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461 Peoples Creek RdDavie County, NC- Tax Parcel Report ' ' Wednesday, October 5, 2016 J 13'3 36.5 447., 523 / 538 t- 14�� I . 495 l I 392 - Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: 437- 4 504 482 WARNING: THIS IS NOT A SURVEY Parcel Information H90000003003 Township: 5789719447 Municipality: Shady Grove 75040380 Census Tract: 37059-804 VAUGHN JERRY M Voting Precinct: EAST SHADY GROVE PO BOX 2024 Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A Building Value: Land Value: Total Assessed Value: NC Zoning Overlay: 27006-2024 Voluntary Ag. District: 4.40 AC PEOPLES CREEK RD Fire Response District: 4.50 Elementary School Zone: 7/1990 Middle School Zone: 001550275 Soil Types: Flood Zone: Watershed Overlay: 44120.00 Outbuilding & Extra Freatures Value: 71330.00 Total Market Value: 118970.00 ADVANCE SHADY GROVE WILLIAM ELLIS PcB2,PcC2 DAVIE COUNTY 3520.00 118970.00 M Davie County, NCor All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the 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 arising out of the use or inability to use the GIS data provided by this websfte. DAVIE COUNTY HEALTH DEPARTMENT �l 60. oU IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION -*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems ll Permit Number Name o s A t_ Date J - [ - � 4 N27 � 5 \^.,+ 4 3 Location — L c..�r Subdivision Name Lot No. Sec. or Block No. Lot Size House v Mobile Home — Business Industry No. Bedrooms = —.No. Baths — � — No. in Family ? — Public Assembly Other Garbage Disposal YES ❑ NO p/ Specifications for System: Auto Dish Washer YES p/ NO ❑ Auto Wash Ma^hine YES p"' NO ❑ I► 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. T ` Gp J 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 Certificate of Completion 4" 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 PERMIT Davie County Health Department ' Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 1. Permit Req Cte6 B PeU % 9-e- Business Phone 2. Address • ��• 3. Property Owner if Different than Above Address / 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. ay If house or mobile home, state size of ome and number of rooms. House Dimensions a 47V Bed Rooms 3 Bath Rooms -_�-- 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 lavatory _L_ dishwasher showers sinks 2� 8. a) Type water supply: Public ✓ Private Community b) Has the water supply system been approved? YesesomNo 9. a) Property Dimensions / 0 Q5./- i _ b) Land area designated to building site r / garbage disposal washing machine c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct t the bes of my knowledge. 22 k" Date Owner Signalure / OWNER S SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6.62) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section - Soil/Site Evaluation ^ q NAME �'�� \�'-"c �' DATE EVALUATED ADDRESS S �-K�o PROPERTY SIZE PROPOSED FACIILTY y'- �� 1 LOCATION OF SITE Water Supply: On -Site Well Community Evaluation By:ti1Auger BoringLI) Pit Public Cut FACTORS 1 2 3 4 Landscape position S . S ---S' Slope % 1 rJ- HORIZON I DEPTH lam" 2 `" -Z' J" Texture Sroup Consistence - Structure Mineralogy HORIZON II DEPTH Texture group L Consistence - Structure F Q, Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS 55 S SS -s3 RESTRICTIVE HORIZON -- SAPROLITE — CLASSIFICATION LONG-TERM ACCEPTANCE RATE YLI t t SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE:' OTHER(S) PRESENT: �`Tc REMARKS: �..��..� � � `� � G. Z.v� 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 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--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 ,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 DCHD(01-901 ■��■�t��t��s��t��■ ■ � ■��■��■■��■��■��n■��■��■�■��5■ ■��■��■��■��■ ■��■�� ■��■��i��■��■■■ ■��■�■��■��■ ■��■��■��■ ■��■��■■��■��■��■��■��t��■ ...........................................�.........■............ .......................................... ...................... .................................................................. ................................�................................ ................................ ............... ................ ...........................�....................._................ ........................... .........................■...........■ .............■...................■.....■.■...■ .■■...■■ .....■...■ ......................................... ....�. . ..■.�.....■ .. ■��■��■��■��■��■��_■��n�i�■ ■��■��■��■�■��■�� ■��■��■��■��■ ■��■��■■ ■��■��■��■�■��■��i��■ ■�■��■�■��\��■�■��■��■��■��■ ■■��■��■��e��■��■��\��■��■��\�■��■�� ■��■■��■\�■��■�� ■��/�� ■\��N��\��/��■ ��\��t�� ■�■��■��■■■��■��s��_��■�� _ ....................................................C......... ..0 �\��N��■�� ■��■��N��s��N��s�n��=��_ ■��■��■��■�n��■��■��■�■�� ■�■��■��■�� N�■�� ..................................................C.■............. .......................................................... ....... .................................................■....... �....... ...■............................�.......................C........ ■�H��■��■��■��■��■■ �■��v��■� ■�■■��■ ■■■��■��/■��■■ ��J�� ■��■��■�■��■��\`N�■�� \��\��■�� ■��V��A�h\�� ■ �� ■�� ■��■■��.•��i��a�� n�■��■■��C��■■ ■�■��■■��■■��.��i��■��■�■ �■�� t�� i=�� •�� . ��■��■M��\��\�\�� ■ ■ �� ■�■�■ ...............................•..,;.�.:..�...■... �.�....■.......■ ■��■��■��■��■�■��..,,�7��.•��■ �■�� ■■��■�■ ��■��u�■��r:.��•�� •�� b��■��■ ......................�__=.•....;.:��:��. .C..... �.............. ■■■■■■■■�■■■��■■�■■■�■��■■��.:!.•+ui�.l� .��. �� ■��■��■ ■��■��V�� ■��\ii.�-- �� \ ■ ■ �� \ :::::::::::::::::.�::::_::::::::i1::::�:.`,:'��...� :CC:�::�._::':::? ...................................... . ..... � ...........s.... ■�■��■��u��N��■��ii �_■� �u�a� �� ■ ■■��■��,;a��n�o��i',: ��C�� C:::::C::C:::::::::::CC::C::CC�:C::::::�..'�...�. ...:C":::::�: ::::::::::::::::::::::::::::::�:��S"��'��'-_�� :��C:'.�:::::::: :�:::::::::::�:S::::::::::�►�::::'::�""�_' '' .: :::::::::::: ■...■.. 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