270 Hidden Creek Drive Lot 15 ADavie County, NC Tax Parcel Report Thursday, January 26, 2017
142
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WARNING: THIS IS NOT A SURVEY
I data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
I lied warranties of merchantability or fitness for a particular um All users of Davie County's GIS website &hall hold harmless the
Parcel Information
Co my of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
Parcel Number:
E800000099
Township:
Farmington
NCPIN Number:
5871372890
Municipality:
BERMUDA RUN
Account Number:
36350500
Census Tract:
37059-803
Listed Owner 1:
HOLLAND RALPH
Voting Precinct:
HILLSDALE
Mailing Address 1:
270 HIDDEN CREEK DRIVE
Planning Jurisdiction:
BERMUDA RUN
City: ADVANCE
ZoningClass: BERMUDA RUN, DAVIE COUNTY R-AR-12-S,CR
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 15A HIDDEN CREEK
Fire Response District:
SMITH GROVE,ADVANCE
Assessed Acreage:
4.77
Elementary School Zone:
SHADY GROVE
Deed Date:
9/1994
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
001760558
Soil Types:
PaD,GnC2,ChA,CeB2
Plat Book:
0005
Flood Zone:
Plat Page:
190
Watershed Overlay:
BERMUDA RUN,DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
Davie County,
I data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
I lied warranties of merchantability or fitness for a particular um All users of Davie County's GIS website &hall hold harmless the
Co my of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor
aurlsing out of the use or Inability to use the GIS data provided by this website.
D"11E COUNTY HEALTH DEPARTMENT
A
�IT AND CERTIFICATE OF COMP'LEAq
IMPRIOMWIENTS PERIM
.*NOTE: Iss0ed in Comoliah6es With-G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) P#"iVNVfp,ber
0
Name Date N 0- 5095
Location
Subdivisi.on Name Lot No. Zn!) W .— Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES 0 NO
Specifications for System'
Auto Dish Washer YES 0 NO Ej
Auto Wash Machine YES E] NO �E]
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from �date
Improvements permit by
Contact a representative of the Davie County Health Department for final inspection of this sys t e4m,., i
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: Systemolnstalled by
J
e
Certificate of Completion Date
*The signing of, this certificate shall indicate that the system described,,above has been inslalfed in compVggqe,-wi1h
the standards set forth in the ableve regulation, but shaill in NO waly-be taken as a guarantee that the sy§tem, 4J.r) --tion
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
NOTE�- Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Date
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size
House Mobile Home Business ___ Speculation
No. Bedrooms —No. Baths — No. in Family
Garbage Disposal YES [] N 0 El Specifications for System:
Auto Dish Washer YES E] N 0 E]
Auto Wash Machine YES F-1 NO
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of -issue.
s permit by
Improvement
Contact a representative of the Davie County Health Department for final inspection of this system between 8:30
9:3Q A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
__ 7 -
NAY/
A)
Certificate of Completion 7/2 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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT eat
Davie County Health Department
Environmental Health Section
R 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By CARO (20-AXS'L &T- 11VC - Business Phone
2. Address '
3. Property Owner if Different than Above
Address
4. Permit To: a) Install ,-*' Alter— Repair—
b) Privy— Conventional,/ Other Type—
Ground Absorption
c) Sub -Division cldQ t\ &�e_<_Sec. Lot No. R
5. System used to serve what type facility: House .-/ Mobile Home— Business—
Industry— Other—
b) Number of peop
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions RE X q (0 �_I'
Bed Rooms tf Bath Rooms 5 I/Z— 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 4_� urinals
lavatory —
dishwasher
showers 3
sinks Z'
garbage disposal
washing machinE
8. a) Type water supply: Public Private— Community
b) Has the water supply system been approved? Yes "_ No -
9. a) Property Dimensions _'7_5,?0 KE -&-Q 4, 2 8'
b) Land area designated to building site
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 cor
3—LH —?-&
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
4—Allow 5--daYs f roM�� .4
X dl qo, 1 (0 _�t * "q_�
I'-[ qk_"� I' -A '0 tot I 'tzl
Directions
DCHD (6-82)
perty:
V 44�PA
7�D
_1/
4910
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. 0. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes (!P 1. 1 am the owner of thE above described property.
Ces
n o 2. 1 am not the owner of the above described property, however, I certify that I
have consent from U5 7 owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal s tem.
-2-Lf 401, - - n _ 0
DATE %J SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
�2,`Awners designated representative
nyone requesting results
— Only those listed below
DATE
DCHD (11 /84)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date '.M/9
Address Lot Size 1-51W-0
FACTORS ARFA 1 ARFA 9 ARFA R APPA A
1) Topography/ Landscape Position
S
S
S
S
(W
PS
PS
U
U
U
Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
6-s-;,
S
CF�)
S
PS
S
PS
U
U
U
U
Soil Structure (12-36 in.)
S
S
Clayey Soils
(!Ps�
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
(�p
VS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
2p��
S
PS
S
PS
U
U
U
External
S
S
PS
FS
U
U
U
i) Restrictive Horizons
Available Space
6)
S
S
PS
PS
PS
PS
U
U
U
U
Other (Specify)
S
S
S
S
PS
PS
PS
PS
'JV
�& I
U.
U
i) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionall Suit
Recommendations/Comm ents:
Described by Z/ Title Date
SITE DIAGRAM
DCHD 16-82)
/-101-V
-�-df-v
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
N a m e
zallee'
S
11
SOIL/SITE EVALUATION Date
S
PS
U
Soil Texture (12-36 in.) Sandy,
Address
S
S
Lot Size
Loamy, Clayey, (note 2:1 Clay)
S
3
PS
(9)
PS
U
PS
U
F:ArTOP.R APPA 1 ARFA 2 AREA 3 AREA 4
d
Topography/ Landscape Position
S
q
S
11
S
PS
U
S
PS
U
Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
S
3
PS
(9)
PS
U
PS
U
1) Soil Structure (12-36 in.)
S
S
S
S
C��Soils
P
U
PS
<!Ip
PS
U
PS
U
Soil Depth (inches)
S
S
S
S
PS
PS
PS
PS
<9)
4:95
U
U
Soil Drainage: Internal
S
S
S
S
PS
(:V>
PS
<�9?
PS
. U
PS
U
External
S
(52
(t)
S
PS
U
S
PS
U
U
Restrictive Horizons
15"
-�V/j
C=>Z�
Available Space
S
q
S
(0
S
PS
S
PS
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
Site Classification
9
U—UNSUITABLE S—SUITABLE PS— Provisionally Suitable
Recommendations/ Comments:
Described by —
SITE DIAGRAM
DCHD (6-82)
Title Date e2kz
A/
-> W,