164 Cottontail Ln Davie County,NC Tax Parcel Report Thursday, December 15, 2016
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H_� �M�- Q� Parcel-Information
Parcel Number: 070000001002 Township: Farmington
NCPIN Number:-. 5862392836 Municipality:
Account Number: 50196000 Census Tract: 37059-802
Listed Owner 1: .; MEL-TON JIMMY Voting Precinct: FARMINGTON
Mailing Address 1: 164 COTTONTAIL LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 0.816 AC OFF YADKIN VAL Fire Response District: FARMINGTON
Assessed Acreage: 0.93 Elementary School Zone: PINEBROOK
Deed Date: 5/2002 Middle School Zone: NORTH DAVIE
Deed Book/Page: 004220438 Soil Types: GnC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
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.
v
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary J§ewage Systems Permit Number
f
Name l ✓� �' /��e; ',moi J >%t'<<_� =Date -G� l 'f /% ) 0 8125
„�_ j 7v r
Location �' s+ f �� Y .. / * �` '� -> t : c7�� _/.qJ. /`, �- lr�e_
— — ---
Subdivision Name Lot No. Sec. or Block No.
Lot Size �11`�- — House — Mobile Home —G%"�— Business -- industry
No. Bedrooms �—_.No. Baths --2-- No. in Family_ Public Assembly Other
Garbage Disposal YES ❑ NO p- Specifications for System:
Auto Dish Washer YES NO ❑ 4
Auto Wash Ma^hine YES NO ❑ ` ` `.
Type Water Supply
'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.
A
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:g/60
Final Installation Diagram: Sy m Inst led — Za1, 4 ✓ �f
F
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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI Q
1 Davie County Health Department
995
Environmental Health Section A 2 1
P. O. Box 665
Mocksville, NC 27028 ENVIRONMENTAL HEALTH
DAVIE COUNTY
1. Application/Permit Requested By
Mailing Address � y�e1J�ez� —Home Phone 'ZSR,2610
11Atl P Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation -cEhNeptic Tank Installation Permit
4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People 2 ❑ Basement/No Plumbing
No. of Bedrooms ✓ j�Washing Machine
No. of BathroomsDishwasher
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 Private ❑ Community
8. Property Dimensions Za.cr1( Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes _"o
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: / o^ //� Q�
Al, lkwewll -5�1917
,e1, 17 77
•A/,
This is to certify that the information provided is correct to the best of nowledge, and I understand I am responsible for all charges
incurred from this pp lic tion.
r
DTE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 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 t avie Cou ty H alth Department to enter upon above described
property located in Davie County and owned by P ®/YY .Aln
to conduct all testing procedures as necessary to determin said site's suitability for a ground absorption sewage treatment
and disposal sys m. r
7 Z q5 !' �✓ ���
DATE SIGNATUR
DCHD(1/93)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME , l YDS �' DATE EVALUATED �/A
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well V _ Community Public
Evaluation By: Auger Boring 1�! Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupG
Consistence
Structure
Mineralogy1.
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: _ A 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-Vf--.ry friable FR-Friable FI-Finn VFI-Very firm EFI-Extremely fine
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/ftz
DCHD(01-901
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