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126 Bradford Place Lot 7Davie County, NC Tax Parcel Renort Thursday Novemher 1- 2016 Legal Description: WAKN1LNG: '1'111515 NOTA SURVEY Fire Response District: MOCKSVILLE - Parcel Information Elementary School Zone: Parcel Number: H506OA0007 Township: Mocksville NCPIN Number: 5749641874 Municipality: Soil Types: Account Number: 55712000 Census Tract: 37059-805 Listed Owner 1: PAWLIK SCOTT W Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 126 BRADFORD PLACE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Total Assessed Value: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 7 BRADFORD PLACE Fire Response District: MOCKSVILLE Assessed Acreage: 0.59 Elementary School Zone: MOCKSVILLE Deed Date: 10/1995 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001830462 Soil Types: GnB2,GnC2 Plat Book: 0006 Flood Zone: Plat Page: 091 Watershed Overlay: MOCKSVILLE Building Value: 118700.00 Outbuilding & Extra Freatures Value: 2440.00 Land Value: 20000.00 Total Market Value: 141140.00 Total Assessed Value: 141140.00 161 All data Is provided as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Davie County, Impliedwarranties ofmerchantablitty orf iness for a particular use. All users of Davie Countys GIS website shall hold harmless theCounty of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or artsing out of the use or inability to use the GIS data provided by this website, 1kennitt,?s '• DAVIE COUNTY HEALTH DEPARTMENT IV : , Environmental Health Section PROPERTY INFORMATION . P.O. Box 848 ; �±� Vireetions to property: e Mocksville, NC 27028 Subdivision Name -•d'i %l "i 1, % l` 1 `W Phone #: 336-751-8760 AUTHORIZATION NO: 002.648 A Section: L Lot: AUTHORIZATION FOR WASTEWATER Tax Of ice PIN:# - - SYSTEM CONSTRUCTION 94f� Road Name: **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 County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION %'�'{ T: ►� i i j� '1 J IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE y # BEDROOMS # BATHS -_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY U DESIGN WASTEWATER FLOW (GPD) C'00 NEW SITE REPAIR SITE �� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH s-�G�_ ROCK DEPTH LINEAR FT— OTHER A!/i �1 %� //P/ REQUIRED SITE. M0DjRCATinNS/C0NDTTI0N3: IMPROVEMENT PERMIT LAYOUT C- X' FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT AUTHORIZATION NO. L &PERATION PERMIT BY: SYSTEM INSTALLED BY: &V1 0"fh �l1 DATE: IU -1 T' �O **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE 41FA I'1313 SY,91F rDMCRIBED 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 02/02 (Revised) -Pemutfee�'s �' .- �Dirtions'to property: a DAVIE COUNTY 116LTH DEPARTMENT Environmental; Health Section PROPERTY INFORMATION D P.O. Box 848 Mocksville, NC 27028 Subdivision Name ,. PCne #: 336-751-8760 - Section: Lot: AUTHORIZATION FOR WASTEWATER Tax O ice P :# - SYSTEM CONSTRUCTION / AUTHORIZATION NO: 002648 A Road Name: Zip: Z7,Oa **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 bavie County Building Inspections Office when applying for Building Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE_ # BEDROOMS # BATHS —7— # OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE/ # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY `fir DESIGN WASTEWATER FLOW (GPD)'4o� NEW SITE REPAIR SITE --7 �% --1 SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /V�LINEAR Fi5ht` OTHER k'�J �/ f /, ' ill t/ : ` /, L' RF.0I TIRFr) SiTR mo )TFTrATI0NS/r0NDTTI0NS- FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: " ' ' , ' J G r d l4 C Sb' 3 1>1 AUTHORIZATION NO. VOPERATION PERMIT BY: !% DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY M D CRIBED 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 02/02 (Revised) • DAVIE COUNTY ENVIRONMENTAL HEALTH SECTIOifOj-t APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME SC fJ�l �C V41 I PHONE NUMBER�- ADDRESS IZ(.v 43V-&J-DrDt P1. SUBDIVISION NAME Br4-0 43'�Q t' ! m t24V>) tk A L 2 ?V 2t- LOT # 7 DIRECTIONS TO SITE �5� }y sr I n n. SS YA .�• 6� trt 10 DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER 11I�'ulT� K.C� TYPE FACILITY 11 0YV-- NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY L w -[ y SPECIFY PROBLEM OCCURRING St wa" DATE REQUESTEINFORMATION T This is to certify that the information provided is correct to the best of my knowledge, and thaerr)d'I am responsible for all chargealncurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT. Rev. 1/93 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE. Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number .1 1�- r� 7904 Name �...L�: % Date _.�,G��L_ Location Subdivision Name _A. Lot No. Sec. or Block No. _ Lot Size moi!/ r'c — House _ Mobile Home Business _— Industry No. Bedrooms -$' No. Baths _ — No. in Family — Public Assembly Other Garbage Disposal YES ❑ NO � Specifications for System: Auto Dish Washer YES 0 NO ❑ AM4/S11 1 l ��40;7 Auto Wash Ma^hine YES p'!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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. Improvements permit by —Cs �—/-- *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. Telephone Number: 704-634-598&y/,6o p Final Installation Diagram: System Installed by M 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. O. Box 665��-- Mocksville, NC 27028 1. Application/Permit Requested By/�"� Mailing Address �/ 1 6 S ��*9(.rCf�CeMD �� Home Phone 99ep-5?Qs l f7GYt�.�N�P moi% -C-2 706 Business Phone 99��'G15 l 2. Name on Permit if Different than Above 3. Application for: ElGeneral Evaluation � 4. System to Serve: 2 House VSeptic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Indust ❑/ Other ❑ Unknown 5. If house, mobile home: Subdivision ,o� Section Lot # No. of People No. of Bedrooms -� No. of Bathrooms Dwelling Dimensions �.50y �r�r 6. If business, industry, place of public assembly, other: Specify type _ No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures ❑ Basement/Plumbing Er"6asement/No Plumbing ❑Washing Machine L//Dishwasher ❑ Garbage Disposal 7. Type of water supply: LY1 Public ❑ Private �) ❑ Community 8. Property Dimensions 3�` ��r Sewage Disposal Contractor Z �l 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 21No 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: 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. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 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 (1/93) A. � APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT � Davie County Health Department t V Environmental Health Section P. O. Box 665 O 1 Mocksville, NC 27028 1. Application/Permit Requested By J,L! m& / r{ Mailing Address 4 Home Phone d 4,o. Business Phone 9V6 ' 7 7 ff 2- 2. Name on Permit if Different than Above x 3,..A Iiation for: eGeneral Evaluation ❑ Septic Tank Installation Permit 4. S�item to Serve: ❑ House O Mobile Home O Place of Public Assembly ❑ Business ❑ Industry / � � Other O Unknown 5. If house, mobile home: Subdivision �'4 �` ! Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Piumb!n3 No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions O Garbage Disposal 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 ❑ Private O Community 8. Property Dimensions Sewage Disposal Contractor 9. Do' you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes O No 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: l5 �all oll �1 � fob to certify that the information provided is correct to the best of my knowledge, and I understand u i from this application. -7 — 2z/ ' DATE SIGNA T ! 1RE responsible for all charges CONSENT EMM EVALUATION M N DONE Q(y ABOVE DESCRIBED PAQPERTY MUST CHECK ONE: ❑ 1. 1 Qom( the property. ❑ 2. 1 DQNOT 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 ante, 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 ooHo pix+) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME u Ol DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well Community / Public .fes Evaluation By: Auger Boring Pit t/ Cut FACTORS 1 2 3 4 Landscape position L 4 Sloe Z y /- F HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group (2 Consistence Structure Mineralogy A 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: 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 Tovt„�o 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 ■■■■■■■■■■■■.■■■.■■.■■■■■.■■■..■■■.■...■..■■.■■.■■.■.■ ■MNN■N■■.YD ■■■■■■■■■■■.....■■■■■...■■■■■■■■ ■■..■■■■■.■■..■■■■.■■■■..■■■.■■■ ■■■■■■■■■■■■■■■■■■.■■■■a■.■■■■■■■■■■.■■■.■.■■.■■NMC■■■■■■.■■■■■.■■ ■.■■■■■N■■■■.■.■■.■■■■■■.■■■■.■ ■■■.■.... ■■■■■■■■■■....■■■■ ■M. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■HOON.......■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MONO CCCCCCCCCCCCCCCCCCC�:CC�CCCCCC■!CCCCCC■CCCCCCOCCCCCCCCC■■CCCCCCC ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■C■■■M■■■C■...M.C.■N■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■. ■■■■■■MMMMMM■■■■■ CCCCCCMCCCCCCCCCCCCMCCCCCC CCC':CWCCCCCC CCCCC■mmommom ■■■■■■■■■■■■■■■■■..■.■■■■■■■■■.■■.■■■■ MOMMOMM ■ ■■■■■■■■■■■■■■ ............�■..................�.... .... 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