132 Camden Court Lot 8 Davie County,NC Tax Parcel Report Wednesday,November 9,2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. G703OA0008 Township: Shady Grove
NCPIN Number. 5860839239 Municipality:
Account Number. 82530260 Census Tract: 37059-803
Listed Owner 1: HEDRICK MATTHEW E Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 132 CAMDEN COURT Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: LOT 8 CAMDEN YARDS Fire Response District: ADVANCE
Assessed Acreage: 0.67 Elementary School Zone: SHADY GROVE
Deed Date: 3/2009 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 007860185 Soil Types: GnI32
Plat Book: 0006 Flood Zone:
Plat Page: 169 Watershed Overlay: DAVIE COUNTY
Building Value: 129920.00 Outbuilding&Extra 720.00
Freatures Value:
Land Value: 30000.00 Total Market Value: 160640.00
Total Assessed Value: 160640.00
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Davie County, Implied 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 emus"of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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A4FHORIZATION,NO --0559, ,DAVIE COUNTY HEALTH DEPARTMENT a `
Environmental Health Section PROPERTY INFORMATION
Permittee's x ;111�, 'P.O:Box 848
Name: U/It�i� .Li'u Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760
Directions to property: - Section:_ Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# ��o_
SYSTEM CONSTRUCTION
Road Name: l rAd �= Zp
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie CountyBuilding Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater ystems,Section:1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH CekIALIST DATE ISSUED
1 LA i.
-DAVIECOUNTY HEALTH DEPARTMENT-
» _ .IMPROVEMENT AND OP $ATION PERMITS PROPERTY INFORMATION
Pe
N------ �'r°' ... �'r' Subdivision Name: .::.<.;
.Directions`to property: a��,,;'/'J ;x` t `/
Section: Lot:
IMPROVEMENT
Tax Office PIN:#
Road Name:, X11_rl m a kw.. '�'Z p, .a " GLI
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH iSECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS _� #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE ' I TYPE WATER SUPPLY��_ DESIGN WASTEWATER FLOW(GPD),S_P/z� NEW SII'E._/�-' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHROCK DEPTH. /0_�- LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
r ;
"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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY
r .
AUTHORIZATION NO. OPERATION PERMIT BY: All DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEM M `.
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Davie County Health Department
Environmental Health Section D
P. 0. Box 665c
Mocksville, NC 27028 JAN a y�J5
1 .Application/Permit Requested By
IN 6DC
Mailing Address v( S' �� GS Home Phone
Business Phone
2 Name on Permit if Different loan Above
3..Application for: General Evaluation ❑Septic Tank Installation Permit
4. System to Serve: E House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry her ❑ Unknown
5. If house, mobile home: Subdivision �Q Section Lot if O ``
►.
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No.of Bedrooms ❑ Washing Machine
No.of Bathrooms ❑ Dishwasher
�1
Dwelling Dimensions ❑ Garbage Disposal i
E,
6. If business, industry, place of public assembly, other: Specify type i
No. of People Served No. of Sinks I
No.of Commodes No. of Urinals
No.of Lavatories No. of Water Coolers
No.of Showers Water Usage Figures
1.
7 Type of water supply: t'Publi ❑ Private ❑ Community
— '
`8 'Property Dimensions �fe .fed . �`"1J t Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes P<No
If yes, what type?
i.
*NOTE: Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989. i
i
Directions to Property: PROPERTY INFORMATION REQUIRE
Tax Office PIN f#
LT Road Name
I Box # (if available)
X&u Peck , Ad✓a-
cit esL !.
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This is to certify that the information provided is correcttoMtVo e a d I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
' f
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. I 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 th avie Cop ty Health epartment to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determing said si ui bili y for a ground absor n sewage treatment r
and disposal system. o
DATE SIGNATURE
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1, DCHD'(1193)
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, -; - DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAMEDATE EVALUATED
ADDRESS PROPERTY SIZE dL�
PROPOSED FACIILTY � QG1�� LOCATION OF SITE
Water Supply: On-Site Well Community Public 4,__
Evaluation By: Auger Boring Pit c/' Cut
FACTORS 1 2 3 4
Landscape position .4-
Slope
LSloe Z
HORIZON I DEPTH " e'v
Texture groupL
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture groupCi G
Consistence
Structure
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: EVALUATED BY:
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 :lay 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
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