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154 Barney Rd Davie (;county,NC Tax Parcel Report 0;3 Monday, September 26, 2016 X1 �5 4 < 144 WARNING: THIS IS NOT A SURVEY :..Parcel Information Parcel Number: G70000013104 Township: Shady Grove NCPIN Number: 5870111261 Municipality: Account Number: 8305743 Census Tract: 37059-803 Listed Owner 1: STONE JAMES W 11 Voting Precinct: WEST SHADY GROVE Mailing Address 1: 154 BARNEY ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag.District: No Legal Description: 1.000AC LOT I HOWARD S/D Fire Response District: ADVANCE Assessed Acreage: 0.90 Elementary School Zone: SHADY GROVE Deed Date: 11/2015 Middle School Zone: WILLIAM ELLIS Deed Book Page: 010050071 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 296 Watershed Overlay: DAVIE COUNTY Building Value: 74860.00 Outbuilding&Extra 3680.00 Freatures Value: Land Value: 20480.00 Total Market Value: 99020.00 Total Assessed Value: 99020.00 All data 13 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. Lf DAVIE COUNTY ENVIRONMENTAL HEALTH �J P.O.Box 848/210 Hospital Street a�lX Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990005009 Tax PIN/EH#: 5870-11-1195 Billed To: Randy Edwards Subdivision Info: 1W ,3grnJeAr /cls Reference Name: Location/Address: Barney Road-27006 Proposed Facility: Residence Property Size: 1 Acre ATC Number: 4823 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article 11 of G.S.Chapter 130A,Section.1900,"Sewage Treatment and Disposal Systems," M.-shall in NO WAY be'takeQen as a guarantee that the system will function satisfactorily for any given period.of '- System Type: S.T:Manufacturer Sly Tank Date lo-L7 Tank Size l 4*6 Pump.Tank SizeAfa 1� System Installed By:Faut'l E.H.Specialist: Date: 13 0 L ct 33z� C • � r FI ' H 1 / �titi • � I S . a v �. f y v N i t . DAVIE COUNTY ENVIRONMENTAL HEALTH fd' P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Fax#(336)751--8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005009 Tax PIN/EH #: 5870-11-1195 Billed To: Randy Edwards Subdivision Info: Reference Name: Location/Address: Barney Road-27006 Proposed Facility: Residence Property Size: 1 Acre ATC Number: 4823 Site Type: 21 ew ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. Residential Specifications: #Bedrooms#Bathrooms #People Basement❑ Basement plumbing❑ Non-;Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size t Q G r'� Type of Water Supply: R< unty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD)30 Tank Size GAL.Pump Tank e �" AL. II '1 ,, / Trench Width 3 Ce Max.Trench Depth 3 G Rock Depth I o, Linear Ft. 3G Site Modifications/Conditions/Other: As stated in tem15A mayCAC also be 69( a PrP t d Systems may also be usEUU Contact the Davie County Environmental Health Section for final inspection of this system between 8:30—9:30a.m.on the day of installation. Telephone#(336)751-8760. C) 1 a V � � r b� 1 bvironmental Health Specialist Date: GoMAPS -Davie County NC Public Access Page 1 of 1 Davie County, NC - GIS/Mapping System apr' t � �r—t�, Click Here To Start Over Quick Search:{County ID c (CIC A. ;+ oP I,J Active Layer. ❑� Use Map Tres GIs 04U R' � 0 �' ";I � ' PARCELS{Map Tips Available) w Map Layers I Results 177 _ v 294 64 2399 4n(67) (232) 238510 mom \ �t1 rr 241 Q LO 144 04- ^ 2363, 170 74 a Q �128a 2337� >- u.► z a1 d m rON D aa en Cn sem ' V f http://maps.co.davie.nc.us/GoMaps/map/Index.cfm?maimnapservice=gomaps&CFID=412... 3/13/2008 Davie County Environmental Health P.O.Box:848/210 hospital Street Mocksville,NC 27028 .(336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account #: 990005009 Tax PIN/EH M 5870-11-1195 Billed To: Randy Edwards Subdivision Info: Address: PO Box,403 Location/Address: Barney Road-27006 City: Cleveland Property Size: 1 Acre Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system: An Authorization To Construct a was system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Permit Type: ew ❑Repair ❑Expansion Permit Valid for: Rl�Years ❑No Expiration Residential Specifications: #Bedrooms 3 #Bathrooms 2e— #People 3 Basement❑Basement plumbing Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD):3 C-n Type of Water Supply: OL!ounty/City ❑Well ❑Community Well As stated in 15A NCAC 18A.1969(5) Site Modifications/Permit Conditions.: -accepted Systems may also be. used System Type LTAR Initial Q c Q. D.7 Repair d 6.a--7 Site Plan ' 4 �! } s � � d ` u r pt oe Environmental Health Specialist /%�� Date i / J Owl rMd4�� 7 abed c d W& R SITE EVALUATION/IMPROVEMENT PERMIT & ATC7O n'ltV16 Q 8 Davie County Environmental Health L/Ne N P.O.Box 848/210 Hospital Street �pN Mocksville,NC 27028 weer (336)751-8760/Fax(336)751-8786 u� �- A plicationorNRONM�A valuation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both f T e o cation: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility WA / ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED / INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed :f�i✓di f,6-v*e-,.l 5 Contact Person Billing Address •O. Home Phone City/State/ZIP__ ('/�,,% &;�.,d 2 7yf-K Business Phone 7d y Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE:.,,A survey plat or site plan must accompany this application, Included: ❑ Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name ey Iyoltd A__47fd Phone Numb er#j3G-99e- vo Owner's Address -1" ( City/State/Zip Property Address �� City >I Lot Size �' /j! Tax PIN# 8 $`27�Jf ,75 Subdivision Name(if applicable) Section/Lot# AD'rections To Site: u- ,- �(G - aiev- rni FOp/�N A . ui !sfanswer to any o the following questions is"yes",supporting documentation must be attached. �ldn6f Are there any existing wastewater systems on the site? ❑Yes,BNo Does the site contain jurisdictional wetlands? ❑Yes 9,<O � Are there any easements or right-of-ways on the site? ❑Yes ❑No Is the site subject to approval by another public agency? ❑Yes D Will wastewater other than domestic sewage be generated? ❑Yes amo� IF RESIDENCE FILL OUT THE BOX BELOW FP eople 3 # edrooms' #Bathrooms U2 Garden Tub/Whirlpool ❑Yes ZNesement: ❑Yes KN Casement Plumbing:.:❑Yes Nco IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business`� Total Square Footage of Building #People #Sinks 2W _ #Commodes /.V #Showers e�_` #Urinals Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested; BCZ'nventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: Cj'G�ounty/City Water ❑New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes GJ too If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging or staking the house/facility location,proposed well location and the location of any other amenities. "�" Site Revisit Charge Property o is or owner's legal representative signature . Date(s): Client Notification Date: Date EHS: Sign given ❑Yes ❑No Account# L5 Revised 11/06 Invoice# GoMAPS -Davie County NC Public Access Page 1 of 1 Davie County, NC - GIS/Mapping System 'TA (( Click Here To Start Over Quick Search:(County ID c (.LO Q �O Active Layer. r'Use Map Trps GIS mobsELS(Map Tips Available) 77 Map Layers I Results I 177 _ .:,. 2415 — -164 2398 r Q, 2385 `p4� 144s r 2383 t 2444 i _ X284 2337 � 1 a- w z m i r i SO I http://maps.co.davie.nc.us/GoMaps/map/Index.cfm?maimnapservice=gomaps&CFID=412... 1/28/2008 a, W y . '.� p•��,�y�!�'�►'Z'/Y e�.+" �,.1"� .by � r now ' "�-�,•.�y'"r:�-^. �'�4 n :�t,i =t •'. 4 a�rf^�y� '�"^ "tic 9 �f � �• '¢rte .. '�, 2 _.• ti i tf � 4 s. •. GoMAPS -Davie County NC Public Access Page I of I Davie County, NC - GIS/Mapping System Click Here To Start Over Quick Search:(County ID 7 7 ,cc Uw Active Layer. r Use Map Trps GIS � ITN EZ IPARCELS (Map Tips Available) Map Layers I Results I WATER 7 2at5 2,K <ti P _ — 2385 GnB2 \ 2363 j \ xN �,� R \ } z xg / Q m y J J I M 0 94ft http://maps.co.davie.ne.us/GoMaps/map/Index.cfm?maimnapservice=gomaps&CFID=412... 1/28/2008 �` . 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'iii=iiiii�i■iiiiiiiiiiiiiii�■ii"iieiii�si'i■iiiii'■iiiiiiiiiu■iiu DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �e Q, • �j DATE EVALUATED 4 93 ADDRESS S PROPERTY SIZE PROPOSED FACIILTY )rNa as.z LOCATION OF SITE Water Supply: On-Site Well �� Community Public Evaluation By: I�L Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position S s S Sloe % O- y° <:) --,o 0`170, HORIZON I DEPTH Ev� Texture rou LConsistence Structure V_ Mineralo HORIZON II DEPTHTexture rou CConsistence �-L Structure li _ f "-_ lK Mineralogy \ ; I 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S 1S.5 S S S RESTRICTIVE HORIZON - '- SAPROLITE CLASSIFICATION S SVES LONG-TERM ACCEPTANCE RATE .4 . y .4 SITE CLASSIFICATION: EVALUATED BY: �A c LONG-TERM ACCEPTANCE RATE: ' r OTHER(S) PRESENT: REMARKS: 1•,1 - � � ; - 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 watef 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