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120 Fox Run Drive Lot 3Davie Countv, NC t Tax Parcel Report Thursday, December 29, 2016 WARNING: TH1515 NUT A SURVEY Parcel Information Parcel Number: E611DA0003 Township: Farmington NCPIN Number: 5851831722 Municipality: Account Number: 48090250 Census Tract: 37059-802 Listed Owner 1: MAYHALL SAMUEL M Voting Precinct: SMITH GROVE Mailing Address 1: 120 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 3 FOX RUN Fire Response District: SMITH GROVE Assessed Acreage: 0.48 Elementary School Zone: PINEBROOK Deed Date: 11/1992 Middle School Zone: NORTH DAVIE Deed Book / Page: 001540919 Soil Types: GnB2,PcB2 Plat Book: 0005 Flood Zone: Plat Page: 182 Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to theIllDavie County, Implied warranties of merchantability or ness for a particular use. All users of Davie County's GIS websHe 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 NCor arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION *NOTEAssued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name �%/r a/�"� /�� d5�i4'�,'1.', Date / �� NO � - 581? Location J Subdivision Name. w Lot No. d Sec. or Block No. Lot Size �Fs�s��s�� 1 N/ouse//1f Mobile Home _ Business H No. Bedrooms No. Baths � No. in Family _ Garbage Disposal YES ❑ NO ❑ Auto Dish Washer. YES ❑ NO ❑ Auto Wash Ma shine YES ❑ NO ❑ Type Water Supply Specifications for System: Speculation 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 —J� *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 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 �a Environmental Health Section j �� Soil/Site Evaluation / / j NAME �Pl/` r DATE EVALUATED ADDRESS PROPOSED FACIILTY fur? PROPERTY SIZE �G4'yi�`w� f LOCATION OF SITE / .t A) Water Supply: On -Site Well Community Publicy Evaluation By: Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position 4 - Slo a % -- Slope — - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTHIv Texture rouConsistenceStructure T.f -f'V Mineralo n 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: R LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED BY: !tel/ 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 -Finn 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 Mineralogy 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 ■..............■■...►re.........�.aye.■■.....■..■....■■.■....■.■ ■■■ ■■.......■..■......■l•■.......■��. ■.•..........■■■............�■.■ ■.■■■■■.....■■■■..■■■.■■■■■■.It..■ill�lf■■1!.■........■....■...■■...■�■ ■■■■■■■■■■■■■■.■.■■■■■■.■■■■....fir■�■II■■■■■.■■■■■.■■■■■■■.■■■■■.■■ ......................................................... ........ ■.■..■ ■■■■.. ■■■OWN ■■■■■■ ' .■■■.■ ■■■■■■ ■...■■ ■■■..■ ■..■........■.■.....■■■./..��.��i■ .■......■■.■�.■..■■■■■■■..■ Now :::':::� ■.■.....■■■■■■■■..■■■■■■■■■■■..■■■■■ ■■■■■■■■■�■■■■■■■■■■■■■■■■.■■ MEMEMEME IMEMIMMMEMME ■...■■■ mom No ................................ ....... ...................�■.■.■ .................................................................. .................................................................. ......................................... ........................ ................................ ................................ .................................................................. .................................................................. ......... .....................................................■.. .................................................................. ................................ ..........................■..... APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By _ 1V Kit) ED)2.T15 (WAD. Mailing Address ,0 ' 13 D-;� J'9 5 k N G A) C Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ,eGeneral Evaluation ❑ Septic Tank Installation 4. System to Serve: 4/House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision KU/✓ Section _I Lot # -� No. of People No. of Bedrooms 3 / No. of Bathrooms 111/Z Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine cK Dishwasher ,❑` Garbage Disposal 7. Type of water supply: X Public ❑ Private ❑ Community 8. Property Dimensions FROruT IAO g,� 4 ) NZ Sewage Disposal Contractor GR)r» 0 9. Do you anticipate additions/exp ion of fhe fecifity 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: This is to certify that the information provided is correct to the best of my knowledge, and I understand 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: ❑ 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 DCHD (12-90) SIGNATURE