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2411 Farmington RdDavip rnunty Nr Tax Parral Rannrt 'Aa.L.T'► Warinaerlav Ranfamhar 9A 9r11A '"'-' Pacer Information'" Parcel Number: B50000008303 Township: Farmington NCPIN Number: 5843742543 Municipality: Account Number: 67995300 Census Tract: 37059-802 Listed Owner 1: SMITH PATSY J Voting Precinct: FARMINGTON Mailing Address 1: 2413 FARMINGTON ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 6.223 AC FARMINGTON RD Fire Response District: FARMINGTON Assessed Acreage: 5.91 Elementary School Zone: PINEBROOK Deed Date: 911995 Middle School Zone: NORTH DAVIE Deed Book f Page: 001830119 Soil Types: MrC2,GnB2,MsC Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV -P Building Value: 0.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 73770.00 Total Market Value: 73770.00 Total Assessed Value: 73770.00 141 Davie County, NC All data is provided 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. JI Com_ y*5 � AUTHORIZA`:ION. NO: .{ x s: , a DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Pen- ittee's P.O. Box 848 Name: 1 "�' ✓1 Mocksville, NC 27028 Subdivision Name: ' Phone # 336-751-8760 Directions to property:. '�'r:� r ti Y r Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION p jry7 Road Name: **NOTE** 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 Pen -nits. (In compliance with Article l 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTALHE�PECIALIST DATE ISSUED Y - �..�-.: -"� „-a v a'an •;ice- .. 4: r , - .:9`• • - G - I�/////]. .. /// j��+ DAVIE COUNTY HEALTH DEPARTMENTG - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permlttbe �/ ,Ns1tt► '` �.�. ,! .r��, r"!,'1' ,r' / 1 Subdivision Name: Directions to property, f'. /� Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#•. r \ Road Name:'lfv}r�/!' i ' 1p 1- **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 Departmentprior to the construction/installation of a system or the issuance of a building permit. i (In compliance with Article 11 of G:S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) " ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIRONMENTAL $EAL SPECIALIST DATE ISSUED t INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE --o�r# BEDROOMS .T— # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE,&l GAL. PUMP TANK _ MLI GAL. TRENCH WIDTH �L_ ROCK DEPTH LINEAR FT. rI �Ii /_ v REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOU� tAPPROVEI1 EPFLUEt"T FILTiEI14 p� *RISER(S) IF BELOU I'IlllMIEB SI:02t "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 - 1:3CI�.�I 0 HE DAY OF INtT IATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT BY: v 1 � o �a 1 3� IPA, r AUTHORIZATION NO. OPERATION PERMIT BY: "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 05/96 (Revised) c -am mkov" i#41 rulmr1 8 AIC Davie County Health Department Q M EnW0,7Menta/Health SWUM � • • �„ �� j,� P.O. Box 848/210 Hospital Street )1 Mocksville, NC 27028 DEC - 9 1996 t_,O I FN%11RnwAFHTA1 HFAI (336)7S1-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE tggyjjZfiAV1E COUNTY INFORMATl.ON IS PROVIDED. Refer -to the INFORMATION BULLETIN for instructions. .fins� Name to be Billed l e mn n Contact Person , {/-�1(1LM Mailing Address Same Phone & iP " `) 41) - 2�C) city/State/ZIP t" i�,\ 1cu e- ►�' ` r?W Business Phone '�i�+{� " I n Mame on Permlt/4L= if Different than Above (1 11ome4 Ek 1'101' Hl aya- llYi 2/ Cid Mailing Andres* City/State/Zip . Application For: Site Evaluation ❑ Improvement Permit/ATC Both �} system to service: 0 House VHobile Home ❑ Business 0 Industry 0 Other If Residence: tl People • Bedrooms 3 o r 4 • Bathrooms �. G6'Dishwasher 0 Garbage Disposal 00; ashing Machine 0 Basement/Plumbing (] Basement/no Plumbing i. E0 B0*1neas/)in&istry/other: Specify type # People i Sinks 0 Commode$ f showers f Urinals # Nater Coolers XF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7.. Tnie of water supply: County/City O Well ❑ Community s . Do y3u anticipate additions or expansions of the facility this system Is Intended to serve? ❑ Yea 04 U yes, what type? ***IMPORTANT%"*CLIENTS AtUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 0 @ O 1-I 0 _c -e- V4ffM DIRECTIONS (from MoclnWlle) to PROPERTY: Tai OMce PIN: # 3$ 4 3 - r]y -@,543,00� y -n -bIqll �qc cYiln ��n �d 00 -�c-l�.,e l +- . C-ro -4-c e� W+l b r --,Property Address: Road Name �Rf (`n1 t1 'a City/Zip1 fl (\ 11e 20DPS UI em 41 C11 C41-\" • Gt) lit :r a Subdivision provide information, as follows: �Y � P I ney� I � I e � � L( n Name: i -I Ar, (e Lc& b rl ��t'• C"Th Section: Block: Lot: Date Property Flagged: _ 1� - This Is to certify that the information provided is convct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocationg If the site plans or intended use change, or if the information submitted in this application Is fabifled or changed. I, also, understand that I am responsible for all charges Incurred from this application. I, beieby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned be ffl.ehnj wtA to conduct ail r ­ .Ani +m:.•ocedures as necessary to determine the site suitability. DATE - �� SIGNATURE THIS AREA MAY BE USED FOR DRAWING YO t S'TE P11; i (include all of the following: Existing surd proposed property lines and dimens;gq&„ structures, setbacks, septi • t //0 W;� 4,V ZV Rev sed DV743 (07/98) No. Z5? No. rl �gl i existing iron pin 186.70 380.30 TOTAL. S 88' 22 J8" f --- z 0) N Z0)N 00(D Z N r' 0 Ii g " RE - 0.990 ACRES a �mm Z X N LL0Q lron pin AREA = 1.00 N 88. 22' 08" W 390.10 TOTAL DAVIE COUNTY HEALTH DEPARTMENT r ' Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME Adzjf!0Q DATE EVALUATED PROPOSED FACILITY y �i'L PROPERTY SIZE �✓l/iC SUBDIVISION ROAD NAMEQ'�rL / Water Supply: On -Site Well Community Evaluation By: Auger Boring L/ Pit Public c —I-., Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % 1J HORIZON I DEPTH /< y Texture groupE Consistence Structure Mineralogy HORIZON II DEPTH 4 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: t/ S LONG-TERM ACCEPTANCE RATE: REMARKS: .SP> le DCHD (01-90) EVALUATION BY: OTHER(S) PRESENT: 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 Fl - 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 January 20, 1999 Angela M. Anderson P.O. Box 433 Advance, NC 27006 Re: Site Evaluation/Farmington Road Tax PIN: #5843-74-2543/0.990 Acres Dear Client(s): As requested through your application, Robert B. Hall, Jr., R.S., Environmental Health Specialist(s) with this office, visited the aforementioned site on December 17, and 18, 1998. The purpose of said evaluations(s) was/were to determine the soil/site suitability for the installation of an on-site sewage system. The result(s) of the evaluation(s), a copy of which is attached, indicate(s) the site is unsuitable for the installation of an on-site sewage system for the following reason(s): Rule(s) .1940 (e) - Landscape Position .1941 (3) (B) - Soil Characteristics/Expansive Clay .1942 (a) - Soil Wetness .1943 (a) - Soil Depth .1944 (a) - Restrictive Horizons Due to the limitation(s) on your site, this office is not aware of any modifications or alternative measures which can be implemented at the present time to upgrade the classification from "unsuitable" to "provisionally suitable." Your application for an Improvement Permit/Authorization to Construct must, therefore, be denied. You have the right to an informal review of this decision by the Environmental Health Director of this office and also by the regional staff of the Department of Environment and Health. You should contact this office to arrange for this further review. You may also wish to obtain the services of a private consultant to collect site-specific data and submit data and a system design to this office for technical review. A site may be reclassified provisionally suitable provided written documentation, including engineering, hydrogeologic, geologic or soil studies indicate to this office that a proposed on-site sewage system or a proposed Page 2 Angela M. Anderson January 20, 1999 alternative system can reasonably be expected to function satisfactorily. The substantiating data from these studies must indicate that: A. The effluent (wastewater) will receive adequate treatment; B. The effluent (wastewater) will not contaminate any ground water or surface water, and C. The effluent (wastewater) will not be exposed on the ground surface or be discharged to surface waters where it could come into contact with people, animals or vectors. Finally, you have the right to a formal appeal of this decision if you file a petition for a contested case hearing with the Office of Administrative Hearings, P. O. Drawer 27447, Raleigh, NC 27611-7447. A copy of a petition form can be provided to you upon request. The petition must be received by the Office of Administrative Hearings within thirty (30) days of the date of this notice. The hearing may be held in Davie County. If you file a petition for a hearing, you must send a copy of the petition to Mr. Richard Whisnant, DENR, Office of General Counsel, P. O. Box 27686, Raleigh, NC 27611-7687. Please call or write this office if you have any questions or need any additional assistance, as follows: Telephone number: (336)751-8760 Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 Sincerely, kOC4�' ;;�gr k' �- Robert B. Hall, Jr. Environmental Health Specialist RH/wd Enclosure(s): Soil -Site Report Invoice Drafted by: E. Edward Vogler, Jr Return to: Hall and Vogler Box NORTH CAROLINA DAVIE COUNTY DECD BODY 01 i Q PA SQ I u- Xecordittglitforttuaiott Above This Line) DEED OF EASEMENT This deed, made this 1A day of March, 1999, by and between Patsy J. Smith ("Grantor"); and Angela Smith Anderson and husband, Michael Douglas Anderson ("Grantees"); all of Davie County, North Carolina; WITNESSETH: That whereas, said Grantors are the owners of a certain tract of land as seen in Deed Book 83, page 391, and Deed Book 183, page 119, in the office of the Register of Deeds of Davie County; and whereas, said Grantees are the owners of a certain tract of land immediately adjoining said land of Grantors; the same being the land conveyed to them by deed recorded in Book 208, Page 513 in the office of the Register of Deeds of Davie County; both of said deeds are hereby referred to for greater certainty of description; and whereas, said Grantees desire to install a septic tank system for their property; and whereas it is necessary that in so doing they lay components for said septic field across said lands of said Grantor; Now, therefore, said Grantor, for and in consideration of the sum of Ten Dollars, and other good and valuable consideration, to her in hand paid, does hereby grant, bargain, sell, and convey unto said Grantees a perpetual right and easement for a septic field described as follows: BEGINNING at an existing iron, a common corner of the Frank Johnson lands (as seen in Deed Book 46, pate 409, and Deed Book 44, page 262), the Angela Smith Anderson and husband, Michael Douglas Anderson lands (as seen in Deed Book 208, page 513), and the Patsy J. Smith lands (as seen in Deed Book 83, page 391, and Deed Book 183, page 119), running thence with the Anderson line South 88° 22' 08" East 75.00 feet to a point in the Anderson line; thence a new line South 04° 02' 54" West 150.00 feet to a point in the Smith lands; thence a new line North 88° 22'08" West 75.00 feet to a point in the Johnson/Smith line; thence North 04° 02'54" East 150.00 feet to the POINT AND PLACE OF BEGINNING. Said easement to allow Grantees to construct and maintain a septic field extending from said land of Grantees to a point on Grantors lands and to go upon said lands whenever the same is reasonable necessary for the purpose of inspecting, maintaining, and repairing said septic field; provided, and that in constructing and repairing said septic field said Grantees removes all surplus earth, make level and surface of the ground above said septic field and interfere as little as is reasonable possible with any plants, fences or other improvements upon the land of Grantor. To have and to hold said right-of-way and easement to them the said Grantees and their successors in title; it being agreed that the right-of-way and easement hereby granted is appurtenant to and runs with the land now owned by Grantees and hereinabove referred to. In Testimony Whereof, said Grantor has hereunto set her hand and seal the day and year first above written. SEAL Patsy i�nith NORTN CAROLINA CFCD BOOK 0 pAO 5/6 DAVIE COUNTY 1, �n I�QGU 'k) x, , a Notary Public of said State and Uaxj �e-- County, do hereby certify that Patsy J. Smith, Grantor, personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the day f t rc , lgg9 SEAL Notary Public My Commission Expires: 10111 ,��• NORTH CAROLINA DAVIE COUNTY ANDREA WHITTINAz NOTARY PUDUC DAVIE C UNTYa NC My Commission Expire 6" a The foregoing Certificate* of_ Andrea Whittington , Notary Public of Davie County is/fie certified to be correct. This the 19 day of March 19 99 This instrument filed in Deed Book 210 Page 509 at 4:54 P.M. Henry L. Shore, Register of Deeds for Davie County by: Deputy/Ax�g= �i� � I � ( Ieristing iron pin 380.30 TOTA� 5 68" 2� u t- -- + AREA = 0.990 ACRES o N AREA - 1.000 ACRES N � w�1�MLrsr�Msr no. �se�-��x:: !96.`i�„ �---- "J 88' 22. �8 . -3v 39U.' G �UTA� �- • - c • r : �- r -� -• • • r ._ ♦ •�,_ . ,, P::TSY J. SMiTH C.B. E3� ==G. 3�, D B. �, � 3 F' �, _,�� y ' 93.60 �Ia��.�t� co � DA� i E 4UtJ1 07 DAN�.E KAu � �bltE � ILLE V lCl �1 lT`1 MAP �lo s��,� JOE JOHNSON D.B. 187 PG. 823 � W , Q � a 0 :, 0 ��// N � ne'ni irpr placed � exisfing iron pin — — — — - - -- — — — � - — '� B6' 22' 06" h' 153.16 -'",. Nr sptke , _ _ . _ � __ _ , vTAL � � jt --t �� 122.34 on ,ine c�nter o1 � -- ------ _ _ _. _-_—� \\ � \ 30. ���o``` rood ' � — — — — — — — — — � C \� �. � � � � � \ \t � \ � �'� . �� �\ Io � �,,\ \ GRA'✓EL DRIVE � W . , \\ � i �_--�-- _ _ — � � . � � / i + � `--� � � � i il t \ 3 � \ F'ROPOSED � ��� •— — -- — f \ � \ + � \ — _ 2�`EASEMENT i h � / — 1 � � � � � (V � E `--- _� �/ ��\ � - � � �� F G � i ` ` Q Q � � \+ _.___ + t� \ +\ � . � 1� (� � �,. _ _ -- -- -- / � \ � � Ocu r�� � __—_----__� � � F- N o N `— � \ + M a' � � \ t .r � \ � 1 new irpn pioced F'ATSY J. SMITH D.B. 83 PG. 391 D.B. 183 PG. i i 9 EASEfvtENT DATA LINE BEARING DISTANCE A N 77• 40' 43" E 13.26 B S g8• 38' 04" E 97.17 C S 58• 50' 17" E 47.B6 D 5 23' 26' S9" E 6628 E 5 48• 06' 10" E 29.68 F N 64• 47' 18" E 54.43 G 564•59'19"E 36.67 H N 66' 47' 25" E 41.08 i N 60` 55' 34 ' E 31.46 J 5 64' 06' 20" E 54.10 K 5 35' 06' 4I" E 30.07 L 526•19'21"E IB.10 M 5 73• 59' 4t" E 29.00 X - U"�P�.;�:�-.r�E'�; PC1N'r -<FVIS�;J I;,"��4: 98 R�l15't� : J?'?4l4� (5E-?!� EASEMENTI I, GRAD`' L TU?TEROW . CERTIfY THAT UNDER MY DIRECTION AND SUPERVISION ,?HIS MAP WAS DRAWN FROM AN TUAL FIElO SURVEY MADE TU EROW U V I COMPANY. REGISTERED L ND SURVfYOR L- 2527 r s"�"EY F°R : M/CHAEL ANDERSON 8� wif+e ANGIE ANDERSON SCALE: �.. = 50' APPROVEO BY pqAWN BY DATE: 09/08/98 GLT MBREWER BEING 1.990 ACRES TAFCEN FFtGM THE P,�.TSY J. SMITH PROPERTY (D.B. i83 PG. 119) LYING IN THE FARMINGTO�J l'OWNSHIP DAVIE COUNTY, NORTH C.>ROLJNA DRAWINO NUMOER TAX MAP REF : B-5, a portion of PARCEL. 83.03 21296-3 m 0 0