC 193 Tax Parcel Report i 177 167 � 9N D 5 C: w Wednesday, December 14, 2016 DALtiON nu WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J609OA0016 Township: NCPIN Number: 5757292459 Municipality: Account Number: 8304216 Census Tract: Listed Owner 1: LAMBERTON RORY D Voting Precinct: Mailing Address 1: 1777 larimer st 1910 Planning Jurisdiction: City: deriver Zoning Class: State: co Zoning Overlay: Zip Code: 80202 Voluntary Ag. District: Legal Description: LOT 3 DALTON ACRES Fire Response District: Assessed Acreage: 0.55 Elementary School Zone: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: o":Ie Davie County, NC 10/2014 Middle School Zone: 009700716 Soil Types: 0004 Flood Zone: 099 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Mocksville 37059-807 SOUTH MOCKSVILLE Davie County DAVIE COUNTY R -A No FORK CORNATZER WILLIAM ELLIS RnD DAVIE COUNTY All data Is pravided as Is without warranty or guarantee of any kind either expressed or implied includ Ing but nut limited to the implied wanantles of memhantabllity 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 "many and all claims orcauses of talon due to or arising out of the use or Inability to use the GIS data provided by this webslte. Iw DAVIE COUNTY HEALTH DEPARTMENT jomo IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance With Article II of G.S. Chapter 130a san�ita.ry Sewage Systems Permit Number Name ?.u�� J�'o �`` WAS ---Date 1S No 8001 Location � �* �� 1 ' � � V\ - VA ,c \,A`ot,\ A —0 Subdivision Name V-) Lot No. Sec. or Block No. Lot Size— k ~� �� _ House — Mobile Home Business ___ Industry No. Bedrooms — —.No. Baths _ =_ No,: in Family ' — Public Assembly Other Garbage Disposal YES ❑ NO p� Specifications for System: Auto Dish Washer YES ❑ NO °� `� Ok Auto Wash Machine YES NO ❑ r u ✓ o Type Water Supply -- c� �' \�----- - q,. ?�' �( , :l '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 PERMITILAYOUT BEFORE INSTALLING THIS SYSTEM, i•a t>J.1� �.r�w. c Improvements permit '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 _1\N�V rn'tjr 2 T ftI Ij ,lt,� a J Certificate of Completion Date 'The signing of this certificateshall indicate that the system describ 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 Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Mailing Address 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: ❑ House Business Phone Septic Tank Installation Permit [A Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision D Z 7e 'V C 'e? 't� Section Lot # -� Na j ``� o d '7'� /'G E J�' % ❑ Basement/Plumbing 'Z�t��r No. of People ❑ Basement/No Plumbing No. of Bedrooms 1 No. of Bathrooms Dwelling Dimensions 6. If business, Industry, place of public assembly, other: No. of People Served No. of Commodes No. of Lavatories Specify type No of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7.Type of water supply Public gO� 5 �; El Private t\ 8. roperty Dimension !� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is Intended to serve? If yes, what type? 9 Washing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ Yes A 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: / 76an/ , This is to certify that the information provided is correct to t ebeof my knowledge,,and I understand I aJ� responsible for all charges Incurred from this application, . 5 , 'o .7 / CONSENT Q SITE EVALUATION 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 MU T 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. _ -If — n_ )LA114 DCHD(1)83) FACTORS DAVIE COUNTY HEALTH DEPARTMENT 3 4 Landscape position. Environmental Health Section -9 S S Sloe R Soil/Site Evaluation O 8 -So pp NAME 11 aao�Q �¢W 1S DATE EVALUATED J -5" ADDRESS s A xi\Qe\ PROPERTY SI2:E L PROPOSED FACIILTY' LOCATION OF SITE D A I'* V N R 1� Structure Water Supply: On -Site Well Community 'Public -Evaluation By: C El. Auger Boring ✓ / Pit: -- - - Cut - - FACTORS 1 2 3 4 Landscape position. -9 S S Sloe R e)-&ci O 8 -So O-¢" HORIZON I DEPTH Texture groupL L L Consistence r Structure Mineralogy1. , HORIZON II DEPTH ° " p Texture group Consistence Z r Structure p Mineralogy HORIZON SII DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group - Consistence Structure .. Mineralogy SOIL WETNESS S S s 3 SS RESTRICTIVE HORIZON — — — SAPROLITE_ ` — CLASSIFICATION S S S LONG-TERM ACCEPTANCE RATE 114 t 1 4 t SITE CLASSIFICATION: LANG -TERM AACCEEPTANCIE RATE.' 14 .REMARKS: ?o' � 1-i : W -V& EVALUATED BY: OTHER(S) PRESENT: � N o N Q r_. z�i 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 -Loa m SI -Silt SICL-Silty Aay loam- .SIL -Silty loam CL -Clay -loam SCL-Sandyclay 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 _ V ... � S -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 - Mi neralotey 1:1, 2:1, Mixed Notes Iiorizon 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 CI �I n • "-N6° 32'12'f ,+' 100 00 0, 235 vu a 59' 30 . n N 1 o = 20 0 241 0g l M I♦'I l m �� �� QJ 4� o O M O C7 I4pI'� 2 `S� .Z' h I� N O pp WM I O O r � h 10 p 20' 9YNA1nY ll _ � at h 17 _ N N Is o q `b IA •� 70 15 T S6 3G' z e m _' � >2• --�_ o_ 90 fry - _ Buita�n x g '`go. „`L �'L p D„ Z N) 2y c �° t loo IOD. _ n P { a t ;°eBr\ yLIP, o ,g �° s ° 29 w �', E R DD co c _ arp ✓°s. r a, 1 1-2g'[ P 0 Bg.g9 f 13 F? 3 88 28' l at, filing ne 146.05' �7°-?g S 1 E j 60, o / 1p100 f1�I a c 3 a s 20D 95' s `p S9' 3i'E co en 30' ou la:n'q 00 00' 100 M' , ` I NI° 9'- LIP- L 1 are 4 0 8 A _ �{ O '� 4i V e' v� 9 tp M ' F!" `BiC I�'If 12 °v N N <. . 10 ,, yQi t9 90 40 s ` 5 `54 38' k L, 00 00' GOD' 100 62' 100 62' OC 62IDG 62' 212.00' ° '21 14' 104000' (TOT L) NICK DALTON MAF OF ON ACREIJBDIVIS10f\lm 1 I I ALL LOTS SUBJECT TO S' MINIMUM NO L. NE FROM TNF SIDE PROPERTY LINE t 2)Al.A. LOTS SUBJECT TO 26' MtNIMIJM BvII-DING LINE FROM THE REAR PROPERTY LINE (3) ALL LOTS CONTAIN A MINIMUM OF 20,d3C SO FT (41 o- ,NDIOATE IRON Pt PE OR IRON ROD SES 4S) la :NOICATE GONCRETF MONUMENT CONTROL CORNER NICK DALTON MAF OF ON ACREIJBDIVIS10f\lm 1 I I