175 Little John Drive Lot 6Davie County, NC ' Tax Parcel Report Wednesday, December 28, 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:
WAKNIN T: THIS IN INUT A SURVEY
Parcel Information
D7010A0007 Township: Farmington
5862451601 Municipality:
82520314 Census Tract: 37059-802
SHOUSE TAMI G Voting Precinct: SMITH GROVE
175 LITTLE JOHN DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAME COUNTY QD
Land Value:
Total Assessed Value:
27006-6635 Voluntary Ag. District:
LOT 6 FOX MEADOW Fire Response District:
0.57 Elementary School Zone:
2/2003 Middle School Zone:
004680272 Soil Types:
Flood Zone:
Watershed Overlay:
Outbuilding 8r Extra
Freatures Value:
Total Market Value:
SMITH GROVE
PINEBROOK
NORTH DAVIE
Gn132,GnC2
DAVIE COUNTY
No
161
Davie County,
NC
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impliedwarantlas 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
or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name �', ,,JV c , „ Date;
Locationf
_ l''155 Lif�le matin ��
Subdivision Name Lot No. Sec. or Block No.
Lot Size !/ ' -7. 'Z s House Mobile Home _ Business Speculation
No. Bedrooms =� No. Baths No. in Family
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply
YES ❑ NO ❑ Specifications for System:/:•: r ��-
YES ❑ NO ❑ _ -�
YES E] NO El ' o t> s'
`'.r u�<� . ! X1..1 1,� ,; :, r.:3i.•./ �.� P..f C, !t �_ 4� �.
*This permit Void if sewage system described,below is not installed within 36 months from date of issue.
f �
r
t�
i
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: 704-634-5985.
Final Installation Diagram:
�e J/
Y
4
Installed by 0.11 1, f",,
y
I �..y \ i,.,., n_ i
Certificate of Completion 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.
Address _A K
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
FACTnR.R AREA 1 AREA 2 AREA 3 AREA 4
Topography/ Landscape Position
S
S
S
rVED
<h)
PS
PS
U
U
U
U
'.) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
®
S
U
S
PS
S
PS
U
U
U
U
i) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
SPS)
'j��T''
PS
PS
U
U
U
G) Soil Depth (inches)
S
S
S
PS
PS
U
U
U
U
Soil Drainage: Internal
S
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
PS
PS
PS
PS
U
U
U
U
�) Restrictive Horizons
Available Space
S
®
S
<ffD
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
•
U
U
U
U
1) Site Classification
X 5,
Q�
U—UNSUITABLE S—SUITABLE _EJ,-1ovi�cj=ali ry Suitable
Recommendations/ Comments:
Described by� - Title Date
SITE DIAGRAM
DCHD (6-82)
';a!;'
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1. Permit Requ
2. Address —
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional_Zt-- Other Type
Ground Absorption
Home Phone
Business Phone
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House v lIV obile Home Business
IndustryOther
b) Number of people —
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions ?
Bed Rooms Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals garbage disposal
lavatoryr2 showers washing machine
dishwasher % sinks
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yeses No
9. a) Property Dimensions,%
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
17.4
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
Environmental Health Survey For Sewage Treatment and Disposal Systems
Subdivision Name F-- 4 s�.,o rz\js— Lot # 0 S— Block or Section— -
Date System Installed 1 p Name of Installer �� S , . � -
Number of Previous Owners
Name of Present Owner 1� , i., \� L N Z� V S Q- N Number of People 2L
Address o � 4
Phone No.
System Originally Designed For
No. Bedrooms
No. Bathrooms �—
Dishwasher O
Disposal
Washing Machine
System Now Serving
No. Bedrooms
No. Bathrooms
Dishwasher O
Disposal
6
Washing Machine I
Number Times Septic Tank Been Pumped Average Monthly Water Usage 1
Present Condition of System W —
Any Known Repairs to System, If So When and By Whom?
Comments:
Environmental Health Official Date
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
Environmental Health Survey For Sewage Treatment and Disposal Systems
Subdivision
Name �� ,a1._sNr
Lot #
Date System
Installed ' a - 0 3
Name of
Installer
Block or Section
Number of Previous Owners-
Name of Present Owner j�e o�� e. c� Number of People_3
Address
Phone No. O� o 'O
System Originally Designed For
No. Bedrooms 3
No. Bathrooms a.
Dishwasher
Disposal `
Washing Machine
System Now Serving
No. Bedrooms 3
No. Bathrooms
Dishwasher
Disposal
Washing Machine
Number Times Septic Tank Been Pumped C) Average Monthly Water Usage
Present Condition of Systemra
Any Known Repairs to System, If So When and By Whom?
Comments:
Environmental Health Official Date