155 Springfield Drive Lot 7Davie County, NC Tax Parcel Report Wednesday, November 23, 2016
WAKNMG: '1'tllh 1S NOTA SURVEY
Parcel Information
Parcel Number:
E8140A0007
Township:
Shady Grove
NCPIN Number:
5881026748
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:
No
Legal Description:
LOT 7 COUNTRYSIDE
Fire Response District:
ADVANCE
Assessed Acreage:
1.35
Elementary School Zone:
SHADY GROVE
Deed Date:
9/1993
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001700230
Soil Types:
GnI32
Plat Book:
0005
Flood Zone:
Plat Page:
210
Watershed Overlay:
DAVIE COUNTY
Building Value:
223240.00
Outbuilding & Extra
Freatures Value:
10130.00
Land Value:
52500.00
Total Market Value:
285870.00
Total Assessed Value:
285870.00
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 webalte shall hold harmless the
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NCor
County of Davie, North Carolina, ib agents, consultants, contractors or employees from any and all claims orcauses of action due to
arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Cha ter 130a
SSjnitary.Sewage Sy tems r� Permit Number
-
Name " �`.i"Date NO 7090
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House 7 Mobile Home =t--- Busindss -- Speculation
No. Bedrooms No. Baths _ / No. in Family —
Garbage Disposal YES ❑ NO ❑ Specjfj i' s f� System:
Auto Dish Washer YES NO ❑ /
Auto Wash Ma shine YES NO ❑ -. eex?�'gv ;
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by
*Contact a representative of the Davie County Health 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. Telephone Number 704-634-5985.
Final Installation Diagram:
M�
.n
N
tem Installed by _
Certificate of Completion 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.
xv,APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT RECEIVE®
Davie County Health Department
Environmental Health Section LIAR 2 6 1993
P. O. Box 665
Mocksville, NC 27028
---------------
1. Application/Permit Requested By 7'%lA/' ire Aug Lo% -5 -"d .
Mailing Address 0, .3 5,9 o Zl%-S, AIC a 10Y
Home Phone y/y 92 Z "y737 // Business Phone
2. Name on Permit if Different than Above %YJA✓L�i.0 6�ut�d�r tiv c
3. Application/Permit for: ❑ General Evaluation O Septic Tank Installation
4. System to Serve: 2''House
❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other J ❑ Unknown
5. If house, mobile home: Subdivision _e CSI) h+�%S/Q Section Lot # 7
No. of People 4
No. of Bedrooms 4
No. of Bathrooms 4
Dwelling Dimensions 52"x 36
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: R'Public
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
8. Property Dimensions aoYK asru Y .410 x ass Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
Q'Basement/Plumbing ,N
❑ Basement/No Plumbing
2' Washing Machine
(!]-Dishwasher
❑ Garbage Disposal
X No
❑ 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: a/o
8�
zp�,s5
?5�
ao8.�1
This is to certify that the information provided is correct to the bes f my knowledge, and I understand I am responsible for all charges
incurred from this application.
3 - 2 y -75 GCS Maas.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 91. 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 (12-90)
SIGNATURE
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
- Soil/Site Evaluation
NAME 02 1�
ADDRESS �%�
PROPOSED FACIILTY ,! t/° &-/
DATE EVALUATED
PROPERTY SIZE .���✓
LOCATION OF SITE
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3
4
Landscape position
-'
Sloe Z
-'
HORIZON I DEPTH
��
•'
«
'
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
e
Consistence
i
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: //S EVALUATED BY: /z_ /Z
LONG-TERM ACCEPTANCE RATE: �'� 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 -Finn 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
\U S- '
.� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT at
<. Davie County Health Department aSS `k eAA
�! Environmental Health Section -
• P. 0. Box 665'3
Mockaville, NC 27028
1. Application/Permit Requested By J. C. Vestal _
Mailing Address P.0, Box 1254 Clemmons N.C. 27012
Home Phone 766-5789 Business Phone 785-5403
2. Name on Permit if Different than Above Charles Schaffernnth
3. Property Owner if Different than Above Charles Schaffernoth
4. Application/Permit For: General Evaluation 0 S/Tank Installation
5. System to Serve: House n Mobile Home 0 Business
Industry u Other 0 Unknown
6. If house, mobile home: Subdivision Countryside Sec. Lot# 7
No. of People 3 Dwelling Dimensions 47'-0" x 91'-4"
No. of Bedrooms Basement/Plumbing
No. of Bathrooms 2172 Basement/No Plumbing
® Washing Machine] Dishwasher] Garbage Disposal
7. If business, industry, 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
S. Type of water supply: 2 Public 0 Private Q Community
9. Property Dimensions 208.81 x 285 x 210 x 284.99
10. Sewage Disposal Contractor Frank Transou's Septic Tank Service
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? C] Yes 9 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.
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 apple
5/ U)57- 21� 1
Date I Signature
Directions to Property:
Take N.C. 801 faom Highway 158 back towarid�s Advance, turn right on to
on r� i s �•° d7°ist ne n x�ntoh'�aas%hlo mon a to ciiI-Neeasacng Countryside Dev.
DCHD (10-89)
r 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. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
Lot 7 Springside Drive Countryside Dev (office use only)
yes no 1. 1 am the owner of the above described property.
(yes) no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from George Schaffernoth , 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 system.
4- 5 zi 91 ,
DATE IGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
_ Owner only
Owners designated representative
X Anyone requesting results
Only those listed below
5121191
DATE SIGNATURE
DCHD (11 /84)
A
' . DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME c.J V • V es' P, DATE EVALUATED
ADDRESS S A Nqt 2 -
PROPOSED FACIILTY )1k a JS'o
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well Community Public ice"
Evaluation ByM Auger Boring ✓ Pit Cut
FACTORS 1
2 3
4
Landscape position
-Slope %
�l
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH r
r
Texture group
Consistence
�-
Structure
✓� f r
r'�/l
Mineralogy /' /A,
I!•i
✓-
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:
LONG-TERM ACCEPTANCE RATE: �� 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
• • �Dami County Aealtir Department
and .Moine Nealtli Ayency
210 HOSPITAL STREET/ P.O. BOX 665
MOCKsvILLE. N.C. 27028
PHONE: (704) 634.5985
April 26, 1990
Potts Investments
Rt. 3, Box 320
Advance, NC 27006
Re: Site Evaluation
Countryside - Lot 7
Dear Realtor:
On October 6, 1988, as you requested a representative from this office
visited the above mentioned site. The site was found provisionally suitable
for the installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely, �''
&a-e�4� RS 7
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd