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606 Cedar Grove Church RdDavie County, NC Tax Parcel Report t4 41:), Tuesday, September 27, 2016 /1�11zi.4 0343 7147' c'l ir 256 1(306) op 392 256 208 237 183 8092 Go c, PB07 PG 40 CD C14 6948 PB08-PG337 I z 2 101, - L----P 5872 N —A-PG337 .. . ... ...... ............. ....... .... 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, NC 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 [(:D:: causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY rinf6effiatid Parcel Number: K70000002602 Township: Fulton NCPIN Number: 5767736948 Municipality: Account Number: 82532060 Census Tract: 37059-804 Listed Owner 1: GUCKER SHARON Voting Precinct: FULTON Mailing Address 1: 606 CEDAR GROVE CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 2 J BISHOP INC SID Fire Response District: FORK Assessed Acreage: 1.95 Elementary School Zone: CORNATZER Deed Date: 6/2010 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 008300042 Sol] Types: PcB2,PcC2 Plat Book: 0008 Flood Zone: x Plat Page: 337 Watershed Overlay: Building Value: 75550.00 Outbuilding & Extra 2120.00 Freature3 Value: Land Value: 27850.00 Total Market Value: 105520.00 Total Assessed Value: 105520.00 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, NC 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 [(:D:: causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Account #: 990003170 Billed To: John Bishop Reference Name: DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5767-73-5872 Subdivision Info: 60& Location/Address: fi-KCedar Grove Church Road -27028 ATC Number: 4472 As stated in 15A NCAC 18A.1969(5� accepted Systems may also be use AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWA V D A PERIOD OF I YEARS. Environmental Health Specialist's Signature: Date. CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. F //A (00 alyoLlr- -s- rr (� (,t,1 ),). L/ Septic System Installed By: Environmental Health Specialist's Signature: 4 DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section P. O. Boa 848/210 Hospital Street r (, Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003170 Tax PIN/EH #: 5767-73-5872 Billed To: John Bishop Subdivision Info: 604 Reference Name: Location/Address: Z2a Cedar Grove Church Road -27028 Proposed Facility: Residence Property Size: 3.85 acres **NOTE* -This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type _ #People #Bedrooms #Baths .Z Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 2-007A,C&S Type Water Suppl}CZ%%J l Design Wastewater Flow.(GPD) 'zz�f' Site: New e Repair ❑ ? System Specifications: Tank Size JWP GAL. Pump Tank 1610 GAL. Trench Width alp" Rock Depth t 2 - Linear Ft. ;59d 3 " STN I J r� Ew os ac stated y 15A NCay also be usN Other: 1�1 � v _ accepted Systems may alsbe used Required Site Modifications/Conditions: ALL � CDtJ JQ I` �146--Lap W Dr e49P I-I.J IMPROVEME-N—T/OPERATION PERMIT LAYOUT - APPROVED FFLUENT FILTER RISERS) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Da County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of stallation. Telephone # is (336)751-8760.**** too - IV m `�"�' � Mo ialist's Signature: ( ill4 —N / ,,,) ,/ Date: 05/99 • APP L R SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ F7Auth 5 -8786 �17 . orovement Permit a ion To Construct(ATC) ❑ Both ***1RTANT*** 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 BilledContact Person;,..—s--- Billing Address aLk-E, Home Phone City/State/ZIP _/f�p(+��u�l rte. U�_o2707.� Business Phone Name on Permit/ATC if Different than Above, Mailing Address PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 months with site plan, no expiration with complete plat.) Street Address Gr�ov, City Tax PIN# S-1 Subdivision Name 60P Section/Lot# Lot Size Directions To Site: Date House/Facility Corners Flagged - 17-0 If the answer to any of the following questions is "yes", supporting documeiitat'on must be attached. Are there any existing wastewater systems on the site? Dyes o Does the site contain jurisdictional wetlands? Dyes o Are there any easements or right-of-ways on the site? Dyes o Is the site subject to approval by another public agency? Dye o Will wastewater other than domestic sewage be generated? Dyes o IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms 3 # Bathrooms CD Garden Tub/Whirlpool ❑Yes No Basement: []Yes ONo Basement Plumbing: ❑Yes 5-440 IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: V(Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other. Water Supply TypeX 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 AN If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my kngwledge. 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 understand that I am responsible for all charges incurred from this application. 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 on the above described property located in Davie County and owned by 1 k —,s- SNC, r Property owner owner's legal repres tative signature Date Sign given Yes ❑No Revised 2/06 Site Revisit Charge Date(s): Client Notification Date: EHS: Account # 3170 r Permit J.�u�rce_ 4 Invoice # 'i U 9Z N991) LZ6 L92 oLE, 9998 (VLL'Z) Z908 s8� (9AIV £65£ w� w L8Z X900 (OLE) g moo" vZZ t9Z£ ss t L Z5 ww `d6 L 0' L owe X91 oc •` 'a e ___, �C;3r----� i APPLICANT INFORMATION Account #: 990003170 Billed To: John Bishop Reference Name: Proposed Facility:: 'Residence Water Supply: On -Site Well -DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5767-73-5872 Subdivision Info: Location/Address: 624 Cedar Grove Ch rch Road -27028 Property Size: 3.85 acres Date Evaluated: //,74,/Q L Community Evaluation By: Auger Boring ✓ Pit Public Cut FACTORS 1 2 3 4 S 6 7 Landscape position L L Slope % (" HORIZON I DEPTH .. v p • 1 Texture group . GL Consistence SSSS Structure CJ4- Mineralogyv HORIZON II DEPTH ,I 4L4 Texture group'SG Consistence S 5 Structure sg t Mineralogyy y HORIZON III DEPTH 4fa - y Texture group G 5q C_ +S4 Consistence -f Structure s3k Mineralogy HORIZON IV DEPTH — Texture group C-1 Consistence SS Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE ©. SITE CLASSIFICATION: EVALUATION BY: ,} LONG-TERM ACCEPTANCE RATE: -4 OTHER(S) PRESENT: REMARKS LEGENDV. 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 1St VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 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 05105 (Revised) ■■■■■■■■■■■■■■aril■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■i■■■■s■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■cue.�■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■i■■■■■■■■ee■■■■e■■ ■■■■■■■■■■se■■e■■■■:��•■■�■�■■erg■■■■■■■■■■■■■■■■■■■i■■■■■■e■■■■e■■■■■ ■s■■■■■■■■■■■ee■■■■a■■■es::,�■nti■■ ■■■■■■spa!■■■■ei■■■■■■■■s■■e■■■■■ ■■■■■■■■■■■■ee■■■■■s■r�■■�eu■�■r■■ �■■■■■■■s■i■■■■ear■■■■■■■■■r�■■■■■■■ ■■■■■■■■■r�■■■■■■■■■■■■sa■■Ire;�■■■e■■e■■r�■■!s■■■■■■■a■■e■■■e■■■■■e■■■ ■■■■■■selue■■■■ee■■■r�-._�■►�ree■■■■■e■■��e■e■ea■■■■�■■■■■■■■:■■■■■■■■ ■■■■■o■■■ee■■o■■■■■■e■■■■r■■■�■■■■■eeo■■■■■e■s■■■i■!■■sel�r.►�n■■■■!■s ■■ NOME Now 1■'■■■■\I/■I■■■W!M■■■r1■■■■■■■\V1Au■■■■■■■ UMMENMiiiiiiii�'iNAM020�Wmmmmi iiieii�°iiivieiiiiiaN MEMNON ■■■■■■■■u■■■■■■■■■tee■■■■,■■■■■■■■■■■■■■■■■■e■■■Ori■■■■srivati■■■■■■■■■ ■■■s■■■■e■■■■■!■■!:a■■is►■■■■■�■�■/�■■■NOON■s■■■■r■e■■■ri■■■■■■■■■■a■■ ■■■■■■■rl■■■■■■■■r�■■■■■rye■■■■■■■■■■■■■■■t■■■■■�i■■■e■■n;�ti■■■a■■e■■s■ ■■■■■■1�■■■■■■■■■■■■■/1■■■■■e■■■■■e■■■■a■■■■■■■■■111�:d■■■■■■■■■■■■■■■ ■■■■■e�■■■■■■■■■■■■■■■■■■■■■■■■■s■■■■■Mer!■■e■■■■eoc��■■■■■■■■■■■■■■■ ■■■■■■a■■■■■■■■■■■■■■■■■■■■Nee■■■■■n��■■■e■■ri■e��y■e■■■s■■■■e■■■e ■■■■■■,■■■■■■■s■■■■■r�■■■■■■■■■■■■�■Oce■■!■■■■■■■v■■■■■■■■■■■■■■■■■ ■■■■■/I■■■■■■■■■■■■■r�■■■s■■■■■■■■■■�rr��►■!s■■■■Ori■■■■■■■■■■■■■■■■e■■■ ■■■■►■■■■■■■■■■■■■■■■■■■■Ori■■.�■e■■■NOON■■■■■e■■■■■■■■e■■■■■■e■■■■■ ■■■■■■■.�■■■■■■■■■■■■■■■■n■`ween■■■■■■■■Ori■■■■■■■■■■■■■■e■■e■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■t►■■.■■■■�■■■■■■■■■■■■■■■■e■■■■■■■■■■■ iisiiiiiiiiiiiiiiiiiiiiiiiiiiii:�i��■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■ 1^* 1Gm }i L4*+s`- � h 'Ab'S'v�'73 t'�w.' .I.r'�' r 1�,�►j Y p� �, H • .; � a : . s � a � { 3 1klYia, On.. k +y =1+y "fit �. W WK S I js Woo .v 77, '' t " 6✓ g , u , s� .wry I {�>•�� r * ' l a - _ April 26, 2006 John Bishop 243 Bonkin Lake Road Mocksville, NC 27028 Re: 2 Acre Tract/Cedar Grove Church Road Tax PIN# 5767735872(Portion of Tract) Dear Client(s): As requested, a representative from this office visited the above site April 26, 2006 to perform a site evaluation. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater 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 or the intended use change. Improvement Permit System To Server t7jajC_g� Wastewater Design Flow: Com. V System Type: Zonventional ❑Accepted ❑Innovative ❑Alternative ❑Other. System Location: bE a Valid: 2.5; Years 0 N Expiration Site Modifications/Permit Conditions: ICC( G .,,1_. 12,tD , moo isA&tr pwramwha.9� W -0.w ps-i.p.letter 2/06 .�� . R/W LINE S A MINOR SUBDIVISION b L Tultwo�, nd PmfonIoland Sur,"w, Numhw L-2527 to oM w mon d 0. folloalnp w indlcd d by on K: . T" thb b a plot d a curvy that ".t. a s "Mai- d lana akhN an enc d a scab . munkipdIty eat hw an ordinance therpukRN pomNa d bnq . Thd thla plat b d o aawy that b locoW N amh o porw. d o CeuMy aI mudcipafny flat b unnqubtad as to an ardlnonca pemab d — TW this rid n9datd bM b of a awvoy d an mug Proal w That thb plot 1a of a aurvay of arothw mtaO ...h o. tha otaw natitl d f coatdm i -,d wny. ar aNw thoaInf to ih�i daflal M od a aubdNbio t; That tM MfannaBon avaRahla to ihta aumfror Y auN. Bak 1 em ....�� .. _-.- . . I= pNa • 7 N. aZ'Al �• f - 0 75 on. -. �'^ F a NgNOFfl� 1ee.27 (;S�°f� 1o__�yEtR ? f -} N,♦7 � 1 -.i LOT 2 AREA = 2.073 ACRES (ARBA BY D.Y.D.} INCLUDES S.R. ]Bl; R/1I LOT' i AREA 2,073 2.073 ACRES BF INCLUDdB S.B.D fait )R/► ` DM paH a7 �« �stiy � . s � a o Y tl CEDAR GROVE CHURCH ROAD S.R. 181 ee.Ds Zoe. a /e• sa76 "mss ? �� S 14.17'33• Y S 44'36'31' Y povad S44.36'51' $1 IftD6 1 �� 31.09'36• Y .._. 4 _� i Iry R/W ct 4.4; ri LEGEND O -NEW IRON PIN (t -Dor w/c-P) L t.aay L Tuttwoa, owkRY that thb pka rw aman ®-RIR SPIKE IN OR NEM CA ROM - uMw T/ aupaMalen /mm On octad aunmy maN x -UNMARKED PT IN OR NEAR C/L ROAD undw my auparvWen dead dwerlptkn)alaAad M - ®'NAIL IN OR NEM lau Mimt wrvryW en di iy bdkdM w drorm *-DMN0 IRON PIN !mm Nfannatian found N PL Book Paga ,�,.._, that Na ratb d pndala. v ""'•+-�T�- - ' V i24 IZ FJ , 1'�