203 Little John Drive Lot 9Davie County, NC' Tax Parcel Report Thursday, December 29. 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:
Land Value:
Total Assessed Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
D7010A0010 Township: Farmington
5862454620 Municipality:
8303466 Census Tract: 37059-802
BOWLES CHESTER DOUGLAS Voting Precinct: SMITH GROVE
203 LITTLE JOHN DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY QD
27006
Voluntary Ag. District:
LOT 9 FOX MEADOW
Fire Response District:
0.61
Elementary School Zone:
5/2014
Middle School Zone:
009570507
Soil Types:
0004
Flood Zone:
134
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
SMITH GROVE
PINEBROOK
NORTH DAVIE
GnC2,GaD
DAVIE COUNTY
No
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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
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l� C 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
IMPROVEMENT PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIIATION 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 6.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME ///�+%(t ,'// !/'iS�r✓ PROPERTY ADDRESS // /E� -OA Yl 1'�• ��D�� S
LOCATION , Dkia-+ 0 YY.\ p' ' ' O C
SUBDIVISION NAME—.�r1La"d,4, LOT NUMBER y ^ _. SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE Z, # BEDROOMS S # BATHS # OCCUPANTS -�/ GARBAGE DISPOSAL:^ &No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD) T4 0 NEW SITE JZ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE eplA GAL. PUMP TANK GAL. TRENCH WIDTH JX"' ROCK DEPTH _J,' „ LINEAR FT. !ryS�/-)
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
�#t d a c
Sir
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 S LAl DWWV
AUTHORIZATION,NO. Q3*? OPERATION PERMIT BY
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HF
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION! .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS-,
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
DATE 12— / Z3
ALLED IN COMPLIANCE WITH
IN NO WAY BE TAKEN AS A
Davie County Health Department
3 ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
�» Mocksville, N.C. 27028
AUTHORIZATION IOR WASTEWATER SYSTEM CONSTRUCTION t,
(Issued'in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must 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.***
�,.y� AUTHORIZATION NU1?BER
NAME 10, �P ��IJ%/'/'i I D n DATE/� O q
,• 2
NAME ON IMPROVEMENT PERMIT (Ifdifferentthan above)
SITE LOCATION AV i -ZJAe '!lu/ .6719
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
1.
**WICE*** THIS AUTHORIZATION FOR.WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
1. Application/Perm
Mailing Address
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section C;;1
P. O. Box 665
Mocksville, NC 27028
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve: Pr House
0 General Evaluation ❑'Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision 15 Me��ocz Section Lot #
No. of People
No. of Bedrooms 3
No. of Bathrooms p /L I����
Dwelling Dimensions d X 7
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes
No. of Lavatories
No. of Urinals
No. of Water Coolers
No. of Showers — Water Usage Figures
7. Type of water supply: 91"Public ❑ Private
8. Property Dimensions 1 10f X 7,361 Sewage Disposal Contracto
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑/Basement/Plumbing
ET Basement/No Plumbing
RoVashing Machine
L90"Dishwasher
RO Garbage Disposal
❑ Community
r �
❑ Yes T No
"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+C) PAS- fivj� go I A
t +Wq . 9 o l /� To -P-�eo LMD el)
LJOP-4- o/J I (�� .`tom ff1,59M _Ir_ or
(�t�ss ply ✓� g0 , Tom c),p
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.
MATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
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 MU T 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 systema
0�-C2 /
DATE SIGNATURE
DCHD (1193)
_ DAVIE COUNTY HEALTH DEPARTMENT
4 Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY_�as e
DATE EVALUATED e/'_691
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well Community Public G/
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope Z -�
HORIZON I DEPTH
Texture group -
Consistence
Structure
Mineralogy
HORIZON II DEPTH ; r'
Texture group
Consistence
Structure
Mineralogy -1/ `
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: _ 9 EVALUATED BY:�e,11
LONG-TERM ACCEPTANCE RATE: y 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 :lay 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 wateC 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
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