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208 Country Circle Lot 23Davie County, NC I Tax Parcel Report Tuesday. November 29. 2016 WAKNMG: 'l'Mb IN fNU'l' A JUKVJEY Parcel Information Parcel Number: E8140A0023 Township: Shady Grove NCPIN Number: 5881123393 Municipality: Account Number: 82523457 Census Tract: 37059-803 Listed Owner 1: CLOER CHARLES C Voting Precinct: EAST SHADY GROVE Mailing Address 1: 208 COUNTRY CIRCLE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7457 Voluntary Ag. District: No Legal Description: LOT 23 COUNTRYSIDE SECTION 2 Fire Response District: ADVANCE Assessed Acreage: 1.99 Elementary School Zone: SHADY GROVE Deed Date: 6/2006 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006660007 Soil Types: MrC2,GnB2 Plat Book: 0006 Flood Zone: Plat Page: 014 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Davie County, All data Is provided as Is without warranty or guarantee of any kind 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 webaite shall hold harmless the 1:01 �T l� C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. #-'XO DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) WE i'JA /TI PROPERTY ADDRESS O IX -7 'i1- . DATE LOCATION�//i/�✓ ;>.�s�r `TlJ rD2f�1�i^�t�t5W�i SUBDIVISION NAME 4, 4' LOT NUMBER 01) SEC./BLOCK NUMBER J RESIDENTAL SPECIFICATION: BUILDING TYPE P # BEDROOMS .,_T # BATHS # OCCUPANTS -7` GARBAGE DISPOSAL:&/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIIE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) FEW SITE !/ REPAIR SITE SYSTEM SPECIFICATIONS: TAM( SIIE/ GAL. PUMP TANK OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: GAL. TRENCH WIDTH .fK_ ROCK DEPTH .,�Q L LINEAR FT.0 ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MAST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY le �/ 11 **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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY F H 0 0 5 Q �oJ � CP (i ' 7RA1 AUTHORIZATION N0. `�'ON PERMIT BY DATE **THE ISSUANCE OF THIS RATIONPE IT SHAL INDI THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CH TER 130A, CTION . 900 - TREATMENT AND DISPOSAL SYSTEMS-, BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE'SSY TEM WILL TIOII ISFqCT ILY FOR ANY GIVEN PERIOD OF TIME. lir DCHD 10/95 1 ��' ,.,rd f„ -„, ��. .:,.. ,;tif.+N) '..,.b, f'i;. .. :q'x..ui ' ✓� it .. i . ... �� .� Davie County Health Department ' < ENVIRONMENTAL HEALTH SECTION -'-- P.O. Box 665 Mocksville, N.C. 27$28- .- AUTMp 17*1ON FOR I4TEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits.*** AU40RIZATION NUMBER . NAME /S�rf r /r�� DATE ,& mss— —9r— j NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION u CONKNTS/CONDITIONS ON ALMRIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION.FOR WASTEWATER SYSTEM CONSTRUCTION IS MID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL AXTH SPECIALIST DATE. DCHD 10/95. P'4�,� e� s ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ©ti Davie County Health Department Environmental j + li d p E D Environmental Health Section U wJ +� P. O. Box 665 O'O� ^ti . ' 7 1 Mocksville, NC 27028 }� g9 ------ ' 1. Application/Permit Requested ByOhara _ I Mailing Address itimi — Home Phone fir► �V, Business Phone 61q 6 2. Name on Permit if Different Wad bo e l� Application/Permit for: General Evaluation Septic Tank Installation System to Serve: 4 House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Indust P Other ❑ Unknown 5. If house, mobile home: Subdivision 1 5 Section Lot # No. of People No. of Bedrooms 1 0� No. of Bathrooms Dwelling Din0giion SA. 1 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures Basemenur-lumbing w$p asement/No Plumbing Washing Machine r Dishwasher Garbage Disposal 7. Type of water supply: ❑ Public ❑ Private Community 8. Property Dimensions �Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended/to serve? ) Ix 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: r� gv l �nJerpo Md r r'�SSC+ q0 wx4r� 9 . /Jr I4 This is to certify that the information provided is correct to the best of my inc red from this application. X99 a--- k 0 DATE I understand I am responsible for all charges SIGNA CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 0 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 t Davie Co y Health.Department to enter upon above described property located in Davie County and owned by f L24 to conduct all testing procedures as necessary to determine said site's suitab' iry for a ground absorption sewage treatment and disposal system. J DATE SIGNATURE DCHD (12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation p 21 NAME' DATE EVALUATED O �/ ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE ez Water Supply: On -Site Well Community Public L� Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position 4 •� •C �C. Sloe % - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH rt r �- Texture group C Consistence Structure / Mineralogy / _•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 i SITE CLASSIFICATION: jl� EVALUATED BY: L G' l/ 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 f Davie County .7�ealtFr De artment and .dome Nealtl yency 210 HOSPITAL STREET I P.O. BOX 885 MOCKSVILLE, N.C. 27028 PHONE: (704) 834-5985 August 24, 1914 - Charles & Diane Cloer 152 Carrisbrooke Lane Winston—Salem, NC 27104 Re: Site Evaluation Countryside — Lot 23 Dear M/M Cloer: As requested, a representative from this office visited the aforementioned site on August 18, 1992. 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, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure