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115 Fox Run Drive Lot 25Davie County, NC I Tax Parcel Report Thursday. December 29. 2016 WAKNMG: THIS 1S NOTA SURVEY Parcel Information Parcel Number: E611OA0025 Township: Farmington NCPIN Number: 5851832553 Municipality: Account Number: 82525653 Census Tract: 37059-802 Listed Owner 1: JONES MARK S Voting Precinct: SMITH GROVE Mailing Address 1: 115 FOX RUN DRIVE 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: LOT 25 FOX RUN Fire Response District: SMITH GROVE Assessed Acreage: 0.44 Elementary School Zone: PINEBROOK Deed Date: 112006 Middle School Zone: NORTH DAVIE Deed Book / Page: 006430772 Soil Types: GnB2 Plat Book: 0005 Flood Zone: Plat Page: 182 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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, Impliedwaran es of merchantability orfitness for a particular use. Ail 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. wkvv,:;;�J se.;i ..'�y tr'.�:%'yr lr- �:F + P- k� �•�4 e } >ee ; i „ , DAVIE COUNTY HEALTH DEPARTMENT -� IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION "NOTEAssued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systemp Permit Number Name z%%/P/ ��� ; r ��� °/%` CfiS�'.J 07141 Date . Z-6 — 9/ NO - 6426 Location Subdivision Name 9`wY`' Lot No. Sec. or Block No. Lot Size House L—`_�_ Mobile Home _ Business Speculation No. Bedrooms !�Z_.No. Baths C2 Vl)- No. in Family _ Garbage Disposal YES ❑ NO 2r' Auto Dish Washer YES NO ❑ Auto Wash Ma :hive YES g NO ❑ Type Water Supply Specifications for System: *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. u 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 by A�> t2- v Certificate of Completion Date "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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION 4NOTEAssued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Syystems i Permit Number Name P/�% : t' ,�1� %r �i4�i,JP 7742 Date N2 6426 Location — ,1 Subdivision Names �'" Lot No. Sec. or Block No. / Lot Size House Mobile Home _ . Business Speculation No. Bedrooms No. Baths � No. in Family _ Garbage Disposal YES ❑ NO 2"' A ❑ Specifications for System: Auto Dish Washer YES NO l/ Auto Wash Ma.hine YES NO ❑ ,i,r' (,r�/���C7z' ��a�?'''� 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. 1 Improvements permit by — Z/ *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 by I Certificate of Completion t1, � _`' `, ... r=, Date (- I I - rI "The signing of this certificate shall indicate that the system described /above has been iristalled 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. 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 V;W/ Permit Number Name -Z,-/ZAZ 6,2 Date — 0,.��1 N2 6081 Location __�� `•– - Subdivision Name ye 1AJ Lot No. Sec. or Block No. Lot Size House/_ .�� Mobile Home _ 1 No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO Auto Dish Washer YES NO ❑ - - Auto Wash Machine YES . NO ❑ Type Water Supply Business Specifications for System: ,ff101i7 _ .r Speculation ,6 Ze, `This permit Void if sewage systgm OesFri ed b�t�sW is not installed within 5 years from date of issue. This permit i subje to reyF ions iteIIMS or the i tended use change. ,if 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. ra,}tt• 3v /V1yf Final Installation Diagram: reel'W'��i Sys m Installed by _ 7� ,add 7 . Fm k �Y -'I-XP 1� /— 1 s r Certificate of Completion ,L Date '4 'The signing of this certificate shall indicate that the system described above has been installed in compliance with ratis,fac standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function 11torily for any given period of time. ,V, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section �.�y�© JUL P. 0. Box 665 Me��� `- Mocksville, NC 27028 1. Application/Permit Requested By NIQ117 In g 1 , Co JR:e. Mailing Address K i zw QQ- Home Phone Business Pho� —I 715 '"'c:)1 IOC--)LD- 2. Name on Permit if Different than Above 5 a ,rv-,2 3. Property Owner if Different than Above � Qr "'p—, 4. Application/Permit For: 0 General Evaluation S/Tank Installation 5. System to Serve:House u Mobile Home 0 Business 4Industry u f house, Other 0 Unknown 6. Imobile homer Subdivision O XUA) Sec. Lot;; C2�5 No. of People �— 4 Dwelling Dimensions -!rco X 3 No. of Bedrooms Basement/Plumbing No. of Bathrooms Basement/No Plumbing ]Washing Machine Dishwasher 0 Garbage Disposal 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 8. Type of water supply: XP ublic 9. Property Dimensions 10. Sewage Disposal Contractor No. of Sinks No. of Urinals No. of Water Coolers 0 Private 'c 0 Community 11. Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes 'XNo 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 resp nsible for all charges incurred from this applicatio . —rDate Signature Directions to Property: W%5 DCHD (10-89) L� 3 p,% ; / es 7/P 1 DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. 0. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: 1. 1 am the owner of the above described oes� yes DATE RECEIVED (office use only) property. no 2. 1 am not the owner of the above described property, however, I certify that I have consent from lh= lU2.w Fc,Q his Co2A , owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. DCHD (11 /84) -7-1 sd Vim, . DATE t SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: wner only 4--(Jwners designated representative _ Anyone requesting results — Only those listed below DATE 's SIGNATURE NAME ADDRESS PROPOSED FACIILTY Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section 10 Soil/Site Evaluation �+ DATE EVALUATED Z/_'P PROPERTY SIZE XL "q E LOCATION OF SITE On -Site Well Community // Auger Boring _ tPit Public _ !� Cut FACTORS 1 2 3 4 Landscape position 4- j-- 4— Slope Z :2 - HORIZON I DEPTH HORIZON Texture group Consistence Structure Mineralogy HORIZON II DEPTH G Texture group' L Consistence All Structure Mineralogy%-/ HORIZON III DEPTH Texture group Consistence t Structure Mineralogy, HORIZON IV DEPTH Texture group.....+t Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: Gf EVALUATED BY: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 OTHER(S) PRESENT: 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 Mi neralolty 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 COEM NONE ■ON■ ■EN■ OOEN ■EE■ NEON ■EO■ ■■ Address FAr,TORG DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION I e/ Date /f Lot Size/`/, AREA 3 ARFA 4 ARFA 1 AREA 9 I) Topography/ Landscape PositionS 12) S '.) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) P S �Ps S et 1) Soil Structure (12-36 in.) Clayey Soils PS S PS PS S P l) Soil Depth (inches) PS PS PS S P i) Soil Drainage: Internal U `"T[[JJJ S P U External PS U PS < P U' S P i) Restrictive Horizons Available Space S cr) S U S (:!7) 1) Other (Specify) S PS U S PS U S PS U S PS U� 1) Site Classification / U—UNSUITABLE Recommendations/ Comments: S—SUITABLEPS—Prov' ' Described by/ Title SITE DIAGRAM wt v� S l� .5 �e ;1 12) Date DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION NameP&CQ,lN/Y1 Date Address Lot Size FACT0P.q ARFA ,20 <' ARFAy AREAAO ARFA 4 1) Topography/ Landscape Position S S PS P S PS U U U ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay)A�S� S S S PS U S) Soil Structure (12-36 in.) Clayey Soils S S S PS U U 1) Soil Depth (inches) pS P U S PS U i) Soil Drainage: Internal p S � S S PS U U External _7�bs S S PS U U U i) Restrictive Horizons Available Space S C S S PS . U U U U 1) Other (Specify) S, PS S PS S PS S PS U U U U 1) Site Classification U—UNSUITABLE Recommendations/ Comments: Described by _ SITE DIAGRAM DCHD (6.82) S—SUITABLE PS—Provisionally Suitable 01 Date c DAVIE COUNTY HEALTH DEPARTMENT �� ✓� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name �-41101 A01 -t' i (HC l % 5� �✓n 22 1 Date _zf, NO 6 '� G f~ 6 r 4.... Location _ Subdivision Name f" �ti'" Lot No. _-z� Sec. or Block No. Lot Size House > Mobile Home _ Business __ Speculation 1 No. Bedrooms -No. Baths No. in Family _ Garbage Disposal YES ❑ NO E '' Specifications for System: Auto Dish Washer YES ❑ NO ❑ r Auto Wash Ma;hine YES m NO ❑ Type Water Supply ! _ I *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 Installation Diagram: System Installed by AAC.r" '� �` C'r".:GQ," Certificate of Completion t'� 1 _ Date '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 anv niVAn norinri nf.tima