214 Fork Bixby RdDavie County,,NC ' Tax Parcel Report $ ap Wednesday, September 28, 2016
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141
Davie County, NC
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
rcellnformafion
Parcel Number:
J7050B000502
Township:
Fulton
NCPIN Number:
5777293675
Municipality:
Account Number:
8302926
Census Tract:
37059-804
Listed Owner 1:
PENNINGTON MATTHEW
Voting Precinct:
FULTON
Mailing Address 1:
214 FORK BIXBY ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
0.762 AC FORK BIXBY RD
Fire Response District:
FORK
Assessed Acreage:
0.79
Elementary School Zone:
CORNATZER
Deed Date:
12/2013
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
009450732
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:
79010.00
Outbuilding & Extra
2190.00
Freatures Value:
Land Value:
20800.00
Total Market Value:
102000.00
Total Assessed Value:
102000.00
141
Davie County, NC
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 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 or arising out of the use or inability to use the GIS data provided by this website.
LIX
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Com liance With Article II of G.S. Cha ter 130a f
Sanitary Sewage Systems �J, 1 ' Y' r Permit Number
'_e;� D 200
Name ,..�- ` .4Y� �— ate f
N_
Location 4%`�'"' 4,
Subdivision Name
Lot No. Sec. or Block No.
Lot Size ��r!(----
House
— �` Mobile Home ---_ Business -- Industry
No. Bedrooms
_No.
Baths —
—
No. in Family_— Public Assembly Other
Garbage Disposal
YES
❑ NO
2-
Specifications for System:
Auto Dish Washer
YES
p NO
❑
j r - % 1 _ r ` „
Auto Wash Ma^hine
YES
(f) NO
❑
Type Water Supply --
j10
----- ---
frf
'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
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
`
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.,
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
F_
d c u. ,
c/o W A)
Date
-3 - i6
__
'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.
v APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI r
0 U
Davie County Health Department
Environmental Health Section SEP — �yy5
P. O. Box 665
Mocksville, NC 27028 r r �•�rnri 91c11ru
1. Application/Permit Requested By 4,19
?�Q 'a�g� p
Mailing Address 2 w Home Phone / �� Vo
D CK5 Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation
4. System to Serve: E House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Other
No. of People /
No. of Bedrooms 13
No. of Bathrooms -2,
k
`Dwelling Dimensions l/7 /
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: Public ❑ Private
8. Property Dimensions / - Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
El -Washing Machine
I"Dishwasher
❑ Garbage Disposal
❑ Yes t�lo
❑ 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:
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 Ibis s application.
- o�
DATE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I OWN the property. ❑ 2. 1 DO NOT OWN the property.
[and
f you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
roperty located in Davie County and owned by
o conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
disposal system.
DATE SIGNATURE
DCHD (1/93)
DAVIE COUNTY HEALTH DEPARTMENT
i �•` Environmental Health Section
Soil/Site Evaluation %
NAME v� !/�✓'/,�/�Y� DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY
!/S' LOCATION OF SITE
Water Supply: On -Site Well Community Public 4.�
Evaluation By: Auger Boring Pit Cut f/
FACTORS
1
1 2
3 4
Landscape position
4-
1L
Slope R
'—
HORIZON I DEPTH
Texture group
Consistence
Structure
MineralogX
HORIZON II DEPTH
B 1—
Y t-
)404 -
Texture group
Consistence
r
Structure
/
S �!
Mineralogy.
/
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
73
LONG-TERM ACCEPTANCE RATE
7
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY: Xlkz
OTHER(S) PRESENT:
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 ;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V -y 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
.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
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