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204 Bean RdDavie County, NC _ ' Tax Parcel Report Wednesdav, October 12. 2016 WAlZN1NG: 1H1S 1S NUT A SUIZV�:Y Parcel Information Parcel Number: N600000094 Township: NCPIN Number: 5745928793 Municipality: Jerusalem Account Number: 1050900 Census Tract: 37059-807 Listed Owner 1: ALLEN PHILLIP DUDLEY Voting Precinct: JERUSALEM Mailing Address 1: 204 BEAN ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE State: Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-6603 Voluntary Ag. District: Legal Description: LOT 8 BOXWOOD ACRES Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 9" �'�' Davie County, °��N�� NC 5.23 Elementary School Zone: 5/1994 Middie School Zone: 001740460 Soil Types: 0005 Flood Zone: 137 Watershed Overlay: 208820.00 Outbuilding � Extra Freatures Value: 48060.00 Total Market Value: 278360.00 JERUSALEM COOLEEMEE SOUTH DAVIE PaD,PcB2,PcC2 DAVIE COUNN 21480.00 278360.00 m � 'µ� , ' .. . . "•.� ,, • DRVIE CDUNTY HERLTH DEPARTMENT .. ` ' IM�ROVEM�IT PEAMIT and OPERATION PERMIT II�AOVEMENT PERMIT *+�NOTE�+� This i�prove�ent per�it DOE5 NDT autharize the constru�tion or installation of a septic tank systei or any NasteNater syste�. RN RUTH�RIZATION FDR NflSTEWflTER 5Y5TEM CDNSTRUCTI�1 wst be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. (In co�pliance with Article 11 of 6.5. Chapter 1�A, Wastenater Syste�s, Section .19@0 Sewage Treat�ent and Disposal 5yste�s) NAl� Q , �• ��\� � PR�ERTY ADDRESS LOCATIDN �oU � � � ��Cec�• � S2 E>'N � �� e 0.7't. �(�.. . — c� `/6. �. � �t�. '�f �-�-'y,�� ' ��.. DATE #� .I�i -� 1,-, 5UHDIVISIDN NflME LDT M.R4BER SEC. /BL�1{ Nlll1BER RESIDENTAL SPECIFICpTION: BUILDING TYPE oU� � AEDR�MS � # BATHS� t OCCURANTS � 6ARBf�E DISPOSAL: Ye�,� . at CDMMERCIAl. SPECIFICATI�V: F�ILITY TYPE . � PEDPLE �i PEDPLE/51iIFT � SEAi5 INDUSTRIRL NASTE: Yes/No P r.� H � LOT SIZE �J O�'s�` ., ''�"IYPESWATER SUPPLY � DESI6'�i 1�5TEWATER FLOW l6PD1 3 im� i�N SI,TE � REPAIR SITE 5Y5TEId SPECIFICATIDNS: TRhU( SIZE ��0� 6AL. P9�IP TRM{ Y 6AL. TRENCH WIDTH J� ROCK DEPTH 2�� LIt�AR FT. 3U'C� ` p, ar�R .� . ; . `�, � REQUIRED SITE MODIFICATIONS/CONDITIONS: � 5EE IIT IS SUbJECT TO REVOCATION IF SITE PL.ANS OR.THE INTENDED USE CHANGE. PERMIT BEFORE IN5TALLING THE SYSTEM. ' ti �r�. .. L� � ��'`�--- --� �. YDUR WASTERWATER SYSTEM CONTRRCTOR h0.1SST � ;a M �I'� M , .� ` C���� � � IMPROVEMENT PERMIT`BY� � � +�*CONTACT A i�PRESENTRTIVE OF TNE DAVIE (�INJTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM E�ETWEEN � 6:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION, TELEPHONE A I5 t704) E34-8768. �ERATION PERMIT SYSTEM INSTALLED �BY ���` n � r, � c ' �n � ,� h � � � � ° a � ti . 4= - — _ � � AUTHORIZATION N0. ���� O�+ERATI�N PERMIT BY �•C��"`-"""' DATE I����� �+�THE ISSUA�ICE OF THIS OPERATION PERMIT SHALI INDICATE TF�1T THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTi�LED IN COM�I.IRFICE WITH AATICIE 11 OF G.S. CHAPTER 130A, SECTIOM .19� "5EWF�E TREATMENT AND DISPOSAL SYSTEMS°, BUT SNAII. IN NO WAY BE TAKEN AS A GUARANTEE THAT T}IE SYSTEM WILL fIArCTIOM SRTISFACTORILY FOR AMY 6IVEN PERIOD � TIM�. DCHD 10/95 , �� , - . . . _ "F �:.. � ��Y .� . .. e! ""'J' �F.i :19 �.- �� . . , t��, . . �.+^ . �, �a�1� , �;�., � , a�i' � . . . . , . Davie County Health Depart�ent ENUIRDNMENTRL HEALTH SECTION P.O. Box 665 Macksville, N.C. 270P8 AUTHDRIZATIOdi fDR WASTEWRTER SYSTEN CON5Ti�JCTI�1 (Issued in cu�pliance with Articie 11 of G.S. Chapter 13aA, Wastewater Syste�s) ,�'O.aQ ✓Xa +�*+�This Authorization For Waste►+ater 5yste� Construction �ust 6e issued by the Dav:e County Environ�ental Health 5e�tion prior to issuance af any Building Persits.-"This Far�/Ruthorizatian Nueber should be presented to the Davie County B�1ilding Inspectior�s Office when applying for Building Per�its.+�� �"ry- �`� NAME � • Q � �``Q 'N DATE � — � p � J � ALfTHORIZATION MJP'�ER i�n 6��� < , NRME ON IlQROVEMENi PERMIT fIf different than above) � SITE LOCATION _ \ ) � P � '�\ � A � COM�NTS/COr@ITI�lS ON RU'iHDRIZATION TD CONSTRUCT IaRSTEWATER SYSTEM .. �-�, ,. � f+�NOTICE� THIS AUTHORIZflTIDN F R WASTEWRTER SYSTEM CON5TRliCTIO IS VALID FOR R F�ERIDD DF FIVE t�) YEARS. --a��� �` * � �� � _ � � 9 � - : avir�a. �a.n� �ctc�isr na� DCHD 10/95 � 0 r`. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Heaith Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 I � � � � V � D �,+� " 6 ���J � 1. Appiication/Permit Requested By �• �� �� I� n Mailing Address � 0• �b K � ��l� Home Phone /0`i"' a 07' �lp� / (�Q� Q QQi� Q'� �N o Q� � Business Phone ��7 ��'J3� � 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: C�]' -rlouse ❑ Business . ❑ Industry 5. If house, mobi�e home: Subdivision No. of People � No. of Bedrooms J No. of Bathrooms � �'a-' Dwelling Dimensions �Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly p Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers ❑ Unknown Section Lot # No. of Showers Water Usage Figures 7. Type of water supply: � Public ❑ Private 8. Property Dimensions ��^"'� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes If yes, what type? ❑ BasemenUPlumbing D�semenUNo Plumbing CY I�Vashing Machine C�shwasher . ❑ Garbage Disposal � (� . O 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: N �� (�o� s� � s-�- Lo-�- o n �� r�cvrt�ciy inrr��cnv�iivnr x��ui«tu: Tax O,f,f "sce PIN: #' �%`f � ��� �/�� ���n � PROPERTJ A��RESS, as ,foilows: R d N ' 1Ji� J` � oa ame. (,� n C • �Z._-�-. �G ss ed Pq �Q rn��- . �Lt�: Moc�sv� I I�e. SU$�1ZT A PLAT WITH THZS ttPPLICttTION. Revisions effective October 1� 1995. 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 incurred from this application. �.0 I a3 ��i C� �.�. C1,4.Q� ATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: �. I OWN the property. O 2. I 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 dis osal system. � 3 G -�i �p- c�..�� DATE SIGNATURE DCHD (1/93) " I:� o � �, �!� . �. ��.��w �—,.,; , ' � t' . _ '� � - ;•, � - r. � �� � •: k�; �r `'f� � �,." � , � � I'i : � L.�� � � � L�l � , .;�, . .o.00�° -'* .`� ,�,– , J� ,.� ;::, t _ax; _ .,. �-� ' ' M•, �;.�"_ O � ��,r �_�1.1� !`�l�il+�';,J C�Y . ..�. _ :... �.«......._......._..-......._..._,,,, N �' � S �, � � Sy` J `',~��` ' _y – � � �` � `' 1 U �� C �.� O C� ,r t� ^+ � � �� ^� _ . ��7 ��^Fi �.S o:_._.�.._r__..__...._.:._..�. -..._ �a --... _ °' r,'�,,,�----.._�_...___s--��,.>.sr' YV% -::W1rn:i;r `'�—•�:�raH/ Ic � �5:,; r�`' ;b'�`"'--- _..` ',.� r`. / ---.._. ,+ � � ;� �7� �;, �; 'j; ��°-5E�-2�"E o � �" '� ��-��. ',� s2�.Fs - -.._.___�--._.---•-�-V- �. 5. C� ,� �,C, � c_ .� 1ri�,. , r , . ,:i; !'I�: �� ;::a � F'�� �:'j� � a � � ' = --_. __.... ... . ...._._.._ .... . " _......_ I? �' � '•-' S s o�"-,q. ,�s,•E _ _ _ _._._ _ .. 7?sd •?a., _ —_—_----_ �---�---- � W " ��� � $ ���_�z�-���� �.1�{ �i� ���5 3K2.71' ..r..____..._.__. —_ ...._..,_.�.�__ J - - .�_= .�--_— S ,y.,n ` �� .. w 33 �i . -^,:..�,.....- � . +i fi-4 _._ .�._. __.._ ....�...� S . 4 i n . ;1..�-.��', � _'"'�-- � .i � \1 75- ��J �-� r, � �.. �,. {,� .> �.l!�' y( ..i�.. �, ,i.. , S 96°.. q2'_pg" E an5 ��' .' . S 88°- �,3'_��s" £ z�8 �6� , . �\ � ,r:::;�:.'.z:v,.+.:w �� �='"-%r.• I . B'-'s:.�k'' :. N s:i�-:rJ�•.5r"E N� �c. � I "t 3'� I lt � . .1 I � �y ___._ , �.. _ ,�" E'. ���-- (': � �,.0..5���.._— '" _�.� .;�' � y _- J • �»���� �-r, �_ __� �•3,` �y'j'%l� 1 ; � y N r,�o_�;:.s'_���c ?�U.�i3� h' 5,°-J3'•2�"F q �.5 �. , `, � . ,. ,, -. ,.. `I�.,s'. _�- .� Ph F� .J' � ` . . , : .��;� 1 ., �� �C� �t Ch�C� `�y b I?8,',��. n ��J�Mi1 MO/1 � e��., � . t * V11:fRi, aj.�. Y ��� 53' E� , �� �sar��u .�:1 , r ,� ` J��.��t0 �� � ilMtt����r�.a , r � C. �,[>- 'r5 '; �:. � - t' � � A t . r- i r. . , i �. �t . �R 4 � ` 1 . . , '��.. .. � . . �ti"�(e, �1 .'}. ` . . . _.,.. - .. ...f Wy'+' d M` �\jy,{ ''Qa��4 �� P � �. ��, —1�L 1 `a.. � . '� _� � � .9:?, fGd j.1"�,� 1 Y�:. `� t� .�: '...�� �.� ,.k�' ,` + • � ;� a i' ^„_�."3�.w. • ' - ' UAVIE COUNTY HEALTH DEPART�IIENT - ' r � Environmental Health Section Soil/Site �Evaluation NAME �• � • �\\� � DA TE EVALUA TED � � � � �7 � � -!� ^9� ADDRESS � P�4 PROPERTY SIZE ��`� PROPOSED FACIILTY �a v S�` LOCATION OF SITE �-�`�� `�'�'�� Water Supply: ` �On-Site Well _ Community Evaluation B�'C. V Auger Boring � Pit FACTORS Landscape position Slope 7. HORIZON I DEPTH Texture group 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 CLaSSZFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LDN G-TERM REMARKS: _ DCHD (01-90� TA�ICE RATE: � � Y Public " Cut EVALUATED BY: �s�»" OTHER(S) PRESENT: � �' N� END Landscape Position R-Rid�e 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-Si1tY �:lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR- V+_.-y friable FR-Friable FI-Finn VFI-Very firrn 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 plasiic Structure .iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-AnIIular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Minernla�!y 1:1, 2:1, Mixed Notes Fiorizon depih - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - 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/ft2 ■����������������������u��������������� ������� �������■ �����n ■�����������_���������N�����������ni��� �������� ���������������� i ���i��iiiii�iiiiiiiii�iiiiiiirii�ii�iiii���iii�iiiii�iii�ii��iiii ■��������������������������������������� ��� ��������_������� ■���������������������������������������������������������u�����_ ■����������■��������������u�u������������i�iiii�i�i iiiiiiiiiiiii ■����H����������������������������������� ■���������■��������������■������i�� ��� ■��������■���■�������������������������� �������������������■��� �/����������������������������/��H����/���� ���� ��v�/������� ■�/�������������������������/�s� ������� ■ �� ��� �������v����� ...........................C...........�...._■. .■■ .■■�..■..... .......................... ........... ...... ... .■■. ........ ��������������������������_�����������u���n� ■ ��a C�������� ��������������������������������_�������� ����� �t��i �u� ■ ��������������������������_����� ������� ��� ■ �_� ■ ����n�ii �� �������������������������� ������������ �������� ������ �m����� ■�������������■����������u����������� ��������������� �u������ ������������������������������._�,,, ����� N�uN��u�������u����� ���������o���������u�����■��I :viil���ui��� ■ ����H��u��� ���������������������������i��(���-�----......■�� �� �u���u������� z .�.�u��-- � �����■ ■ ���■� ��������������■����������lr�!e::G�����-�iC:ii��. ��� ■�i������n�����������ii��i1��.�.%�1�/��ii����="�1�■ ���� �� ����� � �������������Nl��iv���H�\��!�ii����Nr���� `�s,��[ ■ �� �� v u ■��������������������u�...������•_�.��������i��n.�� ��i�_������ ��_ ������/�������������f���/��%!�/�����nN AIH�"�u��u���������� ��������/����������i���N�i������ ����N�� ii��j.�������� ����� �� Y�������/������ ������a������������M���� [ul�w' �� �u � ■■������������������i�h����������������■�ff�'''/� ■ �������� � ..................................�����..���_-. .■..C.�"... � ....... ..........................��...�._.�:.���.,��C - C'�....... .......■..........................��.... .� ..�= �. . ■ ....... ■����N����/�n ���������u��������v��I�i�O���/ ����� ����/��� �������������u��u����/�N���■ � �I� �������� ....�.......... ............... ....��.�...:�C�C�C:�'�'.f'C.......� ��� v����HH��■���■����������� ��t., !�IH� O��■�� ■��� ������/��n�■���/■��������l�/ ��� ��IN���� ■ �� ������ ����i�����■�0��������������■��l� � w�/JI� ■ ���������� ����e�� ������ N� ������� .(_ � ' �� ����� .■■■■■■�■..■■■■��■.��■■■■■��W r � �■■�■■■.� ■�����n��������������� ■ ���� ��n �� �� ������� ��������� ����u� ����, wr '��u ���������� ������ ������ ����u ■ ■ � � n��� ' ���■���iu��u�u��u�� ��iii�=n �i�■� ��i""i■i������ ���������������N����Hu�=�� ��� � �N ■ �������� ������������ ������������/� ■ i_G�_ _: �� �������� �������������n�����H����� ���ft��.,`= �� H����� ���������v�N��u �u��� � v�u�� ������N���H�U��N��v��u w ■ ��� ������ �������n���U�����u� �������� - N��y ■ ��� /������n��� /��qn�� ��■� ���� ������w �w��� u� ������v�� �u���N����u � � H=■�� � ���/����� ��������� ��� -"'� � ■ h ��� �������������� ���� ������ �������u�����v����� O�� � p �Q����� ����������� n�������� �n�N� �����u ��u ���_��� �u = ���i��� i u :::.C:: �":C�::..:�..:.:■.. ■■. � ""��: ..........0 ................�:...� : .�. .. ���������a=�����������uu� ���� a �n ■ ������������������u���y�iu�u���u �� �����u�����������u������������� u� ■ � �u�w� ��� �����������a������u�������u��� ► s���iu ��������u� ��������Nu����� �i ��u� . ......CC.:�::::::.::':::::'.. �':`�':�:::::� .�:�: C"' :::i�:":��:::'.:�.. �; . . . ..�:�:.'�::::�s .... ■. ........C:.......... . .. .C... ....�......�...... ■ ����u������n�u����������� ���_��� ��� ���r������n����� ��_������� �������� ����u��u������� ��=��i■�i�i���y����������� ■����������i�����u����■��������t���������v����������uN�������� �������������������■��������������u��N��uu��������������►�iu��� ................................................�...........�..... ........................... ............ ...... ....�........�..... ....�.................................�......�.....�........�.�. �A�/ /�����N���/��������������� ���� n��H������������� ■ �..............................�........._....�....,............. �N�� �����������������������v����� ■ �� u1%�����Od�>���� � � . ►;. . � � �Davre Coun�jv ,��ealt/r� ?�Ppdrt`ment and �fnme �lealtF� ��'�qerrcy 210 HOSPITAL STREET I P.O. 80X 665 MOCKSVILLE. N.C. 27028 , PHONE: (704) 634•5985 Rhillip D. Allen c/o Rotts Realty P. 0. Box 11 Advance, NC 27006 May 18, 1994 Re: Site Eval�aation Rean Road/5 Acre Tr•act De�r Mr. Allen: As req�.►ested, � representative fr�om this office visited the aforementioned site on May 16, 1994. Based �.�pon the information provided on the application for a site eval�.�ation and after the evaluation was completed, the site was found to be provisionally suitable for� the installation af an on—site sewage disposal system. If yau h�ve any questions, please feel free to contact this office. CL/wd En�losure Sincerely, �� �.. ���, Charles E. Little, F.S. Environmental Healtn 5ection APPLICATION FOR SITE EVALUATION/IMPROVEMENT" PER ' '�:�� � Davie County Health Department � t� �� 1; �u' �` �' Envi�onmental Health Section MAY 12 �Qa� P. O. Box 665 Mocksvilie, N.C. 27028 _ . � :�., _ _ _ . CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1, Permit Req 2. Address _ 3. Rroperty Owner if ,i Address � 4. Permit To: a) Install �f"A er R 5. Home Phone Business Phone ���'��� b) Privy Conventionai �Other Type � Ground Absorption c) Sub-Division Sec. � L '�L� No. � S'�' System used to serve what type facility: House Mobile Home Business Industry Other b) Number of peopie � 6. ay If house or mobile home, state size o home and number of rooms. House Dimensions � U� ' i Bed Rooms � Bath Rooms a' en w/Closet b) Ii Business, Industry ar Other, State; Number of persons served What type business, etc, Estimate amount oi waste daily (24 hours) 7. Number and type of ter-using fixtures; commodes � ' urinals . garbage disposal lavatory � shawers � washing machine � dishwasher sinks � 8. aj Type water supply: Public Prfvate � Community b) Has the water supply system been approved? Yes ✓No 9. a) Property Dimensions _�� C• b) Land area designated to building site t" � v'� � G T%� c) Sewage Disposal Contractor � 10. Do you anticipate any additions or expansions of the facility this sewage system is interded to serve? a% �• What type? This is to certify that the information is correct to the best of my knowledge. ''r' ..� � �- ` ` o (✓�'� � ate wner Sign ure OWNER IS SOLELY RESPONSIBLE FOR COMPI.IANCE WITH ALL STATE AND LOCAL LAWS Al�ow 5 days for processing Directions to property: II � � � \C .