388 Speaks RdDavie County, NC • ITax Parcel Report Ila (,I Thursday, October 6, 2016
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
Voluntary Ag. District:
No
Parcel Information
Fire Response District:
D60000002103
Township:
Farmington
5851491762
Municipality:
Middle School Zone:
82530364 Census Tract:
37059-802
BOONE MICHAEL WAYNE
Voting Precinct:
SMITH GROVE
388 SPEAKS RD
Planning Jurisdiction:
Davie County
ADVANCE
Zoning Class:
DAVIE COUNTY R-20
NC
Zoning Overlay:
DAVIE COUNTY QD
Land Value:
Total Assessed Value:
27006-0000
Voluntary Ag. District:
No
1.00 AC OFF SPEAKS RD
Fire Response District:
SMITH GROVE
0.98
Elementary School Zone:
PINEBROOK
6/2009
Middle School Zone:
NORTH DAVIE
007980077
Soil Types:
EnB,MsB
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
66440.00
Outbuilding & Extra
8330.00
Freatures Value:
15810.00
Total Market Value:
90580.00
90580.00
9tt� 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 inabllity to use the GIS data provided by this website.
• f
IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**NOTE** This improvement permit DUES 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 6.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME � � ' t PROPERTY ADDRESS K-:5 - � a DATE
LOCATION'` S ii" /✓
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE L # BEDROOMS =I # BATHS -9- # OCCUPANTS %,-f' GARBAGE DISPOSAL: Yes/,
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE ' TYPE WATER SUPPLY g1/ ,l DESIGN WASTEWATER FLOW (GPD) � NEW SITE _L:/REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE AW'd GAL. PUMP TANK
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
GAL. TRENCH WIDTH ROCK DEPTH —,l ' LINEAR FT. 4
***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.
,Z CAW F/` 7
D t J % p
p
IMPROVEMENT PERMIT BY 4y
**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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT L
to
1
SYSTEM INSTALLED BY
AUTHORIZATION NO. 4,0,101 OPERATION PERMIT BY �ZVa4-e DATE t
**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 �' -? (• I
P.O. Box 665
_ - Mocksville, N.C. 27028
AUTHORIZATION 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.***
AUTHORIZATION NUMBER
NAME ��/7 �r'il �' /y1/��/s til r DATE �i���� - C��`ti r
NAME ON IMPROVEMW PERMIT (If different than above)
SITE LOCATION;
COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NDTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST p- DATE
DCHD 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P
Davie County Health Department
Environmental Health Section Ul-
&V
I
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address 3� Home Q.C-f--Q- N C— Q0 C�kp Business Phone
2. Name on Permit if Different than Above
3. Application for: 111"General Evaluation (dSeptic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
[J Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
No. of People
No. of Bedrooms
No. of Bathrooms
Dwelling Dimensions X a
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks
No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public R Private
8. Property Dimensions - "I5 S Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type? IAi n c-�,e—ni + b IL`s' a-- tv7)Li-S&
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
C?'Washing Machine
9 Dishwasher
❑ Garbage Disposal
❑ Yes ❑ No
❑ Community
'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits aresuN t to
revocation, if site plans or the intended use change. Effective October 1, 1989.
,f, )wxv � D G al -CZ
Directions to Property:
CL
a \tj-� �-a-
This is to certify that the information provided is correct to the
incurred from this application.
DATE
Tax. Office PIN: # -`N-51 " %Q%
PROPERTY ADDRESS, as follows:
Road Name: 0 al S(�
City: c�i1c Q.
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
e, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 21. 1 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 f the Davie Co my Health partment to enter upon above described
property located in Davie County and owned by—JYO,V/ k
to conduct all testing procedures as necessary to det ine said sit esuitability for a ground absorption sewage treatment
and disposal system. -----
ATE SI T6
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME 4& rs / <-
ADDRESS
PROPOSED FACIILTY,?
DATE EVALUATED
PROPERTY SIZESrt�
LOCATION OF SITE
Water Supply: On -Site Well �� _ Community Public
Evaluation By: Auger Boring �i Pit Cut
FACTORS
1
2
3 4
Landscape position
L
G
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
� 41/
Texture group
Consistence
/-1"
Structure
h/
i27
Mineralogy
e
4,_1
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: .` l iL�n ✓ EVALUATED BY:
LONG-TERM ACCEPTANCE RATE:
REMARKS: /-)I
DCHD(01-901
HER(S) PRESENT:
) ca- C/
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- 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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PHOTOGRAPHY BY
ALSTER & ASSOCIATES, INC.
COLUMBIA, SOUTH CAROLINA
DATE OF PHOTOGRAPHY: MARCH 28, 1976
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