135 White Oak Ln Davie County,NC ' Tax Parcel Report Wednesday, January 25, 2017
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WARNING: THIS IS NOT A SURVEY
ParcelInformation
Parcel Number: E600000015 Township: Farmington
NCPIN Number: 5851629441 Municipality:
Account Number: 49712000 Census Tract: 37059-802
Listed.Owner 1: MCGUIRE ANNIE C Voting Precinct: SMITH GROVE
Mailing Address 1: 135 BERMUDA RUN DRIVE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-M,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 3.46 AC HWY 158 OFF Fire Response District: SMITH GROVE
Assessed Acreage: 3.37 Elementary School Zone: PINEBROOK
Deed Date: 5/1990 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001540060 Soil Types: PcB2,MsC,MsB,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
OluKl� 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
/-r County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�OUN� 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
4P;61 . Environmental Health SectionP.O.Box 848
.y
,�-- #
210 Hospital Street P
Q U �� Courier# : 09-40-06 1 X11
Mocksville,NC 27028
Phone:(336)-753-6780 F-u:(336)-753-1680
ON-SITE WASTEWATER CERTIFICATION
- (Check One) Replacement Remodeling Reconnection
Name: 111 i / C r r-e, Phone Number
Mailing Address: , el-gAia- RGy21 �� (`Vork)
,4//Q a C
Detailed Directions To Site: ",4ca lG
lid h0415-e_
Property Address: Z3.5— ",'Ie- WIC A n i2_
Please Fill In The Following Information About The EXISTING Facility:
G [�
Name System Installed Under: A <re- Type Of Facility:
Date System Installed(Month/Date/Year): - / / Number Of Bedrooms: 07 Number Of People '
Is The Facility Currently Vacant? Yees If Yes,For How Long?
Any Known Problems? Yes EQ) If Yes,Explain:
Please Fill In The Following Information About The NEl_V Facility:
Type Of Facility: aj11ra QC'i Number Of Bedrooms: Number of People.
Pool Size: In Garage Si e:-2 Other:. /
Requested By: �, < A;It.Q� Date Requested: . lSap�4
(Signature)
For Environmental Health Office Use Only
Approv Disapproved
ents: 747 Olt pl.�
S'-f/�yr�
Environmental Health Specialist Date:
*The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Mo er # Amount:$ 160S d Date:
Paid By: Received By:
Account M Invoice#:
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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
Sanitary Sewage Systems Permit Number
n z
Name f1r� /� r(•�/i;:/ .�S', �' [ ;r;,,, / :� 7l� N2 6079
Location
1 � -
Subdivision NamLe/ Lot No. Sec. or Block No.
Lot Size 7 House Mobile Home _ Business Speculation
No. Bedrooms No. Baths Z No. in Family '3 —
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES NO ❑ .-4/
Auto Wash Machine YES NO ❑ -'� t �9�� •���� �' �G'
Type Water Supply m --- `�7-!9e)X—� /11��//!!cry
*This permit Void if sew ge sygfem describew,is of installed within 5 years from date of issue.
This permit is subject b evocation if site plans o/th interitded use change.
it
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r ,
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 Installation Diagram: System Installed bylild
epo
Certificate of Completion Date 44
*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.
APPLICATION' FOR SITE EVALUATION/IMPROVEMENTS PERMIT
l Davie County Health Department
Environmental Health Section -41h 6 0
0,.�► P. 0. Box 665
o Mockaville, NC 27028
4
1 . Application/Permit Requested By A411 AV 09
Mailing Address YA.<Y; <A�. .,!, A,-✓
Home Phone 9y n T���� Business Phone
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: Vaneral Evaluation 0 S/Tank Installation
5. System to Serve: 0 House �obile Home 0 Business
Industry u Other Unknown
6. If house, mobile home: Subdivision Sec. Lot#
No. of People Dwelling Dimensions
No. of Bedrooms ) Basement/Plumbing
No. of Bathrooms / Basement/No Plumbing
/Washing Machine Dishwasher arbage Disposal
7. If business, industry, 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
8. Type of water supply: 24ublic 0 Private p Community
9. Property Dimensions CJr 'J/
10. Sewage Disposal Contractor-
11 . Do you anticipate additions/expansions of the facility this system is
intended to serve? Yes 2-11ro
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.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am respons • le for all
charges incurred from this applicat �
Vate Signature
Directions to Property :
S �
DCHD (10-89)
,..• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME x DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 1 2 3 4
Landscape Rosition
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
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
LONG-TERM ACCEPTANCE RATE
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
Mineralmy
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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a +33.63A. 2
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/3 76
67
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.; 15.02 - --- MsActI
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IAPHY BY D - 5 D - 6 D - 7 NC,
50CIATES, INC. E - 5 E - 6 E - 7
UTH CAROLINA
F - 5 F -6 F - 7
PHY: MARCH 28, 1976
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