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128 Barney Rd Davie County,NC Tax Parcel Report LP 4 �� Monday, September 26, 2016 154 144 2363 W 2337 128 1i / 73 co r� r i /l r 2263 j� 1�� 'r �• WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G70000013102 Township: Shady Grove NCPIN Number: 5870100894 Municipality: Account Number: 8302571 Census Tract: 37059-803 Listed Owner 1: STONE JAMES WILLARD II Voting Precinct: WEST SHADY GROVE Mailing Address 1: 164 BARNEY RD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag.District: No Legal Description: 2.00 AC BARNEY RD Fire Response District: ADVANCE Assessed Acreage: 1.83 Elementary School Zone: SHADY GROVE Deed Date: 9/2013 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009380003 Soil Types: Gn132 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding&Extra 6480.00 Freatures Value: Land Value: 35870.00 Total Market Value: 42350.00 Total Assessed Value: 42350.00 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, Implied warranties 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. I DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems� Permit Number Name !!9� Date _e� N2 Location Al �✓ r Subdivision Name 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:hive YES NO ❑ Type Water Supply _ *This permit Void if sewage system described below is not installed within 5 years from date of issue. T�is,permit is subject to revocation if site plans or the intended use change. V 1� 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 / f ' *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 r Davie County Health Department Environmental Health Section - P. O. Box 665 r . Mocksville, NC 27028 ij�,�'► wr� 1. Application/Permit Requested By d �► �✓ /�/O U g rq� Mailing Address_ Vl -;�' 2 O.f' � f�4//�7(G5- A/C a 719 Home Phone 99Z96P6 Business Phone 7d 6 3 - G'iR-.5((', • 2. Name on Permit if Different than Above • 3. Application/Permit for: ❑ General Evaluation JK'Septjc Tank-Installation s 4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot# ❑ Basement/Plumbi4 No. of People ��4(f c��7� ❑ Basement/No Plumbing No. of Bedrooms AZWashing Machine No.of Bathrooms A Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, 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 Water Usage Figures 7. Type of water supply: Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes R'No If yes,what type? '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: 0 PrtY 5 71VCar/I,0f2.e, oh 9 '0 P-ot r-�- a i'LC u. /t n a/ fork-8i k6 f, row, 5 d ;,IV Z D Arl L 7- j,t- lZ 6 Wr A�y r� � �Q i'n p ra�-- .-d, i r► C✓.(�� .r=l P! p h .T�� 6r- Ar n ry /a/ 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 incur d from this application. DATE1��u SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: I� 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 SIGNATURE DCHD(12-90) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME � Wa/ DATE EVALUATED ADDRESS PROPERTY SIZE D�A PROPOSED FACIILTY /"7/ // LOCATION OF SITE �n4, Water Supply: On-Site Well Community Public 4� Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position 4- L L Sloe % — — HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH �'- Texture groupCf 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 SITE CLASSIFICATION: EVALUATED BY: 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 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 ■■ww■.ww■■www■■...■■■■■■■■■■■■...■■■■...■.......■...■....■w■.■/.■■ ■w...w.■■www.■■w....■■■■■■..■■.■■.■■■w■■■■//..//■.../.■.....■....■ ■./■..■■■.■■■www.//.■■■..■.../.■�■/............/...........■■/.■■ ■..■■■■www..■■■■■.■■■■■a■■...■■■■.■■...w■.....■.w.■/w.w./...■.■■.. ■■..■//■...■■■■■...■../■■■■.■...■..■ill.■■■.....■.....■........�..■ ME ■ecce■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■.■■■.■.■■■■il.�f■■■■■■■■■■■■....■ ■■■■■■■■■■■■■■■■■■■■■■■■.■w■■■■■■��■■■■.■.■■w■■■■■..w■ ■■■■■w■■ ■.■■....■...■■■.■■■■■■■!tl■■■..www.■■..■■.�../..■■■■....■..//..■■.■ .................................................■...........�..■. iiiiiii■■iii■iiiiiii�iiiiiiiiiiiiiiiiiiiiiiiii�■iiiiiii.�iii�iiiii ■/■■■.■M■■w�i/./■/■■.■.....■■...■..■.......■..l..■■...........■/.■ ................................ ....... ................... .... .................................................................. ■.■■■■■■■.■....w■■■■�i■www■■■■■.■�.■■■■■■.w■■■■/■■...■.■/.■■..■■w■ ■■eeeeececccceeeeeeec■■eecee■■■■ecce■■.■■eee.■ec■■■■e.■■/■■../■■.■ ■e■■■■■■.e.■■■ee■■■e■ecce..■eee■■eee■■.■■w■.w■ee.■ce.■e■■■ee..■■e■ ■.■..■■/....■/..■■/■!■■■./■..../■.■.....■....■.......■......■■■■.■