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138 Daisy Ridge LnDavie County, NC Tax Parcel Report b � Q � Friday. September 30. 2016 WAlC1V11V1i: hila IN 1VU1' A SURVEY Parcel Information Parcel Number: H80000000602 Township: Shady Grove NCPIN Number: 5779852502 Municipality: Account Number: 51188000 Census Tract: 37059-804 Listed Owner 1: MINOR JOHN FRANKLIN Voting Precinct: EAST SHADY GROVE Mailing Address 1: 782 MARKLAND ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7025 Voluntary Ag. District: No Legal Description: 1.80 AC MARKLAND RD Fire Response District: ADVANCE Assessed Acreage: 1.82 Elementary School Zone: SHADY GROVE Deed Date: 1/1995 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001780365 Soil Types: WeC,PcB2,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 5150.00 Freatures Value: Land Value: 21220.00 Total Market Value: 26370.00 Total Assessed Value: 26370.00 161 Davie County, 7�T 1� C Alldataisprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 or arising out of the use or Inability to use the GIS data provided by this website. b DAVIE COUNTY HEALTH DEPARTMENT fi IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **NOTE** This improvement permit DOES NOT authorize the construction or installation 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) NAME �t: �,.�J�.�2 J o`h� %\o w4 PROPERTY ADDRESS fil 4 ell LIffl-D Rd ' � lop b DATE 412(1- 9!0 LOCATION (.�� - h\ G`t� N: 0 Vc� N SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE%��a # BEDROOMS r�' # BATHS ` # OCCUPANTS A— GARBAGE DISPOSAL: Yes r4Q) COMMERCIAL SPECIFICATION:TACIL'ITY TYPE t # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 130 CZ E' TYPEWATER SUPPLY \-),J � DESIGN WASTEWATER FLOW (GPD) li� NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE1=oul GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR Ff'."'N Q r OTHER REQUIRED SITE MODIFICATIDNS/CDNDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE�SYSTEM. F IMPROVEMENT 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 THE DAY OF'INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BYIlk F_ 1 f AUTHORIZATION NO. Ob OPERATION PERMIT BY DATE ^ 3 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTION h ✓ 0 P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION _ (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) x;06 100.6o vXG ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie -County Building Inspections Office when applying for Building Permits.*** AUTHORIZATION NLPXR NAME �' C A N � �6 `c� N N b �. DATE �I .� / 6 12 00,165 NAME ON IMPROVEMENT PERMIT (Ifdifferentthan above) \� \ SITE LOCATION COMENTS/CONDITIONS.ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM i *HMICEH* THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. Cite a -ENVIRONMENTAL HEALTH SPECIALIST DATE ::.DCHD 10/95 ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Perm Mailing Address 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve: ❑ Business ❑ General Evaluation ❑ House ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms q Dwelling Dimensions Septic Tank Installation Permit Mobile Home ❑ Place of Public Assembly ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: ❑cPublic 8. Property Dimensions /' d,a No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures Private Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ,E] Washing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ Yes & No ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: �o c �arid C-�o o�oufi A M'6,5, Tax Office PIN: #� —/� PROPERTY ADDRESS, as follows: a Road Name: J V \Osl \ l� s 4i.11 C) City: 0-oR 1Crr- SUI3MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. Lc)+ i5 b*oalDr- wit-fa-ncc 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 t is application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: AD1. I 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--Qf-the Davie Count Health De�partmen o enter upon., above described property located in Davie County and owned by �1 {1 �it�.�i e 1' r -n, 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 (1/93) G- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS P� PROPOSED FACIILTY�' Water Supply: On -Site Well DATE EVALUATED L\ PROPERTY SIZE Q LOCATION OF SIT p��`x \\ Community Public Evaluation By(£1- Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group C> 0- S C L Consistence = 3 C Structure L C Mineralogy'. HORIZON II DEPTH Texture group Consistence Fes- _M Structure - Mineralo 1;1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON — — SAPROLITE — CLASSIFICATION ,S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: -s EVALUATED BY: LONG-TERM ACCEPTANCE RATE: �� OTHER(S) PRESENT: N REMARKS: C�� 1,•\ ��''l` a —__. — 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 :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 -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 3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralog 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/fu DCHD(01-901 � � � • . � - ■��■��■■■��icri�a�� ■�� ■ ��■ �■ ■�■■��■�_��■��N��n�� ■�_��i��■��■�■ ■■■��■�■■ ■��■■��■��■ ■��■ ■��■��■��■■ ■�■■��■��■��■��■■��■■��■■� ■ ■�■��■■��■�■��■ .....•..................................■=�.C..................... .................................................................. .................................................................. ■��■�■��■■��■■��■��e��C�■��■ ■��■��■��■�e��■�� ■��■ ■■■��■��■ ■��■��■��i��■��s��■��■��_ ■��■■ --------� ■��■ ■ �.��::�--�.�..■ a��■�■��■��■� ��■��■ ■��■■■��■��■��i��■��■��■��■��■ a��■■■►��■��i��r��C�n��i��■��t��■��_��_��■_��■ ��ir��n��i��■��■�■,� ��.��■��■■ ■�� ■��■��■ ■��in��■�■�■��!��■��i��■�■ ��H��■��■��■ '��v:��r�■��i��i■��_��■��_�� ■��■��■ ��,��■��------- ■�i. , -�-��•.�r.t�■i�i■�r��■�� ■ �� ■■��O �� ■�■�i1�//��::�■��■��■��■■��■��■��■��■��■ ■��■��1�1�r��i�■�■��■��■��u�■��■ ■��%��IA71�1!@Il��■ ��■��■��■��■��■�■ ■��e%��■■��■■��li��11:�J��1!!f��■■��/■��■H��■ ■��I■��wii:!J�■��■�L',il��■�■■��■� ■ � ��■��■�■�■�■ . .� --;:---------------- ■//��■ ■ �1i+�r.;�� i��■� ��■�� ■� ��■■� ■�■�■��■��■�■■��:i`��■��■��■��\■■��■�■��■�� ■��■■��■��a;--�......■.��■ ��i��►s��■■ �� ■ ��■ ■■ ■� ----------- � ...........................��.�.....��.��........... .�........_ .._ .............................��..�...�.��...�................._... ................................ ...��:... . .................. ■��■��■��N��■��N.r.•1�� ■�■��■ ....................................��.r........ ■.._...�......�� ■��■��■��■■■��■�N�� ■�■� ��■ ....v............................................ ��.._.........0 ��N��u�� ■��■��■■��/��Nu■�u��■��■■ '::'::::::::::::::C::::::::CC::..:C::�::::::C :::.:r'.�.......� ....�■................................ ...■....�. ■■C: _:::::: ................................. .� .... . ...�......._ ■��N�� ■■�� ■ ■ ■■!� ■�� ■��■��■■��Nh��■�� ■ �� ■ �� ■■■■ ■��■��■■■■��■�� n�■ ■�ii��_ �ie�iii�iiisii�iiiiii�i�� u� �� ■ �� ■ ■ �� ■■■■ ' ■�■��N��■��■��_�� _ �� ■�� ■��■��■■■�■��■��■��M■�� a�� ■■�� ■■■��■�o■■��us��u��u �� ■�■��■■ ��vh■��u�� ■ �� N�� ■■ ■■�N� ■��0�� ■ ......:C..............��....... _. 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