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137 Bradford Place Lot 4Davie County, NC ' f Tax Parcel Report Thursday, November 3, 2016 WAKNING: 'PHIS IS NUY A SUKVEY Parcel Information Parcel Number: H506OA0004 Township: Mocksville NCPIN Number: 5749644627 Municipality: Account Number: 82513268 Census Tract: 37059-805 Listed Owner 1: CORRELL DARBY WILLIAM Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 137 BRADFORD PLACE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 4 BRADFORD PLACE Fin: Response District: MOCKSVILLE Assessed Acreage: 0.69 Elementary School Zone: MOCKSVILLE Deed Date: 12/2001 Middle School Zone: SOUTH DAVIE Deed Book / Page: 003980539 Soil Types: GnB2 Plat Book: 0006 Flood Zone: Plat Page: 091 Watershed Overlay: MOCKSVILLE Building Value: 102100.00 Outbuilding & Extra Freatures Value: 11760.00 Land Value: 24000.00 Total Market Value: 137860.00 Total Assessed Value: 137860.00 F—al All datais provided as is without warranty or guarantee of any Idnd 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. a DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) E NUMBER ADDRESS �i�Ya /C✓ 11&411 i1.411e4 96BDIVISION NAME Oc% S V' Zlie jll �CLOT # DIRECTIONS TO SITE ,�2 T '7 DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY ,/_NUMBER BEDROOMS \? NUMBER PEOPLE SERVED TYPE WATER SUPPLY (a SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 %_"'AQWZA0ON NO: 0867 DAVIE COUNTY HEALTH DEPARTMENT . Environmental Health Section PROPERTY INFORMATION Pe4itteb'3= P.O. Box 848 Name: f 4cx � r - Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property; .,eSection: Lot: AUTHORIZATION FOR-' WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - EE t . Road Name4rQ ct.'�t) i'G� 41p: **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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) %i***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION U�✓�� IS VALID FOR PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALISTDATE ISSUED 'c•F Y {, it iA'Z'�e'i i ..X v +ter"� r _''4�T #.." . �� 1+vr'`M. r,r �*F: t",f irK``r ' J^+a+i � ' i:Xpr r tr ""h�k �', y y`t c�.`,� r ", 9 star+.. �' a Tt �J• ti'" �'i '+i a �•r�� Y c-' � ° y � ��'-]' `� . DAME COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pernutt l/� Nam9� "i t" t nSubdivision Name: +� Directions to property:a �f Section: d'"' Lot: IMPROVEMENT PERMIT Tax Office PIN:# tt . d p; r n� Road Name t"� A. 6� **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) r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE %t- y'l rr ..1r '' yr; , "f '; "",:• .��,,t'�7" PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 'SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPES #BEDROOMSJ` #BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE f # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY O DESIGN WASTEWATER FLOW (GPD) I -�11d NEW sITE - i— REPAIR SITE LI SYSTEM SPECIFICATIONS: TANK SIZF��ey GAL. PUMP TANK GAL. TRENCH WIDTH . f'G ROCK DEPTH /a LINEAR Fr../ -5 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "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) 6348760. AUTHORIZATION NO. OPERATION PERMIT BY: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) t Ota ' Y U R DAVIE COUNTY HEALTH DEPARTMENT .:, IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PN eame a t" Subdivision Name Directions to property:# �;;-,v° Section: f� Lot: 54 IMPROVEMENT PERMIT Tax Office PIN:# { " Road Name:4310r'! w # r-1-111. 6: **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) J.,- ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE 7 r PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST 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 TYPES # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN'WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE ' ,]J/ SYSTEM SPECIFICATIONS: TANK SIZEe!1 Z1 GAL. PUMP TANK GAL. TRENCH WIDTH r s-' 'ROCK DEPTH 1� LINEAR FT. j OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMEia PERMIT LAYOUT **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) 6348760. OPERATION PERMIT ^' SYSTEM INSTALLED BY: 1 fF AUTHORIZATION NO. � ,7 > OPERATION PERMIT BY: Z.Y /x�l' DATE: A **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) I t **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) 6348760. OPERATION PERMIT ^' SYSTEM INSTALLED BY: 1 fF AUTHORIZATION NO. � ,7 > OPERATION PERMIT BY: Z.Y /x�l' DATE: A **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) I APPLICATION FOR SITE EVALUATIONAMPROVEMENTS PERMIT DCH 16k D rt t r avie ounty eat epa men Environmental Health Section 0 P. O. Box 665 Mocksville, NC 27028 •.----�� r 1. Application/Permit Requested By _01! !�1%y11 `C 6 a 4c,:11' � - Mailing Address 4 e "� Home Phone *7 D A,- 41, Business Phone 9Y6 — % 7 yif dL 2. Name on Permit if Different than Above 3. Application for. 0 -General Evaluation ❑ Septic Tank InstallaVon Permit 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly O Business ❑Industry�� p Ot)1�r ❑Unknown y 5. If. house, mobile home: Subdivision 41 C/ d e Soction Lot # No. of People Np. of Bedrooms of Bathrooms 0,Wplling Dimensions ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ 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 Showers 7. Type of water supply: 8. Property Dimensions, Public No. of Water Coolers Water Usare Firures ❑ Private ❑ Community Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ 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: /5�g �o .4aih }�P X 41, 71, � 5' o � do 7/0 This is to certify that the information provided is correct to the best of my knowledge, and I understand incurred from this application. -'7- l!4 DATE SIGNATURE responsible for all charges CONSENT E0 $lIE EVALUATION IQ J3E DONE QN 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 hIM 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 groui,,J absorption sewage treatment and disposal system. DATE DCHD (193) SIGNATURE V. 'V' ' Ik DAVIE COUNTY HEALTH DEPARTMENT I -X4 P IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIORI *NOTE: Issued in Compliance With Article II of S. a 130a Permit Number Sanitary ewage Systems Name .-�/i'� ,0,la nate � N27622 Location Subdivision Name _s t6 '9rLot No. Sec. or Block No. Lot Size House r''Mobile Home Business —_ Indust-ry No. Bedrooms --. No. Baths —zo- No. in Family — Public Assembly Other Garbage Disposal Auto Dish Washer YES ❑ NO YES NO Specifications for System: ' �) ❑ � y-,� Auto Wash Ma^hine YES NO ❑ Type Water Supply ij *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. r" Improvements permit by _ ZZ *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: 704-634-5985. Final Installation Diagram: r System Installed by Vw 17 0 f1 t i 1 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. 4� 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. NAME �� Ile ADDRESS j DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPOSED FACIILTY ,'ousP DATE EVALUATED Tib/J PROPERTY SIZE LOCATION OF SITE ,-24,)l U Water Supply: On -Site Well Community Public_,,�— Evaluation By: Auger Boring Pit icee Cut FACTORS 1 2 3 4 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH _4 t Texture group Consistence Structure Mineralogyl - 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 c SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: _may REMARKS: DCHD(01-901 EVALUATED BY: '.'�Z/ OTHER(S) PRESENT: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC -Concave sloae 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 (Aay 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 -Finn 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 Ilorizon 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 ■■■■■■■■■■■■..■.■.........■■■.ee■.e.....�e...�.■■eee■.■�.e■e..N.■ ■.ee.e■■■e...e....■■.■...■■.■.. ■...■e.e..............■.■.■..■■■ ■e.■eee.......■■■........■■■.■.■.■■.■■■■.■..........�i■■■■■■■■■ ■■■ iiiiiii■iiiiiiiiiiiiiiiii�iiiiii��iiiiiii'e=iiiiiiiiiiiiiiiiii=iii ■.e.■eeeeeeeeeee.■eee■N■.■■.eee.■e■e..■■e■■.■..■eee■ ■.e■■eeeee�� ..................................e■■ee■ee■eeeeee ■ee■eee■e...e..■ ................................ ............■I■■■..■■■.■■■..■... ...■u■■.■■■■■■■n.eee■■...................... ■■ee■■e■■e■ee■■e■■ ................................................... .... ....... ■.■eee.■....ee.ee.....■..eeeeeee=■■■.■=.■�ee■e■■n■■■e.e■eeee■e■■■■ ■..■eee■e..■..■eeeeee.■.■■..eeeee■■.■■ ■.e.ee■e■■■■.■■■ee■e.ee.■■.■ iii�■i�iMEMEMMIMiiiii■ MEMEMEM ■...■■■.........■eee....■■eeeee■.eeeeee■■■■■■■■■ ■.■■■■■■e...e.ee■ ■■■■■■■■■■.■■■.e.■eee..e..e■■ee..■e..eee■...e■ecce.■..eee........■ ...................................... ■■�■■..■e. ■Me■e■■■■■■■■■■■ ...................................... ...... . .............. ..............n.■■■eee=e■...e■■..ecce ■ .■��eC� ME M ME MOMM:::� ■.■e......e..e.eeeee....e.e....■ ■■• MENEM i ■nn■e ■UM ■ ■.....■a.es■■■■.■.een■■■eee.■■ee■■■■■ ■ ■■■■ MEMAMEMEMEMIEMMM ■■ee■■■■e.e ■ ■■■■ ■...■■.......■...u.■■■ee....■■e..■■.e ■ ......................N..........._.....n. i■.■ eee■■e■C■■■■■■ ■ ............eeee■■■.eee.■■■.e■■■.e■ e■■■■en ■. ■ ■■■■■■■■■■■e■■■■ MIEN MEMO ■.■■■■■ .■■■eeeee. eee■■ee■■■■.■Y■ .N ■■ ■■■ ■■■.■■.e ■■.■■ ■■■■■■■ Mi■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■ ■■�ii■■ee.■ee�. ■■ ■...■■■ MEN C■.■e■■■■e.■■■..■■■...e.e■■■.e.■ ■■ n■■■■n■e■R■■ ■ecce■■■.■■■■■■■■■■■■.■■■■■■■■■■■a■■■ ■■■ �■■■ '.Qi■■■■ ■■■ ■e■■.■ ....■........................... ....... .....................■■M ■■..e.■�iie.e■■■e.ee.. ■ee.■..ee..■■ee.■.eee■ee■...ee.....e.....■..■ ■■■■■.eee■eeee■■.e■■■.e..■■■e■ee a■■■■■■.■■■■eMEN■■■■■■■■■.■■■.■■ ■■■■■■■■■■■..■■■..■■■.■.■■■■.■■■..■.■■�e.e■e■■■■.■■■■■■.■■■■e...■■ ■e■. ■...■■.■■■■■■■■■■■■.■■■■■■■ ■■■■■■■■■■■■■■■.■■.■■■.■■■u...■