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200 Montclair Drive Lot 13I Davie County, NC Tax Parcel Report Wednesday, October 19, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information 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: F712OA0013 Township: Shady Grove 5860955378 Municipality: 82529597 Census Tract: 37059-803 SEIBERT TIMOTHY F Voting Precinct: WEST SHADY GROVE 200 MONTCLAIR DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOT 13 BALTIMORE HEIGHTS Fire Response District: ADVANCE Land Value: Total Assessed Value: 1.00 Elementary School Zone: ---221 MONTCLAIR DFZ I Middle School Zone: WILLIAM ELLIS 007560053 Soil Types: MrC2,MrB2,GnB2 or arising out of the use or Inability to use the GIS data provided by this website. 0006 Flood Zone: I I 222 170 I -----184 � 200 , 216. Freatures Value, 36000.00 Total Market Value: BRUSHY MTN TRL 211180.00 WARNING: THIS IS NOT A SURVEY Parcel Information 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: F712OA0013 Township: Shady Grove 5860955378 Municipality: 82529597 Census Tract: 37059-803 SEIBERT TIMOTHY F Voting Precinct: WEST SHADY GROVE 200 MONTCLAIR DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOT 13 BALTIMORE HEIGHTS Fire Response District: ADVANCE Land Value: Total Assessed Value: 1.00 Elementary School Zone: SHADY GROVE 412008 Middle School Zone: WILLIAM ELLIS 007560053 Soil Types: MrC2,MrB2,GnB2 or arising out of the use or Inability to use the GIS data provided by this website. 0006 Flood Zone: 076 Watershed Overlay: DAVIE COUNTY 171510.00 Outbuilding & Extra 3670.00 Freatures Value, 36000.00 Total Market Value: 211180.00 211180.00 we 9 Mw�FAll Davie County, 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 colt NC or arising out of the use or Inability to use the GIS data provided by this website. N� DAVIE COUNTY HEALTH DEPARTMENT _ _ l IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION * NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems _ ���\C,o� _ c� Permit Number Name _— ''_'C� s'- ' ��'�.� �ue`�— Date 5 ! No 7 6 0 8 Location P0� -s� _ �e. v t"r_3 C 0 Subdivision NameLot'No. Sec. or Block No. Lot Size House Mobile Home Business Industry No. Bedrooms _.No. Baths _ No. in Family ? _ Public Assembly Other Garbage Disposal YES ❑ NO [9" Specifications for System: Auto Dish Auto Wash Ma Washer.,, ne YES NO - " _ . o Joo �.` � E�, /,NO .11 :VC i `t" cxiY ` Type Water Supply — C'J ` --- i 1 A APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: 2 -50 -use ❑ General Evaluation ❑ Mobile Home [� eptic Tank Installation ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: SubdivisionSection Lot # No. of People No. of Bedrooms ,S No. of Bathrooms �Z Dwelling Dimensions Z 5— SX- 6. Sf 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Basement/Plumbing ❑ Basement/No Plumbing 2 -Washing Machine ishwasher ❑ Garbage Disposal 7. Type of water supply: ublic ❑ Private ❑ Community 8. Property Dimensions //= ti� Sewage Disposal Contractor ZA=�� 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑-fqb� If yes, what type? '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: This is to certify that the information provided is correct to the best of m knowledge, and I understand I_gLn responsible for all charges incurred from this application. d -ice �;'� DATE IGNATURE i CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY Fandd ECK ONE: CsL1 I OWN the property. ❑ 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 representative of the Davie County Health Department to enter upon above described cated in Davie County and owned by L i �-7 TYG� �� ✓7f�-cam all testing procedures as necessary to determine ite's suitability for a ground absorption sewage treatment al system. DATE SIGNATURE DCHD (12-90) PA APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By ;K�iC% ��y iZ./G el - Mailing -Mailing Address / ,�c� i�9cl��CVGl.!� .;;�.. (/.�r./C� ✓t/t�- Z Home Phone .sV ` y4/ J, - Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation ❑ Septic Tank Installation 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Ls%, �- T//sic"-+�C ' c�lc' T) Section _Z Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type r; No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of ShowersWater Usage Figures 7. Type of water supply: 21 -public ❑ Private ❑ Community 8. Property Dimensions 'q..L:."26 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Limon If yes, what type? '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: /L This is to certify that the information provided is correct to the -best f my knowledge incurred from this application. / �> 71ZDATE \� �- r✓ TURE cc 12vs5 I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE`5ONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ I 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 pif the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to a ermine"said ite's suitability Jor d absorption sewage treatment and disposal syst M. ZZ ;;u ATE If ATURE DCHD (12-90) . " DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation /} NAME DATE EVALUATED��%� ADDRESS PROPERTY SIZE ` 2 PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well Evaluation By: Auger Boring Community Public Pit Cut FACTORS 1 2 3 4 Landscape position Slope % -- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 4/1 SG f 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: 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 -Finn 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 Elmo iiiiiiiiiiiiiiiiiiiiiiisiiiiiiiiii=��iiiiiiiiiM■iiii�iiiiiiiiiii=■ ■■......■...■...■..■.■H■■■.■■■.■■■.■■....■..■.■..... ■■■MM■.■■■_ .........M..N....N■■■.......■.■■■N.■.■■■M■...///..CNE■../.....■ . ................................................■...... .......... .................................................................. ................N■..■.M................................ 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