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150 Hidden Creek Drive Lot 5Davie County, NC , Tax Parcel Report Thursday, January 26, 2017 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: WAHNMG: THIS 1S NOTA SURVEY Parcel Information E915OA0005 Township: Farmington 5871571964 Municipality: BERMUDA RUN 82525803 Census Tract: 37059-803 BOWLING FORREST W Voting Precinct: HILLSDALE 150 HIDDEN CREEK DRIVE Planning Jurisdiction: BERMUDA RUN ADVANCE Zoning Class: BERMUDA RUN,DAVIE COUNTY R-A,CR NC Zoning Overlay: DAVIE COUNTY QD 27006-0000 Voluntary Ag. District: No LOT 5 HIDDEN CREEK SECTION 1 Fire Response District: ADVANCE 0.84 Elementary School Zone: SHADY GROVE Land Value: Total Assessed Value: 2/2006 Middle School Zone: WILLIAM ELLIS 006470542 Soil Types: GnB2 0005 Flood Zone: 179 Watershed Overlay: BERMUDA RUN,DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9 :�AAll Davie County, 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 NCor County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to 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 11 of G.S.,Ch pter 130a Sanitary Sewa a Systems ,�,�!%%-.T3 Permit Number Name - Date NO - 7561 1 Location Subdivision Name 'z�f I. � Lot No. Sec. or Block No. Z Lot Size __ _ House Mobile Home Business —_ Industry No. Bedrooms_ Baths '2 No. in Family Public Assembly Other Garbage Disposal YES, 0 NO 2,— Specifications for System: Auto Dish Washer YES I NO ❑ Auto Wash Ma,.hine YES NO ❑ Type Water Supply '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 _–id,L "Contact a representative of the Davie County Health Department�`fiI inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telep a Numbe . 704-634-5985. Final Installation Diagram: stem nstalle by q Certificate of Completion Date 1 'The signing of this'certificate shall indicate that the system described above has been installed in compliance with %he 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 Environmental Health Section Soil/Site Evaluation NAME Z�AZ Y/ yi �//1, DATE EVALUATED ADDRESS PROPOSED FACIILTY Ag& PROPERTY SIZE / "4e LOCATION OF SITE��' Water Supply: On -Site Well Community Public zl:f� Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position I— Slo a % 12 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure / Mineralogy•/ 1-'/ -i HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 7-17 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: - REMARKS: DCHD(01-901 EVALUATED BY:. If 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 Tovtnrn S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SILL -Silty -:lay 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 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 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT 'r Davie County Health Department Environmental Health Section . P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By ���/� A", zlalPp S Mailing Address 0, 130K �-ZO Home Phone 9iO- 9Z -Z - 4 73 -7 -?joys' Business Phone W6 - 927--4737 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 4. System to Serve: ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision A/11oX�p'J (211ePle No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions 3 -70),'4 0 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks ❑ Place of Public Assembly ❑ Unknown Section Lot # S ❑ Basement/Plumbing ❑ Basement/No Plumbing ErWashing Machine B -Dishwasher ❑ Garbage Disposal No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: [R -Public ❑ Private 8. Property Dimensions 1.35.70 ,,c ct/5/, Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes RI No If yes, what type? ❑ Community "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 bes my knowledge, and I uncle to incurred from this application. 914 DATE SIGNATURE I am responsible for all charges 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 If disposal system. DATE SIGNATURE DCHD (193)