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220 Little John Drive Lot 15Davie County, NC Tax Parcel Report Thursdav, December 29, 2016 WARNING: T1i1S 1S NOT A SURVEY Parcel Information Parcel Number: D7010A0015 Township: Farmington NCPIN Number: 5862456249 Municipality: Account Number: 82527829 Census Tract: 37059-802 Listed Owner 1: HENDRICKS ELIZABETH W REV TRUS Voting Precinct: SMITH GROVE Mailing Address 1: 14006 NORTH BOLIVAR DRIVE Planning Jurisdiction: Davie County City: SUN CITY Zoning Class: DAVIE COUNTY R-20 State: AZ Zoning Overlay: DAVIE COUNTY QD Zip Code: 85351-0000 Voluntary Ag. District: No Legal Description: LOT 15 FOX MEADOW Fire Response District: SMITH GROVE Assessed Acreage: 0.56 Elementary School Zone: PINEBROOK Deed Date: 3/2007 Middle School Zone: NORTH DAVIE Deed Book / Page: 007060318 Soil Types: GnB2,GnC2 Plat Book: 0004 Flood Zone: Plat Page: 134 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 Idnd either expressed or Implied Including but not limited to the Davie County, Impliedwarrantlas of merchantability or Iltness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultands, 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 ENVIRONMENTAL HEALTH SECTION Environmental Health Survey For Sewage Treatment and Disposal Systems Subdivision Name Date System Installed F o k T\ \C -o W Lot # I� Name of Installer Block or Section Number of Previous Owners U Name of Present caner � ��- Number of People Address 6(D Phone No. System Originally Designed For System Now Serving No. Bedrooms 3 No. Bathrooms D-• Dishwasher Disposal (2:) Washing Machine l No. Bedrooms No. Bathrooms �- Dishwasher l Disposal 6 Washing Machine Number Times Septic Tank Been Pumped Q Average Monthly Water Usage -b Present Condition of System\� Any Known Repairs to System, If So When and By Whom? Comments: Environmental Health Official -V3 Date DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR DATE S"- b T„S! PERMIT LOCATION S. R. N° 559 SUBDIVISION NAME j"ey ,e ��,,i,,• c LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME ❑ BUSINESS NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK pp gal. GC' NITRIFICATION FIELD S+'•S D sq. ft. DEPTH OF STONE IN LINES: -7.4 s WATER SUPPLY: Individual a- Public ❑ IMPROVEMENTS PERMIT BY CERTIFICATE OF COMPLETION By --`-i (8/16/73) *Construction must comp LOT AREA House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 flaJ. 60g_54 --Ft, Three Bedroom House -,-'700 Ga 900 S . Four Bedroom House =0 Gal. 1200 Sq. Ft. 4 ♦ ` INSTALLED BY j�/bx 5-i %/ /F6 � f +•�., ��Ar d, Date 9-x th all other applicable State and local regulations /S.4) .4X 1? 01 Pemiittee's t DA IE COUNTY HEALTH DEPARTMENT Name;' t 1"Z- f t' C (; c {nyironmental Health Section « PROPERTY INFORMATION •1 f P.O. Box 848 Directions to property: �%' r=-- I-��� Mocksville, NC 27028 Subdivision Name:�� Phone #: 336-751-8760 -- Section: Lot: AUTHORIZATION FOR �" / WASTEWATER J 6) - 1, r T e PIN:# SYSTF,M CONSTRUCTION / r /y / AUTHORIZATION NO: 0 0 8 6 5 A erg � -cf$_ f„ai%/ Roa ame: %1 1l1.jr^ � r Pt Zip: - J %! •l � **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. ThisForm/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) *NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENTAL HEALTH SPECIALIST DATE ISSUED ' RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS '4 ` # OCCUPANTS ---I— GARBAGE DISPOSAL: Yes or No COMMERCIAAL� SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE / GrTYPE WATER SUPPLY / DESIGN WASTEWATER FLOW (GPD)' --0— NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE—(&L., PUMP TANK."GAL. TRENCH WIDTH ` ROCK DEPTH / U / TI LINEAR F OTHER As stated in 1;;A mCAC I y /C rGtIj A, t3t?C9Dt6d VfitE'ma VOW.?gl}::� hL'.113t; �7=j ea..� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPR VEMENT PER IT LAYOUT EEr L�� Q 3.2 7 ' -1rJ4'6 ( 'of S M,121—tld5;� 401 UC Yr C I >/4-S A.Pu7 / FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. RATION PERMIT CJQ r✓ k AUTHORIZATION NO. V O �OPERATION PERMIT BY: DATE: [ ^ ` • V **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT, THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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 02102 (Revised) /f Z1, -,f# )z V U• Y/�Z3 _ •'�•,. ,. y�:....� -�.a. �r—_.."�,.. '"'<�p.y,......... 4.*.i:-i.,..�.rt.'V,�Z �4 �',I'.s..."...` �' Y'wJ £� '9TM� $ 5:�+'3�i�. #i s+.«�ii t.�,t-•t,e> ia, ,. i:. `, '+. � �`• Permittee's''t DAVIE COUNTY HEALTH DEPARTMENT . Narr "{ I ` ` a " r _'tivironmental Health Section -PROPERTY INFORMATION • w P.O. Box 848' i, Directions to property: s �✓ N �� � Mocksville, NC 27028 Subdivision Name (' 411' " ..� �, Lill" Phone #: 336-751-8760 i" Section: Lot: I AUTHORIZATION FOR WASTEWATER i, ` SYSTEM CONSTRUCTION T e PIN:# AUTHORIZATION NO:o A 5�(Qr�.-z{S- „� Roa ame.-+`ill,,Jr�r^ P1 Zip: **NOTE** 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 applying for Building Permits. (In compliance with Aiticle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ° * *NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEllROOMS Z # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE / # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: -Yes or No LOT SIZE � TYPE WATER SUPPLY }•- t DESIGN WASTEWATER FLOW (GPD) jtf_6 -NEW SITE REPAIR SITE •� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANKS GAL. TRENCH WIDTH G ROCK DEPTH -� LINEAR FT.,r. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPR VEMENT PER ITL AYOUT � t G 0 y v FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:3b A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. PERMIT Y. t1Gf C k f"4-7 -rpS AUTHORIZATION NO. O �OPERATION PERMIT BY: DATE: "*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I I 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. > Do�2 (RovIsed) l v.W - (a.5Z3 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION 1 S(,fµC'gy A� �s3 Water Supply: Evaluation By: On -Site Well Auger Boring Community Pit PROPERTY INFORMATION AC) �5 t, ,JN C'-1 ?01 Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH A It Texture group Consistence Structure ,e Mineralogy HORIZON H 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 7 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: Ila y�0� 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 R 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 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 05/05 (Revised) DAVIE COUNTY HEALTH DEPARTMENT .(Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR-ONTRACTOR f�;%,, �, , DATE w - 7.� PERMIT • r _ �T LOCATION " r,';'`z;r�/.� R`�` -°,,�= r lr 9 559 S.R. NO. SUBDIVISION NAME "s:, 1 �' (� M.. tr, LOT NO. / SECTION OR BLOCK NO. HOUSE 1"(1411 SS ❑ NO. BEDROOMS �5 NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK P©p gal. NITRIFICATION FIELD li'S 0 sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual R Public ❑ IMPROVEMENTS PERMIT BY LOT AREA by- r *Construction must comp House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 al. 600,_Sq..a F, Three Bedroom House<4006-Gal. Ga 900 Sc.' Four Bedroom House 0 Gal. 1200 Sq. Ft. INSTALLED BY r I kd applicable State and �Q• / a�:e�}C .3 AI FLa 0 .� SSff Q i Date �)-;- -� local regulations 131+ {.ArEf DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name /AU_1 0'-4 `�cc+S Date 3425 y.., Location Subdivision Name oA Lot No. 125— Sec. or Block No. Lot Size 11C, ' -i-5_ House / Mobile Home _ Business Speculation No. Bedrooms --s No. Baths No. in Family Garbage Disposal YES ❑ NO ❑ Specifications for System: /6100 j; Auto Dish Washer YES E] NO E]�; Auto Wash Machine YES ❑ NO ❑ moo 3 h Type Water Supply `This permit Void if sewage system'`-degcribed bi low is not installed within 36 months from date of issue. 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 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. h DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name A(xsty- jc c +S Date 3425 Location _ Subdivision Name rOA / "I f!I t3cJ w Lot No. =3 Sec. or Block No. Lot Size 110 A -7-7-S- House Mobile Home _ Business Speculation No. Bedrooms No. Baths Z-- No. in Family Garbage Disposal Auto Dish Washer Auto Wash Machine Type Water Supply YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO -❑ *This permit Void if sewage syste Specifications for System: /0'00 ribed'below is not installed within 36 months from date of issue. Improvements permit by�� �y *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.