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264 Shallowbrook Dr Lot 42 Davie County,NC Tax Parcel Report Friday,November 18,2016 r, r , r r � r r i r r i r r i t 5 1 �r 2[64 r r O :�E O C X I 258 70 , r i WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E604OA0008 Township: Farmington NCPIN Number: 5861086316 Municipality: Account Number: 82532993 Census Tract: 37059-802 Listed Owner 1: SHOEMAKER KELLY B Voting Precinct: SMITH GROVE Mailing Address 1: P 0 BOX 1164 Planning Jurisdiction: Davie County City: CLEMMONS Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27012-0000 Voluntary Ag.District: No Legal Description: LOT 42 COUNTRY COVE Fire Response District: SMITH GROVE Assessed Acreage: 0.61 Elementary School Zone: PINEBROOK Deed Date: 10/2011 Middle School Zone: NORTH DAVIE Deed Book/Page: 008720406 Soil Types: EnB,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 161860.00 Outbuilding&Extra 5140.00 Freatures Value: Land Value: 30000.00 Total Market Value: 197000.00 Total Assessed Value: 197000.00 161 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fttness for a particular use.Ali users of Davie Countys GIS webalte&hall hold harmless the County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all dalms or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. J pew APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT _ Davie County Health Department , ,ry ,p n f� Environmental Health Section V l� l 0 I P. O. Box 665 i t 1_ Mocksville, NC 27028 9 X444 1. Application/Permit Requested By ti �' 4 Mailing Address `?(� D(UOrs�i: !P 56 Home Phone 2 1? /2-? Business Phonq�9/o) 7G6-�3 So 2. Name on Permit if Different than Above 3. Application for: ❑General Evaluation toeptic Tank Installation Permit 4. System to Serve: house ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ IndustryJElOther ❑ Unknown 5. If house, mobile home: Subdivision C D6tt1 -4- V r') Section Lot # 2- 0 Basement/Plumbing No. of People `— �O— asement/No Plumbing No. of Bedrooms J? Washing Machine i No. of Bathrooms 1 ❑ Dishwasher r Dwelling Dimension4X 3 Z ❑ 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 El Private ❑ Community 8. Property Dimensions J Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes I KNo If yes, what type? / v *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: ` % S� x0 , f X-t5�4- This is t certify that the information provided is corr t tothe est of my k wledge, and I nderstand I am responsible for all charges incurre from th)b application. r ATE SIGNA CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 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 suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME O DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTYA�/� LOCATION OF SITE �� ``�•�► t e- -� �� Water Supply: On-Site Well Community Public Evaluation By: Auger Boring 600-1- Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH J.9 cr Texture group Consistence 7777777 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 Mineraloity 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 ■■.!./..■■../■■■■■■■■■EE■i.■■......./NOON.■■■...i■■■.....■■■./.t�.■ ■.....■■■E■N■■E■.EOE.EE..E.E..EE..■...NONE.■■.■.EE■i.■NOON.../NOON ■.!■.■■..EEN■E./l...■...lE.■■..■ ■■....EOE■.EE..EE..OE.Ei■■O.OE.■ iiiiiiiiii�.ii''iii .iiiii�iiii�i�iiiii'iiii■�iiii'.iiiiiiii'ii�=iii ■/........■...i......./..■■../....../..■.../.■...■/.■ ..■.i...■./ ■.■O..■.■■.■.E■/■■■i■E/E.■■OO/E.■■EO/.DOFF■■.■E■.■...�.■.■E■OEi■ ■............■■..■■...■■...■./NONE../...0■E/...EE■ .■.■■./......�■ ■NOON.../.NEON■/..■....■./.■./.. .■...■.....■■■■■/.NEON./■■EEOE.■ iiiiiiiiiiiiiiiiiiiiiii�iiiiiii=iiiiiii■'�iiiiiii�ii�iiiii..iiiiii UMMEMEN MEMNON EMMEME ■MMMMM ■.■..■.■/......■■.■E■.■■�I..i.E../E■E■■...■It■.... 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NONE NOON.■EEE■.OE.....E.NEEN.E■■■E.E.EE..E■.E E..E..E..../.EEE.■/EEN.E SOME .■.......................CN■■■■■E................................. .................... ............................................. ..E■■EOE■■.O■■■..■..C........... ................................ ................EE■EE.EEE.EEE■E■�E■EE./E.E.Ei/■.EOEi/■E.E.E/.■EE■ ■■■■■.■■■■■■■■■■■■■■■■■■t.t■tt■ ■■■■■■■■■■■■■■■t■■■■■t■■■■■■■tEON■ ■EEE.■...■E..■E..■■E.........■■■■■■..N./EEEE....E.■.E■...■!■■.■.■■ ■..■!OE■■■■■EO..l..■■■■■t■E..■OO/OENEON/E■O.E..EOEO■...■E.■./■E■i■ ■.i■■..EOE■i.EE.E■■.EEE.■■EEEE.■■.E.EE.E.E.EEE..■■EOE/..EE.■..O.E■ ■.■■�.■■■■■.EEE.E■■EOEEOE■■■■iEE.EE.E../.■.EOE■...i..■EE...■■E■E.■ ■■■■ NONE■OH■.■■■■■■■■■■■.■.■■■ .NONE■.O■■■■.■l...■■.■■■..E.E.E■ ■■■■■E..■■■■■■EOE...■EEE.■■E... ■■EEO.EE■OOE/■EN.E■.■■■■■■..N■■■ Davie Coant l lfealtFr (Deparlmenl ` and .dome NealK .ei7ency 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE,N.C. 27028 PHONE:(704) 634.5985 April 28, 1994 Daniel A. Wingo 309 E. Devonshire St. Winston—Salem, NC 27127 Re: Site Evaluation Country Cove—Lot 42 Dear Mr. Wingo: As requested, a representative from this office visited the aforementioned site on April 28, 1994, to determine the soil/site suitability for the installation of a ground absorption sewage 'system. Unfortunately, due to 2:1 clay, we must classify this site unsuitable. We sincerely regret this classification and are more than willing to discuss this matter further upon your request. Sincerely, ' Robert B. Hall, Jr. , R.S. Environmental Health Section RH/wd Enclosure