154 Country Circle Lot 24r �
Davie Countv, NC Tax Parcel Report Tuesdav, 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 1 Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAlt1.VMG: 1'tllh 151VU'1' A,UKVEY
Parcel Information
E8140A0024 Township: Shady Grove
5881125005 Municipality:
4396670 Census Tract: 37059-803
BARNES V BRENT Voting Precinct: EAST SHADY GROVE
154 COUNTRY CIRCLE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC
Zoning Overlay:
27006-7456
Voluntary Ag. District:
LOT 24 COUNTRYSIDE SECTION 2
Fin: Response District:
1.54
Elementary School Zone:
4/1993
Middle School Zone:
001680100
Soil Types:
0006
Flood Zone:
014
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
No
ADVANCE
SHADY GROVE
WILLIAM ELLIS
SeB,GnB2
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
Davie County, implied wamamies of merchantability orfkness for a particular use, All users of Davie Counrty'a GIS website shall hold harmless the
County of Davie, North Carolina. Its agents, consultants, contractors or employees from any and ail claims or causes of action due to
F-a7
NC or arising out of the use or Inability to use the GIS data provided by this website.
. .v ! ,.-Y.4i3i>-: »a d i ! -n 7 ; i °.•. >-'+r:..L,,.,..:?`Tjr ra^._ i�'rw'1'f^:• 5,.. ; •+ .•.-.t _ . .:'L - .,.
-_- DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
ani ary a age SystemsPermit 9
Name N0
'� .� Qate
Location _
Subdivision Name Lot No. Sec. or Block No.
Ile
Lot Size House Mobile Home — Business _— Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Sp 'fications ,for-Syptem:
Auto Dish Washer YES NO ❑
Auto Wash Ma shine YES NO ❑ , - ,
Type Water Supply
*This permit Void if sewage sys e�'SrTd" d below is not installed within 5 years from date of issue.
This permit is suWect to revocation if site plan the intended use change.
Improvements permit by —_ --
*Contact a representative of the-Bev+e-Gey► th 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. lephone Number 704-634-5985.
11 1 n _
Final Installation Diagram:
/-�o
Y
System Installed by
t A
Certificate of Completion < <' Date( fif :f
"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?S----
Davie County Health Department Environmental Health SectionP. O. Box 665Mocksville, NC 27028---,.Application/Permit Requested By JQ In e f WRlarincPS Qn d V • T -e.n+` r nPS
1.
Mailing Address o Aevi8e1 r -
Home Phone t 19
- -?153
Business Phone �1j
SS
2. Name on Permit if Different than Above
y • i�'clE? n+ nip
3. Application/Permit for:
❑ General Evaluation
Q Septic Tank Installation
4. System to Serve:
Ouse
❑ Mobile Home
❑ Place of Public Assembly
❑ Business
❑ Industry
❑ Other
❑ Unknown
5. If house, home:
Subdivision
Section 63:bmnce Lot #
mobile
Y t
❑ Basement/Plumbing
No. of People
44
LH5asement/No Plumbing
No. of Bedrooms
L3 -washing Machine
No. of Bathrooms
(
3
�
I515i'shwasher
Dwelling Dimensions
a 190 L
❑ Garbage Disposal
6. If business, industry, place of public assembly,
other: Specify type
No. of People Served
No. of Sinks
No. of Commodes
No. of Urinals
No. of Lavatories
No. of Water Coolers
No. of Showers
Water Usage Figures
7. Type of water supply:
L9" Public
❑ Private
❑ Community
8. Property Dimensions
.1 . S Hg
Sewage Disposal Contractor
9. Do you anticipate additions/expansion
of the facility this sytem is intended to serve? ❑ Yes
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: 11�1dP-Vpa55 CMd
This is to certify that the information provided is correct to the best of my
incurred from this application.
3 - a5 ---q3
DATE
and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: X 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 se's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (12-90)
I
r DAVIE COUNTY HEALTH DEPARTMENT
t I Environmental Health Section
SoiUSite Evaluation %
NAME X0//t%l S - DATE EVALUATED
ADDRESS
PROPOSED FACIILTY
Water Supply: On -Site Well
PROPERTY SIZE _0Z, �
LOCATION OF SITE
Community
Public !/
Evaluation By: Auger Boring ��_ Pit Cut
FACTORS 1
2
3 4
Landscape position ,L
,L
L L
Sloe % —
^
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
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: 6S EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: L� 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
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