247 River Road Lot 9Davie County, NC Tax Parcel Report Wednesday, January 11, 2017
WAKINIIN T: TMS 151VU1' A SURVEY
Parcel Information
Parcel Number:
E8060A000901
Township:
Shady Grove
NCPIN Number:
5881059467
Municipality:
Account Number:
82520397
Census Tract:
37059-803
Listed Owner 1:
BOWMAN THOMAS M
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
247 RIVER ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7602
Voluntary Ag. District:
No
Legal Description:
LOT 91.6 ac GREENWOOD LAKE
Fire Response District:
ADVANCE
Assessed Acreage:
1.64
Elementary School Zone:
SHADY GROVE
Deed Date:
3/2003
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
004690725
Soil Types: GnB2,GaD,RvA,ChA,WATER
Plat Book:
0003
Flood Zone:
Plat Page:
053
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
9tt�
Davie County,
All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
npU
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
ty �i
or arising out of the use or Inability to use the GIS data provided by this website. —
j
r DAVIE COUNTY HEALTH DEPARTMENT i,�
►, IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLET16 �
*NOTE: Issued in Compliance With Article 11 of G.S. Chapt r 130a
Sanitary, Sewage Systems i/ <,, ,i -f hp % Permit Number
Name �� 121x11':
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P MIT
VC pd;� V�, Davie County Health Department L I D�,,QED
Environmental Health Section
^ P. O. Box 665 FED 18 1934
y" Mocksville, NC 27028
1. Application/Permitn/-
ed By
Mailing Address 7/ /&e:�Z 7 �, - /�) Home Phone nl n7 �' e7l ! Z
rU L_
Business Phone
2. Name on Permit if Different than Above �d 's A6 rn Il` b " '71—C
3. Application for: ❑ General Evaluation Septic Tank Installation Permit
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision (.eSree ti 14—)M L& I«S Section _I Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms Washing Machine
No. of Bathrooms 3 Dishwasher
Dwelling Dimensions �o Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
7. Type of water supply: ❑ Public
8. Property Dimensions ?
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
Community
Sewage Disposal Contractor LA Ke_!4
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes -7/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:
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.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. — Yom" I 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:
I hereby give consent to the authorized representati of the Davie ICpounty He Ith Department to enter upon above described
property located in Davie County and owned by ` )4-,nA 4f--2 �
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
,�)-- / ?�
DATE SIGNATURE
DCHD (1193)
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks _
No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures.
7. Type of water supply: / ErT5ubiic ❑ Private
8. Property Dimensions (� ,�L� �J Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If vac what tvna?
❑ Yes zpfftr-
❑ Community
*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: �� -�- G U �% h �� s %��1 y L r - O OV
L- U 1-
L L 4 w d
� WI
This is to certify that the information provided is correct to
incurred from this application. C
DATt
my knowledge,,apd I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: J?'T I OWN the property. ❑ 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:
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 system.
DATE SIGNATURE
DCHD (12-90)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
► Environmental Health Section
l>
'1l
\�� P. O. Box 665
Mocksville, NC 27028S�P
�' 3 5393
1. Application/Permit Requested
By
Mailing Address�
d!E K � £ �2 �- �' W /wS 74-AV74-AV-
/
Home Phone � r /
! 2 -' - 3 S G �/ Business Phone
Z -3 G
2. Name on Permit if Different
than Above
3. Application/Permit for:
❑ General Evaluation
R"Teptic Tank Installation
4. System to Serve:
Ouse ❑ Mobile Home
❑ Place of Public Assembly
❑ Business
❑ Industry ❑ Other
❑ Unknown
5. If house, mobile home:
Subdivision LUZOd Z-
Section Lot #
❑ Basement/Plumbing .
No. People
asement/No Plumbing
of
No. of Bedrooms
ashing Machine
No. of Bathrooms
3/
ishwasher
Dwelling Dimensions
'4iC G
El Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks _
No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures.
7. Type of water supply: / ErT5ubiic ❑ Private
8. Property Dimensions (� ,�L� �J Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If vac what tvna?
❑ Yes zpfftr-
❑ Community
*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: �� -�- G U �% h �� s %��1 y L r - O OV
L- U 1-
L L 4 w d
� WI
This is to certify that the information provided is correct to
incurred from this application. C
DATt
my knowledge,,apd I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: J?'T I OWN the property. ❑ 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:
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 system.
DATE SIGNATURE
DCHD (12-90)
ti .
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/Site Evaluation
NAME x(`
ADDRESS
PROPOSED FACIILTY A/0 ax e
DATE EVALUATED
1
PROPERTY SIZE
t -
LOCATION OF SITE
L
,L
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3 4
Landscape position
L
,L
L
Sloe %
_q
-y
HORIZON I DEPTH
& '
y �'
G '-
Texture group
S.L
XA
t z
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture groupC
Consistence
i
Structure
/L
S61e
rb /
Mineralogyl•-
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION 1
7 s
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LANG -TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
Landscane Position
EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
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
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 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
Dam? County Aeall Department
and .�ome NealtFr�gyency
210 HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
September 10, 1993
Sam Hutchens
2521 Greenbrier Rd.
Winston-Salem, NC 27104
Re: Site Evaluation
Greenwood Lakes/Sec. 1 -Lot 9
Dear Mr. Hutchens:
pL' C"'�C4-4
As requested, a representative from this office visited the aforementioned
site on September 9, 1993. Based upon the information provided on the
application for a site evaluation and after an evaluation was completed, the
site was found to be provisionally suitable for the installation of an on-site
sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure