114 Country Circle Lot 27Davie County, NC , Tax Parcel Report Tuesday, November 29, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAKNMki: '.t'Mb IN NOTA SURVEY
Parcel Information
E814OA0027 Township: Shady Grove
5881129399 Municipality:
8304559 Census Tract: 37059-803
PRICE JOHN N Voting Precinct: EAST SHADY GROVE
114 COUNTRY CIRCLE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC
Zoning Overlay:
27006
Voluntary Ag. District:
LOT 27 COUNTRYSIDE SECTION 2
Fire Response District:
1.50
Elementary School Zone:
12/2014
Middle School Zone:
009760150
Soil Types:
0006
Flood Zone:
014
Watershed Overlay:
Outbuilding S Extra
Freatures Value:
Total Market Value:
11VIR
ADVANCE
SHADY GROVE
WILLIAM ELLIS
Gn62
DAVIE COUNTY
101 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warrndies of merchantability or fitness for a particular use. All users of Davie Countys GIS websiteshall hold harmless the
�T�Courtly of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of aWon due to
l� or arising out of the use or Inability to use the GIS data provided by this website.
O Vx
DAVIE COUNTY HEALTH DEPARTMENT
t IMPROVEMENTS PERMIT:JAND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a i
(�Sanitary Sewage Systems ,. r Permit LN Number
Name — z G �a t Z D66-4— T 1 N2 ,16 0 G
J
Location ,� �� r�\: �.C�@.�Ut\Nc� ti.•_,��0(i�
L.' C w �• ` 7/'(31 J v cV _C+' -J+ _ ��. 1, °J�!� �i�✓` �:S\\ 3:1 �. `�NMra/..
Subdivision Name" N"Ry S �� Lot No. Sec. or Block No.
Lot Size House Mobile Home —T Business —_ Industry
No. Bedrooms No. Baths No. in Family_ Public Assembly Other
Garbage 'Disposal YES ❑ NO ❑/� Specifications for System:
Auto Dish Washer YES ❑%NO Q % 0'(J CJ
Auto Wash Ma^hine '''<<YES EVNO ❑
Type Water Supply _ C vy tJ�
*This permit Void if sewage system deat'r1 a below is not ins a thin 5 years from date of issue.
This permit is subject to revocation ' or t e intende a hange.»`
)lA 01
PC
d(I P 0
04
Improvements permit b
P P Y
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by 1is�.��A d�iru Vo.
j-
52
la��s
fj ..
CY
LV
UL I Certificate bf Completion Date a 9
*The signing of this certifica 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 betaken as a;guarantee that the system will function
satisfactorily for any given period of time.`
�\\ G
r f APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested
Mailing Address 1 vic% Home Phone G
�� ✓ �� �% Z% lsbt� Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation Septic Tank Installation Permit
4. System to Serve: P(House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Ind ry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People '3
No. of Bedrooms L 'SO
No. of Bathrooms
2 �Z
Dwelling Dimensions 7L,'50 L-1(4
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
No. of Water Coolers
No. of Showers Water Usage Figures.
7. Type of water supply: V Public ❑ Private
8. Property Dimensions 7-e > )< Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes
2, Washing
Plumbing
//
1, WWashing Machine
2 -Dishwasher
❑ Garbage Disposal
❑ 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: 0i1
This is to certify
incurred from) i
n.
,TE
provided is correct
best
a�
1
SIGNATURE
J I am responsible for all charges
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 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
DCHD (1193)
SIGNATURE
P
1
2
3
4
DAVIE COUNTY HEALTH DEPARTMENT
5
S
Environmental Health Section
Slope Z
" 1-1;
Soil/Site Evaluation
- S
HORIZON I DEPTH
1 v
"
- 9
NAME \ 06`
Texture group
DATE EVALUATED
ADDRESS
PROPERTY SIZE
f 7y -c
F=r
PROPOSED FACIILTY
�av S .e�
LOCATION OF SITE
Water Supply:
On -Site Well
Community
Public l�
Evaluation By:l��_L. Auger Boring
✓ Pit
Cut l�1/
FACTORS
1
2
3
4
Landscape position
5
S
S --,7—
Slope Z
" 1-1;
rs-" 17
- S
HORIZON I DEPTH
1 v
"
I a ''
Texture group
C L_
C L
Consistence
FT
F=r
FT
Structure
MineralogX
It 1
HORIZON II DEPTH
6 "
Li
Texture groupC
Consistence
F�
Structure
kINV
Mineralogy'
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
5S
S
S
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:• EVALUATED BY:
N
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: 0•
REMARKS:a—
LE ND
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