212 Longleaf Pine Dr Davie County,NC Tax Parcel Report Wednesday, October 19, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: F711OA0007 Township: Shady Grove
NCPIN Number: 5860977247 Municipality:
Account Number: 8302680 Census Tract: 37059-803
Listed Owner 1: BROWN SCOTT G Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 212 LONGLEAF PINE DRIVE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: 5.39 AC E OFF BALTIMORE Fire Response District: ADVANCE
Assessed Acreage: 5.13 Elementary School Zone: SHADY GROVE
Deed Date: 10/2013 Middle School Zone: WILLIAM ELLIS
Deed Book!Page: 009410137 Soil Types: PcB2,PcC2,EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 313880.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 68690.00 Total Market Value: 382570.00
Total Assessed Value: 382570.00
101 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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DAVIE COUNTY HEALTH DEPARTMENT
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IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage System. Permit V er
Name f. Date NO
L
Location -
Subdivision Name Ile Se ock No,
Lot•Size: _ House %- Mobile Home — Business -- Speculation
No. Bedrooms No. Baths �— No. in Family `mors
Garbage Disposal YES p NO ❑ S ecifcations fpr System:
Auto Dish Washer YES (p NO E] ) �'"��
Auto Wash Ma.hine YES ❑ NO,❑ ! `'' \iC i X �.,� "tf: � �`•
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 revo ation 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. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: stem Inst Iced by —.
r , p
O-
� p
�/--_certificate of Completion Date
*The signing of this certificate shalliadicate-that-the-system-describedabove has bee installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a parantee that the system will function
satisfactorily for,any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM
.. R C� ED
. Davie County Health Department `{ ''' '
Environmental Health Section
P. O. Box 665 n r Y 11001)
Mocksville, NC 27028
1. Application/Permit Requested By 1� U)I nil U-1y 000
Mailing Address _15415- y U 6U s A10- 11-?,/1,i'C
Home Phone W f- g�24,5'� Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General Evaluation peptic Tank Installation
4. System to Serve: Ouse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision c7�nT0 RFs Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms16//ti Washing Machine
No. of Bathrooms 3y-2 Dishwasher
Dwelling Dimensions �Xl 9 / ❑ 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: UP'ublic ❑ Private ❑ Community
8. Property Dimensions-539Mcre,c Sewage Disposal Contractor 1�jC-K
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ff <
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:
� aJDr
o � pJAI `
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred fro this ap lication.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 2"6
I 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 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 said site's suitability for a ground absorption sewage treatment
and dis�jo�sal system.
?5 _O V ` f
DATE SIGNATURE
DCHD(12.90) pi�
. u efj �
.T
DAVIE COUNTY HEALTH DEPARTMENT
-'" Environmental Health Section.
Soil/Site Evaluation
NAME \' Y 4� W o O d _ DATE EVALUATED U
ADDRESS `��� PROPERTY SIZE
PROPOSED FACIILTY 1--'r cr\?^ o LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By:C' :'l Auger Boring V Pit Cut
FACTORS 1 2 3 4
Landscape position L I- L U
Slope % '07. o - b o - T' O- b°
HORIZON I DEPTH
Texture groupC C t
Consistence Z
Structure (Z C 2 C
Mineralogy V. I I '
HORIZON II DEPTH 4 2.` LA Z" : V
Texture group (,- c C
Consistence F_ Y Z 9'T_
Structure nk
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS S SS S S S
RESTRICTIVE HORIZON -
SAPROLITE —
CLASSIFICATION S S,
LONG-TERM ACCEPTANCE RATE >
(-
SITE CLASSIFICATION: - .� EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: y OTHER(S) PRESENT: N \ w a e
REMARKS: 1 �• Cy. - ��
LEG ND
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)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD(01-901
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