145 Glenn Allen Rd Davie County,NC Tax Parcel Report Thursday, December 15, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel=Information
Parcel Number:_-: . -'F70000000402 Township: Farmington
NCPIN Number:-` ==; ''-: 5861318935 Municipality:
Account Number: ".:67846000 Census Tract: 37059-803
Listed Owner 1:.-'_ SMITH NATHAN Ff: Voting Precinct: SMITH GROVE
Mailing Address 1: - - 214 VINEYARD LANE Planning Jurisdiction: Davie County
City: _ MOCKSVILLE. = Zoning Class: DAVIE COUNTY R-A
State: a.. NC .; Zoning Overlay: DAVIE COUNTY QD
-Zip Code: 27028-7444 Voluntary Ag.District: No
Legal Description: 3.59 AC OFF HOWARDTOWN Cl Fire Response District: SMITH GROVE
Assessed Acreage: :3.62 Elementary School Zone: PINEBROOK
Deed Date:_`.: _4/1994 ,`" Middle School Zone: NORTH DAVIE
Deed Book/-Page: 001740039 Soil Types: MrC2,EnB,EnC,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
161 AlldataIsprovided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
/-rCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT ti
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION .
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
nita Sewage'Systems Permit Number
Name r Date " f N2 7 5 6
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size L -��/�l House Mobile Home —�''� Business -- Industry
No. Bedrooms;— !27 No. Baths— No. in Family — Public Assembly—Other---
Garbage
ssemblyOtherGarbage Disposal, YES ❑ NO ❑•--- Specifications for System: , n
Auto Dish Washer ' YES ❑ NO C9
Auto Wash Ma^hine YES 2--NO ❑
Type Water Supply
*This permit Void if sewage system described below is not install within 5 years from date of issue.
This permit is subject to revocation if site plans or the inte d e change.
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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 Ipstalled by s� -cv. M p,Y'J N N
F
1J L.
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Certificate of Completion _ Date
d /OC,
"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. s
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME �lh. DATE EVALUATED
ADDRESS PROPERTY SIZE C
PROPOSED FACIILTY ",7'7 LOCATION OF SITE d'
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH �i �• /
Texture grouL_ el -L
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texturerou G
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: Dr�e Ve /YL' EVALUATED BY: 2�
LONG-TERM ACCEPTANCE RATE: d 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 r:lay 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
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] I APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
6 1" Davie County Health Department
0 Environmental Health Section
P. O. Box 665
Mocksville, NC 27028 /
h
1. Application/Permit Requested By
Mailing Address 3 2-� Home Phonea—
�'j'lct l�l�d.,�i e_ �.C•
7 6 oL Business Phone b
2. Name on Permit if Different than Above
3. Application for: 0 General Evaluation 0 Septic Tank Installation Permit
4. System to Serve: ❑ House -X Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision �> /�� Section Lot#
❑ Basement/Plumbing
No.of People °? ❑ Basement/No Plumbing
No. of Bedrooms a &q 3 Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ? ❑ 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: ❑ Public Z.—Private ❑ Community
8. Property Dimensions 3•s� 67-5
�� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes t 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:
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 application.
�-� 6- 9:Z
DATE' SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fanddisposal
ECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
system.
DATE SIGNATURE
DCHD(1 193)