212 Little John Drive Lot 16Davie County, NC Tax Parcel Report Thursday, December 29, 2016
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LITTLE JOHN 1)R
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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 _
D701 OA0016 Township: Farmington
5862455249 Municipality:
65007000 Census Tract: 37059-802
SHELTON CYNTHIA A Voting Precinct: SMITH GROVE
212 LITTLE JOHN DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAME COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY QD
27006-0000
Voluntary Ag. District:
LOT 16 FOX MEADOW
Fire Response District:
0.57
Elementary School Zone:
4/1996
Middle School Zone:
001860703
Soil Types:
0004
Flood Zone:
134
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
SMITH GROVE
PINEBROOK
NORTH DAME
GnC2
DAVIE COUNTY
No
Davie County,
l data Is provided as is without warranty or guarantee of any ldnd either expressed or implied Including but not limited to the
implled warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
161
NC
County of Davie, North Carolina, its agents, consultands, contractors or employees from any and all claims or causes of action due to
Inability to GIS data by this
or arising out of the use or use the provided website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�o, 0.
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name Date �;,,,�` [1 /� r-�r/Date 9Sf N2 8172
Location �ge�
Subdivision NameLot No. Sec. or Block No. 1
Lot SizeLl
jam_— House — Mobile Home --__ Business —_ Industry
No. Bedrooms ? _.No. Baths —c5_7—_ No. in Family Public Assembly Other
Garbage Disposal YES p NO 2r Specifications for System:
Auto Dish Washer YES NO ❑
Auto Wash Ma -hive 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
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEETHIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:3079:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: Sy ter i Installed by
Certificate of Completion _ ✓rpt __ 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.
'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:
Z L+ 0e: A -S i To f -t V1 y gp 1
H I A TO cm X 4 0
L0,e-3 P-EDLAA be, 0- 1 D
I,-,1T7L-L -501\ (\ t I_ (- ti --T— D
LA T7` I LJ 5Dk (X t ,o`rTom 04f- 141 LL
0►\ 1,t 6-w
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
Fanddisposal
ECK ONE: ❑ 1. I OWN the property. ❑ 2. I DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
/system.
�C:7 '
DATE SIGNATURE
DCHD (1193)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
PERMIT
• Davie County Health Department
�1 Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
�i 1� I t ICA(& O�
I !Wr— 5y5—
1. Application/Permit Requested By
110\11(DS�liJ VALLeH OW
Home Phone ME—Z-491
Mailing Address
-AQUAnit.e, fl(, 2 006
Business Phone
2. Name on Permit if Different than Above
����
3. Application for: ❑ General Evaluation ll�Septic Tank Installation Permit
4. System to Serve: eHouse ❑ Mobile Home
❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other
❑ Unknown
n ,,� 1
5. If house, mobile home: Subdivision Em I ERfA�
/
Section Lot #
❑Basement/Plumbing
No. of People 4
J
U Basement/No Plumbing
No. of Bedrooms 3
Eo hashing Machine
No. of Bathrooms 2//
C�Dishwasher
Dwelling Dimensions 57'611 X Zb I
L"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: 2 Public ❑ Private
❑ Community
X Z ZS (
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
/
❑ Yes 360'o
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:
Z L+ 0e: A -S i To f -t V1 y gp 1
H I A TO cm X 4 0
L0,e-3 P-EDLAA be, 0- 1 D
I,-,1T7L-L -501\ (\ t I_ (- ti --T— D
LA T7` I LJ 5Dk (X t ,o`rTom 04f- 141 LL
0►\ 1,t 6-w
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
Fanddisposal
ECK ONE: ❑ 1. I OWN the property. ❑ 2. I DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
/system.
�C:7 '
DATE SIGNATURE
DCHD (1193)
J
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME fri'��SD7
ADDRESS
PROPOSED FACIILTY _'q'
Water Supply: On -Site Well
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Community
Public I_ ---
Evaluation By: Auger Boring 11__� Pit Cut
FACTORS
1
2 3 4
Landscape position
Slope %
3
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Z11
Texture groupi
Consistence
Structure
�C 1
Mineralogy
,- l
HORIZON III DEPTH
j
Texture group1
Consistence
i
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
(
/
LONG-TERM ACCEPTANCE RATE
c
, V
SITE CLASSIFICATION: --le'r EVALUATED BY: .11�4//
LONG-TERM ACCEPTANCE RA
REMARKS: /_l2w l- i
DCHD (01-90)
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-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
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 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
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