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785 Cedar Grove Church Rd Davie County,NC Tax Parcel Report Monday, September 26, 2016 826 CC-DAR GR�0:'JC- ---------- --.,785 WARNING: THIS IS NOT A SURVEY ............ Parcel Information Parcel Number: K70000002004 Township: Fulton NCPIN Number: 5767612900 Municipality: Account Number: 82528799 Census Tract: 37059-804 Listed Owner 1: YOSTJENNY J Voting Precinct: FULTON Mailing Address 1: 785 CEDAR GROVE CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 1.267 AC CEDAR GROVE CH Fire Response District: FORK Assessed Acreage: 1.09 Elementary School Zone: CORNATZER Deed Date: 10/2007 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 007320949 Soil Types: PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 250150.00 Outbuilding&Extra 2630.00 Freatures Value: Land Value: 21500.00 Total Market Value: 274280.00 Total Assessed Value: 274280.00 Zvi All data 13 provided a.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 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 NC or arising out of the use or Inability to use the GIS data provided by this website. f j t k t 1y'4' ..,� u �µ3r i �,s. Eh ." Vii+'^3 t1. t..a� t +'e._} _ . .. ae(`' d.•�i t.+ �'y+ 1, 6 &d a va, Nt.At 4�), ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a Saftitary Sewage Systems o -�._ L' Z3 3 Permi>�t u �or Name �� \ ate NO C3 L Location Subdivision Name Lot No. Sec. or Block No. Oso:s Lot Size _ House - - Mobile Home Business Speculation No. Bedrooms '� No. Baths No. in Family Garbage Disposal YES p NO p Specifications fQr System: Auto Dish Washer 'YES E] NO ❑ ° Auto Wash Ma:hive YES N0_0 Type Water Supply __— *This permit Void if sewage system described below is not installed within 5 years from_d_ate of issue. This permit is subject to revocation if site plans or the intended use change • i \ 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 -4 �,CJ1%11tc 'Jl �H 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. AECEOVED J�7 A PLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT '} AP� Davie County Health Department Environmental Health Section s-oyn e t)n e_ e*are --------------- P. O. Box 665 Mocksville, NC 27028 &t, J 0 r 1. Application/Permit Requested By. Mailing Address do)( 4 AcQua�� NC a 7406 Home Phone IuI'= Business Phone 2. Name on Permit if Different than Above Sa M e Jrt 3. Application/Permit for: General Evaluation ['Septic Tank Installation 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot# ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms -3washing Machine No. of Bathrooms '3 r'u'bishwasher Dwelling Dimensions ❑ 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: Xpublic ❑ Private ❑ Community 8. Property Dimensions Ac se s Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes J9 No 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 CA Jcue kCt, GO APProx , Z M�IPS cNaGr 6101le C t . ed. OA ee S •ae- v Ids 10 ba c c 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. �f�6h3 - DATE j IGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. Q'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 9f the Davie County Health Department to enter upon above described property located in Davie County and owned by Nk/son Jon P c to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURkJ DCHD(12.90) r . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME d`�\ DATE EVALUATED ADDRESS 4 PROPERTY SIZE 3 OsA PROPOSED FACIILTY o 71-'q LOCATION OF SITES Water Supply: On-Site Well Community Public Evaluation By: L-AugerBoring Pit Cut FACTORS 1 2 3 4 Landscape position S Slope Z Ss' I " S 5" q_)50 a HORIZON I DEPTH ia" 1�" Texture group S C L- Consistence FS Structure Mineralogy HORIZON II DEPTH Texture group C_ ConsistenceF 3 i Structure 'aVP1 Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S S RESTRICTIVE HORIZON — — — SAPROLITE — - — CLASSIFICATION �. LONG-TERM ACCEPTANCE RATE 4 SITE CLASSIFICATION: �S' EVALUATED BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:_ REMARKS: �-- EGEND 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-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 DCHD(01-901 ■■■■■■■■■■■■■■■■O■■■■■■■■■■■■■■■ ■■■■■■■■■■/■■.■■/.■■■■■■■■■■■■■■ CCCCCCCCCCCCCCCCCCCCCC..�CCCCCCCCCCCCCCCCC■C■�CCCCCCCCCCC•.CCCCCNCC ■■...■■....■.■....■■■■■...■.■■■■■■■..■/...............■.■..... 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