215 Little John Drive Lot 10 P/O 11Davie County, NC Tax Parcel Report Thursday, December 29, 2016
WARNING: T111S 1S NOT A SURVEY
Parcel Information
Parcel Number:
D701OA0011
Township:
Farmington
NCPIN Number:
5862455650
Municipality:
Account Number:
51784000
Census Tract:
37059-802
Listed Owner 1:
MOORE VERNON L
Voting Precinct:
SMITH GROVE
Mailing Address 1:
215 LITTLE JOHN DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-6636
Voluntary Ag. District:
No
Legal Description:
LOT 10 & P/O 11 FOX MEADOW
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.95
Elementary School Zone:
PINEBROOK
Deed Date:
7/1983
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001190771
Soil Types:
GnC2,GaD
Plat Book:
0004
Flood Zone:
Plat Page:
134
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
10:1
Davie County,
NC
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Implied warranties of merchantability or fitness for a particular use. All users of Davie Courdy'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 webshe.
/ d %Y�
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewa e Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name � �r .�^ r �/,.�L�- Date 3 32
Location %:_�.%!-,.:��
Subdivision Name Lot No.—A/' Sec. or Block No.
Lot House _E,� Mobile Home _ Business Speculation
No. Bedrooms — No. Baths _ No. in Family _
g p ons fo _Sy em:
...
Garbage Disposal YES NO � Specifications
Auto Dish Washer YES NO❑ /d ;(11.0 k
Auto Wash Machine YES $ NO •❑ % ;r,
Type Water Supply _—
c i
"This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit
*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:
00tiT
Certificate of Completion ?--' Date
*The signing of this certificate shall indicate that the system describet 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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1. Permit Requested By
2. Address
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
Home Phone
Business Phone y1
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House-/Z'Mobile Home Business
IndustryOther
b) Number of people �,4
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions�DX S—)
Bed Rooms._ Bath Rooms 2 , 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
lavatory, showers
dishwasher sinks
8. a) Type water supply: Public t/ Private Community
b) Has the water supply system been approved? Yes-LZNo
9. a) Property Dimensions / 57-,5- x 2 Z
b) Land area designated to building site
garbage disposal
washing machine
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.
5`3 CACI
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)
Name_
Address
4
ir$ll
DAVIE COUNTY HEALTH DEPARTMENT I�
Environmental Health Section AY ,ov�i — 72) ��SY
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date 4z� i -*T
Lot Size, - e)
FArTORR AREA 1 AREA 2 AREA 3 ARFA A
Topography/ Landscape Position
�S
S
c�
S
PS
S
PS
'.) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)PS
S.._
S
S
PS
U
U
U
1) Soil Structure (12-36 in.)
Clayey SoilsPS
S
PS
S
PS
U
U
1) Soil Depth (inches)
S
S�_
S
PS
S
PS
U
`/tls� f�"i
U
U
i) Soil Drainage: Internal
S
S,
S
PS
S
PS
U
U
U
U
External
0
S
S
PS
S
PS
PS
U
U
U
U
i) Restrictive Horizons
j Available Space
(tp
S.
S
PS
S
PS
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
�U'
1) Site Classification
.�•
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments:
Described by/� Title / i�� Date
SITE DIAGRAM
DCHD (6-82)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
Environmental Health Survey For Sewage Treatment and Disposal Systems
Subdivision Name Lot # Block or Section
Date System Installed
Ik-►-1-�3
Number of Previous Owners C)
Name of Installer--.� S.�• �.
.Name of Present Owner Nxv,o Number of People 14
Address
Phone No. 1 M " (.3 1 g
System Originally Designed For
No. Bedrooms 3
No. Bathrooms a
Dishwasher
Disposal
Washing Machine
System Now Serving
No. Bedrooms 3
No. Bathrooms 2
Dishwasher
Disposal d
Washing Machine
Number Times Septic Tank Been Pumped 0 Average Monthly Water Usage U 1\
Present Condition of System o
Any Known Repairs to System, If So When and By Whom?
Comments' �_c^
\ ' `A
Environmental Health Official Date