187 Pond Ln Davie County,NC Tax Parcel Report Tuesday, February 7, 2017
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WARNING: THIS IS NOT A SURVEY
a _ Parcel Information
Parcel Number: E80000001701 Township: Shady Grove
NCPIN Number: 5871917448 Municipality:
Account Number: 10460000 Census Tract: 37059-803
Listed Owner 1: BROWDER THOMAS S Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 187 POND LN Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27006-7984 Voluntary Ag.District: No
Legal Description: 57.44 AC OFF UNDERPASS RD Fire Response District: ADVANCE
Assessed Acreage: 57.14 Elementary School Zone: SHADY GROVE
Deed Date: 11/2001 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 003920901 Soil Types: GnB2,GnC2,GaD,ChA,MsB,WATER,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 1838930.00 Outbuilding&Extra 39740.00
Freatures Value:
Land Value: 384700.00 Total Market Value: 2263370.00
Total Assessed Value: 2263370.00
161 All data Is provided 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
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or 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 11 of G.S.Chapter 130a
anitarySewage Systeart s / Permit Number
i J
Name �. ,a .sf G3J J l% / (/i�fr) D�a e /�2' NO O 8.8 9
Location Y �xl�� . Z: /�✓%/c '/�' �'� r� r rr ��� uJ- /a
Subdivision Name Lot No. Sec. or Block No.
Lot SizeHouse Mobile Home — Business Speculation
No. BedroomsNo. Baths No. in Family—�—
Garbage Disposal YES ❑ NO ❑ Specifications for. System:
Auto Dish Washer YES ❑ NO E3
Auto Wash Ma shine YES ❑ NO ❑
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
Final Installation Diagram: System Installed by �
/0 r
Certificate of Completion
'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.
r � FIRIE
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIQVED
Davie County Health Department 32
Environmental Health Section P. O. Box 665
Mocksville, NC 27028 ........_ _
1. Application/Permit Requested By44, ?t14-r-7
pp
Mailing Address a K -,7,DI C� ,4h,4z\1 r- TC— ;2-7a,06
Home Phone �f 9 f- 2 j o 6 Business Phone
2. Name on Permit if Different than Above �t Lak! Cs /14!R =�-nrC-
3. Application/Permit for: ❑ General Evaluation ;' Septic Tank.lnstallation
4. System to Serve: 79'HouseYa4erL Y Mobile Home 9,"0 ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision ��� Section Lot #
R Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms 2' Washing Machine
I
No. of Bathrooms 2 Dishwasher
i
Dwelling Dimensions D Ay �C) X• P4 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 tR Private ❑ Community
8. Property Dimensions ✓�?�G- 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: tt 0 FF 0 wy .90 j Sou` o z1 o Appr- e, 3 M,, 4 {jbr„+ 1JkCAC
Moc� C-6Lxr cNL TZ� Cho -Cc �o / RNA I�Gco M�r 11.11 Df,, (,4O Roses
rRoM lar �6,6) -j,4ev?Q1w a. —r�ue4j oN g,11caef4 179. : TuRN ireitk ' vsol Zr-Q.
F7(ZAV00 �K►vr� oN e151�� - b�r�d� Ifmdce- , t�Roc� �ojrl,tl dQ1 v6W.4 y +o c4lZr--2 b F
14C,r (►,��, �o�lo� R�a� 4D jEFa- , ,4t-u14ct rtr-U , -z -44ir ba-4-L,,rEN -{mss,
C 0405- - ct)AA17S 7a 19t �N,eL'r—
This is to certify that the information provided is correct to the b t of my owledge, an nd stand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1K1. 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 sui ility for n bsorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD(12-90)
t
r ,
�. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation /
NAME ee DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well , Community Public
Evaluation By: Auger Boring e/ Pit Cut
FACTORS 1 2 3 4
Landscape position L ,L.
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH �- f
Texture group
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 G
LONG-TERM ACCEPTANCE RATE y ,
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
Mineralojzy
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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