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131 Brockland Drive Lots 64-65Davie Countv, NC I Tax Parcel Report Tuesday, January 3, 2017 WARNING: 'l'MS 1, 1VU'1' A JUKVE Y Parcel Information Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: H702OA0004 Township: 5769865493 Municipality: 18221870 Census Tract: COURTNEY GEORGE M Voting Precinct: 131 BROCKLAND DRIVE Planning Jurisdiction: ADVANCE Zoning Class: NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOTS 64-65 GREEN BRIER Fire Response District: Land Value: Total Assessed Value: 1.83 Elementary School Zone: 4/1996 Middle School Zone: 001860866 Soil Types: 0005 Flood Zone: 099 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A ADVANCE SHADY GROVE WILLIAM ELLIS EnB DAVIE COUNTY No Davie County, 1 Ail data is provided as is without warranty or guarantee of any Idnd 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 aCounty O C N� NC i of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to i or arising out of the use or inability to use the GIS data provided by this websfte. f 6 _ ff DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION - r *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems ,mac Permit Number Name ✓'� ��%1�� �!�rr'%�.��,,; Date ,-:; i i ~1 N� 6875 5 Location Subdivision Name-'� /�,1 " Lot No. r"%' ��Sec. or Block No. G' Lot Size _0 - ,/' House Mobile Home Business _— Speculation No. Bedrooms 7 No. Baths — 2 No. in Family ."lam — Garbage Disposal YES ❑ NO p--- Specifications for System: Auto Dish Washer YES p NO ❑ f Auto Wash Ma^hine YES rp NO ❑ v 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. .................. Improvements permit by —7'�'� *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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by 17�,i�` Certificate of Completion " i f .: 1 .." 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 PERM.777 -- Davie County Health Department Environmental Health Section 2. 1992 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Reuested By �% G' ' e v� L 7 Mailing Address �� H 1 414 tv (9— Home Home Phone Business Phone IOco 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation Septic Tank Installation 4. System to Serve: ❑ House Mobile Home�❑ Place of Public Assembly ❑ Business ❑ Industry ❑ U known 5. If house, mobile home: Subdivision No. of People No. of Bedrooms ❑ Other No. of Bathrooms o, - Dwelling Dimensions X G 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories �Z— No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: Public ❑ Private 8. Property Dimensions � �CXC--S Sewage Disposal Contractor n Section 96LIYVLot # S� 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? El Yes If yes, what type? ElBasement/Plumbing ElBaas''ement/No Plumbing &'Washing Machine ishwasher [I Garbage Disposal G� ❑ 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: This is to certify that the information provided is correct to the est Of my incurred from this application. -/ L- 9 z DATE Fa / I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. E�'2. I 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 qJ the Davie County Health Department to enter upon above described property located in Davie County and owned by A0 to conduct all testing procedures as necessary to deter in said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12-90) V �4--rhl! . }T----- S P'v 40•£ 12161 IRON Y,,3.5 °=2D�_ I&V U T �-- ,345.0 - -� --, - I � tR -4 PL .� � 17J, BRANCH -t -'.j' ;-CRS• �'� 6 { FEND, n'UHMAN �' p q 9 �} B i k BK 91_ �A p ! ��•_/ is ��t/ 1 - // 7 .l a 2 0 60. Ap p 9 CR E 2 h8 h BRIER E v' 5 1a5. d R• 1a3(PQVED, B _ �Rr fS- , 3 100 V 545.0 2 9 4B O ✓`(' ti�•' `< r -' JdAfES A. W7LSO_0 cd5 /P 3LP 6�BRIERB2000 0;Lx0 4 N84 Z 243.05 cA h OI A20O 50AC P' 1 9 —© p 109 mmo 5520-A2G1/ROH /000 1 p 23684 8_2 4 Eo ^ B w£BB5.93 5' v O 2 2 8 eo0 N84- 30;05 1 m r -- �-58•jO-25-1/ wQ 585° 20'` m h CERTIFICATE OF APPROVAL BY Ta J L o 5 J ©� I CHAJLK4S - ilk Q C£RT1FY THAT SAID 6g4RD DOL) h ° w 400 D Qi O ^ O�� CL 0U1 Z`. SUdO/V/SiCiV ENT/TEED .SDC7)ON T G l1 0 p (5v6)� ® 6_ ,-d `v N/L L ERego- + 1, ? 4(X70 • .p ' o ®� C£RT/FICATE OF APA'ROrAL BY THE O 3 �. 5 / 7--- / P W 400 T h i=Z + r CA"MAN t TOAC ° 8 N m ,,XAO yl (vj (E-RTIFr THAT sA/D BOARD oar Ai p a 200 t1 j 7 5��^ K W ENTITLED ADOtT/ON 70 • GREEN BR: D !�- O O p l7 o'QSER na ` $ �, �r 3 N r, s *- 9� Ss4°.t/E STA%f' ROAD16 . ?� or-, S85o 20 �� ° h 2 1j /060 /RDiY / HEREBY CERT/FY THAT - Z4 /4 tA+G 4 A 0 b EVALUATED TtiE 54/3D/V1S/ON ENT Til C� T Aj O N85 7- q �+ �.b RESPECT TiI CR/TER/A AND COAQ�tT �N B3 U -O 4 ;" ( App f0 /20•00 Z b 4 b .. = n,�4 b THEREUNDER AAD THE SAstf !s FOUY✓^ �`b ® 0 EXCEPT AS SET FORTH /N SWH EYALL /1/44C ti P&S CER77F/CAm- "s Am CONS7ITt a+ ♦ .� C �o_2Cjw - . : g .: , t w V c� /Y SATO sueLYv/stON FON tNSTALLAIIG rl v Ny r /� T/'► DA IT 43.73 a e 2 !9/ 2E FL•/ 28' 20", � IiV4J VVI ® `� ® v. 1 yam. �� b QDDI / ON / V S6B /1-48E cc ?O/3 /4c2r 95.4.x" R-60' � , BRIEf-R£�X 9-0 Q, - so b 4 Sh�,li©i 6f��J + 0�Gti� YaG J -T�3— — W. 34 . r_ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �/� DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY� LOCATION OF SITE�r®e-i✓�/h!2 Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L L L Slope % .2 HORIZON I DEPTH d`? Texture groupS� Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence i Structure XhIJ Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 77 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: 1 LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATED BY: �7 f' ZZ 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 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 i 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 ■.■...■■■■■■■■..■■■■■■■..■.■■■.■.■.■■■■■■■.■■■■■■■■■■■■■■■.■■■■■■■ ■■....■■..■...■■.■■.■■■■■■■■..■■■■.■..■. ...... ■.■■■■■.■■■■■■■■■ ■■■■.■.■.■■...■■.■■■.■.■.■■■.■■■■■ ■'.i'■■.■■■.■.■ ■■.■■■■■.■.■■■■.� ................................................................ . .................................................... ....C.■.■■■.■ ■■■■■■■■■■■■■■■■■■■■..■■��■■■■■■■■■■■■■■■.�■■■■■■.■■■.■■■■. ■■■■■■■■ ■..■■.■■..■.■■.....■..■■ft.■..���:=====�_is.:�....MEN. ■.■.■..■■.■■.. ■■■■■■u.■N■■N�■.�■■�..■■■■■■■tri■■■■ ■.■�.�■�'��■E NONECC■■■:■■� ■■■■.■■■■■■■.■■■■■■■■■■■■■■■■■■■ ■■■EM■■■■.■■. ■■■..■■.■■■■�■NNE ■■....■..■.■■■.....■■.■■■....■.................. .■....■.■■■. ■■■. MMEMMEMNSIN so ................................ ............ .■■■.■■■■■■..■■■■. .................................... .... .... .■■■■.■■■.■..■.■■. NN ■■■■■■■. ■■.C..■......■■...■.....................■.....■■■■■.■.�■■ ..................................................■■■■■■■■■■...■.. ■■■■■■■■■■.■■■■■■■■■ ■■■■■■■■.■■■■■■.■■■.■■■■■■■■■■■ ■■.■■■■■■■■■ ■■■.■.■.■■.H■■■■■■■■■■■■..■■■■■ ■■■■■■■■..■■■■■...■■■■■..■■.■■■■ ■.■■■■■■■■■■■.■■.■.■.....■■■■■■....■■■■i■■■.■■■O.■■■■■■.■■■..■■■.■ DA71IE COUFTY HEALTH DEPART E dT ENVIZOMMENTAL HEALTH SECTION SOIL/SITE EVALUATIOI? VAIE �,��, � DATE 3- 23 - ADDRESS 3 - ADDRESS LOCATIO11 1.4 LOT SIZE Zdo x,4'2 6a f �oy�.:c- "47 wt:� - sho�fh.► -.Bay.► TOPOGAAPIiY: S Suiit.:C- utAI ev,4 • %leaver cla SOIL TEZTURE: UyS e� SOIL STRUCTU DEPTH: us %>/ /fAf .�>�� a•-�::/ Lrf a 9,lent' 2d RESTRICTIVE HORIZON?S: PERCOLATION RATE: 1. 2. 3. Presoal, I Bark & time Drop Time Rate/Iiin. Inch ***CLASSIFICATIOP:Suitable Provisionally Suitablensuitable COIRIEUTS: Rnt-44 , fat/j a,,. 1'/c - i�r/ G,t,? -19;77 SA ,7ITARIAI? SITE DIAIGMA ZU o DAVIT COUPTY HEALTH DEPARTIIEFT EIIVIIZONNIEBTAL HEALTH SECTION SOIL/SITE EVALUATIOIT IIA14E i/dPE' DATE 2 - ADDRESS ADDRESS LOCATIOix LOT SIZE TOPOGRAPIRY o ?5 - SOIL Tr.a TURE s ?.5 SOIL STRUCTURE :? -5* DEPTH: -3 RESTRICTIVE HORIZOFS % !i6 PERCOLATION FATE: 1. 2. 3. $4&e lyld ~ /11 t1i C ,��41/.Z Presoak Hark & time Dr - op Time Rate/ildn. Inch ***CLASSIFICATIOIT:Suitable Provisionally Suitable Unsuitable COMIMITS s &L,C Pity//1u . o � - ,feo�� 6� 7 -/97% -- syry S4rT. I»aJ% 5a .h 1hgjz.l�dE/iw SAPTITARIAI•T SITE DIAGRAM