195 Fox Run Drive Lot 18Davie County, NC Tax Parcel Report Thursday. December 29. 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
E611OA0018
Township:
Farmington
NCPIN Number:
5851733631
Municipality:
Account Number:
82524698
Census Tract:
37059-802
Listed Owner 1:
LESZCZUK ANNA
Voting Precinct:
SMITH GROVE
Mailing Address 1:
195 FOX RUN DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-9501
Voluntary Ag. District:
No
i
Legal Description:
LOT 18 FOX RUN
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.45
Elementary School Zone:
PINEBROOK
Deed Date:
6/2005
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
006130185
Soil Types:
PcB2,EnC
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:
91
Davie County,
�T
l� C
All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
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, NorthCarolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
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
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME P"f . �'/� !' 1 PROPERTY ADDRESS 0-)I, LO
a7471- b r. " A Wp DATE
LOCATION
SUBDIVISION NAME�LOT NUMBER _ZZ SEC./BLOCK NUMBER f
i
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS es # OCCUPANTS Q GARBAGE DISPOSAL: o
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE e� 6 TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ad NEW SITE j% REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE AMM GAL. PUMP TAME{ GAL. TRENCH WIDTH . � ROCK DEPTH ��LINEAR FT. �
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:.
***THIS PERMIT IS SUBJECT TO REV TION IF SITE NS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALL E SYSTEM.
�,
cP AW s �
Pn�
IMPROVEMENT PERMIT BY Aa
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 1
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT aee 6S STEM INSTALLED BY f�
tyOff
S
AUTHORIZATION NO. Q OPERATION PERMIT BY DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 -SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
vsM'�--' Ar �trc-i4 u w- a'c. ., ,� tty.. ..,,.. •...t; '�i�' .�,. .... .., ,.
ro Davie County Health Department
ti ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mochville, N.C. 27828
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article it of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections .
Office when a plying for Building Permits.***
AUTHORIZATION NUMBER
NAME DATE
NAME ON IMPROVEMENT PP/ERMIT (If different than above)
SITE LOCATIaI A •C�/ �?>>l i�l/t/ r,:
COMMENTS/CONDITIW ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**WICE*** THIS AUTHORIZATION FOR WA5 WATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
�S4
ENVIRON EMTAL HEALTH SPECIALIST DATE'
DCHI)10[95
+s APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE T(z 2 n
r Davie County Health Department
Environmental Health Section
P. O. Box 665 «NK 1 4 1996
Mocksville, NC 27028
1. Application/Permit Requested By Lr
Mailing Address 6 �i �3�' Home Phone QQ
616 V) ' -e C, �_ Business Phone
2. Name on Permit if Different than Above A r>be f --I- "� 2 t e e
3. Application for: d General Evaluation 8t5eptic Tank Installation Permit
4. System to Serve: ouse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown , �y
5. If house, mobile home: Subdivision F6.X Fti A) L- D-�- ` 10 Section Lot #
No. of People
No. of Bedroomsy
Y
No. of Bathrooms
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 Sinks
No. of Urinals
No. of Water Coolers
❑ Basement/Plumbing
❑ Basement/No Plumbing
el ashing Machine
ishwasher
Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: Public ❑ Privateommunity
8. Property Dimensions OX / Sewage Disposal Contractor —VV I.J
/
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �O
If yes, what type?
'NOTE: Improvements Permits shall be valid 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
incurred from this application.
/`Z 9�
DATE
PROPERTY INFORMATION REQUIRED:
Tax Office PIN: -7,3—,-7Z-3J
PROPERTY AbbRESS, as follows
Road Name: L7vJ`/,��'
City:�IJLJ=�
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
of my knowledge, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. Bim£ I 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 representa iv of the Davie County Health De ment to enter upon above described
property located in Davie County and owned by tLO, 5.,,,J e
to conduct all testing procedures as necessary to determine s id site's suitabilKy for a ground absorption sewage treatment
and disposal system.
�- /y - 174
DATE SIG ATURE
DCHD (1/93)
e
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
" Soil/Site Evaluation
NAMEl 9 t
ADDRESS
PROPOSED FACIILTY
Water Supply: On -Site Well
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Community
Public c--�
Evaluation By: Auger BoringPit Cut
FACTORS
1
2
3
4
Landscape position
L
L
Sloe %
!�
HORIZON I DEPTH
r4l
10' -
Texture group
9-1
Consistence
Structure
Mineralogy
HORIZON II DEPTH
4"�t
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
V
7'7'ellol
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
1
7 7-
LONG-TERM ACCEPTANCE RATE
,
SITE CLASSIFICATION: 9-r. 1 A/. �/JCv /ylJ4Y 'heE'VACUAED BY: ,
LONG-TERM ACCEPTANCE RATE: d 'y OTHER(S) PRESENT:
REMARKS: ( - r e' 7e
4V 10, LEGLND de
DCHD(01-901
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
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• DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED
ADDRESS
PROPOSED FACIILTY
PROPERTY SIZE /"X�l'®U
LOCATION OF SITE 2U131)
Water Supply:
On -Site Well
_ Community
Public [/
Evaluation By:
Auger Boring
Pit
Cut t ____
FACTORS 1 2 3 4
Landscape position
Sloe % 2 2
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH i
Texture group
Consistence
Structure /l
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:
LONG-TERM �-ACCE7P ANCE RA
REMARKS:�G1r-/A4'('
DCHD(01-901
EVALUATED BY: _144 //
RESENT:
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 ;lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+--. -y 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
3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineralo"
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
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DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section
Soil/Site Evaluation
NAME e -Ir"
ADDRESS
PROPOSED FACIILTY A&_rIr
'e
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply:
On -Site Well
_ Community
Public
Evaluation By:
Auger Boring
Pit
Cut
FACTORS 1 2 3 4
Landscape position L
Sloe Z
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: ssj�� EVALUATED BY:L�
LANG -TERM
REMARKS:
DCHD (01-901
TAN E/RATE: �2r 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 ;lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+ --.-y 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
3C -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 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
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