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171 Country Circle Lot 16Davie County, NC , Tax Parcel Report Tuesday, November 29, 2016 Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 101 All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Impliedwanantlas 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 all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E8140A0016 Township: Shady Grove NCPIN Number: 5881110535 Municipality: Account Number. 8304045 Census Tract: 37059-803 Listed Owner 1: BROWN CYNTHIA MARIE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 171 COUNTRY CIRCLE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 16 7.80 AC COUNTRYSIDE(7.80 AC) Fire Response District: ADVANCE Assessed Acreage: 7.80 Elementary School Zone: SHADY GROVE Deed Date: 8/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009660977 Soil Types: MrC2,SeB,GnB2,EnC,ChA WATER Plat Book: 11 Flood Zone: Plat Page: 304 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 101 All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Impliedwanantlas 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 all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. �,� l�-..j4 0 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE. -OF COMPLETION lP' / *NOTEt Issued in Compliance With Article II of G.S. Chapter 130a //SJJan__itta�arry rm Sewage Systems Peit Number Name e' ry Date /S'� N2 7522 Location G �F�rlivieinnAl�me Lot Size House Mobile Home _ Business __ Industry No. Bedrooms '� �. No. Baths _Ng/, -2 No. in Family � _ Public Assembly Other Garbage Disposal YES ❑ NO [' Specifications for System: Auto Dish Washer YES NO ❑ %�/t�!'r''�, VK Auto Wash Ma thine YES NO ❑ ( N Type Water Supply 'This permit Void if sewage system described below is not installed within 5 years date of issue. This permit is subject to revocation if site plans or the intended use change. /.i? � ft'i�'%f'r � � G� ✓f� li( /yr �-t/ Gv, �% ' /b! Improvementspermit by _ -)W "Contact a representative of the Davie County Health Department for final 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. Telephone Number: 704-634-5985. Final Installation Diagram: System Inst—al eci SW 1) Yff - 0 V3. � VA4 Al Certificate of Completion Date '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. 4 z 'ti APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department -q Environmental Health Section P. O. Box 665 2 y 1993 Mocksville, NC 27028 1. Application/Permit Requested By. C-���� C�TT�t nor✓ �;� `:5 Mailing Address �• n • d-le2 _ 44�4 Home Phone 27bi2-- Business Phone 6'3-f- L/ 2. Name on Permit if Different than Above NT 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 0 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Ind stry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Section Lot # ❑ Basement/Plumbing No. of People G"Basement/No Plumbing No. of Bedrooms O'Washing Machine Z �v No. of Bathrooms Dishwasher Dwelling Dimensions �/Ok 92- ❑ 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 - No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: Ef Public ❑ Private 8. Property Dimensions 7.5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes L/ 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: A�� r567 ZAA,' %rte — v -Dr 241dS�'T 7t'o ZA12D S&rS 1A1 �Ui2t/�5E- � WA55— This is to certify that the information provided is correct incurred fr m t 's application. DATE of My ky1gw,ledge Ahd I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TQ BED NE 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 representativ of the Davie Coypty Health Department to enter upon above described property located in Davie County and owned by Arc- AI--' to conduct all testing procedures as necessary to det r7 in said site itab'lity fo a ground absorption sewage treatment and disposal sy tem. DATE SIGNATURE DCHD (1/93) NAME � �/ aVd, ADDRESS DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPOSED FACIILTY /` pies—'`( Water Supply: On -Site Well DATE EVALUATED V P PROPERTY SIZE % YAe LOCATION OF SITE L.Ir"" 3'1 4r,141-1 Community Public // Evaluation By: Auger Boring ��_ Pit Cut ©A)e FACTORS 1 1 Landscape position L 1.1- Z .L- L 4 - Slope Z a2 '7 HORIZON I DEPTH ' Texture group•C, �G rL Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence i Structure /l Mineralogy l V 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 RA SITE CLASSIFICATION: 'o�'io EVAL4TED BY: /4/l/ LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: : S .* � e te" 1'!/ S'' DCHD(01-901 LEGEND-g-eW111I/ 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 f ? , 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