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172 Springfield Drive Lot 5Davie County, NC - ITax Parcel Report Wednesday, November 23, 2016 WAKNMti: '11Uh 111' 14U'1' A bUKVEY Parcel Information Parcel Number: E8140A0005 Township: Shady Grove NCPIN Number: 5881021799 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 5 COUNTRYSIDE Fire Response District: ADVANCE Assessed Acreage: 5.34 Elementary School Zone: SHADY GROVE Deed Date: 3/2004 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005380585 Soil Types: MrC2,GnB2,ChA,WATER Plat Book: 0005 Flood Zone: Plat Page: 210 Watershed Overlay: DAVIE COUNTY Building Value: 314950.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 83770.00 Total Market Value: 398720.00 Total Assessed Value: 398720.00 F-01 �TC 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 wamMies of merchantability orrdness for a particular use. Ali users of Davie County'& GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultands, contractors or employees from any and all claims or causes of action due to 1� or arising out of the use or Inability to use the GIS data provided by this website. +}'r�*r,'b r♦l hki3.r"'1yy�+.se`wx4il if ��.ev �, } �� }„ 4 w. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a S nitary Sewage Systems Permit Number Name 1 GtJ �� '�� t%� /%_.c -"f "Date �' NO 7 4 0 0 Location e' _ Subdivision Name Wit✓= Lot No. <" �' Sec. or Block No. Lot Size House _L,-"' Mobile Home _ Business -- Industry No. Bedrooms �� No. Baths __ No. in Family _ Public Assembly Other Garbage Disposal YES NO ❑ Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma shine YES NO ❑ l'011 X 42 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. A At IJ 11e i 1 � r�tA� �S J( so, e!f'f V?�', 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., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 7046345985. Final Installation Diagram: e d� yl ��D 11 o ed etc oil /� 6 Sy.9m Installed by t ,p Certificate of Completion DateLG.�_ '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. tb DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With'Article II of G.S. Chapter 13 Sanita. S a e Syste , , Permit Number /"��{.�a �✓�r>« a;�� - ;- N 705 Name Date _o Location a Subdivision Name 3 Lot No. Sec. or Block No. Lot,'Size House— Mobile Home Business -- Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES NO ❑ Specifications for System: Auto Dish Washer YES NO Auto Wash Ma shine YES NO ❑ �X3��/�f ��* Type Water Supply *This permit Void if sewage system described below is not ins—talle4 within 5 years from date of issue. This permit is subject to revocation i site pl`ans`or tfie'trttend d u change. ,� f t 4 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 12 k a- .G� C✓ •E / tom' 1 l f � /so x 5 6 . i�v x 5-�:t ,v o }/�� 3 / Certificate of Campl inn 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 take�i 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 P. 0. Box 665 Mocksville, NC 27028 - # . 1. Application/Permit Requested By IV `L/W It � a - Mailing Address n C / Home Phone Cd14 0 Business Phone 2. Name on Permit If.Different than Above 3. Application/Permit for: ❑ General Evaluation Septic Tank Installation 4. System to Serve: ;.House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision rrY,AhcV,�e Section Lot # "�ELBasement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms '�SlWashing Machine No. of Bathrooms Dwelling Dimensions 'D 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes 3 No. of Lavatories -3 No. of Showers 7. Type of water supply: Public No. of Sinks ___14___ No. of Urinals No. of Water Coolers Water Usage Figures ❑ Private Dishwasher Garbage Disposal 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 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. r Directions to Property: 8 Q J S I D W ,U f.6S , This is to certify that the information provided is correct to the best of my knowl incurred fr m this application. —7 DATE I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION ,T[2 IAF 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 and disposal system. ' DATE DCHD (12.90) SIGNATURE 4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation. NAME ho gr ADDRESS PROPOSED FACIILTY Ay u,f-�. DATE EVALUATED PROPERTY SIZE j LOCATION OF SITE Water Supply: On -Site Well Community Public /,-1 Evaluation By: Auger Boring 1/ Pit Cut FACTORS 1 2 3 4 Landscape position L �- Slope % -- -' HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 1 02 y 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 i CLASSIFICATION LONG-TERM ACCEPTANCE RATE - -.2 SITE CLASSIFICATION: e -e Va A EVALUATED BY: _ A // LONG-TERM ACCEPTA CF, RA REMARKS: > c DCHD(01-901 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 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 Mineralo¢y 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 ■■..■.■■■ ■!■■!■■!■ ■...■...■ ■ ■■■ ■■......■...■■.■...■.n.......®1r.. ...■...■_■ ■ ■■ ■■...■.......■.■.■..■.■...■...Y.l.�ONE .■.■. .. ■■ i.■n.i...■. IN ■......A..■.■...■.■■■■■.......■ iiiiuiiiiiii■iiiiiiiiiiiiiiiiiiliiiii ■■■■ ■■m �E ■■■... ...■■.■■i..■C■■....■i......■..■.......■.i■■.. .■......... .■.■.■...■...■.�.N ■NE ■.■i ■■..■...■.........■..■■■.■.!■■l....■■....=i■iiiii ■■lU../.■■.■■■l...///////.!.!■ .■!.■.. ..■■...... .■..■..■!..■..■.../../.■.■■../■/.■.■../■ ../■./..l.l.l./...■.■■.■■n.■.■..■..■.■! n■■■ !/! ■..■MI...■. C.■...........■..■■■.■■.C.■ ....................■.■. MENEM ..■■...■..■■.■■.■C■!■■.■!■■■. .................. .................................................. ................................................... ................................................... --------------------------------------------------- Davie County Nealtlf De artment e Neakii len and �fam y cy 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 January b, 1994 Ronald W. Boger 832 Arbor Oaks Dr. Winston-Salem, NC 27104 Re: Repair permit 7400 Dear Mr. Boger: On January 5, 1994, this office met with you on lot 5 in Countryside. The purpose of the meeting was to discuss replacing 100 feet of septic tank drainline had been dug into, when the foundation for a detached garage that is to be added was begun. Line 1 shown on permit No. 7400 must be cut off. Fifty feet of drainline must be added to the ends of both lines 2 and 3, also shown on permit No. 7400. It should be noted that a large amount of water from the street and cul- de-sac flows across the area where the additional lines are to be added. This water must be diverted from all parts of the septic system, if the system is to function properly. If you have questions, feel free to call. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosures Davie County Nealtlr tie arfinent n .�ealtl ye cy and .i�ome 210 HOSPITAL STREET P.O. 80% 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 February 22, 1994 Ronald W. Boger 832 Arbor Oaks Dr. Winston—Salem, NC 27104 Re: Septic Tank Countryside/Lot 5 Dear Mr. Boger: The surface water from the road crosses the left side of lot 5 and drains across parts of the septic system. If the system is to function properly, this surface water must be diverted away from all parts of the septic system . If you have any questions or do not understand this letter, please contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure