143 Legion Hut Rd Lot 7 r �
Davie County,NC Tax Parcel Report Thursday, December 29, 2016
-143
127 +( 141 - --- - -- ---169
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: M404OA0007 Township: Jerusalem
NCPIN Number: 5736710019 Municipality:
Account Number: 69873500 Census Tract: 37059-807
Listed Owner 1: SPILLMAN DEBORAH A Voting Precinct: COOLEEMEE
Mailing Address 1: PO BOX 738 Planning Jurisdiction: • Davie County
City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27014-0738 Voluntary Ag.District: No
Legal Description: LOT 7 GLADSTONE ESTATES SECTION ONE Fire Response District: COOLEEMEE
Assessed Acreage: 0.44 Elementary School Zone: COOLEEMEE
Deed Date: 12/2012 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009120704 Soil Types: GnB2,GaD
Plat Book: 0006 Flood Zone:
Plat Page: 012 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 Idnd 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
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IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
/Sanitary Sewage Systems Permit Number
Namel7Gi?fY �`/ 7�i �1 f;. r Date ".�/�` (� N2 5995
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Location �/f T1s" �/ `'1 ,," �'r e!n�,
zealoll
Subdivision NameLot No. '7 Sec. or Block No.
Lot Size % 1, House Mobile Home _ Business Speculation
No. Bedrooms *- No. Baths No. in Family
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer YES NO ❑ �. �� � J
Auto Wash Machine YES /ANO ❑ / —
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.
6D
Improvements mi i -
p is per it 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: System Installed by
Certificate of Completion 1 Date e�, KAP
'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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation / l
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE fin X�l �
PROPOSED FACIILTY //' LOCATION OF SITE
Water Supply: On-Site Well `� Community Public
Evaluation By: AugerBorin Pit Cut
FACTORS 1 1 2 3 4
Landscape position S 5
Sloe % ev
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: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: i y 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 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
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS'PERMIT<
Davie County Health Department
Environmental Health Section
R O. Box 665
a Mocksville, N.C. 27028 l
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN'ISSUED. {'
Home Phone o �"
1. Permit Reque ed B izv Business Phone
.2.-Address
3. Property Owner if Different than Above
Address '4
4. Permit To: a) Install Alter Repair_
b) Privy Conventional Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people ; `;
6. a}If house or mobile home,state size of home and number of rooms.
House Dimensions
Bed Rooms Bath Room Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily(24 hours)
7. Number and type of water-using fixtures:
commodes urinals___________�._._�_�._ garbage disposal
lavatory showers _ washing machine
dishwasher sinks
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8. a)Type water supply: Public Private Community _
b) Has the water supply system been approved? Yes No-
9.
o 9. a) Property Dimensions f
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or.expansions of theity this'sewage system Es Irtera ?
What type?
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This is to certify,that the information i ''correct best.of my.
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Date caner SigUbture
OWNER IS SOLELY,RESPONSIBLE FOR COMPLIANCE WITH ALL S ATE AND LOCAL LAWS
Allow 5 days for processing
Oireotiong to property: E
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