142 Springfield Drive Lot 3Davie County, NC I Tax Parcel Report Wednesday, November 23, 2016
WAK INti: 111th 1S 1VU'1' A SURVEY
Parcel Information
Parcel Number:
E8140A0003
Township:
Shady Grove
NCPIN Number:
5881035197
Municipality:
Account Number:
Census Tract:
37059-803
Listed Owner 1:
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
Planning Jurisdiction:
Davie County
City:
Zoning Class: DAVIE COUNTY R -A R-20
State:
Zoning Overlay:
Zip Code:
Voluntary Ag. District:
No
Legal Description:
LOT 3 COUNTRYSIDE
Fire Response District:
ADVANCE
Assessed Acreage:
1.48
Elementary School Zone:
SHADY GROVE
Deed Date:
10/1996
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001900570
Soil Types:
GnB2
Plat Book:
0005
Flood Zone:
Plat Page:
210
Watershed Overlay:
DAVIE COUNTY
Building Value:
236720.00
Outbuilding & Extra
Freatures Value:
8180.00
Land Value:
52500.00
Total Market Value:
297400.00
Total Assessed Value:
297400.00
91 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 wanar. es of merchantability or f iness 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 all claims or causes of action due to
NCor 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. Chapter 130a t
Sanitary Sewage Systems Permit
Permit Number
Name = t./� ii' �.a S~�� .%FF'��.' rl°,. Date>r'� 'lf
N-0
65 o e
Location.,
Subdivision Name r -r T Lot No. Sec. or Block No.
Lot Size f '; �r House Mobile Home _T Business Speculation
No. Bedrooms N Baths No. in Family _
Garbage Disposal YES Q' NO Specifications for System:
Auto Dish Washer YES pr NO
Auto Wash Ma thine YES jj NO
Type Water Supply
*This permit Void if sewage system described below isnot installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
F
Improvements permitpy
*Contact a representative of the Daie County HeNth Department f r final
9:30 A.M. or 1:00-1:30 P.M. on dXof completicdi�. Telephone Nu er ,
Final Installation Diagram
Syste
v�
led
J.a
of this system between 8:30-
W4- L-.4�-
Certificate of Completion \ .� Date a
"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 PER
Davie County Health Department ece �jE
Environmental Health Section U
_ ... _. _ ..._.. P. O. Box 665
Mocksville, NC 27028 AUG t 6 199
1. Application/Permit Requested By Jeo—k'1 &2 i 1JQU A
Mailing Address 39d/l_ 5-6 L— a 5
W-- Z) ,C'I • C��%'Y)man5 nd a%ala
Home Phone 76 — / 411 (0 Business Phone 7& -(49 -/WO
2. Name on Permit if Different than Above
3. Application/Permit for:
4. System to Serve: House
❑ General Evaluation
❑ Mobile Home
Septic Tank Installation
❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision C�Z(n it �� P� Section ' Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ("Washing Machine
No. of Bathrooms 2 l2 C"Dishwasher
Dwelling Dimensions y q y 3 �Zstbru �_ 2"Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
7. Type of water supply: ❑ Public
8. Property Dimensions
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes E No
If yes, what type?
E!rcommunity
*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: 1 6-5� -.o ?C)! • R f o n 90/. Z-8(4—on
hideAvP4s5 ? d, COUM5,KV51de-
pn 0 e Lof 3 /'-5 3'4 ane o 2 /-I- ,
NO�ll��wJ
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: 1. I 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 t/d (ti n w new h
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (12-90)
SIGNATURE
4
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ovo DATE EVALUATED �W %11
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE !t
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring _ Pit Cut
FACTORS 1
2
3
4
Landscape position
4(1-
LSloe
Slope%
i41;
.3
- -
HORIZON I DEPTH
Texture group
rl-
SL
Consistence
Structure
Mineralogy
HORIZON II DEPTH 7
'f 'r
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
.t
SITE CLASSIFICATION:1(K EVALUATED BY:
LDNG-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 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(01-901