193 Fox Run Drive Lot 19Davie County, NC , ITax Parcel Report Thursday, December 29, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1: HUM
Mailing Address 1:
City: MOCKSVILLE
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WA" llVli: '1'tllJ IN INUl A NUKVhY
Parcel Information
E6110A0019 Township: Farmington
5851734527 Municipality:
38399320 Census Tract: 37059-802
PHRIES RANDALL D Voting Precinct: SMITH GROVE
193 FOX RUN DRIVE Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY QD
27028-0000
Voluntary Ag. District:
LOT 19 FOX RUN
Fire Response District:
0.45
Elementary School Zone:
9/1997
Middle School Zone:
001970654
Soil Types:
0005
Flood Zone:
182
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
SMITH GROVE
PINEBROOK
NORTH DAVIE
PcB2,EnC
DAVIE COUNTY
No
Fo-
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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 webske
�o
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT -AND . CERTIFICATE OF COMPLETION
*NOTE:; Issued in Compliance With Article II of G.S. Chapter 130a ....
` Sanitary Sewage Systems Permit Number
Name Gk / �'`. /5-;, ✓L/ Date :: J r :� No 67
5
a -1
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Ll Mobile Home Business Speculation t
No. Bedrooms ? No. Baths No. in Family-
Garbage Disposal YES [p NO ❑ Specifications for System:
Auto Dish Washer YES NO ❑ /_-
Auto Wash Ma shine YES NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
r
Improvements 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 day of completion. Telephone Number 704-634;gP85.
A
Final Installation Diagram
F
.r
Certificate of Completion \ '
N"Com� Date
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO.way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
i
NAME ��?r� DATE EVALUATED
ADDRESS
PROPOSED FACIILTY ,' `0Z"'r- -T-
PROPERTY SIZE
LOCATION OF SITE._1,.�
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring ,/
Pit
Cut
FACTORS
1
2
3
4
Landscape position
4-
!.
L
Sloe Z
.3
HORIZON I DEPTH
Texture group
L
5Z,
SL
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture groupC
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
`
e -
SITE CLASSIFICATION: _ i_:K
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY:
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 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
Mineralo►
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
■
■
■
■
■
■
NOON
OMEN
■OO■
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section A n�
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address
Home Phone _,%— 900 — 93—K9 — y32 / y Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for:
4. System to Serve: 940use
❑ General Evaluation
❑ Mobile Home
9?Septic Tank Installation
❑ Place of Public Assembly
❑ Business ❑ Industry E3 Other El Unknown
5. If house, mobile home: Subdivision Industry
Section Z Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms 3 Dashing Machine
No. of Bathrooms C Dishwasher
Dwelling Dimensions `s'y ) a LT 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 Water Usage Figures
7. Type of water supply: public ❑ Private
8. Property Dimensions
Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
❑ No
❑ Community
'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
incurred from this application.
DATE
and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: Ir 1. 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:
1 hereby give consent to the authorized representative of Pe Davie Cqpnty,alth Department to enter upon above described
property located in Davie County and owned by %lxg-
to conduct all testing procedures as necessary to deeermine said site's suitability for ground absorption sewage treatment
and disposal system.
3—/ 9 — /10a- y
DATE SIGNATURE
DCHD (12-90)