198 Ginny Lane Lot 14Dav
WARNING: THIS IS NOT A SURVEY
Parcel Number: D707OA0014 Township: Farmington
NCPIN Number: 5862734420 Municipality:
Account Number: 82530449 - Census Tract: 37059-802
Listed Owner 1: SHEETS MICHAEL Voting Precinct: SMITH GROVE
Mailing Address 1: 2795 PARK OAK DR Planning Jurisdiction: Davie County
City: CLEMMONS Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 7012-0000—`Voluntary Ag. District: No
Legal Description: LOT 14 SPRINGDALE Fire Response District: SMITH GROVE
Assessed Acreage: — — - 0.93 Elementary School Zone: PINEBROOK
Deed Date: 1/2009 Middle School Zone: NORTH DAVIE
Deed Book / Page: 007800821 Soil Types: GnB2,GnC2,GaD
Plat Book: 0005. Flood Zone:
Plat Page: 142 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
!017
QbVrd.
c00 It
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any kind 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 webslta shall held harmless the
County of Davis, North Carolina, 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 me GIS data provided by this website.
_ DAVIE COUNTY HEALTH DEPARTMENT
IUD. am .
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
-Sanitary Sewage Systems ..... Permit Number
Name J r,s Q Ph U , �-. o yr (Date �i i ��� N2 6282
Location Vit 5 b %qj
&1114a 1,10
Lot Size ayze House Mobile Home _
No. Bedrooms 'No. Baths 'No.. in Family �—
Business Speculation 4..
Garbage Disposal
Auto Dish Washer
YES ❑ NO
YES [Q�NO
❑c?
Specifications for S ste :
em ` _
L�
YES [p"O,
❑ n'
Subdivision Name
rfL4" a(a
Lot No.
Sec. or Block No.
Lot Size ayze House Mobile Home _
No. Bedrooms 'No. Baths 'No.. in Family �—
Business Speculation 4..
Garbage Disposal
Auto Dish Washer
YES ❑ NO
YES [Q�NO
❑c?
Specifications for S ste :
em ` _
Auto Wash Machine
YES [p"O,
❑ n'
�
3 ted' � 3 �
Type Water Supply
C&u L"
`This permit Void if sewage system d c be
This permit is subject to revocation i sit'.
c
J beloWispot installed" [thin 5 years from date of issue.
ans or the:intended use change.
� 7
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_4LJ94/
"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
Davie County Health Department
Environmental Health Section
Mockoville, NC6627028 RECEIVED FEB 13
1. Application/Permit Requested By Uy ' L �w_
Mailing Addresspl�'L1 1 �y7� �S-6 q 2 N/6 Z7LJ
Q
Home Phone _/ / / Business Phone
2. Name on Permit if Different than Above ��1
3. Property Owner if Different than Above of � L C' //JJi�L7L 1
4. Application/Permit For: 0 General Evaluation S/Tank Installation
i p�/
5. System to Serve: House Mobile Home Business
".Industry G Other --``, 0 Unknown
6. If house, mobile home: Subdivision i 1r1�1L Sec. LotR
No. of People c/ 2 Dwelling Dimensions
No. of Bedrooms �" Basement%Plumb
No. of Bathrooms Basement/No Plumbing
Dishwasher , Garbage Disposal
A Washing Machine
7. If business, industry, 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
8. Type of water supply: Public 0( Private PCommunity
9. Property Dimensions lD�/^ Qa CLoS&A
10. Sewage Disposal Contractor, 1a� S�fi{��/ �✓��9���
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes fah No
If yes, what type? T(�V
*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.
This is to certify that the information provided is torr t to the
best of my knowledge, and I understand I am responsible or all
charges incurred from this applicati
Date /' Signature
)irections to Property: V/
L/— �t&
fib C;ndL::7'l -76 GrAIX� LJ TSL j %%n1/-1
D!J ���'ftLfLl�- iSiLLe1J Dl✓F
! IJ
J
1 �
l
-r 13---------------------
� A�
DCHD (10-89) 17 V
['�-A�rTr-eas
I.
Davie County Health Department
Environmental Health Section
f Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
( p�l� A /� (office use only)
0ye1. I am the owner of thE' above described property.
no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from 011 Cr 1obtain a
owner's nalide
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and dispo I)system.
DATE SIGNATURE
DCHD (11 /84)
4. 1 hereby authorize the Davie Coupty Health Department to release site
evaluation results from the above de ribed property to the following:
-Owner only
Owners designated representative
Anyone requesting results
_ Only those listed below
DA ESfIGNATURE
/w W
k 48. 11r PQ ly3
N06°03' _
07"E���
37.31
S %5°.�s'; ONTROL CORNER - I
I 227. 36"
I
0.6 C. 0 40
c\jLu /84 /•3g WILLIAM M. MILLER
--_N_86'tT16°W_' N 6O TOT4t DB.81 PG. 523
225.8fi -- -} Iw 0.841 AC, a } S9S S 86°42v39''E
I UTILITY EASEMENT" j �. Q 35 97 TOTAL,
v n 1_�� ° a 4 v stone 179.23 27.18 S 86°42' 39"E -+
O1 2 �o I n o � v Q, CONTROL CORNER f 152.56 175.00 I /+ 175.00 1050.00 TOTAL
N �� T 1 z N M u 11 Iwo, 175.00 stone
I 0:670 AC N ; 0.730 AC. 0.795 AC. 5 �, 0. 07 AC. o : W 1 175.00 175.00 175.0
o _ oLu
l z °' ' N 525.00 TOTAL O CONTROL
f 226.84 S' I Its' 160.00 z /90 o io 6 p 7 N O w $ = 0 a
614.95 TOTAL - 0 175.00 53.11 .��Be g 3 Jic p I- �� O �!� j. O W �� N 0 9 p lan
227.-0 STkEET6) I7' 16" W O° N 4 z 6 N ri o a o 0 �� 0 0 1 0 N J
°'a /0 N z 0 0. 805 AC. ° `4
(PUBLIC GINNY 3 0.804 AC. c I< In N o- `� N o
4
LANE °Dr���s '0j4 Z , cc 0.804 Ac. o o
S 86° 17' 16" E 1j3°5p c. i N z i�i� z 2.362 ACRE O
617.22
TOTAL / " N rn
37 2 `\ W 75." 175.00 g'i T �@ a,9 8429 a
�n 6U N69. .00ry rod/ 1 6� 175.00 ? 0 3.74 oh• N
WILLIAM A. _ o R/W /O Q/ o us 158.96 or, 10
ELLIS 37a ;p 30 N 6°42'39"W N 86°42'39 W v
D.B. 99 ° o Q4- h. 1.15 N 86-4 GINNY ' ^ �(C 25'R
PG. I m p Lu °8 orc l�2 2;1, c ��`dly��_�` LAN � � LIC STREE. 'qX 50 50.00 arc 440.76
a, Z _ N68°t 96ch 52.Qborc6Z9� ' S86�4 9 E �� R 47.94 ch m
30' EXISTI " Q N moo,' sz.c �n 12s.00 Iso.00 Iso.00 2s'R J
413.31 TOTAL NG EASEMENT J 18 W ^Hh°4s'24"w 91.04 3
N 86° 13 3 6 W - 524 AC. _ ` y moo` 4• d F;Oo I. 8 G _
l+ 4 �� o I CI
S 86°13' N ' (o (o o`+ '90 ' 1 0
36 E �_ 84° 53 44 W m
383.56 TOTAL r ; w am. N w vcoc 1
1 132.47 Q o 182.70 v w - Fy° 1 N Q
RIDDLE 132.47 Q cu 1 _
118.62 9%
PG. 301 Q v N 0.561 AC. w N m a° Po- LO n 3 4d N m o
(� ' _ S
3 W W /� F- 1 M 19 N r 1 6 � f` N 4 r` 0 O 43 � � N
to M N L n (A W �� W 'J �I N -� ° N 1 7 o N 1 3 M N 12 Sly if. 1
0- N 23 a` N W W
N -. r- 'TcD '� I��� O �� O �� I • /
rYi -. ,� ^> �� c l _ uoi �O N 84 53' 44" N ■�� ^ o M z 0 937 AC- z z 0.972 ACRE 150-• oo__
r.:, ° v v ° w 0.901AC.z 1.012 AC. 0.852 AC. __-- CO TROI co
N N ° 249.19 O tO 186.89 -
0 0 o m `-' 0 0.561 AC, :n 0.914 AC'. 1 __--
316.d6_--------
v, . Z 0-768A z o 21 =° rn m °n '0 l z i ` --_151.58_ -- - 1047.91 TOTAL Id UTILITY EASEMENT
n = o rn O 151.58_---
N o fi�----
�10'UTILITY EASEMENT IS 126.31_--
- �� S 85°0054"W
--123.75-18.03- - �_ �' EASEMENT F l DE-SAC
3556"W -- :\TEMP0IRARY GU __- ----121.00---
IO.Iy -'132.53-- i 193.4 5- O Ip UTILITY EASEMENT
N 86°02' 255 W N 87°55 S� L--11507--- 60.94 :. S B ° 0 54. W to unuT
NEAL S. CORDON , SR:
150.56 TOTAL 490AG TOTAL 4 , ' PLAT BK. 4 PG. 163
NEAC.S: GORDON, SR.
N n,' _ D' `' 121 VG. 574
4 163
Al 47 __SUF
:as = DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME _�n e n k>j DATE EVALUATED
ADDRESS Sr Q y t�Q PROPERTY SIZE 0 X S3 I
PROPOSED FACIILTY D USS- LOCATION OF SITE S� R\ No, "& Aw
Water Supply: On -Site Well Community - Public_ y - -
EvaluationBy:CE), Auger Boring 1/' Pit Cut
FACTORS
1
2
3 1
4
Landscape position
5'
S
-5;
Slope Z�-
HORIZON I DEPTH
G
Texture group
C L
L
C l_
Consistence
QM 1;1
Structure
R
Mineralogy
HORIZON II DEPTH
14 1
4.1,
Texture group
Consistence
Structure
4
Mineralogy
1.
.I
I'
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
—
SAPROLITE
—
—
—
—
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: - "-%' Sz -
LANG -TERM ACCEPTANCE RATE: "JS -,40
REMARKS:
DCHD(01-901
EVALUATED BY: leo t9
OTHERS) PRESENT: _ _ ':5-k
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 -Nonplastic SP -Slightly plastic P -Plastic VP -Very plastic
Structure
SC,8ingle grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineraloar
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