107 Underpapss Road Lot 10Davie County, NC Tax Parcel Report Wednesday, November 23, 2016
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All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
DDavie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County 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
10:1 NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
E814OA0010
Township:
Shady Grove
NCPIN Number:
5881131280
Municipality:
Account Number:
Census Tract:
37059-803
Listed Owner 1:
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
Planning Jurisdiction:
Davie County
City:
Zoning Class:
DAVIE COUNTY R -A
State:
Zoning Overlay:
Zip Code:
Voluntary Ag. District:
Legal Description:
LOT 10 COUNTRYSIDE
Fire Response District:
ADVANCE
Assessed Acreage:
1.54 Elementary School Zone:
SHADY GROVE
Deed Date:
5/1999
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
003050037
Soil Types:
Gn132
Plat Book:
0005
Flood Zone:
Plat Page:
210
Watershed Overlay:
DAVIE COUNTY
Building Value:
202880.00
Outbuilding & Extra
Freatures Value:
15340.00
Land Value:
52500.00
Total Market Value:
270720.00
Total Assessed Value:
270720.00
No
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
DDavie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County 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
10:1 NC or arising out of the use or Inability to use the GIS data provided by this website.
rC rP.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Names- �r / ��✓r�rDate "'y- %� l" NO
6754
Location
,f
Subdivision Name. Lot No. l � Sec. or Block No. f
Lot Size /��' House f Mobile Home Business Speculation
No. Bedrooms
_.No. Baths No. in Family o�
Garbage Disposal YES T NO ❑ Specifications for System:
Auto Dish Washer YES NO ❑ f/ G,(, %o'- ' .'� ,r
Auto Wash Ma.hine YES ►❑ NO ❑ if
Type Water Supply
*This permit Void if sewage system described below isnot installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
ell fi) /(�
f
Improvements permit by — //' //J
*Contact a representative of the Davie County Health Department fof'final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Nun�tiPr 704-634-5985.
Final Installation Diagram:
System Installed by �2
F
of Com letion Date
Certificate p _
*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.
NAME -lj�GgZ
/'a
ADDRESS
PROPOSED FACIILTY
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
DATE EVALUATED 7��2
PROPERTY SIZE
LOCATION OF SITEii,+�� �' T
Water Supply: On -Site Well Community Public�i
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3
4
Landscape position
6
L
L
Slope %
HORIZON I DEPTH
Texture group
S`L-
z
SL
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
<
SITE CLASSIFICATION:
EVALUATED BY: '10//
LONG-TERM ACCEPTANCE RATE: o % 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
Moist
VFR-Very friable FR -Friable FI -Film 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
DCHD(01-901
CEOVED
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS F E
Davie County Health Department APR 2 41992
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028 ---------------
1. Application/Permit Requested By __Abei/ f-//a�a�ic� , ,1 i
Mailing Address 2(, 9r Co�.�G,,,4 C��rt� /Cd . /�7Cgl'fyc, "7 /l%C. g 905/0
Home Phone %/fes 1,24 " 8 9 3 8 Business Phone Sd "Q-
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General Evaluation E Septic Tank Installation
4. System to Serve: louse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision L—,4xs ./P Section Lot # /D
❑ Basement/Plumbing
No. of People
No. of Bedrooms
a
No. of Bathrooms
Dwelling Dimensions loot x 34 /0 X!L four,,
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
�/ Water Usage Figures
7. Type of water supply: Id Public ❑ Private ❑ Community
8. Property Dimensions t' � Ius 2,come- Sewage Disposal Contractor d P 14S� Q,,--
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? El Yes Er No
ET18'asement/No Plumbing
LTJ” Washing Machine
21 ishwasher
Garbage Disposal
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 PropertyT L( Q
gC ( -f urr,, QS T1r , ff
gv � I/L►�.rIPS
9 0 l (0-4 13 00,„-. to a
e zs�
ZJ
I,A. C'.1 --:.-ice cov.,-I,r 511—
A
11—
5 pri"1
`psS:hlQ
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.
4 -?-4-7a FXV t.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fanddisposal
ECK ONE: ❑ 1. 1 OWN the property. EJ` 2. [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 re, V- C as s}N *--eK S
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
system.
—z4-5z
DATE SIGNATURE
DCHD (12-90)