116 River Court Lot 5 & P/O Lot 4Davie County, NC Tax Parcel Report Wednesday, January 11, 2017
WARNING: TH1,1S INUT A SURVEY
Parcel Information
Parcel Number:
E8110B001702
Township: Shady Grove
NCPIN Number.
5881144900
Municipality:
Account Number:
8301898
Census Tract: 37059-803
Listed Owner 1:
MINOR THELMA L
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
116 RIVER COURT
Planning Jurisdiction: Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District: No
Legal Description:
LOT 5 + P/O 4 2.59 AC GREENWOOD
Fire Response District: ADVANCE
Assessed Acreage:
2.62
Elementary School Zone: SHADY GROVE
Deed Date:
9/2011
Middle School Zone: WILLIAM ELLIS
Deed Book / Page:
2011E0923
Soil Types: GnC2,GaD,RvA,ChA,WATER
Plat Book:
0003
Flood Zone:
Plat Page:
053
Watershed Overlay: DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
01,�v f�, All data Is provided as Is wghout warranty or guarantee of any Idnd either expressed or implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website &hall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ati daims or causes of action due to
r'pU N.�'� NC 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 Article II of G.S. Chapter 130a
t�Sanitary,Sewage Systefns ,; ' ` r•/,} , . Permit- or
�I ri!✓ : l: 'i �K � `•J ' G' �`�!% . A:`1 i : ,. .plr 't/ %I�•;. 7 ToL�
Name j Date f INO
Location
4, fivel 40 COIL
��.`�'f .''moi 4.L ('`v'( / d' ' /. ,. ♦ _ � f �.. /'
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
+.; C... rte-
No. Bedrooms No. Baths — No. in Family —
1
Garbage Disposal YES [ NO ❑ S�ecifjcations for System r--Iew
Auto Dish Washer YES NO ❑ �fG;% f<' 1--/,> c44-�
Auto Wash Ma.hine 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-intendee_ 'Use-cI1ange.
4
17
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: System Installed by�l"'�'f
l�
/ o
`j • �l..i JJ �
Certificate of Completion f 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.
1. Application/Perm
Mailing Address
Home Phone 7411G -- S� 3 Business Phone
2. Name on Permit if Different than Above _ J5'4 �-
APPLI&TION FOR SITE EVALUATION/IMPROVEMENTS PERMIT _
Davie County Health Department11
Environmental Health Section) t�� `
P. O.. Box 665 AUG 1 3 190
Mocksville, NC 27028
w��wwwwww.aAwwt��e
3. Application/Permit for:
4. System to Serve: 2'14ouse
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms 3
No. of Bathrooms
ADwelling Dimensions
O General Evaluation
❑ Mobile Home
❑ Other
6. If business, industry, place of public ass6mbly, other: Specify type
No. of People Served lov
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
19 Septic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
C9--Basement/No Plumbing
O Washing Machine
9 -Dishwasher
B�Garbage Disposal
7. Type of water supply: ❑ Public ❑ Private I ElCommunity
8. Property Dimensions ';�Q' %Q-
1 5 Q "- <1 Sewage Disposal Contractor ,
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0 No
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: vs-ov �18SV /t 7 0A/ &-4� o�Q �1� '0W L!X/��0►� /
c�
C
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.
�5-5--�131 3
DATE SIGNATURE,
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. Z 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 the a County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determ ne said si suita r a ground ab rption sewage treatment
and disposal system. t % /7 /J
DATE SIGTOJ URE
DCHD (12-90)
► DA'VIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation %/�
NAME DATE EVALUATED / odd •' . ��>
ADDRESS PROPERTY SIZE "<he
PROPOSED FACIILTY LOCATION OF SITE 6E! b« 'eel
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit
Public V -
Cut
FACTORS 1
2 3
4
Landscape position
,L.
•L
Sloe %
—
HORIZON I DEPTH
Texture group P/AL
Consistence
Structure
Mineralogy
HORIZON II DEPTH
YO y
Texture group
Consistence
Structure
/
S
Mineralogy.-/
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
72r
Xt
LONG-TERM ACCEPTANCE RATEJ
I,
SITE CLASSIFICATION: eL EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: P 7 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 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
: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
DCHD(01-901
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DAVIE COUNTY HEALTH DEPARTMENT
*Ptil!'Tank) Improvements Permit and Certificate of Completion
(dr'6und,_Absorption Sewage Dis osal System - G.S. Chapter 130 -Article 13C)-
OWNER OR 'CONTRACTOR C4- r. <>: .t Cw,,'.r si/ D�ATEf�I .' ! � � r';� PERMIT
LOCATION j r r1 r kI �j (:� f�I i�`t' 1799
S.R. NO.
SUBDIVISION NAME LOT NO. �i ' SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME CJ BUSINESS L
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO E3 --
AUTO. DISHWASHER YES Q NO ❑
AUTO. WASH. MACHINE YES Ct] NO ❑
SITE SUITABLE YES C] NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ '"'PubliV ❑
IMPROVEMENTS PERMIT BY
y
CERTIFICATE OF COMPLETION By f�- yti W,;J^� T�l;1ua0Flo
Date
(8/16/73) *Construction must comply with All other applicable State and local regulations
LOT AREA j f ti
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
INSTALLED BY
P
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1s
J
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NAME
ADDR
Expl
DAVIE COUNTY HEALTH DEPART14ENT
P. 0. BOX 57
MOCKSVILLE, N. C. 27028
(7 04) 634-5955
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
AMOUNT DUE f9• SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.