209 N Pino RdDavie Countv, NC t Tax Parcel Report I q a I Thursdav, September 29, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
C40000003101
Township:
Clarksville
NCPIN Number:
5833223284
Municipality:
Account Number:
82532030
Census Tract:
37059-802
Listed Owner 1:
MCBRIDE CHRISTI M
Voting Precinct:
FARMINGTON
Mailing Address 1:
209 NORTH PINO ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAME COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.00 AC PINO RD
Fire Response District:
FARMINGTON
Assessed Acreage:
0.90
Elementary School Zone:
PINEBROOK
Deed Date:
6/2010
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008290007
Soil Types:
EnB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
92990.00
Outbuilding & Extra
Freatures Value:
4860.00
Land Value:
22240.00
Total Market Value:
120090.00
Total Assessed Value:
120090.00
a
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any idnd either expressed or implied Including but not limited to the
Implied wanantles 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 are claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
Z-`"�`, DAVIE COUNTY HEALTH 'DEPARTMENT '
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �'..
*NOTE: Issued in Compliance With Article Il of GA. Chapter 130a
Sanitary Sewage Sy terns _;d/ aye Permit Number
r
Namee;%f5�1'Ili°Date—— N� _ 7921
-��7A
LocationDf_=r,F��c�
AJ
Subdivision Name Lot No. Sec. or Block No.
Lot Size _ House — 1/ Mobile Home Business Industry
No. Bedrooms -- No. Baths-- No. in Family " — Public Assembly Other
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES NO ❑ ,1, UUL duh f '6/ -x
,�-=x /
Auto Wash Ma -hive YES p NO ❑ X10-11�ro /J
Type Water Supply —_._ 11
*This permit Void if sewage system described belo is not stalled within 5 years from date of issue.
This permit is subject to revocation if s e p or th inten d use change
ATTENTION: YOUR SEPTIC SYSTE TRA M S THIS RMITILAYOUT BEFORE INSTALLING THIS
SYSTEM.
Ap,
*Contact a representative of the Davie C unry He h Dep
1:00-1:30 P.M. or 4:30-5:00 P.M. on d of complet' II
1�
Final Installation Diagram:
I /rovW�'ents permit by
't for final inspection of this system between 8:30-9:30 A.M.,
i ne Number: 704-634-6985.?1/4610
System Installed by
Certificate of. Completion A --- 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 PE��
Davie County Health Department ""' CE OVE
Environmental Health Section ���
P. O. Box 665
15 11%
Mocksville, NC 27028
---------------
1. Application/Permit Requested By Av7- 4!2#v y floss Lz5rlZ ,,=
Mailing Address '? 4 0• Pr1N4 R Home Phonea/0) CCf �>-3 093
f't'1 CSG Kct,a i k1 e-, ri)e . -2-0 cal F Business Phonef �0'-i1(63V-2?50
2. Name on Permit if Different than Above Z 9
3. Application for: ❑ General Evaluation'Septic Tank Installation Permit
4. System to Serve: louse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision
Section Lot #
El Basement/PlumbingNo. of People 3 ���E❑ Basement/No Plumbing
No. of BedroomsQ "ashing Machine
No. of Bathrooms a "ishwasher
Dwelling Dimensions deeam M oo SQ• 1- aer d ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type/7
No. of People Served No. of Sinks
No. of Commodes
No. of Lavatories
No. of Showers
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: ❑ Public nvate
8. Property Dimensions ___ /kms "l HCl ��r1 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes to
If yes, what type?
❑ Community
*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:
g01 N. R=zwr- PZ Y.30 Rte go Y2 y> ;NC—P:rV00 Rib
l.A.9'i \ be I ICST RVO 1AWVV- 00 Z-FPr Lo -r w'.\\ toe bertwee.o QEo i1o�.5E
Amo Gir :Gk lAot. se.
f k;,r, Ap 0 Adi A—..
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 from this application.
07--/7-9.5
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. 1 OWN the property. (9-2. 1 DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representativ of the Davie C�unty_Health pepartment to enter upon above described
cated in Davie County and owned by KD5cc, i. � 11
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
DATE SIGNATURE
DCHD (1193)
Y
DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
Soil/Site Evaluation
NAME ZZ ` �1/. l/!,
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED c
PROPERTY SIZE
LOCATION OF SITE �✓ P.�+/�l
Water Supply:
On -Site Well
�� _
Community
Public
Evaluation By:
Auger Boring
✓�
Pit
Cut
�
FACTORS 1
2
3 4
Landscape position
Sloe %
HORIZON I DEPTH
�
Texture groupGL
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
G
C
Consistence ,
Structure
a/0/1 -
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
49—
SITE
SITE CLASSIFICATION: I/
LONG-TERM ACCEPTANCE RA
REMARKS:
DCHD(01-901
EVALUATED BY: /` It
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS-Footslope 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- V ----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
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