166 Springfield Drive Lot 4Davie County, NC I Tax Parcel Report Wednesday, November 23, 2016
WAKNhNG: '1'rilN 1N NOTA SURVEY
Parcel Information
Parcel Number: E8140A0004
Township:
Shady Grove
NCPIN Number: 5881034032
Municipality:
1.63
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:
Plat Page:
Zip Code:
Voluntary Ag. District:
No
Legal Description:
LOT 4 COUNTRYSIDE
Fire Response District:
ADVANCE
Assessed Acreage:
1.63
Elementary School Zone:
SHADY GROVE
Deed Date:
10/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009720407
Soil Types:
MrC2,GnB2
Plat Book:
0005
Flood Zone:
Plat Page:
210
Watershed Overlay:
DAVIE COUNTY
Building Value:
215770.00
Outbuilding & Extra
Freatures Value:
370.00
Land Value:
52500.00
Total Market Value:
268640.00
Total Assessed Value:
268640.00
9� 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 win nu. as of merchantability or fitness 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 al claims or causes of action due to
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1� C or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
* NOTE:Issued in Compliance With Article 11 of G.S. Chapter 130a f
6anitar%y�MagSystems;, % y /c'�// ^�� � `' `" /i/) Permit ,Nu +er
Name Date
Location
*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.
Y �
6q/ a>41/'%
F- t)iv ,way
0
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:
3°
System Installed by
Certificate of Completion "'`7� Date
r-
"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.
Subdivision Name
Lot No. Sec. or Block No.
�l
Lot Size
House
Mobile Home _� Business Speculation
No. Bedrooms
.No. Baths
No. in Family _
Garbage Disposal
Auto Dish Washer
YES NO
YES NO
❑
•
S ecifi alio r ystem: �.
�DOC1�,
❑
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.
Y �
6q/ a>41/'%
F- t)iv ,way
0
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:
3°
System Installed by
Certificate of Completion "'`7� Date
r-
"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
L • Davie County Health Department F��� IItt
Environmental Health Section R E� E u� E ID
P. O. Box 665 QCT ` 5 992
Mocksville, NC 27028
1. Application/Permit Requested By ,/moo S [/r/Hz 7ycc-i�
Mailing Address 2-0 • -a-X �`�ia C�� �'/h��✓ s �� �">p 2
Home Phone % 91- G S9- /0 9 y Business Phone 9/9- 26, - 0 3
4r $�
2. Name on Permit if Different than Above Y ANS (" .�� 1e" �c
3. Application/Permit for:
4. System to Serve: 93'House
❑ General Evaluation
❑ Mobile Home
"eptic Tank Installation
❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision t�o���✓�2Y Sr'Y Section Lot #
No. of People
No. of Bedrooms 7
No. of Bathrooms _ 3 c-4 .2 i3nn/
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: Q'Public ❑ Private
8. Property Dimensions L974,222 X.23T X, 912 Sewage Disposal Contractor
B-Basement/Plumbing
❑ Basement/No Plumbing
R'Washing Machine
Dishwasher
R'Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 2' 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: �.✓y�;Ps��'7-s'c V o 1--- AJ y 1s'T A-) �� 1
VC"C 'fwA�z� �V %inl (E %u� r✓ � «7 a �•�/ LcN7jC->i'/�s9 S 5 Qa ��
CO
or✓ iIFz vC /o 7-
w r Yc 73 c 6�
1Vz6 Gf 7 ��� i �r (13-'- 190
This is to certify that the information provided is correct to the best of my
incurred from this application.
,Ze,
DATE
and I undefstand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. p'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 sdita lity for a ground absorption sewage treatment
and disposal system. 16
—
/�/s- 5a
ATE S NATURE
DCHD (12-90)
DAVIE COUNTY HEATH DEPARTMENT
Environmental Health Section
% Soil/Site Evaluation
NAME _ /1 �� DATE EVALUATED --2-5'
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LAnVl11 e- LOCATION OF SITE
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring t1_1_ Pit Cut
FACTORS
1
2
3 4
Landscape position
L,
C.
L
Sloe %
--
-
HORIZON I DEPTH
Texture group
S'
S.L
,C
Consistence
Structure
Mineralogy
HORIZON II 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
l
Y
J
SITE CLASSIFICATION: _-S - EVALUATED BY:iq� I
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
Mineralolty
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 wate:' 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/ff2 ,
DCHD (01-901
,e
S 41° 17'
208.86
LOT 10
1,545 AC.
f 4° 09 00' W
285.00
LOT
1.4 3 9• A C.
34° 09' 00' W
28500
LOT 8
1.538 AC.
340 09' 00' W
285-00
LOT 7
1. 370 AC.
33° 54 41" W
is. R. 1656)ROAD
11NDERo ASS
61199 101 AL
A E 4p3.13
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w cr, 2.560 AC. oNe$
00 f
0;
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�►- N 34° 09 00' W
1 400.00
z S 550 51' 00" w
LOT 12 8742
^t "Ro 2.031 AC
No �n S 46041' 5 0"W
ARC 132.59
S g CHORD 13203
m N 3 49 2 7' 16" W
4 21.01
N 32033' 58"2E
CO
HOCRD =29
16
R : 25.00
LOT 13
S 39° 49 28" E
3 465 AC
U�O
78.15 C H
.
S 27°22'
2i' ECHORD : 232.19
'ARC
1,71 Ac
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: 232.42
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(.635 AC.fn yIA
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Q, 'n 9' 0 W
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0
_
S 41° 17'
208.86
LOT 10
1,545 AC.
f 4° 09 00' W
285.00
LOT
1.4 3 9• A C.
34° 09' 00' W
28500
LOT 8
1.538 AC.
340 09' 00' W
285-00
LOT 7
1. 370 AC.
33° 54 41" W
is. R. 1656)ROAD
11NDERo ASS
61199 101 AL
A E 4p3.13
{ N
Z 8.N 1
N Uo LOT It WLA.
w cr, 2.560 AC. oNe$
00 f
0;
m Control Corner
�►- N 34° 09 00' W
1 400.00
z S 550 51' 00" w
LOT 12 8742
^t "Ro 2.031 AC
No �n S 46041' 5 0"W
ARC 132.59
S g CHORD 13203
m N 3 49 2 7' 16" W
4 21.01
N 32033' 58"2E
CO
HOCRD =29
16
R : 25.00
410
LOT 13
LAN
3 465 AC
U�O
1' 21
w
0
1,71 Ac
N m
Q
0 0�
62 59
410
17' 34 E
66
1' 21
CID
1,71 Ac
340
ro
LOT 22
0
1,71 Ac =
339.4
s
0
p-1 0 0
gAC,��'
>, c
i`96l
l '0
A LOT 14
00 .
7.596 AC.
.S'
LOT 2;
1.99 Ac
LOT 6 a
\ 2.300 AC. /FROM
° LOT 5rN 557965 0"E� �9 AC. ? 0 - - 8.56;
`�'p°rPE QCARTERS CREEK ` �FLOOD LINE(
O .S DEPT. OF
30 �� A O� + 40.87 0. 39.61 DEV, MAP
N/°8.4 1691+.�+ m A N igr 5 0QO .isoN-42°15' 59"W +' �9f * S 72° 50' 57" W�SO., t.
14 .64 + X11284 1-\2� ' % N 21° 13' 29" W w • CARTERS C
• ��`87.19 N 67° 11' 06" W
N 12°15'19" W ° X41
S 67° 19' 11" W N 4272 44 311 W N 56° 31' 02" E +
34.38 0
N 17° 59' 03" W N 06010 14' E
80:48 TOTAL �� 49
N 38° 36' 19" W
N 480 58' 23" W
)8047' 5748.95 N 37028' 1 7" w
53.21