228 Blue Bird Ln 3avie County, NC Tax Parcel Report ply Friday, September 23, 201E
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WARNING: THIS IS NOT A SURVEY
_ Parcel-Informations ry
Parcel Number: F70000000309 Township: Farmington
NCPIN Number: 5861400637 Municipality:
Account Number: 82515268 Census Tract: 37059-803
Listed Owner 1: HORNE BRIAN W Voting Precinct: SMITH GROVE
Mailing Address 1: 6247 TIGERFLOWER COURT Planning Jurisdiction: Davie County
City: LAND O LAKES Zoning Class: DAVIE COUNTY R-A,I-1
State: FL Zoning Overlay: DAVIE COUNTY QD
Zip Code: 34369 Voluntary Ag.District: No
Legal Description: 7.762 AC OFF HOWARDTOWN Fire Response District: SMITH GROVE
Assessed Acreage: 8.01 Elementary School Zone: PINEBROOK
Deed Date: 9/2004 Middle School Zone: NORTH DAVIE
Deed Book/Page: 005690500 Soil Types: IrB,EnB,EnC,MsC,WATER
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 238550.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 71330.00 Total Market Value: 309880.00
Total Assessed Value: 309880.00
All data Is provided as Is without warranty or guarantee of any kind 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 County's 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.
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AUfAORIi,4T4 N NO:. 0 7 4 3 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section P PERTY INFORMATION
Permitte6 � P.O.Box 848 '2—
Name . rT.f �� _
Mocksville,NC 27028 Subdivision a
ll / Phone#:704-634-8760
Directions to property:f�CSi�+/(�r/J' Q�y�i � Section: Lot:
AUTHORIZATION FORWASTEWATER
/ 1L
SYSTEM CONSTRUCTION Tax Office PIN:# (O� � "T+� .
Road Name: PJ47) �0ip
**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)
***NOTICE***,THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. .
ENVIRONMENTAL HEAL PECIALIST DATE ISSUED ,
r f'^'iiti.s
DAVIE COUNTY.HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS P PERTY INFORMA ON
.,� �� Subdivision
��' �`�f 7-•i c !!
. ,
Directions to property: /.,x 01✓i, Section: Lot:-:-
EWPROVEMENT
PERMIT . /
Tax Office PIN:#,6�o� --_���
Road Name: ,1610 'c " �,(il p;f� 7!j,;
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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
i i 7 ✓' r 7 •� 3~ '' �� PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTIt SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM..
RESIDENTIAL SPECIFICATION:BUILDING TYPE_H #BEDROOMS #BATHS�—#OCCUPANTS__,S�::7GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE ff1C TYPE WATER SUPPLY DESIGN.WASTEWATER FLOW(GPD) &/W NEW SITE !/ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE !!�MGAL- PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:Ztlza ��i�Gcvy
IMPROVEMENT P IT LAYOUT
**CONTACT A REPRESENTATIVE OF THE DAVIE CO T EiiA FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P. DA F INSTALLATI . HONE#IS(704)634-8760.
OPERATION PERMIT `
INST
� X
�r
AUTHORIZATION NO._o7y1 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)
i
✓ :; `. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PEIR
Davie County Health DepartmentGr
D
Environmental Health Section
P.O. Box 848 MAR — 61997
ocksville,NC 27028
�// �� o� �✓ � (704) 634-8760
'p 7--00 '
****I OR T** * THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
�eTHE REQUIRED INFORMATION IS PROVIDED.
1. Name tie Billed n(1 r1� �-i� ���.1�a r tU Contact Person � �l e h 4 Y�'
Mailing Address Jro$ Ru�kn Ori C-1 Home Phone q46 - SD
City/State/Zip { y l a r.KS✓� �e, l , oZ 7 601 D Business Phoner
2. Name on Permit/ATC if Different than Above p 11 o n B When ready ; 4-Te. W i 1 J
Mailing Address City/State/Zip (heefyau 4-bcee--
3. Application For: [ J Site Evaluation [)]Improvement Permit&ATC [ ]Both
4. System to Serve: [ ]House [ 1 Mobile Home [ ]Business [ ]Industry [ ]Other
5. If Residence: #People _ #Bedrooms #Bathrooms [Vj�Dishwasher[ ]Garbage Disposal
V-W-'ashing 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 N Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes No
If yes,what type?
EITHER A PLAT OR SITE PLAN �
PROPERTY INFORMATION REQUIRED:***IMPORTANT***.OdM&T OF THE PROPERTY MUST BE
SUBMITTED WITHHSS APPLICATION.
Property Dimensions: �• t0 Q"�A WRITE DIRECTIONS(fromi ocksville)TO PROPERTY:
Tax Office PIN: # g (o , 3 b — S I ((158 �4�'�' �-e kb' wgrc14n u3 r%
Property Address: Road Name 0� SR I G aS R+ O h V�twrjrcL
War C1 I
City/Zip NyiJe, I -ea.d�vta
If in Subdivision provide information,as follows: e • �-
Name:
a
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 to conduct all to inI,duresfts necess to termine the site suitability:
DATE_ — �I rI SIGNATURE
Revised DCHD(06-96)
THIS AREA h1AJ $E USED FOR DRAW I NC7 YOUR SITE PLAN:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME (��.9r�yl DATE EVALUATED_
PROPOSED FACILITY PROPERTY SIZE '-,4C-
SUBDIVISION ROAD NAME
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position 4-1 .4—
Slope%
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH �'-
Texture group
Consistence
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: / EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT:
REMARKS: Z
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)
LIAR-Long-term acceptance rate-gal/day/ft2
DCHD(01-90)
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