255 Bridle Ln If
Davie County, NC Tax Parcel 26 2016
231
LL, 255
co 406
285
WARNING: THIS IS NOTA SURVEY
Parcel Information'
Parcel Number: G70000013902 Township: Shady Grove
NCFVNNumuor: 5870318540 Municipality:
Account Number: 16175000 Census Tract: 87059-804
Listed Owner 1: COgLERLARRY D Voting Precinct: EAST SHADY GROVE
Mailing Address Y: 255BRIDLE LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: Q«W|ECOUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 5.0OACOFF CORN/QZERRD Fire Response District: ADVANCE
Assessed Acreage: 5.03 Elementary School Zone: SHADY GROVE
Deed Date: 12/1992 Middle School Zone: WILLIAM ELL|S
Deed Book/Page: 001660599 Soil Types: GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: D/YNEQ3UNTY
�
Building Value: 161130.00 Fo,oOuth-~Oreodin=—e�Extra 32170.00
Land Value: 64350.00 Total Market Value: 257650.00
Total Aonoasud Value: 257650.00
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DAVIE COUNTY HEALTH DEPARTMENTiff �& /
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name Yv Date
o
N6983
Location O's
IF \o'
0
Subdivision Nam ? Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES C3 NO Specifications for System:
Auto Dish Washer YES E] NO El
Auto Wash Ma-.hine YES p NO
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.
\A
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 Installation Diagram: System Installed by
rJJyy
-7
/i��
Certificate of Completion Jn
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.
1(,-5-I -2
q I ,
sIE DWR --
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
1
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Request,- y �v2 Business Phone
2. Address 7�!X 7 O
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub=Division Sec. Lot No.
5. System used to serve what type facility: House ome Business
IndustryOther
b) Number of people
6. aJ If house or mobile home, state size of home and number of rooms.
House Dimensions 7
Bed Rooms 3 Bath Rooms�Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public Private ---- Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions�f�, 5-1y 1< 9-5_751
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type? k'D
This is to certify that the information is corr ct to the best of owledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPL NCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
70 y,, lam- W ),4- - 7o- F;r5
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IV led
DCHD(6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS s `A\ Ccs SZ PROPERTY SIZE
PROPOSED FACIILTY C U \s e LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By:��AugerBoring Pit Cut
FACTORS 1 2 3 4
Landscape position CL
Sloe % O-
HORIZON I DEPTH (o'' Co"
Texture groupL
Consistence
Structure C\Z
Mineralogy
HORIZON II DEPTH L4 D L
Texture group C
Consistence — - T
Structure f3
Mineralogy ,► I
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS S S S
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION S
LONG-TERM ACCEPTANCE RATE `,A t
SITE CLASSIFICATION: ' ✓' EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: '
R S) P
L OTHERESENT:
REMARKS: �1`� Z__`J'9
LE END
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-Finn 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
Mineralosty
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
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