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155 Hide A Way LnDavie County, NC Tax Parcel Report 1194 Thursday, September 29, 2016 1277 ~ lugs 1245: ti r` 1018 178 . 155 129'-------- ti 8891 WARNING: THIS IS NOT A SURVEY All data Is prodded as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Dade County's GIS website shall hold harmless the IV] Parcel Information dCounty of Dae, North Carolina, Its agents, consultants, contractors or employees from any and allclaims or causes of action due to arising out of the use or Inability to use the GIS data prodded by this website. Parcel Number: F80000013914 Township: Shady Grove NCPIN Number: 5881308534 Municipality: Account Number: 21467250 Census Tract: 37059-803 Listed Owner 1: DORSEY SUZANNE SANDIFER Voting Precinct: EAST SHADY GROVE Mailing Address 1: PO BOX 305 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 14.02 AC OFF UNDERPASS RD Fire Response District: ADVANCE Assessed Acreage: 14.12 Elementary School Zone: SHADY GROVE Deed Date: 11/1994 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001770171 Soil Types: PcB2,PcC2,ChA,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 111350.00 Outbuilding & Extra Freatures Value: 4050.00 Land Value: 87670.00 Total Market Value: 203070.00 Total Assessed Value: 143590.00 Davie County, All data Is prodded as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Dade County's GIS website shall hold harmless the IV] NCor dCounty of Dae, North Carolina, Its agents, consultants, contractors or employees from any and allclaims or causes of action due to arising out of the use or Inability to use the GIS data prodded by this website. * DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLET40 J *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a �lJ•'jC�� Sanitary Sewage Systems ;l'l / .ti .'"G� Permit Number Name Date N0 7794 Location ;"✓'l �. t,' 1 - /F.`% l%>i,�i% , r- -% t1 �` �.it';:� 6i/c� _t"�'i � /P/- c'�, %i!�/�� r.;�� - < %I i /�1Y'� �•:� r. �� Y�� Subdivision Name Lot No.Sec. or Block No. Lot Size �� House Mobile Home _ Business _— Industry No. Bedrooms .. No. Baths— 2 — No. in Family Z_ Public Assembly Other Garbage Disposal YES NO ❑ Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma,.hine YES NO ❑ Type Water Supply _ .1ll�%/ *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 *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: 704-634-5985. Final Installation Diagram: System Installed by 1 I s 6 N Certificate of Completion � _' 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. �) 40 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER FIE Davie County Health Department _Environmental Health SectionP. O. Box 665Mocksville, NC 27028 � Ce�cL f- 1. Application/Permit Requested By. Mailing Address Y_ Home Phone q r VQ i� e_c� ,�_�� Business Phone l — 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation )2Y,$eptic Tank Installation Permit 4. System to Serve: , House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry El Other ,�/J El Unknown 5. If house, mobile home: Subdivision _4:�� V6n� %`P� vl�1 /J� Section Lot # Zt, ElBasement/Plumbing No. of People .Z Basement/No Plumbing No. of Bedrooms - fZ Washing Machine No. of Bathrooms EF Dishwasher Dwelling Dimensions -�� 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 X -Private ❑ Community 8. Property Dimensions zt� a �h C�� Sewage Disposal Contractor Y k- 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 15No 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: _Fh O�f LcJ I ' �� -3 ke Cn/y c_e c Z 0-t_ (9L, 6�) Tito s is certify that a information6� providedL is correct to the best of my knowledge, andunderstand I am responsible for all charges incurred from this application. DATE / SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: X 1. 1 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 thp Davie County Health Departme t to enter upon above described property located in Davie County and owned by 10"C/L—L-e c, to conduct all testing procedures as necessary to determine sai ite's suitability for a ground absorption swage treatment and disposal system. DATE / SIGNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L L �- SloeZ 2 2 -- HORIZON I DEPTH Texture group S Consistence Structure MineralogX HORIZON II DEPTH - Texture groupC'L S 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 - , V SITE CLASSIFICATION: 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-Vory 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 DCHD(01-901 ■■��■■■■��■��■��■��■��■ ■■ ■��■ ■■ ■��■�■■■��■■��■■��/��■��■��■��■�� ■■��■��■��■��■��■ ■��■��■��■■■ ■��■��■■■■/��■��■■��■��■��■/��■�■ ■��■��■■�■■��\��■��■ ■��■��■��■��■��■��■ ■��/��■��■ ■��E��■�■■��/��■■■��■ ■��■��■��■\��■\�■��■��■■��■�■■ ■/��■��■��■��■��■��\��■■��■ ■■�■�\��■�� ■ ■��■��■��■��■■��■��■��■��■ ■�■■��■�■��■■��r��■■��■��■��■��■��/�� ■�� ■��■�� ■��■�� ■�■��■�■��■��\��■��■�� ■��■� ■�� ■��■��■��■��\��■��■ ■��■�/��■■��/��\■ ■��■ ��■�� ■■ ■��■��■�■��■��■��■■��■��■■��■ ■�■��\��■��■■ ��■��■��■�■■�■ ■�■��■��■�■��■��i��■■ ■��■��/�\�� ■��a��■■��■��■ ��■�� ■��■��■��■��■�■��■��■��■��■■_��■■��■� iiiiiiiiiiiiiiiiiiiiiiisiiiiiiiiii=iiiiiiiiiiii�iiiiiiiiiiiiiiii=� ■■��■��■��■��■��■��■��■�� ■ iiiiiii�iiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiii�iiia�iiiiiiiiii ��i=iii ■��■■��■■■��■��N��■��N�/��■n�� ■��■��h��■��■■ ��■��■ ■■��■N\■��■��■■■��■ M��■�� .................................................■C............... .................................................�................ ................................................. ....... ........ ...................`��..........�.......................C........ ■�H��■■/��l��■�■ ■��\��■��■��■ ��h��■��■■�� ■��■��■��■ ■��■��■■��■■��■��■■■��■�r��■■��■��■��■�■��■ ��\��u�� ■��■��■�■■��■�■��v�� n��\��■ ■��/��7��\��/��■�� ■■��■■��■■��r��■■��■■��■■��■.��.■ ■��■��fl�=��:iii�ii��■■��■�� ■��■ .........................��............�... ...... .....C........ .........................,,............ ..E..... :�..�..�........ .........................,,............� ..... : .. .. ........ :::::CC:::::C:::::�::C:�:::::�:::� :::�:. ::C:�::C=::�.::� ■��■��r��■�� ■ uu��n ��u■��■�� ■��I��■��■��I .�.�� H�■��\ ��■■ ■��■��■��u�� ...� ■��e� �� ■ ■�■��■��■��...-==:.. ■��n� �� ■ ��■��■��N��n�i� �u�� iieiiiii�i��iiiiuiiiiiiiiiiiiiir�iiii�iii�ii�i��i ■ ■ ��H��■■�� ................................ _.....�..�: .�.C:..:::::::: ...............................■�3....■ ■■■. ■. .......■...... .......................................�'�:: .:'�':::::::'::::: ....... 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