Loading...
817 Mr Henry RdDav ME -4 Qhs 1�, 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 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 �OUN4r 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 Inforrriation Parcel Number: L30000000702 Township: Mocksville NCPIN Number: 5716867813 Municipality: Account Number: 43597000 Census Tract: 37059-801 Listed Owner 1: KURFEES CHARLES M Voting Precinct: SOUTH CALAHALN Mailing Address 1: 817 MR HENRY 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: 20.00 AC MR HENRY RD Fire Response District: SCOTCH - IRISH Assessed Acreage: 20.00 Elementary School Zone: COOLEEMEE Deed Date: 6/1992 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001640160 Soil Types: GnB2,EnB,EnC,ChA,BuB,WATER,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 225910.00 Outbuilding & Extra Freatures Value: 4110.00 Land Value: 120400.00 Total Market Value: 350420.00 Total Assessed Value: 259710.00 Qhs 1�, 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 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 �OUN4r NC or arising out of the use or inability to use the GIS data provided by this website. �� "y ►-�- "= t_ DAVIE COUNTY HEALTH DEPARTMENT _ g IMPROVEMENTS PERMIT AND; CERTIFICATE OF COMPLETION ' NOTfL: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems /C%� r �• !� �' _ Perm -it Ca oNumber Name �N� I7i�� /%rr '� c,''%f, R _� �� Date Z2—Z2 1Z5 6 Location /ri/�/r Subdivision Name Lot No. Sec. or Block No. Lot Size OIX 215'C House -�'� Mobile Home — Business -- Industry No. Bedrooms %-�--.No. Baths !`� J'' No. in Family — Public Assembly Other Garbage Disposal YES ❑ NO []' Specifications for System: Auto Dish Washer YES NO ❑ �- S ��r r- �' %�t(f Auto Wash Ma^hine YES NO ❑ ! f' /moi% fJcl Type Water Supply `).twif *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. Improvements permit by _� 1 *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephonq Number: 704-634-5985. Final Installation Diagram: Sy t Insta d by — `'�- 1 �dh4* !.�4 \IS 0 na Certificate of Completion' Date 7/ice '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 PERMI � Davie County Health Department Environmental Health Section DEC 1 1994P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By t t' U n I C c Mailing Address I�0 5 R I U V 1 L c) Tn Lk: , n h r1(-1 .73 e S Home Phone ( Ci IcH k a 8 N 0 'a �7 ()0 (n Business Phone C l o� 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation UKeptic Tank Installation Permit 4. System to Serve: &I -louse ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms ❑ Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown No. of Bathrooms d1 /')- Dwelling Dimensions W4 DQ .n{_ _ I+ 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: ❑ Public P Private 8. Property Dimensions (-) 0-t^ ,SA Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing VWashing Machine P/Dishwasher ❑ Garbage Disposal ❑ Yes D-I�o ❑ Community '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: h,C, pp P !n C Cmc �� svuJ h+ cross +D {71f �rnry 4D 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. l - Q I-9 ' 4�5zz 1 - �1, ///� - DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY mo. i MUST CHECK ONE: IOWN 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 Pavie County Health Dep rtment to enter upon above described property located in Davie County and owned by ` F' k ic A sZA to conduct all testing procedures as necessary to determine said site's suitabilit ora groubd absorption sewage treatment and disposal system. DATE DCHD (7193) r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME YC5 DATE EVALUATED ADDRESS ^ / PROPERTY SIZE c20-"-4 PROPOSED FACIILTY�'CIGtS'-P LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring V*111 Pit Cut FACTORS 1 2 3 4 Landscape position ,G L - Slope 9. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH �G - Texture group C Consistence Structure// / l Mineralogy 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 ` SITE CLASSIFICATION: -tle --70 '10� LONG-TERM ACCEPTANCE RA REMARKS: (�IIP�•�J�� DCHD(01-901 EVALUATED BY: 4 & OTHER(S) PRESENT: LEG Landscape Position R -Ridge S -Shoulder L -Linear slope FS-Footslope 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 Mineraloity 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