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172 Fox Run Drive Lot 7Davie County, NC II Tax Parcel Rennrt Thursday, December 29, 2016 & Extra Building Value: Freatures Va ue: Land Value: Total Market Value: Total Assessed Value: No 9i a�if8All data Is provided as is without warranty or guarantee of any Idnd 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 inability to use the GIS data provided by this website WAKNMki: 'l'rilb lb PIV1 A lURVEY Parcel Information Parcel Number: E611OA0007 Township: Farmington NCPIN Number: 5851737736 Municipality: Account Number: 66555660 Census Tract: 37059-802 Listed Owner 1: SLOGICK NICHOLAS D Voting Precinct: SMITH GROVE Mailing Address 1: 172 FOX RUN DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 7 FOX RUN Fire Response District: SMITH GROVE Assessed Acreage: 0.46 Elementary School Zone: PINEBROOK Deed Date: 2/1999 Middle School Zone: NORTH DAVIE Deed Book / Page: 002090937 Soil Types: PcB2,EnC Plat Book: 0005 Flood Zone: Plat Page: 182 Watershed Overlay: DAVIE COUNTY & Extra Building Value: Freatures Va ue: Land Value: Total Market Value: Total Assessed Value: No 9i a�if8All data Is provided as is without warranty or guarantee of any Idnd 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 inability to use the GIS data provided by this website , DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT A 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) r � NAME r/��^ �+�.) 1� PROPERTY ADDRESS Lc):7 K -u 7t Y". — a. -/0'AV DATE LOCATION f.:Lt SUBDIVISION NAME _U�f ,� LOT NUMBER '7 SEC./BLOCK NUMBER i RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS _ # BATHS Z' # OCCUPANTS GARBAGE DISPOSAL COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE li/ii! 1n6 TYPE WATER SUPPLY ez DESIGN WASTEWATER FLOW (GPD) 3j� 0 NEW SITE A ---REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/ GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH7 LINEAR FT. 41 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. %'t7 IMPROVEMENT PERMIT BY **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 SYSTEM INSTALLED BY gas Slaw -y AUTHORIZATION N0. O OPERATION PERMIT BY �l/i� DATE / **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMIPLIANCE 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 mss. •.. .+ Davie County Health Department ENVIRONMENTAL HEALTH SECTION ,► P.O. Box 665 - M 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 oust 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 _ �/! f1 < T DATE -e�;,e ' 'y la �'� © 1. 0 NAME ON IMPROVEMENT PERMITS (If different than above) SITE LOCATION w / <lA� ff'/,�/�/-L~/f7 7'7 CQKWS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*" THIS AUTHORIZATION FOR WA TE TER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. r /462 ENVI AL WATWVEIALIST DATE DCHD 10/95 APPLK 1. Application/Permit Requested By / L • U� a c Mailing Address �� k:x _��35 Home Phone Z% 2-- Business Phone 2. Name on Permit if Different than Above 3. Application for: I ❑ General Evaluationeptic Tank Installation Permit 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision r= �Lr +✓� Section Lot # asement/Plumbing No. of People ❑❑ Basement/No Plumbing No. of BedroomsL�l'Wa�bing Machine No. of Bathrooms e --p4— (!" Dishwasher Dwelling Dimensions El Garbage Disposal 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 No. of Showers Water Usage Figures 7. Type of water supply: [fa Public, ❑ Private ommunity 8. Property Dimension- Al )&"-6 X 98 Sewage Disposal ContractorL1/ 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 9� If yes, what type? 'NOTE: Improvements Permits shall be valid Rpm from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: PROPERTY INFORMATION REQUIREb: Tax Office PIN: # �5- Y..S- I - 73 PROPERTY ADDRESS, as follows: Road Name: 054Y BLM2 City: -41DJ!::3 fel SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. 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 SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: I 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 determines ' site's suitability for a ground absorption sewage treatment and disposal system. DATE SIG ATURE DCHD (1193) ' DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation NAME ,Sr ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE LOCATION OF SITE L Z71 - Water Water Supply: On -Site Well Community Public 4--l" Evaluation By: Auger Boringy Pit Cut FACTORS 1 2 3 4 Landscape position L L Sloe Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r" 34, Texture group Consistence Structure ! c. Mineralogy'l /.- 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 i SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: Z REMARKS: DCHD(01-901 EVALUATED BY: l OTHER(S) PRESENT: 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 :lay 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 watef 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 ■■■■■■■■■.■■■■■■■■■■■/■■■■■■■■■■■■■■■■■■ ■■./■■■■■Siem■■0■ MEEK■■■ ■.........■■.■■■..■.■■■.■.■■.■■■ M■■■.■E■==.._■..■■■.■■..■.■...EEE■ ■■■■■■■■■/■■■.■■■■■■■■■■■..■.■■■■■■■■■■■ EMM■MME■EM■■MEMO■OMEN ■■■■■■■■■■■■.■■■■■■■■■■■■/■■■■■■■m■■MEEK/■■■■■.■■■■■■■.■■.■■■■■■■■ ■■■■.■.■..■■.■■■■■■■■■.■■■.■■■■■//■■■■■■.■■Mee■■.■■■.■■.■EEE■■■..■ .......................................... ........ .......■■■■■. ...............................................■■■■■ N■RM■RE■EEMM■ ■■■■...■.■.■■■■■■■■■■./■..■■■■■■ ■■.■■■■SENEMERO..�■.■.■.■.■MENE■ ■■■■.■■■■■■■■■■..■/■■■.■■■■�■■■■■■■.■■■■.mMEEME�■.. ■■ENR■■MRM.■ ■■■■..■■■■■■.■■■■■■■■■■■■■M ■EERS.ERREMM■■■■EE■ ■SE■ .■■. 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