221 Dreamscape Ln Davie County,NC Tax Parcel Report 1 14 Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information..
Parcel Number: B30000004706 Township: Clarksville
NCPIN Number: 5823245931 Municipality:
Account Number: 65312140 Census Tract: 37059-801
Listed Owner 1: SHIRES TRICIA RENEE Voting Precinct: CLARKSVILLE
Mailing Address 1: 221 DREAMSCAPE LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 4.00 AC OFF FOUR CORNERS LOT 4 Fire Response District: COURTNEY
Assessed Acreage: 3.87 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 3/1995 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001790857 Soil Types: EnB,MdD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 119000.00 Outbuilding&Extra 3620.00
Freatures Value:
Land Value: 27630.00 Total Market Value: 150250.00
Total Assessed Value: 150250.00
161
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.
DAVIE COUNTY HEALTH DEPARTMENT P
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage/Systems r r ' �>y / `'7 _ / PermitNumber
v. nate
NO7S 1// I �!
Location ,'/L/" }✓ Ga ', fes/,'/ �. �,, /f I _ / ;
Subdivision Name Lot No. Sec. or Block No.
Lot Size — House — Mobile Home Business -- Industry
No. Bedrooms --- --.No. Baths %1 — No. in Family Z __ Public Assembly Other
Garbage Disposal YES p NO p' Specifications for System:
Auto Dish Washer YES p NO
Auto Wash Ma^hine YES p' NO p
Type Water Supply ,— � -----_-- "�%Cr; . ,��;i -
'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
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
Improvements permit by
'Contact a representative of the Davie County Health Department for final Inspection of this system between 8:30.9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number: 704-6345985.$j460
Final Installation Diagram: System Installed by
67
F
Certificate of Completion /" Date "ems
'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 betaken as a guarantee that the system will function
satisfactorily for any given period of time.
A t
s APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
9 Environmental Health Section
' P. O. Box 665
Mocksville, NC 27028 FE 1995
1 1
C -
1. Application/Permit Reuested By T1_I t CL -
Mailing Address �- 31?)0 X 110-7 Home Phone q1 0 7 6 0-152-1
I\0.m Q-VUYI \J 2-702-0 Business Phone 1 O) (n 3 I Sy`?
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation l7?/Mobile
/ Septic Tank Installation Permit
PJ
4. System to Serve: ❑ House Mobile Home D Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ' D Basement/No Plumbing
No. of Bedrooms 'txd°Washing Machine
No.of Bathrooms 1�2- ❑ Dishwasher
Dwelling Dimensions 11 t5oo S9'�� ' ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No.of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No.of Showers Water Usage Figures
7. Type of water supply: ❑ Public ❑ Private Community
8. Property Dimensions �,5, a/cJUA Sewage Disposal Contractor �/
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes LAS No
If yes,what type?
*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:
L-/ 0 C-a4;i-
c)
' �
OL
This is to certify that the information provided is correct to the est of my knowledge nd I understand I am responsible for all charges
incurred from this application. ,
2- -9s _ 1
DATE SIGNATURE
i
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Od
MUST CHECK ONE: 1. I OWN the property. PU/LCJt0-0A-m0
❑ 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 aid site's suitability^,a groun b rption sewage treatment
and disposal system.
2 _I
DATE r SIGNATURE
DCHD(193)
i'
-- DAVIE COUNTY HEALTH DEPARTMENT
j Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY i`�/�' LOCATION OF SITE
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 3 Y
Texture groupG
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE 73
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: Ac. EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
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-Vc.-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
DCHD(01-901
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