1002 Eatons Church Road Lot 4Davie County, NC
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Tax Parcel Rennrt
Tuesdav, November 29, 2016
Zip Code: 07081-2407 Voluntary Ag. Distract:
Legal Description: LOT 4 COUNTRYSHIRE WAY Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
1.70 Elementary School Zone:
12/2003 Middle School Zone:
243770000 Soil Types:
0006 Flood Zone:
051 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
Mr132
DAVIE COUNTY
No
E01All data is provided as is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, Impliedwanai. es of merchantability or fitness for a particular use. Ag 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
1� 7�T C or arising out of the use or Inability to use the GIS data provided by this website.
WAK14114G: '1'H S 1S 140'1' A SURVEY
Parcel Information
Parcel Number:
D312OA0004
Township:
Clarksville
NCPIN Number:
5822624422
Municipality:
Account Number:
82524381
Census Tract:
37059-801
Listed Owner 1: SCHLEUPNER LILLIAN
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
9 LAUREL DRIVE
Planning Jurisdiction:
Davie County
City: SPRINGFILED
Zoning Class:
DAVIE COUNTY R-20
State:
NJ
Zoning Overlay:
Zip Code: 07081-2407 Voluntary Ag. Distract:
Legal Description: LOT 4 COUNTRYSHIRE WAY Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
1.70 Elementary School Zone:
12/2003 Middle School Zone:
243770000 Soil Types:
0006 Flood Zone:
051 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
Mr132
DAVIE COUNTY
No
E01All data is provided as is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, Impliedwanai. es of merchantability or fitness for a particular use. Ag 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
1� 7�T C or arising out of the use or Inability to use the GIS data provided by this website.
' - APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department
Environmental Health Section
�. P. O. Box 665
Mocksville, NC 27028
i` 1. Application/Perry
Mailing Address
Home Phone yq8 # 717 Business Phone
OR 16 'Sy3
2. Name on Permit if Different than Above
3. Application/Permit for:
4. System to Serve: ❑ House
❑ Mobile Home
❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision „�1 u-� , Section _Z Lot #
No. of People
No. of Bedrooms
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 Sinks
No. of Urinals
No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: V/p"ublic ❑ Private
8. Property Dimensions /, a Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
If yes, what type?
❑ 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:
, 44t -
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.
OWAA&L 15; 4993
DAfEE ` SIGNATURE
CONSENT FOR SITE EVA6UATION TO BE DONE QN ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I 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
If
disposal system.
DATE SIGNATURE
DCHD (12.90) '
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation.
ADDRESS
PROPOSED FACIILTYi,[�`
DATE EVALUATED.
PROPERTY SIZE l SAI'
LOCATION OF SITE
Water Supply: On -Site Well Community Public L_,-,�
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2 3 4
Landscape position
Slope %
`—
r
HORIZON I DEPTH
Texture groupL
SL—
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
G
Consistence
Structure
6
Mineralogy/.'
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
IVT
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: � /
LONG-TERM ACCEPTANCE RATE: �/
REMARKS:
DCHD(01-901
EVALUATED BY: 171X
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
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
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