102 Springdale Court Lot 11Davie County, NC I Tax Parcel Report Thursday Octoher 20.2016
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 1S NOTA SURVEY
Parcel Information
G8060A0011 Township: Shady Grove
5880015191 Municipality:
45082340 Census Tract: 37059-804
LE BLEU CORPORATION Voting Precinct: EAST SHADY GROVE
PO BOX 2093 Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY 1-1,R-20
Land Value:
Total Assessed Value:
NC
Zoning Overlay:
27006-0000
Voluntary Ag. District:
No
LOT 11 BENTBROOK
Fire Response District:
ADVANCE
1.53
Elementary School Zone:
SHADY GROVE
10/1998
Middle School Zone:
WILLIAM ELLIS
002060268
Soil Types:
WeC,WeB
0006
Flood Zone:
112
Watershed Overlay:
DAVIE COUNTY
0.00
Outbuilding & Extra
0.00
Freatures Value:
36000.00
Total Market Value:
36000.00
36000.00
4 bl�
Davie County,
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 a GIS website shall hold harmless the
�oU S�
NC
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.
1.
APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section j
P. 0. Box 665
Mocksville, NC 27028
Mailing Address
2. Name on Permit if Different than Above
3. Application for. General Evaluation
4. System to Serve: f HouseS
Business Phone
0 Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ k dustry O Other ❑ Unknown
5. If house, mobile home: Subdivision _ PfiT4,00� Section Z Lot # IJ
No. of People
No. of Bedrooms
No. of Bathrooms
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
No. of Water Coolers
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
0 Dishwasher
❑ Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public ❑ Private ❑ Community
8. Property Dimensions _�% z� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes O No
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 my knowledge, and I understand I am responsible for all charges
Incurred from this application.
DATE
MUST CHECK ONE: ❑ 1. 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 of 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 determine said site's suitability for a ground absorption sewage treatment
and disposal system. .
DATE
DCHD (1/43)
SIGNATURE
1
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTYr LOCATION OF SITE
Water Supply: On -Site Well Community
Public L_�
Evaluation By: Auger Boring Pit P___ Cut
FACTORS
1
2 3 4
Landscape position
L
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
�8
Texture groupn
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: / T
LONG-TERM ACCEPTANCE RA OTHER(S) PRESENT:
REMARKS:
DCHD(01-901
�iT�,oa, DL
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope
CC-Conc��A �if%nP CV -Convex slone 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 -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
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