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387 Cedar Grove Church RdDavie County, NC Tax Parcel Report IAO Tuesday, September 27, 2016 7 6565 \ II j 2542 -- 8458 101 l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NCimplied warranties of merchantability 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 from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY arceYinfo atfn Parcel Number. K70000004902 Township: Fulton NCPIN Number. 5777042542 Municipality: Account Number. 9578530 Census Tract: 37059-804 Listed Owner 1: BRADSHAW VERNON DEXTER JR Voting Precinct: FULTON Mailing Address 1: 387 CEDAR GROVE CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 2.50 AC CEDAR GROVE CHR Fire Response District: FORK Assessed Acreage: 2.43 Elementary School Zone: CORNATZER Deed Date: 9/1992 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001650575 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 262650.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 28430.00 Total Market Value: 291080.00 Total Assessed Value: 291080.00 101 l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NCimplied warranties of merchantability 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 from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. 1t ,,: - _d ,; r..�.. ,^.tee".l-r.::, ....'tti r r c 7R. v. 1,C• r ``r`. ^i'' :t j.r r : ,�1:. r.4, .: . w i:'• •;:'L"--rw'•''�J DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION a^, *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a ` cr ani Se WapSystems Permit Numbers Name / s _ Date N_ 7211 Location ,' L?G2/, 1% rte, ,• / /f i : . (=— �� ! C.t'(�(,C Co Ve Subdivision Name Lot No. Sec. or Block No. 7S7 /F %1S ''- Lot Size HouseMobile Home _ Business _— Speculation No. Bedrooms No. Baths ��No. in Family :_ Garbage Disposal >` YES ❑ NO [jam Sp/ifica�n�f�em: Auto Dish Washer/ YES NO GU Auto Wash Ma :hive ES NO ❑ ��l ?,�/,�' Type Water Supply *This permit Void if sewage system described below is n�tj 11. a)f d within 5 years from date of issue. This permit is subject to revocation if site plans or the'r M: u�e change. 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 704-634-598855.. Final Installation Diagram: System Installed by 4 H 1 I 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. - r _ w APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PE RE Davie County Health DepartmentI Environmental Health Section au��, [� P. O. Box 665 9 1993 Mocksville, NC 27028 �;�,.,,��„___ 1. Application/Permit Requested By VOINON _Q61745 6ro-4,5hR lI J 2 - Mailing Address / I i T. 7 8,0 l�DeKSY1 Lis ,L , A/• G . 91 DA 8 Home Phone __/C ,04, 1c34- d;?'YQ Business Phone 710 1 ,31- 342 1 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision No. of People .3 No. of Bedrooms No. of Bathrooms ani 1Al v Dwelling Dimensions / r 7z ',FerSeptic Tank Installation ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks M) No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: I ❑ Public LVV O U6) 0 0s0 ❑ Private ❑ Community 8. Property Dimensions 051) X /215 Sewage Disposal Contractor UNO e-6 I IDOL) J D,(3 GOP 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes VNo 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: / , / E -A..7- 7-o 7t� j&}{ T ON GC n)lf- &1 DVS C,14, V2 mile on T , Nl w ,D12. -T P -d L,1)7- 750 r- 01 /� e FDAZ e;fZ0vL5,- 0,P 4 d 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. ` r ATE SIGNATURE el CONSENT FOR SITE EVA ATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: V 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 said site's suitability for a ground absorption sewage treatment and disposal system. r A3 DATE SIGNATURE DCHD (12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED '15rC'/Z;er PROPERTY SIZE LOCATION OF SITE�� Water Supply: On -Site Well ✓ v Community Public // t Evaluation By: Auger Boring ,/ Pit Cut FACTORS 1 2 3 4 Landscape position 277 Slope % r HORIZON I DEPTH lv " -. Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture grou C' Consistence Structure S^ ,� s'.S/� J'd✓� l'�� Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION _S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: - REMARKS: LEGEND DCHD(01-901 EVALUATED BY: kl— �/ OTHER(S) PRESENT: Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC-ConCavr clnne CV -Convex slove 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 ■■■..■■■■■.■■■■■...■...■■...ilk"IIJ....■■...■■■.■■■■■■.■■■■■■■■.■■■■■■ ■■■■■■...■■■■■■....■■■...■■■■..■Ise.■►�■■■■■,■■ri�.�u■■■■.■■.■...■■■e■ ■■..■■.N■.■...■.I....■■II...■\■�■■C///■■■i�■■..■.■.■■.■..■■■■ ■.■ ■■■...■■■■...IJi.■.■■I.■....■//.Gr■■■■■■/■■■.I.\\.■.■.■ ■■■■■■■■.■I■ U■■■■■■ ■.■■■■ ■/■■■■U■■►■■.U.■■■■N ■■■■■■ ■I■■.■M■■■■■. ■..■■■.....■.■■■■■■■■/.■■11■■.■..■■■■.N,1 ■■■.■■■ N■■■■■■■■■/■.■■ ■■■■■■■■■..■■■■..■■■■■■.■■\\.■■►7■.■■.. on No NOON ■J■■■■■■■■■■.■■■ ■■..■■■.■/■■■...■.■■.■■...■�.■■.�..■.. , ■NOON. ■ ■■■...■■■.■■/■ ■■■■.■■■■■■■.■N■■■.■.■ ■■■■�;■■■��■.■■ ■ ►1■■ ■ ■■ ■ .. 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