193 Little John Drive Lot 8Davie County, NC
i
Tax Pari -.PI R Pnnrt
Thursdav, December 29, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING:
'I'HIN IS NUT A SURVEY
Parcel Information
D7010A0009
Township:
Farmington
5862453621
Municipality:
9288000
Census Tract:
37059-802
BOWMAN J BARRY
Voting Precinct:
SMITH GROVE
193 LITTLE JOHN ROAD
Planning Jurisdiction:
Davie County
ADVANCE
Zoning Class: DAVIE COUNTY R-20
NC
Zoning Overlay:
DAVIE COUNTY QD
27006-0000
Voluntary Ag. District:
No
LOT 8 FOX MEADOW
Fire Response District:
SMITH GROVE
0.58 Elementary School Zone:
PINEBROOK
8/1993
Middle School Zone:
NORTH DAVIE
001690840
Soil Types:
GnB2,GnC2
0004
Flood Zone:
134
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
101
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 fitness for a particular use. All users of Davie Countys GIS webalte 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.
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 Permit Number
Name —==244 x—l1'f °'/' %✓r,.,rr .h1 Date c2_ /� 114eN� 5 3O
Location
Subdivision Name d 1' 41y744e Lot No. .PCZ Sec. or Block No.
Lot Size Housey� Mobile Home _ Business Speculation
r
No. Bedrooms — No. aths� No. in Family
Garbage Disposal YES/; NO ❑ Specifications for System:
Auto Dish Washer YES N0 ❑ �����
Auto Wash Machine YES NO ❑ /�" n
Type Water Supply Ji --- �00X.S'X/d�
*This permit Void if sewage system described below inot installed within 5 years from date of issue.
This permit is subject to revocation if site plan �Or the 'ntended use change. '
od ,
i h
to ..
1
t
i -
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 da of coj pletion. Telephone Number: 704-634-5985.
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Final Installation Diagram: u� o System Installed by
l�
0
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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
i. Davie County Health Department
Environmental Health Section f9 RECEIVED FEBp �
P. 0. Box 665 90
Mocksville, NC 27028
1. Application/Permit Requested By
7. If business, industry, 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
8. Type of water supply: C Public' O,Private 0 Communi.,r.y
9. Property Dimensions2b
10. Sewage Disposal Contractor eLQu`�_ �%,�n - ✓,/1✓7
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? C) Yes , ErNo
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.
Effectivd October 1, 1989.
This is to certify that the information provided is correct to the
Rest of my knowledge, and I understand I am responsible for all
chp^rges incurred from .this application.
lei
Date Signature
Dire^is..�n;� to Property:
��%/�/f�� /�f- / n 1'"a "}D %%%.ace0� �'s� ✓f� �l� �`� V �d
t: o-
DCHD (10-89)
CI��L ��FD�//✓G
I =1
Mailing Address /
�-P
,I`1
Home Phone
Business Phone
2.
Name on Permit if
Different
than Above
3.
Property Owner if
Different
than Above
,4.
Application/Permit
For: 0 General
Evaluation
Z-S/Tank Installation
5.
System to Serve:
ErHouse
U Mobile Home
0 Business
Industry
u Other
0 Unknown
6.
If house, mobile home:
Subdivision
c�,;
Sec. Lot#
No. of People
Dwelling Dimensions
12 ,2
No. of Bedrooms
2
Basement/Plumbing
No. of Bathrooms.
'
Basement/No
Plumbing
'Washing Machine
J Dishwasher
0 Garbage Disposal
7. If business, industry, 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
8. Type of water supply: C Public' O,Private 0 Communi.,r.y
9. Property Dimensions2b
10. Sewage Disposal Contractor eLQu`�_ �%,�n - ✓,/1✓7
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? C) Yes , ErNo
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.
Effectivd October 1, 1989.
This is to certify that the information provided is correct to the
Rest of my knowledge, and I understand I am responsible for all
chp^rges incurred from .this application.
lei
Date Signature
Dire^is..�n;� to Property:
��%/�/f�� /�f- / n 1'"a "}D %%%.ace0� �'s� ✓f� �l� �`� V �d
t: o-
DCHD (10-89)
CI��L ��FD�//✓G
I =1
E
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
/1 SOIL/SITE EVALUATION
Name �/ r'�� Date
Address Lot Size
FA r .Tr1 RC
AREA 1 AREA 9 AREA 3 AREA A
1) Topography/ Landscape Position
S
S
S
PS
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
`OU
U
3) Soil Structure (12-36 in.)
Clayey Soils
S
�0
�"0
AS
fj
1) Soil Depth (inches)
F
C
U
-
i) Soil Drainage: Internal
IS
External
Q
PS
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Available Space
pS
PS
S
PS
S
U
U
U
U
1) Other (Specify)
S
PS
UU
S
PS
U
S
PS
U
S
PS
U
i) Site Classification
) (
e
S
U—UNSUITABLE
Recommendations/Comments:
S—SUITABLE PS—Provisionally Suitable
Described by Title Date
SITE DIAGRAM
DCHD (6-82)
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I
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
Environmental Health Survey For Sewage Treatment and Disposal Systems
a d w -
Subdivision Name o JC Lot # Block or Section
Date System Installed Name of Installer
Number of Previous Owners
,Name of Present Owner Number of People
Address
Phone No.
System Originally Designed For
No. Bedrooms_
No. Bathrooms_
Dishwasher
Disposal
Washing Machine
System Now Serving
No. Bedrooms_
No. Bathrooms_
Dishwasher
Disposal
Washing Machine
Number Times Septic Tank Been Pumped Average Monthly Water Usage
Present Condition of System
Any Known Repairs to System, If So When and By Whom?
Comments:
Environmental Health Official
Date