2160 Sheffield RdDav
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:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
F100000065
Township:
4890890793
Municipality:
30897600
Census Tract:
GRIGGS LONNIE GRAY
Voting Precinct:
2160 SHEFFIELD ROAD
Planning Jurisdiction:
HARMONY
Zoning Class:
NC
Zoning Overlay:
28634-9099
Voluntary Ag. District:
LOT 3 HILLTOP ESTATES
Fire Response District:
0.90
Elementary School Zone:
Land Value:
Total Assessed Value:
4/1996
Middle School Zone:
001860514
Soil Types:
0008
Flood Zone:
122
Watershed Overlay:
Outbuilding & Extra
219720.00
Freatures Value:
25000.00
Total Market Value:
263580.00
Clarksville
37059-801
CLARKSVILLE
Davie County
DAVIE COUNTY R-20
SHEFFIELD - CALAHALN
WILLIAM R DAVIE
NORTH DAVIE
PcC2,CeB2
DAVIE COUNTY
18860.00
263580.00
No
81[61
91,vi�,
�'p��x.�"
Davie County,
NC
All data Is provided as is without warranty or guarantee of any kind 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
or arising out of the use or Inability to use the GIS data provided by this website.
Lx v
DAVIE COUNTY HEALTH DEPARTMENT
i IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit,
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME h N VA S PROPERTY ADDRESS 1 ►'l� ''C -I I b� ATE
LOCATION Li W
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE o oscz # BEDROOMS _�i> # BATHS # OCCUPANTS �- GARBAGE DISPOSAL: Yes No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT ? # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE �l TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) J 6 NEW SITE V1 REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE t GAL.''PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH 1— LINEAR T. 0 0
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
M
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE ISAVIE COUNTY HEALTH DEPARTMENT FOR FINAL -INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE.DAY OF INSTALLATION.,_ TELEPHONE # 4 S.(704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION NO. 4
OPERATION PERMIT BY /C- DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
ram Mocksville, N.C. 27028 J00, 0 o
THOR
AUIZATION FOR WASTEWATER SYSTEM CONSTRUCTION `
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental.Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.***
q AUTHORIZATION NUMBER
NAME � o N N •\ �'. � R � � �-� DATE 3 � �� — 1 �
NAME ON IMPROVEMENT PERMIT lIf different than above)
SITE LOCATION S\1
COMMENTS/CONDITIGNS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
M
**+NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE
DCHD 10/95
A�
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS /;ZN
Davie County Health Department L/
Environmental Health Section
P. O. Box 665 �i`7 t9;,� -0
Mocksville, NC 27028 I
1. Application/Permit Requested By�h�-� '
Mailing Address (D UU Home Phone TO - 7 (o i' g s LPI
� �, a rl I I (� Business Phone � (C) • '75 ' a
2. Name on Permit if Different than Above P/
3. Application for: General Evaluation U Septic Tank Installation Permit
4. System to Serve: L(/ House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ^ E�,/ashing Machine
No. of Bathrooms « ^ Dishwasher
Dwelling Dimensions Q D LTJ 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 Watters Usage Figures _
7. Type of water supply: ❑ Public U9' Private
8. Property Dimensions ), �� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes
W.
❑ Community
"NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
p, Directions to Property:
Tax Office PIN: # ql -OHO qc-
PROPERTiY ADDRESS, as follows:
Road Name:
City: Al
SU13MIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
kmI N L) -V -f' I- � Q,
This is to certify that the information provided is correct to the best of my knowledge, and I understand 1 am responsible for all charges
incurred from thi applic�on.
DAYE //bb 11 SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. 2"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 Qqunty Health Department to enter upon above described
property located in Davie County and owned by .'f,� "';K' -Q4*g,
to conduct all testing procedures as necessary to determine said site's su abillity for a ground absorption sewage treatment
and disposal system. n „
ATE SIGNATURE
DCHD (1193)
11 1�L�
•...� � 1 :�, .. .r '., f ''�4`y �>y ,� g '. tt• w p '�'" f'�'�!+I v,.,r '` �
kA 0
,
=.r
��r\fir �� �ut>#'�•V C� .. yy ... ,. �G, ��, �'� ��� {,. ,+"^�''��,.
20,91
ta
-
yJ
H y
!^ ..S Y t � l.i i x ` W Y'it tJ•,i`4 �4�5�f.,ar".y ZA .4 Y I �y�" � "
���, ; fwd t, r� >� ,t .: ! 'i" � ,+,Kr_s�`"Y �""* !' '• �� y ,� - � t . `. .'
;h,� ,;,rye , '� � , r:. >•� �1 w�c, + a + a ,,, � N . � �.
i
� s
t-
r
OBD �p
to
7
cl—
'd�
� � •;fit uN k .a `, 1
S
l. �,J �/�''4t �' �.Y .. '7r F',{��'�s� '� � ! Z���•.4!'!„ � ro. p �! ,.a� ! '„ � _1� tS ,u� 1� r
r �L7i���t r F"�'.,.;y '}' C�• k f; rob ltia ,, nsi r \� 4
;1
AAI
�.f; 3•,}i � `V'?, t �''.a. L, � � �,,' _ , {� "tti'"i,70aW �� «""". t+YM to }i %� i(? t..� r
ar• s _�q6 , 4 �,;� +� ,, '�: of , �%�• \
N ''���� `Q • ��"� i *i`�"', C `t + T 'k ._qr `�)'t \ j l ~� r4 'M _r 4
Bt t y 44 4s( '! {� 4 �l -, '`�i� '�"T °t a «r1.,A.'� raM,y. "'"r"' r+'....w... b:1 p a 1 f) • w _ s°� t'
�� f5`s;fi for ,xs � r�> + + •ty��v;'.ao,�".
•.„Hfvrd�r+1•,5, �.��r.A. �lT''Liy:'!i P'Y�?'.. �. ,.. 7 t ('r ?11
t�-
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS S p m2
PROPOSED FACIILTY \-\
DATE EVALUATED _ Cl
PROPERTY SIZE
LOCATION OF SITE .��.
Water Supply: On -Site Well ►� _ Community Public
Evaluation By!�_'tL Auger Boring Pit Cut
FACTORS
1
2
3
4
Landscape position
Z5
s
Sloe %
HORIZON I DEPTH
Texture groupL_
L
L -
Consistence
StructureMineralogy',
1 '. 1
) : ►
1'.
HORIZON II DEPTH
Texture groupC
Consistence
S.
-
Structure
Mineralogy'•
'
'
' \
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
SS
Ss
RESTRICTIVE HORIZON--
SAPROLITE---
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
`3
t
1
SITE CLASSIFICATION: � '' .
LONG-TERM ACCEPTANCE RATE. _
REMARKS: X
DCHD(01-901
EVALUATED BY:
OTHER(S) PRESENT:
END
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
Te..�..�e
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- Vl---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
�
. .
■■��������������■���������������������■■ ■��������������■ ■��l�■■
■����■������������■���N�■���������nr�� ���������������■������a■
■�������■����������������������� ������r������������■■����■�����■
■�■��������■■�������������������������■�����■���������■�������■■
■������������������■��������������������� ■■ ■��������■■��������■■
■����■����■�����■�����■���■/�����������������������■���■��������■■
■�����■���■������������������■�����������■�■���������������������■
■���■�������������■������������■������■���������■��■�����■�������■
■�■■�����■��������■■�����■��■���i■��■����� �������� �■��■�������■
■/��������■��■���\������■�����■��■��/��������������� ���■��������■
■����■�■����1���■�����������������N����������■���■ ��■��■�������■
■�■����■�■��■►������������������� �����■����������■�����������■��■
..............�.............C.................■.�... _...._........
.........................`. ................... .... .... ........
■�������������17■���■■�■��I/���������1��\�/■■l7�� ������H���������■
■����■���������1����������1I�������%����■���%�■ ■ ■ ■�� ������ ■■
■���■�������������■��������������r��������r���■= �■��_����������n�ii �■
■����■■����`���:���������r���■■■����������������■�� �■�■�������■���■
■■��■�������►���n���■����r��������►��■��■�i����■�■�■■�■���������■���■
■�■�■�����■���■r��:��■�������■������ ■■��■��N�����__ _ ■��������■��■
■����■�����■����I/�►���������■��/l�■�■���II■��N�� ■ ����H■����■■■
■���������■■�\��!!IiJU1\����1���/\���/���■■��II�■����■ ����■���■����■
■���������������ri�•,•�������i�e�n����������—�N��=�����■�i■���■_� ��■�■�■�
■������e�����►��i��:•���ic�a�r�zu�i�ri���nrci iri���■ ■ ■u������� ■ ����■
■�■s����������►�.����.��n�►��i�►�■■�;�.:��,�����■��������C����� ■■_��__
■�■���■���it�������i�����rr�.��`%I,��■r��i.%��■�����h�� ■ �■���■�� ��
■�■■���A■■1�����1�►������l����ii�:"`�,��//�N■���������■�■�■�������
■■�■�■�����I����/I�A�'i►.'.%��1�\��ii�!�!!��'..'t��N/� �� ���������■���■���
■�����■■���1�����1lIGfC':i�►!:1������1���\��!4►.�:.�������� ���� ■�������■�
�����������������l���:.�.���/�����������������I�I������� ����������������
■�������■��\I���\�fi.,'.i���,�■����/I��ii��Jl���i��i�■�N� ■ ■�■� ���■�■
............�....►�.....►......�:......��............. ��.._.........0
■���■��������■��■I■����i�■■I����:•����������s��■���� �I■■� �� ��■■��■
■����N�■�■���■��■■�■■�=_..��e:��������i� ■ �■■�� ■ ������� _��■���■
■�������■�■�i�����■��■�����■■��:.�.__���i��■Nu�uu������_���■���■
■�����������1����������1���������� ■���H■����� �N��■■ �■�■�■�
■iii■�iiiii�iiii�ii�iiiiiiii"�i�wi�iiii�ii��ii�iiiii�i��ii=i�iC=iiiiii�
■����■■�■����i������■��i����!���a���•� ►� ��■� ■ ■ ■���n�■����_
■■�■��■��������■■����■�i��������■�� =i,. i��■�� ■ �ii =iiii
iiiiii��iiiiiiiii�iiiii�i�iiiiii�:�:� �■�� ����■■■_
������� ������� ���������•_..:� i��� .�iu�■ ■�i� ����■■ ,
���������■i����������.� �w!����■�v y� `� ■ ��u ■����■
■�■�■■����NSJ��������u��=����������� �� ��■���■�����
■���■�������������������H���.���■������ ' �NN�� ■�■�■���
■���■����■��N�������■�������������■/' �� ��■�■�■■
�����������vn�������������������/. A1 / � �� �N�����
��0������v�u�N�����u����� ■ �0 ��������
■��������������������■�������■�� H��� ■ ■�■
■�����■������■N�Nn��������� ■■ ���� �N�■■���
■�����������■ ��u�■■�
■�������� �����■�N�� �■� ��Y■ �■ h� ■�����
■�����������■������■�■ ■�������■ N �� n��■���
C::::::::::::'.:::::::CC:::=C::::�: :S �':::::
................................ .
■������u�������q����������� � Y���q��N�
■����u� ����
....... ..C�....................0 .. ..�...�.
...C... C.. ......�...C.... . .. .... � .
..........0........................ . . ... .....
����������������������������������N ■ ���■■��N� �
■■��v��■��������u■■����■�������■ �N� ■ ■ ���N�uu�■■■
■�����������■■�������������■■����■��� ���������� .
���������%�������������N�����u��� ■ u�u������ �
■ ���� ■ ��N■���■■���■ ���������� ■�� ■ ��M���
.::::: .:....�:::_:'::::�::::::::: .: ..: :. :::::.:::�:::::�
�.... ..�::......C........... . .8..'=......:�.................�
■..■■..■■■.■■..■........■.....ii...■=■■■........■■.......■......�
■��������������e�����������u■������ �������������������■�■���.
■�����������������■���������■����������������������■�������u����"
■����■��■�����������■��������■�������������������■��■�■�������■■�■ •
■����������■����������■��������������■N�����������o�������������
■�����■������■��■�����■���� ■■■■�����������■�■� ■�������■���������
■��■ ■���������■■��■■■����■_��■���■��� �����■■�i������■�������■� �
■���_■��■■�a������■�����������������i��������������■����■�u��=■
.��■�������������������■�■������� �������■�����������������■■����■
����■ ■������■■��������������u����■ ■ ■����������������■■�■���
.,� �.
� �� � � � _ �