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292 Pleasant Acre Drive Lots 94-95Davie County, NC , ITax Parcel Report Thursday, November 3, 2016 9 h 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 ffbress for a particular use. All 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 A claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this websfte. WARNING: T1i151S NOT A SURVEY Parcel Information Parcel Number: M50000003301 Township: Jerusalem NCPIN Number: 5745878453 Municipality: Account Number: 8301985 Census Tract: 37059-807 Listed Owner 1: ALLEN ASHLEY NICOLE Voting Precinct: JERUSALEM Mailing Address 1: 292 PLEASANT ACRE DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -8,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOTS 9495 BOXWOOD ACRES Fire Response District: JERUSALEM Assessed Acreage: 0.84 Elementary School Zone: COOLEEMEE Deed Date: 2/2013 Middle School Zone: SOUTH DAVIE Deed Book 1 Page: 009180315 Soil Types: CeB2 Plat Book: 0004 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY Building Value: 81800.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 15000.00 Total Market Value: 96800.00 Total Assessed Value: 96800.00 9 h 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 ffbress for a particular use. All 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 A claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this websfte. ell DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:'Issued in Compliance With Article dI of G.S. Chapter 130a Sanitary Sewage �� Systems ?. Permit Number Name .1Z.Wit,V19"{aate - f NO 82 Location �.f t'= l.�,,� r.'f�%P �1 % \r_.,_ r 4 Subdivision Name' Lot No. 4%f'<� Sec. or Block No. Lot Size Houses_ Mobile Home _ Business Speculation No. Bedrooms No. Baths _— No. in Family _ Garbage Disposal YES ❑ NO ❑- Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma.hine YES NO ❑ ��"" Type Water Supply r _ �t'ij` I`/. % `. b *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 �A= � 1 F ` t �O Certificate of Completion \ - *The signing of this certificate shall i icate that the sy_s`te described E the standards set forth in the above regulation, but sh4i, ( NO way be tak satisfactorily for any given period of .time. /r � a 1 "i Date –, 1,,.i e has,been installed in compliance with as a guarantee that the system will function No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 01,P'ublic ❑ Private ❑ Community 8. Property Dimensions Asn t Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes RrNo 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: ;4 4L Q SA �o 41, 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: Id 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 the Dayi}e Count H h Department to enter upon above described property located in Davie County and owned by 29—ill D to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. ATE V SIGNATURE DCHD (12-90) j CIO", APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department Environmental Health Section P. Box 665 f- off` O. JUN 10 ,9 •� Mocksville, NC 27028 1. Application/Permit Requested By %'r r D 9�z i" -5 Mailing Address Flo C4, G p_ /�L ` � 9 7 ('T �d Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation C7 Septic Tank Installation 4. System to Serve: EI'House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision 13 &,X -4, m o .� C��rS Section Lot # ElBasement/Plumbing 3 No. of People ❑ Basement/No Plumbing No. of Bedrooms 3 a Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 01,P'ublic ❑ Private ❑ Community 8. Property Dimensions Asn t Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes RrNo 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: ;4 4L Q SA �o 41, 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: Id 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 the Dayi}e Count H h Department to enter upon above described property located in Davie County and owned by 29—ill D to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. ATE V SIGNATURE DCHD (12-90) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY 4gr e - DATE EVALUATED �//,;192 PROPERTY SIZE //fif%A41cc�'.✓ LOCATION OF SITE Water Supply: On -Site Well L1_17/4! A] Public Evaluation By: Auger Boring !111- Pit Cut FACTORS 1 2 3 4 Landscape position Z-- Slope % — -- --- HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence Structure Mineralogy r 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 Z t SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 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 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 watet 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(01-901 ■EE■ ■ON■ ■OM■ ■ON■ ■OM■ ■no■ ■EM■E■■MME■ ■M■MEME■EM■ ■EM■ ■OE■