County Line Road Lot 3Davie County, NC I Tax Parcel Report Tuesday, November 8, 2016
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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, Impliedwanan as ofmerchardabllity orfitness for a particularuse. All users of Davie County's GIS webafte shall hold harmless the
Courtly of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
10:1
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
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Parcel
Information
Parcel Number:
H10000000803
Township:
Calahain
NCPIN Number:
4799875161
Municipality:
Account Number:
8305446
Census Tract:
37059-801
Listed Owner 1: WHITE ROBIN LYNN BRACKEN
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
332 PLEASANT HILL DRIVE
Planning Jurisdiction:
Davie County
City:
ELKIN
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
28621
Voluntary Ag. District:
No
Legal Description:
LOT 3 BRACKEN DOWNS
Fin: Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
0.74
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
6/2013
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
2013EO612
Soil Types:
GnB2,PcC2
Plat Book:
0007
Flood Zone:
Plat Page:
152
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding 8r Extra
Freatures Value:
0.00
Land Value:
16010.00
Total Market Value:
16010.00
Total Assessed Value:
16010.00
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, Impliedwanan as ofmerchardabllity orfitness for a particularuse. All users of Davie County's GIS webafte shall hold harmless the
Courtly of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
10:1
NC or arising out of the use or Inability to use the GIS data provided by this website.
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LICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
EnvironmentaiHealth Section
1 rJ ? P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
{ (336) 751-8760
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***IM *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
RMATION IS PROVIDED.. Refer to the INFORMATION BULLETIN for instructions.
Name to' be Billed .,BONN R. 1ZwKw
Mailing Address I"r
COZ e51DES 5
City/State/ZIP ROCKWF-U. Iry .C. Z8139
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
Application For: Site Evaluation ❑ Improvement Permit/ATC
System to Service: M louse ❑ Mobilo home ❑ Business ❑ Industry
Contact Person J7r �7ogu R - Bllzn EAt
Home Phone 704 e. 9 `Z50
Business Phone '
❑ Other
S. Type system requested: Conventional ❑ conventional modified ❑ innovative
❑ Both
6. If Residence: # People # Bedrooms_ # Bathrooms_
Dishwasher arbage Disposal ashing Machine ❑basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type # People # Sinks
tt Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
8. Type of water supply: 1 County/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes [DINO
If yes, what type?
***IMPORTANT'"** CLIENTS MUST COMPLETE TRIC REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBA117TED by the client with TI ITS APPLICATION.
Property Dimensions: . 3001 X 1100 1
Tax Office PIN: n 4M 9137 ` O
Property Address: Road Name CQuof Li VF- Zn. '
city/zip kgvyY 1 U.C. 2604 -
If in a Subdivision provide information, as follows:
WRITE DIRECTIONS (from Mocltsville) to PROPERTY:
A& 6 4- w r_s-r To N.C. M !
I NVILr 2—Y). TZ
INT E L5EGTi0 a D F IiloLtr I-�obGUN
Name: -BRACKVW E5T. /
Section: Block: Lot:. 0 S Date liome corners flagged:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)
issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information
submitted in this application is falsified or clianged. Jr, also, understand that l ain responsible for all charges incurred front
lltis application. I, hereby, give consent to the Autliorized 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 the site sill ability
ZLDATE �X SIGNATURE i
THIS AREA MAY BE USED FOR DRAWING.YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
f
Sign given
Revised DCIID (05/03
Site Revisit Charge
�Datc(s):
Client Notification Date:
EHS•
Account No. /
Invoice No. /
�S
IF,
APPLICANT INFORMATION
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY INFORMATION
Account #:
990003389
Tax PIN/EH #:
4799-86-9137.03
Billed To:
John Bracken
Subdivision Info:
Bracken Est Lot # 03
Reference Name:
HORIZON I DEPTH
Location/Address:
County Line Road -28634
Proposed Facility:
Residence
Property Size: 300'x 1100' Date Evaluated: _(_t_►__(_a w
Consistence
9;SV
CrSS
Structure
Water Supply:
On -Site Well
Community
Public /
Evaluation By:
Auger Boring
Pit
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
J2r
Texture group
cya_
$11(_
Consistence
9;SV
CrSS
Structure
�.
Mineralogy
HORIZON II DEPTH
LS -
+cg PO
Texture group
Consistence
G 5
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: P -9
LONG-TERM ACCEPTANCE RATE:
EVALUATION BY: 3tsvr
OTHER(S) PRESENT:
REMARKS: WN&-�- TlAati l� I3 J t� u aD-A 1 VQ*
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1 A ?
3/N, l,J A,,J LE END
Landscape Position lx&r,,o c
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 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 05/99 (Revised)