892 Ralph Ratledge RdDav
WARN1NG: '1'H15 IN NUT A SURVEY
Parcel Information
'.016
Parcel Number:
F200000046
Township:
Calahaln
NCPIN Number:
5810271557
Municipality:
Account Number:
78508000
Census Tract:
37059-801
Listed Owner 1:
WHITE JERRY FRANKLIN
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
892 RALPH RATLEDGE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-8333
Voluntary Ag. District:
No
Legal Description:
67.82 AC CHAFFIN RD
Fire Response District:
CENTER,SHEFFIELD - CALAHALN
Assessed Acreage:
47.82
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
4/1993
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001670913
Soil Types: MnC2,MnB2,MdB,MdD,ChA,MdE
Plat Book:
11
Flood Zone:
Plat Page:
114
Watershed Overlay:
DAVIE COUNTY
Building Value:
75590.00
Outbuilding & Extra
Freatures Value:
13400.00
Land Value:
199860.00
Total Market Value:
288850.00
Total Assessed Value:
288850.00
91,v iF
C
Davie County,
NCor
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
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**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)
NAME rn /rl//, • �" PROPERTY ADDRESS
LOCATION
VX O
00
7 A 16DAV /
SUBDIVISION NAME LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS -1 # OCCUPANTS GARBAGE DISPOSAL: Yes/f!
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE (� C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) __c' D NEW SITE 11--r REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE i> GAL. PUMP TANK GAL. TRENCH WIDTH .? ,! ROCK DEPTH 1.7 '' LINEAR FT. A,,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY !%6,"/ /1 /
**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 IN!
AUTHORIZATION N0: 9 OPERATION PERMIT BY DATE S �1
**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.
DOHD 10/95
R'
r
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION Cf
P.O. Box 665 '
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
�Ca
***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 County Building Inspections
Office when applying for Building Permits.***
AUTHORIZATION NUIXA
NATE DATE 4° 0 2
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION 0,44Q / 4�4 A" le--
COMMENTS/CONDITIONS ON AUTHORIIATION TO CONSTRUCT WASTEWATER SYSTEM
0
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By / ,p ZA (,z W i1
Mailing Address /� a i p� k 9,L T! L C- ij �. C
Home Phone ej/ Business Phone
.% Tt-
/11 R 4 110105
Ji
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General Evaluation Septic Tank Installation
4. System to Serve: ❑ House Er -Mobile Home
❑ Business ❑ Industry ❑ Other
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms 3
No. of Bathrooms %►
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories _
No. of Showers
9G3
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: ❑ Public Er Private
8. Property Dimensions rloh�ewage Disposal Contractor
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
&` Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 43—No
If yes, what type?
❑ Community
'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
�7 [-- EL
�� � ,6�/���✓.� �1-oust.
Tax Office PIN: # 91/D —�27_ /S,7
PROPERTY ADDRESS, as follows: /
Road Name: e
Ad
city:
SUI3MIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
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.
3t
DATE f � ����� SIGNATURE �r
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: L7 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 the owner or a person authorized by the owner:
I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (12-90)
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• DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/Site Evaluation
NAME [�/J� J7 DATE EVALUATED
ADDRESS PROPERTY SIZE / tAet-
PROPOSED FACIILTY %%% /� LOCATION OF SITE
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring // Pit Cut
FACTORS 1
2
3 4
Landscape position ,L
A-
�
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
MineralogX
HORIZON II DEPTH +
_/"D
Texture group
Consistence
r
Structure
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-901
EVALUATED BY: AI //
OTHER(S) PRESENT:
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- Vf---y friable FR -Friable FI-Firn► 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
3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mi neraloey
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
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