131 Livingston Rd Davie Cvunty, NC Tax Parcel Report � �� Friday, September 30, 2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: E60000002801 Township: Farmington
NCPIN Number: 5851738928 Municipality:
Account Number: 8300114 Census Tract: 37059-802
Listed Owner 1: GOAD ANTHONY RAY Voting Precinct: SMITH GROVE
Mailing Address 1: 131 LIVINGSTON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 2.930 AC HWY 158 Fire Response District: SMITH GROVE
Assessed Acreage: 2.61 Elementary School Zone: PINEBROOK
Deed Date: 2/2011 Middle School Zone: NORTH DAVIE
Deed Book/Page: 008510853 Soil Types: Gn62,Pc82,EnC
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 178360.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 34250.00 Total Market Value: 212610.00
Total Assessed Value: 212610.00
O�,�/�, All daG Is provided as is without warnnty or guarontee of any kind either expressed or Impliad Ineluding but not Ilmited to the
Davie County� implied warranties of inerchantability or fitnesa for a particular use.Atl users of Davie County'a GIS website ahall hold harmless the
N� County of Davle,North Carolina,Its agents,consultants,contractors or employees from any and all claims or eausea of action due to
�o�N,�i or arlsing out of the use or Inability to use the GIS daW provided by thls 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.Chapter 130a
Sanitary Sewage Systems ,�� ,�� ___. ���_ �� Permit��Umb�.A�
�Gl�'�//� 1.��.�//.�.�.S`��%��� ' "�.� �"�,'/��-'/, ' � �` �
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Name - '� Date � ) NO
�.5�� �t" � / C;v ,l i ii�',r t�i�n ' 1,� <"'cr t' �'!' .�'"i�� �'f'
Location �, —
l 31 L,;�i�v s �! �
Subdivision Name Lot No. Sec. or Block No.
�/< �/�i/l �j�
Lot Size � House � Mobile Home �,.__ Business --� Speculation
No. Bedrooms .No. Baths _ _ No. in Family _.
Garbage Disposal YES ❑ NO ❑ Spec�fications for System:
Auto Dish Washer YES p NO p � ��DU�'z������z��
Auto Wash Ma^hine YES p` NO p v�JG���/�X�/� " yt�-� ��'
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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 ptans or the intended use change.
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Improvements permit by -- —
'Contact 2 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.
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Final Installation Diagram: System Installed by `'`���%''-'���� Gj'�'�;;I��''��
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, Certificate of Completion !`��`�`'� Date fG��G� �� =�
"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.
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
� Davie County Health Department !
��t�:����u`��E"s�l�
Environmental Health Section
. . . P. O. Box 665 _ � AU�7 - 3 ���2
Mocksville, NC 27028
` �/� -- ------ -----
1. Application/Permit Requ ted By �' � G� .. . ...�_.__ _.,.
Mailing Address � G �� `P f Z ��' 2�
Home Phone ` ���/ G � , Business P'on
2. Name on Permit if Different than Above �''� C � `// �_ �`� � �L`'�� �1��
3. Application/Permit for: ❑ General Evaluation Q"Septic Tank Installation
4. System to Serve: �louse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section •Lot#
asemenUPlumbing
No. of People ❑ BasemenUNo Plumbing
No. of Bedrooms �
O Washing Machine
No. of Bathrooms � � Dishwasher
Dwelling Dimensions ��/ � � �, O 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 ❑ Private ❑ Community
8. Property Dimensions ��a a'�-o 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:
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This is to certify that the information provided is correct to the best of m knowledge, a d\understand I am responsible for all charges
incurred from this applicatio .
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D T SIGNATURE
CONSENT FOR SITE EVA tJATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I OWN the property. ❑ 2. I DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authori2ed by the owner:
I hereby give consent to the authorized representati Ye of the Davi ou ty He�aJ th,�ep men to ente�r upon above described
property located in Davie County and owned by l/' (,l �' . L �i�� l.C/ / �� ( � 6�7 l
to conduct all testing procedures as necessary to determin ase id site's suitabilit�for ' round absorption sewage treatment
and dispo al system. / [?'� /^
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Di4TE SIGNATURE
DCHD(12-90)
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' `� � DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section
Soil/Site Evaluation
NAME G%'.�`��G/�,=� DATE EVALUATED �'1l'-�-1�
ADDRESS PROPERTY SIZE �'�����
PROPOSED FACIILTY ���-'t � LOCATION OF SbTE �� ✓�`�-(:�'�d7✓
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Water Supply: On-Site Well Community Public �
Evaluation By: AugerB�ring �� Pit Cut
FACTORS 1 2 3 4
Landsca e osition F�" �� /=S'� t`
S l o e 7. .� �� "— •�
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH ✓/�x'" 4` �r -'Y,�r %�'`
Texture rou � �'
Consistence ' %
Structure � . � i ii
Mineralo f ` --/
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSZFICATION � /' �Y'
LONG-TERM ACCEPTANCE RATE C �
SITE CLASSIFICATION: EVALUATED BY: ���i��
LDNG-TERM ACCEPTANCE RATE: � OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscttpe 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
MinerAloEty
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 watef 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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