970 Gladstone RdDavie County, NC . Tax Parcel Report V I (,, h Thursday, September 29, 2016
t yt All data Is provided as 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 Countys 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
M412OA002301
Township:
Jerusalem
NCPIN Number:
5735672536
Municipality:
Account Number:
11826000
Census Tract:
37059-807
Listed Owner 1:
BURTON TERRY R
Voting Precinct:
COOLEEMEE
Mailing Address 1:
373 CHERRYHILL ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
2.00 AC GLADSTONE RD
Fire Response District:
COOLEEMEE
Assessed Acreage:
1.89
Elementary School Zone:
COOLEEMEE
Deed Date:
11/2014
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2014E1122
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
3860.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
23750.00
Total Market Value:
27610.00
Total Assessed Value:
27610.00
t yt All data Is provided as 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 Countys 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
r . DAVIE COUNTY HEALTH DEPARTMENT foo, po
r_- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a ;
Sanitary Sewage Systems Permit Number
Name k) ? V3 r� A . " it Date G " c1 U No 6165
LocationAa
NNr
Subdivision Name Lot No. �Wk./(or
V Block No.
Lot Size L -L House Mobile Home Business Speculation
No. Bedrooms No. Baths ry No. in Family
Garbage Disposal YES E)' NO D/ Specifications for System:
c�
Auto Dish Washer, ._ YES p' NO ❑
Auto Wash Machine YES 0 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 revocartion,if site plans or the intended use change.
,I F
+� /�--)d•
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: n
J�
System Installed by(,
' r
I
,F
/D o
s
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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
lob' Mocksville, NC 27028
1. Application/Permit Requested B
Mailing Address kT.
d
By S4\le Wodamki _
b g AkoJks 6 l le,
Home Phone 99 8" `1409 Business Phone
2. Name on Permit if Different than Above
(I�r. iso � � e ( We kw e, C.P?'+VO4- & 64Y.
3. Property Owner if Different than Above y 'Pf.;41' -tee -IL te5
4. Application/Permit For: 0 General Evaluation IrS/Tank Installation
S. System to Serve: House 4u� E/Mobile Home now 0 Business
Industry - Other 0 Unknown
6. If house, mobile home: Subdivision Sec.-- Lot#
10P 3
�No.'of People Dwelling Dimensions
/No. of Bedrooms 2 will ►a% 3� Basement/Plumbing
No. of Bathrooms I WOIta✓e1 Basement/No Plumbing
(,/Washing Machine S/Dishwasher 0 Garbage Disposal
7. If business, industry, 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 I:A
8. Type of water supply: ci
Public
9. Property Dimensions Z acvu
10. Sewage Disposal Contractor
0 Private
0 Community
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? ✓Yes 0 No
q i'�-i� whom- adJi4-iCJ -bAroom n
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.
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.
q- z4 - 90 A 7(1'-Odom�
Date Signature
Directions to Property:
1,
rope e� , "ads -buz, lZoaJ . From kcc6 ✓i lle on r't5k+ a6o..+ Y;- rA; le"
-�r nw Cobtme Am CA, UAli Wm4edc ( foY sale, Arta..
-ka 6o, +zs-led es W-oA kasily vefa.cC J b�( us'L "3- d rive u)ay vE k6usa-
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DCHD (10-89)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, R O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from Mv,owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
Cye!,) no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conductall
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
9- 7,4 - 90
DATE
Sf6NATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
- z4- 90
DATE
DCHD (11 /84)
— Owner only
— Owners designated representative
—Anyone requesting results
— Only those listed below
o t • 4/,O,,G d uh
NATURE
;I
4o
o
06—
;I
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME J e P �,5�\ DATE EVALUATED _ 0 q O
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE G Aa S�o N Q J�t�
Water Supply: n On -Site Well Community Public
Evaluation BY: �� Auger Boring 111�* Pit Cut
FACTORS
1
2
3
4
Landscape position
Sloe %
S - W11
-)?-)TO
k -J-a
HORIZON I DEPTH
stij
9.,
g
Texture group
(Z -CL-
C 1-
S C L
S c L
Consistence
—
T
F-4
Structure
Mineralogy
`,
-1 '; 1
I'll
: 1
HORIZON II DEPTH
v '
r1
O isLj
D
Texture group
C_�
C -
Consistence
-T
F7
Fz
FT
Structure
13
i�
E
LTi
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
s S
ss
S S
RESTRICTIVE HORIZON
--
-'
SAPROLITE
--
CLASSIFICATION
g
s
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: —vi S EVALUATED BY:
LONG-TERM ACCEPTANCER.TE: 3'� v OTHER(S) PRESENT:
REMARKS: q'ua
END
Landscaoe 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
Mineralo[ty
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 watel'.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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