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151 Everhart RdDavie Countv. NC Tax Parcel Report 6696 Wednesday. September 28, 201 t WARNING: THIS IS NOT A SURVEY Davie County Parcel Information C+OU.V'S4 Parcel Number: J70000002105 Township: Fulton NCPIN Number: 5767371773 Municipality: Account Number: 5588400 Census Tract: 37059-804 Listed Owner 1: BEAUCHAMP SANDRA T Voting Precinct: FULTON Mailing Address 1: 137 EVERHART 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: 1.78 AC EVERHART RD Fire Response District: FORK Assessed Acreage: 1.56 Elementary School Zone: CORNATZER Deed Date: 12/1997 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001990050 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 43380.00 Outbuilding 8r Extra 620.00 Freatures Value: Land Value: 23280.00 Total Market Value: 67280.00 Total Assessed Value: 67280.00 Davie County All data is provided as Is without warranty or guarantee of any kind either expressed or implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the C+OU.V'S4 NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to the inability GIS data by or arising out of use or to use the provided this website. � DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name /4, r` Zen 1`/r Date - !^� S i' � ` Locationr�/ Subdivision Name Lot No. Sec. or Block No. Lot Size'r ;-r'� House Mobile Home _ �-'� Business Speculation No. Bedrooms `c' No. Baths -! No. in Family Garbage Disposal YES ❑ NO p" Specifications for System: Auto Dish Washer YES 4 NO ❑ / Auto Wash Ma thine YE,S� © 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. 1 f_. �f 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�� Certificate of Completion Date r '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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT lo --;O'9/ Davie County Health Department Environmental Health Section P. O. Box 665 ufw-irevimm Kip 97n9A 1. Application/Permit Requested By 11, S Mailing Address 9-f # 3 13, ' 3 23 7 - /4 Home Phone !Ur" Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation [5 Septic Tank Installation 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People 7 No. of Bedrooms 3 No. of Bathrooms of Dwelling Dimensions Z Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown Section Lot # 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: 25 Public ❑ Private ❑ Cortrtthunity 8. Property Dimensions - k4" -.re - Sewage Disposal Contractor D /L/L G 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes C5 No ❑ Basement/Plumbing ❑ Basement/No Plumbing aWashing Machine 12'6ishwasher 13'Garbage Disposal 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: J\ �e y� �yy r } This is to certify that the information provided is correct to incurred from this application. DATE best of my knowledge, and I understand I am responsible for all charges 4-1 --- SIGNATURE CONSENT FOR SITE EVALUATION !!� aE DONE QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: W 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 ttl a awrreror a person authorized by the owner: I hereby give consent to the authorized repress"' at of th�� ie qQu ai h Department to enter upon above described property located in Davie County and owned by\\ .1 4 to conduct all testing procedures as necessary to determine said sit 's suitability for a ground absorption sewage treatment and disposal system. '.' ' DATE SIGNATURE DCHD (12.90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME Pon h DATE EVALUATED ADDRESS PROPERTY SIZE /9C PROPOSED FACIILTY '0i7 /4" LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 1 2 3 4 Landscape position ,L L 4 Slope 7. '— HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 4e,�' Texture group 1<1 6 e!,G Consistence Structure Mineralogy - ,_/ J,/ 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 t/ SITE CLASSIFICATION: L- EVALUATED BY: A 4 LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 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 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 ■.■■..■.....■■■.■..■■.■.■■...■■.■■■■■■■■■■■■■■■■■■■■■■.■■..■■■■■■■ ..........■..................... ..■■■■■■....E....■■■.......■.ME■ 0 NOON ■......n...........■.....■■...■�.■���.....■�■......■.E........ ■■■ ■..■■■.....■...........■■..■■■.■ ■`WRmM.■.. ....E■■■■.■■.....■...■ ......................................... ■■■E■EO..�.............. ■.■..■.....■................■■■■ ..■. ■.......■■ No MEMO ■E■■■■■ ■.■■■.......E.■.................�imom.�■■■■.■■■....EE....M.■■.�...■ ■■O■■.O■■■..000OO..O.■■■■....■�■■OE•===::ilii.%i' ■■wE■■O■OG■■EO■■�■ ■■■■■■■■■■.DOE■/_/_..itM■.■■■■■■OE■■■/wwwuuO■■�■EOE ■■■■EE■■O■■■■■■■ ■OO■.MO�!!C�i�MEO■■EE■EEE■■■■■I��J��E'L(iilfiE■■■■■■■■�■■■■■■■■M.■■■■■■■� ■■■OE■E■O■■EE■■O■■EEE■■■OO..■as.:ii■M■...■.■E■■.■■ �■O■E■■■ ■■■■■■■O ■...■■..EOO....O■■.....■....■■.. .00EOO■EEE■■ EOEEEEOO■■EO.■O■■■■ ■OOEE■EEE.E■■EE■■EEE■OE■■■■■■.■■■■■■■■■■.■■■E■�O■■■■■■E■■■■■■■■OE■ SOMEONE ONiUiiiiiiMMMMMMMMMMMMM■=■iENon ........................................... 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