122 Cedarwood Place Lot 58Davie County, NC
Tax Parcel Report Tuesday, January 10, 2017
WAM'411141T: 1111;5 1J 114V1 A nunvri Y
Parcel Information
Parcel Number:
J7080B0058
Township:
Fulton
NCPIN Number:
5768199889
Municipality:
Account Number:
8301487
Census Tract:
37059-804
Listed Owner 1:
MCCARTHY MARTHA M
Voting Precinct:
FULTON
Mailing Address 1:
122 CEDARWOOD PLACE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 58 HERITAGE OAKS PHASE ONE
Fire Response District:
FORK
Assessed Acreage:
0.65
Elementary School Zone:
CORNATZER
Deed Date:
10/2012
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009050405
Soil Types:
GnB2
Plat Book:
0007
Flood Zone:
Plat Page:
005
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
�v t All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
9 " Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
1 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
1�
�p 17 T1'�4 C or arising out of the use or Inability to use the GIS data provided by this websfte.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990000970 Tax PIN/EH #: 5768-19-9889.58
Billed To: Perry Washington Subdivision Info: Heritage Oaks Sec.1 Lot # 58
Reference Name: Perry Washington Location/Address: Cedarwood Place -27028
Proposed Facility: Residence Property Size: See Map
**NO 11E;* i�iis Mprovem0ent/Operation Permit DOES NOT authorize the construction 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). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People #Bedrooms -.-I #Baths 01, 3
Dishwasher: Garbage Disposal: ❑ Washing Machine: ET� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: New Repair ❑
System Specifications: Tank Size,�� GAL. Pump Tank GAL. Trench Width,,:�Rock Depth �Linear Ft,36V
Other: "
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 K BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: Z`�& Date: C—,�?-1) �7
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
990000970
Tax PIN/EH #:
5768-19-9889.58
Billed To:
Perry Washington
Subdivision Info:
Heritage Oaks Sec.1 Lot # 58
Reference Name:
Perry Washington
Location/Address:
Cedarwood Place -27028
Proposed Facility:
Residence
Property Size:
See Map
ATC Number: 2310
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: ` 4/�- CDate: Oy-(� %—OD
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
Septic System Installed By:
Environmental Health Specialist's Signature
DCHD 05/99 (Revised)
7
i r2 p np 2
I APPLICATION FOR SITE EVALUATION IMPROVEMENT PERMIT & AtD-AViF
u (5
vl w �
Davie County Health Department EB 2
Environmental Health SertSion 2060
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028 ONP,IENTAL HEAT
(336) 751-8760 �nilAf, , H
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed i, YXMDaNV Contact Person
Mailing Address Home Phone lbdi 2
City/State/ZIP �'T/ Business Phone 36-
2. Name on Permit/ATC if Different than Abovei%'Lit�
Mailing Address 5 ,d to ?- City/state/Zip �[„I !
3. Application For: ❑ Site Evaluation [(Improvement Permit/ATC ❑ Both
4. system to service: X House ❑ Mobile Home )(Improvement
❑ Industry ❑ Other
5. If Residence: # People KwashLug
# Bedrooms # Bathrooms
Dishwasher ❑ Garbage Disposal Myac�hine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/industry/Other: specify type ►�+� # People # Sinks AA
# Commodes i # showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City ❑ Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes /To
If yes, what type? A ,�-t� /
***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: �5 )9i WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: # --? (ok - 1 01 - 58�) G4 CE 7. Le L
Property Address: Road Name&, 2
City/Zip A0t.� �� C-
.2 FEE�
If in a Subdivision provide information, as follows:
Name:
T
Section:
_�
Block:
Lot:
Date Property Flagged: Up� - - V
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 changed I, also, understand that esponsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Represen a of the D vie County Health Depar ent
to enter upon above described property located in Davie Coun nd owned by
to conduct all testing procedures as necessary to determine a site itabili 1
DATE 'Z - a - &) y SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR
property lines and dimensions, structures, setbacks, a
Revised DCHD (07/99)
(Inclt* ar of the
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. 2>67
Invoice No. // ��
Lot 57 1
II
N 88'05'23"E 177.44'
Lot 58
U I DB 188 PG 573
� I
I PRoPoS�-n Lot 47
Ac. Acres
Bldg. Building
BIC Back of Curb
Ch. Chord
C.M. Concrete Monumez
Conc. Concrete
GP. Computed Point (N.
C&G Curb and Gutter
GL Center Line ,
Culv. Culvert
DB. Deed Boor
DR._ Drive
UP Existing Iron Pipe
Esmt Easement
FIP Edge ofPvvement
F.H. Fire Hydrant
p ropose
O n e 1
C'7 I i
P -i I
Cd I
I
O I
U S 88'05 23 W 172.29
� I Lot 59
Ta���c F�anr
PLAT OF SUR4
WA-
ABBOTTS CREEK SURVEYING, INC.
15I5 East Center Street Eat.
Lexington, N.C. 27292
(336) 248-8704
Philip T. Hedrick, PLS #3121
Brad K Curry, AS #3989.
E -Mail ncsurvevor@lexcominc net
y0 .0 tic'
GRAPHIC SCALE - FEET
Fu�,,.Tort Township, C�AY� t
Tai; Map# S t Block # , Parc
IAOU-SL
C/1
.-�
I
o
.-,
I
O
z
1 - - - - P - d D 'v - t
co Lot 46
Ac. Acres
Bldg. Building
BIC Back of Curb
Ch. Chord
C.M. Concrete Monumez
Conc. Concrete
GP. Computed Point (N.
C&G Curb and Gutter
GL Center Line ,
Culv. Culvert
DB. Deed Boor
DR._ Drive
UP Existing Iron Pipe
Esmt Easement
FIP Edge ofPvvement
F.H. Fire Hydrant
p ropose
O n e 1
C'7 I i
P -i I
Cd I
I
O I
U S 88'05 23 W 172.29
� I Lot 59
Ta���c F�anr
PLAT OF SUR4
WA-
ABBOTTS CREEK SURVEYING, INC.
15I5 East Center Street Eat.
Lexington, N.C. 27292
(336) 248-8704
Philip T. Hedrick, PLS #3121
Brad K Curry, AS #3989.
E -Mail ncsurvevor@lexcominc net
y0 .0 tic'
GRAPHIC SCALE - FEET
Fu�,,.Tort Township, C�AY� t
Tai; Map# S t Block # , Parc
47-FIORIZATION NO:
1320 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's - - 7 P.O. Box 848
Name: .,�1 r` 1' �� _'r Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760 n
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
RoAame: eC 10 17ij.
0-
**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.
I
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
.' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTK SPECIALIST DATE ISSUED
Permittee's
Name:
a Directions to property:
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
,J
Roa "Aiame• . s. ' v!'� IA/' L : Zip:
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALI`fi SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 3 # BATHS --:?-- # OCCUPANTS -.2 GARBAGE DISPOSAL: Yes or No ,
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS - IINNDUSTRIAL WASTE: Yes or No
LOT SIZE -/ > i TYPE WATER SUPPLY f DESIGN WASTEWATER FLOW (GPD) ��� NEW SITE !✓ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE h:�k GAL. PUMP TANK GAL. TRENCH WIDTH s6' " ROCK DEPTH /_ LINEAR FT -322e) r
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
ELJ
�V
**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:
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)
**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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
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 S' # BATHS .2 # OCCUPANTS V GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE,,✓ # PEOPLE # PEOPLE/SHIFT ,# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE r�'r l .` TYPE WATER SUPPLY % f DESIGN WASTEWATER FLOW (GPD) NEW SITE � REPAIR SITE
•i
SYSTEM SPECIFICATIONS: TANK SIZE . , -'i GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /-� LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYS
I
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT
BETWEEN 8:30 - 9:30 A.M. OR 4:00 -.1:30 P.M..ON THE -DAY ORINSTALLATI01:
r
DAVIE COUNTY HEALTH DEPARTMENT
�
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Name: �.4 6'-3''
Subdivision Name:
Directions to property:
''J
Section: "'f
Lot:
IMPROVEMENT
PERMIT Tax PIN:#
eOffice
/ t
tip: r
Road Dame
t"'f
**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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
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 S' # BATHS .2 # OCCUPANTS V GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE,,✓ # PEOPLE # PEOPLE/SHIFT ,# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE r�'r l .` TYPE WATER SUPPLY % f DESIGN WASTEWATER FLOW (GPD) NEW SITE � REPAIR SITE
•i
SYSTEM SPECIFICATIONS: TANK SIZE . , -'i GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /-� LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYS
I
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT
BETWEEN 8:30 - 9:30 A.M. OR 4:00 -.1:30 P.M..ON THE -DAY ORINSTALLATI01:
R FINAL INSPECTION OF THIS SYSTEM
TELEPHONE # IS (704) 634-8760.
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS IOPERATION 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. I
DCHD 05/96 (Revised)
r
R FINAL INSPECTION OF THIS SYSTEM
TELEPHONE # IS (704) 634-8760.
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS IOPERATION 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. I
DCHD 05/96 (Revised)
h � `
APPLICATION FOR SITE EVALUATIONAMPROVEMENT P
C� MgE 1* Davie County Health Department
�� N ?.Z• Environmental Health Section
P`AOMP�C' V P.O. Box 848 _.
o� Mocksville, NC 27028
EF (704) 634-8760
nl OTV V4 STt1 TT
z/''7
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS
159
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed—J o rr i; S L- o n Sdnat-� 4d5^ Contact Person ye- --Zr s✓ i $
Mailing Address _ /l 'n A- Home Phone
City/State/Zip� Business Phone
.L C it/l' ..2 7�;�2
2. Name on Permit/ATC if Different than Above
Mailing Address Q� i� 01-110C City/State/Zip 1Cr-'k;ot*&e4. /U< -7- 71 Z
3. Application For: [ ] Site Evaluation P<Tmprovement Permit & ATC [ ]Both
4. System to Serve: House [ ] Mobile Home [ ] Business [) Industry [ ] Other
5. If Residence: # Peopled_ # Bedrooms_ # Bathrooms [Dishwasher [ ] Garbage Disposal
] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply:' County/City [ ) Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes Pd'No
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***)WPM OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:/71o. X 172 ', WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # % �v -1 �_ - D%yFie s l ��
Property Address: Road lame �a 3 if e)WC w,, 1e4 `C��%u�oo� ld c.c .4 c, 7,n At t
city/zipIj�'S
If in Subdivision provide information, as follows:
Name: �_C ir i fA
Section: ( Lot #:
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
changed. I, also, understand that I am responsible for all charges incurred from this application. 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-ZLn r a i l to
DATE- - ol'/ - 9 SIGNATURE.,
Revised DCRD (06-96)
THIS AREA MAY BE USED FOR DPAWINC7 YOUR SITE PLAN:
to determine the site suitability.
q 7 'e-1
0
EIP PK NAIL
GRID COORDINATES
N: 779,633.7954
E: 1,561,687.7652
1w— z 3
o D
000
cr_ 0
00
00
t0
M 1'7
z
C-4 v
a)
`O a J
►o ►`-
1206.53' TOTAL
-
`O 00 r
N 0 ''33 7'4Cr W
2
ccDv
/°p n
1176.09'
Z •-
IV
�" 1053
LOT 3 LOT 4
LOT 5
a
LOT 6
LOT 7 a
N
LOT 1=
LOT 2
30.44'
>� q1
1723W 167.48' ,62.96'
1564Z'
•�' L• t 53.42'
l.. r 3 a3J' 6-4M
169.56'
N OT54'ST M -
'
L•279.16' 4.09 59'48'
R. 160000• T . fI9.93'd0�
-
690 33'
r
171.71' 166. � 162.41•
156.29'
.94' L•12Q35'
L.133;0
73
165.13•
�
LOT 59
LOT 58 x LOT 57 L LOT 56 '=
LOT 55
LOT 54
LOT 53
NCG; MONUMENT Z
"HENDRIX"
N: 779,632.7714 10
90.2,• 96.72• 10245• 6844' 79.12 67 62 60.24' 102 24' 45.61 112.55• 35.51 124.94' 23.12 142.31
E: 1,561,961.4233 60 �
10) e LOT 46 � LOT 47 � LOT 48 � LOT 49 8 LOT 50 LOT 51 LOT 52
z I
rzl
LOT 45
162.ae
' 1037.56. -
r 146.33' 146.33' 148.33' 146.33' 148.33' 176.56'
r r IOT 44
r f (
1U39 43 LOT 42 LOT 41 LOT 40 ;LOT 39 LOT 38 LOT 37
N N N N A! ��
05' 199.92' 199.84' 1 1 390.29'
I 820.10' TOTAL I
i t o O i 5 00 1'34' E I o o
60'. I ►� o I o I o 0 I `I
NC HWY 64�
60' PUBLIC R/W i_
� PB. S, PG. 124
CERTIFICATE OF ACCURACY OF MAPPING
a RAIRRIS B. GUPTON, CERTIFY THAT THIS PLAT WAS DRAWN
UN>;Z& MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DEED DESCRIPTION RECORDED IN DEED BOOK 75, i
N/F
BURL M. LANIER
DB. 126, PG. 89
DB. 163, PG. 230
134.92• 148 33' 167.33
LOT 36
0
4
co 60
i�"v'.
376.00'
LOT 35
&35 74'
LOT 34
P
233 47 1
00-
LOT 33
l
\ (35'28'25, W 0- 32 -la
250.81
H oZ73.4r w
1sS--- - - 397.24.
DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section A51
Soil/Site Evaluation
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply:
On -Site Well
_ Community
Public-L------
ublicL------Evaluation
EvaluationBy:
Auger Boring
Pit
Cut
FACTORS
1
2 3 4
Landscape position
G,
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
4 -
Texture rou
Texture
Consistence
r
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY: //
K 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 :lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vl:-y 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
3C --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