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177 Everhart RdDavie County, NC . �� >. .._. _._._.. .. . . 1b��€ I� ._.........._._ ................�._� w_......l�p !� � _.,.--,� ._.� s �1,1 � 3 �..' 7 �---------_—__--� 1�? ' � 1 � .1e3 � � f �� .z�� ; ��___ ...._. 1..._�, i �� z �,3 � � ,r _ � �1 J� ,; ,r C.�^` ' � � ( { -�_..,�.,i ,: � 1 � �.�� _ ` 2"L�,�f� �i.�.3 ' �_ �� r-- .� . t � _ �� _.__.�t,r Jr 13 a ��." 5 151 � � E�. i.,� - ,�._. � �� .j� �`.....`�1.. L�;'E=F�H�.F4:Tf,C � � �. :_ _ J 3 J ' llb ?�, .. ,�. -- ...�� i 1 W �:l ��....,,,.�..�h ,� . ....... _ :_.. _ _ � __ 1 :r, Tax Parcel Report Wednesday, October 12, 2016 ��„� ,. :..... _. AI ' 4 F,�-� ur �'r, �l �'" I f +... � f l_1 WARNING: THIS IS NOT A SURVEY Parcel Information Parce) Number: J70000002103 Township: NCPIN Number: 5767378831 Municipality: Account Number: 52794000 Census Tract: Listed Owner 1: MYERS GRACE MAE Voting Precinct: Mailing Address 1: 177 EVERHARDT RD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: 37059-804 FULTON Davie County DAVIE COUNTY R-A Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 5.04 AC EVERHART RD Fire Response District: FORK Assessed Acreage: � 4.96 Elementary School Zone: CORNATZER Deed Date: 9/1991 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001600775 Soil Types: WeC,WeB,PcC2,RnD Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 15010.00 Outbuilding & Extra Freatures Value: Land Value: 131360.00 Total Market Value: Total Assessed Value: 159870.00 °"°°'F Davie County, �o�,r�i NC DAVIE COUNTY 13500.00 159870.00 AII tlata is provided as is without warranty or guarantee of any kind either expressed or Implied Inciuding but not limited to the Impiied warranties of inerchantability or fitness for a particular use. All usen of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contrectors or employees from any and ali claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. _, . . .. ,/ " V . , .. ' , }( 0 ..; •', II�ROVEI�NT PERMIT DAVIE CDUNTY HEAI.TH DEPARTMENT IMPROVEMENT PEAMIT and �ERATION PERMIT +�*NOTE�* This i�prove�ent per�it DOES NOT authorize the construction or installation of a septir tank syste� or any NasteMater syste�. RN RUTHORITRTIDN FOR WRSTEWATER 5Y5TEM CDNSTRUCTIDN �ust be obtained fro� this Depart�ent prior to the construction/instailation of a syste� or the issuance of a building per�it. iIn co�pliance r►ith Article i! of 6.5. Chapter 1�A, Nastewater Syste�s, 5ection .1900 SeNage Treat�ent and Disposal Syste�s) FIAl� �� Pr _ PR�'ERTY ADDRESS `� ..�-//,a1✓i1,�Y� ,�� "a 7Qo�� DATE ll-��_s�J� LOCATION _�'1/��i��; ��/''� �'T T --.�1��' �1 C� SUBDIVISIOP! NAME LDT MliBER SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILOING TYPE �,e'!� # 9EDRQOMS c� # BATHS L N OCCIIPANTS � 6ARBAGE DISPOSAL: YesL� C�RCIAE. SPECIFICRTION: FACILITY TYPE # PEDPLE # PEDF'LE/5HIFT # SERTS INDUSTRIRL 41ASTE: Yes/No LOT SIZE 3�/IL`' TYPE WpTER SL�PLY /� DESI6N I�STEWATER FLOW {fPD) '�%D 1�1 SITE l/�REPAIR SITE 5Y5TEP4 SPECIFICATIDNS: TANK SITE �;) J 6AL. F�&IR TAM( 6�. TAENCH WIDTH . t'/ A�K DEPTH � LIt�AR FT. �!r ( OTFIER REQUIRED SITE MODIFICATI�IS/[�NDITION5: *�}THIS PERMIT IS SLIBJECT TO REVOCATI�I IF 5ITE f�.ANS OR THE INTENDED USE CHANGE. VDUR WASTERWATER SYSTEM CONTRACTOR hNST 5EE TNI5 PERMIT BEFORE INSTALLIN6 THE SYSTEM. IMPR�VEMENT PERMIT BY !_'.��/ �''�. J< +�*COMTACT A REPRESENTATIVE � THE DAVIE C�JTY F�ALTH DEPAATMENT FOR FINAL INSPECTIDN DF THIS SYSTEM E►ET�IEEN 8:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # I5 l7@4) fi34-8760. �ERATION PERMIT SYSTEM INSTALLED BY `� � �'�� AUTHORIZATION N0. � V� � l� "1 �`� �\"V \ 2 u � l.0 DPERATION 2 �J C. �, DATE ` � `�� 110 }�THE I5Sl1ANCE OF THIS �RATION REItP1IT SHALL INDICATE TF�T THE SYSTEM DESCRI@ED ABOUE HAS BEEN INSTi�LED IN COh�LIANCE WITH AATICLE 11 OF G.S. CHAPTER 130A, SECTI�N .19� "SEWf�'iE TREATM�NT AND DISPOSAL SYSTEMS°, BUT SF�U. IN NO WAY BE TAKEN AS A 6'UARANTEE THAT T}� SYSTEM WILL FIA�CTIOM SATISFACTORILY FOR AMY 6IVEN PERIOD � TIh�. DCHD 10/95 ,. . :. . . .. . y :� __-....>. � ,. . .: .,-�. .._. �...: :.. �.:.::: . .,. . ` , i' - _..t�_ , _ . . , a �� . . . . . . . . ' ^ �°,E T. ...:.....�� 'p�, �' . � � . Davie County Health Depart�ent ' - : ' � ENUIROhIMENTAL HEALTH 5ECTIDPI - ' P.O. Box 665 Mocksville, N.C. 27Q�28 AUTHURIZATION FDR WpSTEWATER SY5TEl1 C�ISTRUCTIOH iIssued in coepliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) . �Xa' .. � � ,, �.� : , +�*�This Ruthorization For Wastewater Syste� Construction ■ust be issued by the Davie County Enviran�ental Health 5ection prior to issuance of any Building Per�it5. This For�/Authorization Nu�ber should be preser�ted to the Davie Gounty Building Inspections Office when applying for Building Fereits.�+� /_ �� r- AtJT}�RI2ATION t�IBER NRME , r, ' DATE �/ c-.c,�, -S �',� o x",� ?� ��_ �� NR�E ON IlPROVE?ENT PERNIT lIf different than above) 5I7E LOCATI�N ..1�!/r'fil/�, ��<, � * .. COMl�NTS/t�NDITI�15 ON pUTtI�RIZRTIaV TD CONSTRUCT WASTEWATEH 5Y5TEM �TICE� THI5 AUTHORITATION FD WASTEWATER SYSTEM CDN5TRUCTION I5 VALID fOR A FERIOD OF FIUE 15) YEARS. � .�/ G�f/i 1 /i �1 � -�,a' � ENVIR01�lENTRL �fAITH 5PECIALIST DATE DCHD 10/95 �� l�``�. i1��'�1'� � � � � ,��- , �',�,�� - 1�� A�LICATION FOR SITE EVALUATION/IMPROVEMENTS //,aD Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. App�ication/Permit Requested By �'�y''' �_�'/ ��"" � Mailing Address !�� V��I�� ` Home PF �('LC �l�S V! % J� ��C � Business 2. Name on Permit if Different than Above _ 3. Application for: ❑ General Evaluation �Septic Tank Installation Permit 4. System to Serve: ❑ House fH�Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry O Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # p c� c� c� 0�� OCT 3 1 19�5 � �ne gT� � .2 .3 2 �hone ��7' No. of People D%1 G No. of Bedrooms �wCi No. of Bathrooms d Vl � Dwelling Dimensions 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 No. of Showers Water Usage Figures 7. Type of water supply: � Public ' �YPrivate 8. Property Dimensions ---5 �� "" Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ BasemenUPlumbing ❑ BasemenUNo Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal �No O Communiry t '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: �r0 � c� I�Y 11 �9 � �o �b � 8 Tax Office PIP1 ,f �j r��,�_3.�- gg�/ P.oad Name S2 I y�o- Cvet/� c� rT �oaa� �ox �f (if available) city �rj o�ks u,�c.�e �1/c .Z�o? g 4� �oEy D1� r V�/V'�cxy'�`" �c� Q's� ._ �� d l�/�X �" /V(o111G Ct,t �o w C� ��' d ��1 L� �°`� %�O (�! �' / Lt Nj � � n � � e � �i }%I/� �' ^ � �v� �r�'/�.' �'r � w��! 1� � �c� StG�' 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 31 /�1 QS ��- �, �� DATE � SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: Yd�1. I OWN the property. ❑ 2. I_D_Q 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 disposal system. DATE DCHD (1/93) SIGNATURE a i Y ( S • ' " '�. DAVIE COUNTY HEALTH DEPARTMENT . Environmental Health Section Soil/Site Evaluation i NAME .�G�t��'S, DATE EVALUATED ,�, `.2�� S ADDRESS PROPERTY SIZE � �� PROPOSED FACIILTY �� LOCATION OF SITE �� ' �� Water Supply: On-Site Well �/ _ Community Public Evaluation By: AugerBoring � Pit Cut FACTORS 1 2 3 Landsca e osition S1oeR _ HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH ' �� G � � " Texture rou Consistence ' r Structure �' /( Mineralo , HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH 'rexture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CL�SSIFICATION LOyG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: � EVALUATED HY: ,/�/�-lf LDNG-TERM ACCEPTANCE RATE: •�� OTHER(S) PRESENT: REMAR KS: 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-Silt,y �;lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR- Vccy 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 5tructure .;C--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloay 1:1, 2:1, Mixed Notes liorizon 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 watet 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 ■��■��■��■��■�� ■ ■��■�i� ■��\��N�\��\��/��■ ��■■ ■��■��/�■ ■�■■��■��■��r��■ ■�■��■��■�■��/� ■��■ /��■ ■��■��■��■■ ■�■��■��■��■��■��■�� ■��■■��■��■��■�■■��■��■ ■��E��■��/�■��■�/��■■�� ■ ■��■��■ ..........................................C.....■..�■..■....■.... .........................................■■........_ ............. ■��■��■�� N��■��■�� ■ ■��\��■��■�■ �� ■�■��\��\��■�� ■��N �■�� ■��■��\��■�� ■ ■■ ��G��\ ��..�� ■�� ■■��4'l��■■ ■��■��■��N��■■■�� ■��■��■��■��■��A��■��N��\��N��■ ■��■�/■��■��/��■��■ � ■�■��■ ��\�� /�� ■��\��■��■��■�� ■��■ ��■��■�� u��N�� ■��■�� ■��■��N��■��N��■� �� ............................................... .._...�...■..�� ...............................................�_ �:':.::::::■C .............................................■■ ::C:�::::::::::::::::�:::CC:::`�:C:::::�::�: . :C:'.=:'S::C:::: ................................�......._.....�.........C........ ■�/��H�n��%��1��H��H�� ■�■��\��■��■��\��r� �■■��■�� ■ �� \■�� ■��■�� ■ �� ■ ■ ��■�� ■��■��■��■��■��■�� ■��■��■■�� h��■■ ■ ■ ■ ■�� \!�!��in��, N� n�� ■ �� 1�� , ��f ■u.. ■ � �� . ■��N��■�/■�■��1�� ■��N��1��■ �� N �� ■�� ■■■��N��u��11�� u �� ■��■��\�� \��\�� \�11� ■ ■ �� H�■ �� ■��yn�� ■ ■ �■�� ■■ ■��■ ■��0�� A �I�� ■��0��/��ul��l/� �� u�� ■��■��■�■��■��\��[//,�■`i� H�� ■■��■�� ■n� �\`f/ ■�� u ■ ��■ ■�� i�iu��■��ii��a=�� ■ ■ eu�� ■ ■��Hu��v=�l�Y� ■ �� u�� /I�u� NI �� n�� .........................�_...�..�. .y� ...... .......................... ..��.. . . �:...... ■��u��wH��t��_�■� ��U� ��q��%�� u��u� ..._... �'.� .....�:...�_:'..... .. . ... . ■�■ ■�� u ■ ■ N �� ..........�......................C�i . .. ....■ ..........................■. ....... �.. .. ............................C... ... ....�:C'... ................................�i.=C= . . .............. ............................... .. .......... ::_:::::::••.:�■■.......■■■.■.■:D■.■.■ ..■■■■.....� ■�■��N��u��■ ■ ��N �� ■�� C��N�� ■�� ..�� .:'::: ::":'�:::�i:'::C:�::::C:::: .: . : _. ::'C:=:::::::::: ■_... ..�:.......C........... . .�.. .C..... ................. r��u�■��ni�■��■■��■■��■��■ur��=��■��■u��■■■■■��■■■■■■■■ ■��■��■ u��■■��u�� ■��N■�� ■��■��_��■��■��N��■ ■��■��■ ■�■��■��a��v��■�� ■��■��■��■��■_��■��■��_��_��■��■ i�ii=iiiii�aiiiiiiiiiiiiii�iiii�iiiii=�ii��iiiiiiiiiiiiiiiiiii=i �i�� ■��■ ��■ ■��■��■��u��■�� ■ ��■■�■��■