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204 Deerfield Dr Davie County,NC Tax Parcel Report � W3 Monday, September 26, 2016 234 rf i� 204 IS Iti ,2 3 9 �* 206 REDFIELD RD ,........ 205 WARNING: THIS IS NOT A SURVEY Parcel Information. ... ._a Parcel Number: B60000001807 Township: Farmington NCPIN Number: 5853574150 Municipality: Account Number: 655500 Census Tract: 37059-802 Listed Owner 1: ALLEN ELMER G Voting Precinct: FARMINGTON Mailing Address 1: 204 DEERFIELD DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 4.723 AC OFF ARROWHEAD RD Fire Response District: FARMINGTON Assessed Acreage: 4.72 Elementary School Zone: PINEBROOK Deed Date: 10/1991 Middle School Zone: NORTH DAVIE Deed Book/Page: 001610086 Soil Types: GnB2,GnC2,GaD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 107520.00 Outbuilding&Extra 5260.00 Freatures Value: Land Value: 63440.00 Total Market Value: 176220.00 Total Assessed Value: 176220.00 �v All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the � F 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. 1 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 OPERATION PERMIT &,OwOoo 1ct0'a Account #: 990005691 Tax PIN/EH : 5853-56-7868 Billed To: Jeff Vaughn Subdivision Info Reference Name: Location/Address: Deerfield Drive-Drive Proposed Facility: Residence Properly Size: 1 Acre ATC Number: 5783 **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," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. l System Type: S.T.Manufacturer AO Tank Date Ll Tank Size &)�?o Pump Tank Size / (itN rr �,t� ' System Installed By:6/ A 1jTM ro E.H.Specialist: Date: Xlz GPS Coordinate: l5, 2� DCHD 11/06(Revised) 1 DAVIE COUNTY ENVIRONMENTAL HEALTH $ P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account : 990005691 Tax P1Ni1=H 5853-56-7868 Bided To: Jeff Vaughn Subdivi iort;Info: Reference Name: i Location/Address: Deerfield Drive-Drive!,, :.: Proposed Facility: Residence F PfteiflytSize: 1 Acre Site Type: flew ❑Repair ❑Expansion ATC Number: 5783 **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 on the intended use change. Residential Specifications: #Bedrooms #Bathrooms#People Basement[A Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size t`i�(. Type of Water Supply: ❑County/City )fWell ❑Community Well System Specifications: Design Wastewater Flow(GPD) VQ-Tank Size&a GAL.Pump Tank GAL. Il �c r Trench Width Max.Trench Depth Rock Depth Linear Ft.�Gv�� Site Modifications/Conditions/Other: h Contact the Davie County Environmental Health.Section for final inspection of this,system between 8:30—%30a.m.on the day of installation. Telephone#(336)751-8760. Environmental Health Specialist Date: DCHD 11/06(Revised) Davie County Environmental Health P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax(336)753-1680 IMPROVEMENT PERMIT Account #: 990005691 Tax PIN/EH#: 5853-56-7868 Billed To: Jeff Vaughn Subdivision Info: Address: 4837 Bent Tree Way Location/Address: Deerfield Drive-Drive City: Yadkinville 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 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,plat or the intended use change. Permit Type: ANew ❑Repair ❑Expansions Permit Valid for: 195Years ❑No Expiration . Residential Specifications: #Bedrooms 7 #Bathrooms#People 7 Basement❑ Basement plumbing0' Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) ' Design Flow(GPD): Type of Water Supply: AkCounty/City XWell; ❑Community Well Site Modifications/Permit Conditions: System Type LTAR Initial, •3 Repair s - -3 Site Plan t . Environmental Health.SpecialistDate i.p.11-06 Ki 1 \ c- GO Y v9ib� v • //111 � �..+.. ���s�r �.• � r f.t � 1 �y�, Y � 4 c.�,,,,`b n. 1,-•f V•r � }� SE 'O �• ,,' i r irF::y N75 12'22' E 205.00' i. PSE t ltne otsement •0 ` 189.78' To Center ExtsnM r� REBAR r ' c yr '' t e+e..t `"1e.'_. ♦A i A +Yy{ iS y yiq L PGS 472 . CflNTRI]L CORNER - iay' �t li• yM� Q$ i� � � -t >` .t,�_,� is � •a S t r* 1t � ^• N N _ F RIM SU/771 78 696 PG 992 Al 5853 56 1462 SURVEY FOR: tR� SEF' T �.. 205.00 AND WIFE •1 "e A. CI]NTRDL CQRNER REFERENCE:1 - EXISTING PIN NWREN StEBAR - W.�Eugene James FARMIIIGTON TOWI ��--++ TION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC RE C E I Davie County Environmental Health P.O.Box 848/210 Hospital Street MAY 4 2011 Mocksville,NC 27028 (336)753-6780/Fax(336)753-1680 BY• _ �.• ite Evaluation/Improvement Permit ❑Authorization To Construct(ATC) ❑Both Type of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTAN7***THIS APPLICATION C4NNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed TeA V6fL Contact Person •S13rhL Billing Addressr Home Phone �3/,- 7N5- �S'7 City/State/ZIP Business Phone Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Comers 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 Phone Number Owner's Address AWCity/State/Zip U v- 1 1. O.Z Property Address n JZL.--4-1JtLCity_m, (G. Lot Size ).b At„rL Tax PIN# Sf(S3S 7f14.9 Subdivision Name(if a plicable) Section/Lot# Directions To Site: a) ; '- A ,-tni If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes o Does the site contain jurisdictional wetlands? ❑Yes o Are there any easements or right-of-ways on the site? ❑Yes Eo Is the site subject to approval by another public agency? Dyes Will wastewater other than domestic sewage be generated? ❑Yes IF RESIDENCE FILL OUT THE BO W #People #Bedrooms #Bathrooms Garden Tub/Whirlpool�s ❑No Basement: ❑No Basement ng: 2-�re-s ❑No 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: 26onventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:❑County/City Water C ew Well ❑Existing Well ❑Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?❑Yes Ifyes,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 permits)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 comers and I ating and flaggin r stak'n the hous f i'ty location,proposed well location and the location of any other amenities. .rNP/L roperty owner's or owner's legal representative signature Site Revisit Charge Date(s): Client Notification Date: Date EHS: Sign given ❑Yes❑No r �� Account# Revised 11/06 '`�V Invoice# 07 ooh t ko -4,J _4"aA.4, QY-7 4 loor n- r-n GoMaps GIS Page 1 of 6 rn � 22B rn m f , 'ir 1 f I 1 _•.+. , ! 204 2Y4 ! r 1 R[DFICLD RD y, 1 2J5� O rn y � 1 x t � 1 1 1;33— 2� 1r 00185ft f http://maps.co.davie.nc.us/GoMaps/map/map.cfm?CFID=4129&CFTOKEN=61640881 5/24/2011 V APPLICATION FOR SITE EVALUATIONAMPROVEMENT { L� •e' Davie County Health Department E Environmental Health Section P.O. Box 848 W .219% Mocksville, NC 27028 (704) 634-8760ElIVIRONh1ENTAtK ILI DAR COUI ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed 4 /lm A A Ile h. / Contact Person , Mailing Address -1 d %C �ee,e-�'ie/!..-1// P/-, Home Phone 11 �k>• 6A, City/State/Zip hO6�SJ/iWe /Y.G. .774 ,� Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:,Site Evaluation [ ]Improvement Permit&ATC e�V, d 4. System to Serve: [&,I House [ ]Mobile Home usiness [ ]Industry [ ]Other por MSS 5. If Residence: #People _ #BedroomsL3J #Bathrooms _ [✓]'Dishwasher[ ]Garbage Disposal J]Washing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing 6. If Business/Other:Specify type #People #Sinks #Commodes #Showers #Urinals #Water Coolers If Foodservice:#Seats Estimated Water Usage(gallons per day) 7. Type of water supply: [ ]County/City [✓]'Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [--rNo If yes,what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT**SAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: ';2D!!g Z6 WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # 5- Property Address: Road Name' ADA— — City/Zip &dr-, .79G 170 If in Subdivision provide information,as follows: _, 7f.Uz(d.� �'" KtVOZe4 �. Name: Section: Lot#: This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. 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 Pl^-g ' A L2'e'!fi" to conduct all testing procedures as necessary to determine the site suitability. DATE 3' /a'98 SIGNATURE Revised DCHD(06-96) THIS AREA AIAJ BE USED FOR DRAWING YOUR SITE PLAN: R IJ14 i coq J • DAVIE COUNTY HEALTH DEPARTMENT • '�' Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANTS NAME A/�//�/✓ DATE EVALUATED /ate PROPOSED FACILITY �YU5-"f PROPERTY SIZE SUBDIVISION ROAD NAME Water Supply: On-Site Welly Community Public Evaluation By: Auger Boring t/ Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% 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 CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: A EVALUATION BY: LONG-TERM ACCEPTANCE RATE: t 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 DCRD(01.90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■e■■■\�//■■■■■eee■■■ee■e■■■e■■■e■■■////■■■■■■■■■■e■ ■■■■■■■■■■■■■■■■■■■■■11■■■■■■■■■■�■■■■■,■■■■■■■■■■■■■■■■■eee■■■■■■■ ■■//■■e/■eeee■■■ee■■ell■■■■ue■■epee■■■■■■ie■■■■■■■■■■■■e■■■■■■■■■■e■ ■■e■■■■■e■■eee■■■■■■■11■■■■nnii�e■■■■■■■■■u■■■■■■■■■■■■■■■e■■■■■■e■■ ■■■■■■■■■■■■■/■/■/■/■1�■■■■eve■■■■■■■■■■■/11■■■/■■/e■■■■■■e■■■■■/e■■■ ieiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii:��1■■■■■■■■■■■■■epi■■■/■■■■■■ ■■/■■■/■■■//■■■■■■■■■Ise■■■■/■■�■•��:�/■//■■■e■■ee■■e/■■■i■■■■■/■■■■ ■■■■■■■■■■■e■■■■■■■■■Ile■■�_c::ir■ii■■■s■■■■■■■■■■s■■■■■■ei■■■■■■■■■■ MEMNON.' liiiiiiMENNENmammmii"iiiiiii ■■ea■■■e■■e■■■■e■■■eee■■■■■■■■■■■�■■■■■e■■ee■■■■■■■■■■■1�■eei■ee■■■■ swoon ■■■■■■e/////■eee■■■■■■■■■■■■/■■■//■I,�e■e■■■■■■■■■///■■■■li■■■ue■■rr■■ ■/////■e■■■■■■■■■■ee■_-■►�/■■■■■■■■■■eee■■■■■■e■■■■■■■■■■■11■Il�t���r�u■els■ ■/////■■■■■■■■■■11■■■■//i�//■■■■■■■■■eee/ecce■■�-�■■■/■/■11■■e■is■�e/■ ■//■■■■■■//■/■■■11■e►rl7r�■►�e/■■/■e■■■ee■►■/■///■�■■■■■e■■■elle■e■■e■■■■ ■//■■■■■■e/■e//■il■�•��cr:■■i�e■■■/■e■ ■■■i�■■■■■■■�r■■�wnar/■■■Ile■■■■■■■■■ ■■■■■■■■■e■■■■■■►■era■■a■■■■■■e■I�i■■■�t■■e■■■■►�■�uee■■■■11■■■■■■■■■■ ■■■ee////////■■■ae■■■■■tie■■/■■■■■■e■■s�■//e■■■u■e■e/e//■Ile■■■i■■///■ ■e■eee/■■e■■■■■gee■■■■■re■■■■■■■■■■■■■■�■ee■■■�e�e�-.:ee■Ile■■■�■■■■■■ ■e■eee■■■■■■■■■e:��:::::�■■■■■■■■//■■■■■�■■■■■/■■e■■■■e�.l■e■■■■■■■■ ■■■■/■/■■/■■■■■■■■/■■■■■■■■e■■■■■e■■■■■//■■ee■/e/■■■■■■■■■■eee■■■■ Davie County Health Department N�M8Eag88 andHome-Come Health agency NEW pN°MAaG"C 22' Environmenta( ealth Section EFFEG�t33 75�'876� P.O.Box COURIER#09 40-06 srREET MOCKSVILLE,N.C.27028 PHONE:(704)634-8760 March 27, 1998 Elmer Allen 204 Deerfield Dr. Mocksville, NC 27028 Re: Site Evaluation Deerfield Drive Tax PIN: #5853-56-7868 Dear Client(s) : As requested, a representative from this office visited the aforementioned site on March 25, 1998. Based upon the information provided on the application for site evaluation and after the evaluation vas completed, the site Was found to be provisionally suitable for installation of an on-site sevage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist . RH/vd Enclosure(s)