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215 Feed Mill RdDavie County; NC Tax Parcel Report Wednesday, October 12, 2016 WAK1VliV(i: lril� 1J 1VU1 A�UKVLY Parcel Information Parcel Number: G80000004501A Township: NCPIN Number: 5880104037 Municipality: Account Number: 58744500 Census Tract: Listed Owner 1: PRIESTLEY JAMES LEE Voting Precinct: Mailing Address 1: 215 FEED MILL ROAD Planning Jurisdiction: City: ADVANCE Zoning Class: State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: Legal Description: 2.46 AC FEED MILL RD Fire Response District: Assessed Acreage: 2.13 Elementary School Zone Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 9�°°'F Davie County, �'o�,N�� NC 3/1988 Middle School Zone: 001420400 Soil Types: Flood Zone: Watershed Overlay: 58690.00 Outbuilding & Extra Freatures Value: 44040.00 Total Market Value: 109650.00 Shady Grove 37059-804 EAST SHADY GROVE Davie County DAVIE COUNTY R-A ADVANCE SHADY GROVE WILLIAM ELLIS PaD,WeC,PcB2 DAVIE COUNTY 6920.00 109650.00 No ,II data is provlded as is without war�anty or guarantee of any kind either expressed or Implied Including but not limited to tha nplied warrenties of inerchantability or fitness for a particular use. AII users of Uavfe Countys GIS website shall hold harmless the :ounty of Oavie, North Carolina, its agents, consultants, contractors or employees from any and all clafms or causes ot actlon due t r arising out of the use or Inability to use the GIS data provided by thls webslte. i. _.. . . _ .. .. , . I j �� � a��;,� _ ;,� . �•� , It�ROVD�NT PERMIT DRVIE COt�iTY HEALTH DEPflRTMENT IMPR04EMatT PERMIT and OPERATION PEAMIT � �' #�TE�+� This i�prove�ent per�it DOES NOT authorize the construction or installation of a septic tank syste� or any NasteNater syste�. AN AUTI�RIZATIDN FOR NASTEWRTER 5Y5TEM CONSTRUCTI�1 �ust be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. tIn co�pliance ►vith Article 11 of 6.5. Chapter 130A, NasteNater Syste�s, 5ection .1900 5eHage Treat�ent and Disposal 5yste�s) NAl� •.1 �'Cc��S LOCATION �J � F " �. Qv��'- Sc� SUBDIVISION NAME �, Q PRDPERTY RDDRE55 ��� � ��1 � j I `�� . ' a %�D(� DATE �_�3_ �I� y� , c�, $cal � - �;\ a�. �'.�, �,�.�. �, - O� �.�>� �.��e LDT MJ�(BER SEC. /BL�1( NtAqBER RESIDENTAL SPECIFICATION: BUILUIN6 TYPE •� t�Q � BEDR�MS � i BATHS � # DCCIIPANTS I 6ARBA6E DISPOSAL: Ye No �:,.R ;� 4 CDMt�RCIAL SPECIFICAT-I�I: FACILITY TYPE �� �'=��_ � PEDPLE � PEDF�LE/SHIFT � SERTS INDLI5TRIAL WASTE: Yes/No 4 � 1 ,� � LOT SIZE .� C����!/PE FtATER Sl1PPLY., ���.y DESI6N NASTEI�FlTER `FLON (C,PD) �b , 1�W SITE �!/ REPAIR SITE . ,w , . �t , : , � r SYSTEM SPECIFICATIONS:y TAt�( SIZEI�� 6RL '- Rl� TRM( Y, 6RL. TRENCH NIDTH �� RDCK DEPTH � LII�AR FT. ���s OTHER � � , � G " � 41" .. � . . ' ' � . , . �` REQUIRED SITE MODIFICATI�15/C0�lDITIDNS: � ���THIS PERMIT IS SS'111B�ECT TQ REVOCATION IF 5ITE �ANS OA THE INTENDED USE CHANGE. YOUR GIASTERWATER SYSTEM CONTA�TOA t�.IST SEE THIS PERMIT BffORE INSTALLING TNE SYSTEM. ' � _ — _� F .�. xf . r � � _ ��� � �- � a FMRROVEMENT PERMIT BY ����� ��,. �-,.�•.���. �'�..�. �*CONTACT A REPRESENTATIVE �-THE DAVIE Cm1NTY HEALTH DEPAATMENT FOR FINAL INSPECTION � THIS SYSTEM 6ETWEEN 8:30-9:3@ A.M. OR 1:�-1:30 P.M. ON TF� QRY OF INSTALLATION. TELEPHONE # I5 17Q4) 634-B1b0. • �ERATION PERMIT •�" r 5YSTEM INSTALLED BY ���.1%X�./1Z %fJ'py� Xl'� E'n� � , >� AUTHORIZATION N0. L�� DPERATIDN PERMIT BY ,�F1��t�G DATE _L��O -%G � f�THE ISSUANCE DF THIS OPERATI�1 PERMIT SNALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE i�k5 BEEN INST�.LED IN (�IMPLIANCE WITH AATICIE 11 OF G.S. CHAPTER 130A, SECTION .19� "SE41�E TREATMENT AND DISpOSAL SYSTEMS', BUT SHAI.L IN NO WAY BE TAKEN AS A 6UARANTEE THAT THE SYSTEM WILL Fl�TION SRTISFACTORILY FOR RNY 6IVEN PERIOD � TIME. DCHD 10/95 _ . .. , . � . . . . . . _ f . . . I i �� .ti..�l �l � -z ' ,'�' . . �§ i.,,�� z ,.•.�- +� , - � l; "`Y �� _ . 't: � - _ � ; l °�'"� .; = ,` �' , � : Davie County Health Departient ENVIRDNR9ENTflL HEALTH SECTIDN P.O. Aox b65 ' Mocksville, N.C. 27028 RUTHDRIZATID�I fOR WASTEYRTER SYSTEM CONSTRUCTI�1 lIs3ued in co�pliance Hith Article li of G.S. Ghapter 1sQA, Wastewater Syste�s) L�N � , +�*�This Authorization�Far Waste►+ater 5yste� Construction �ust be issued by the Davie County Environ�ental Nealth 5ection prior to issuance of any Building Per�its. This Far�/Ruthorization Nu�ber should Ge presented to the Uavie County Building In:pectior�s Office when applying for Building Per�its.+�* �"�' AUTFflRIZATIDN t�U`.9ER � ��� e s"''f"1 �e �� na� �' — 2� - �1 � {`' CJ �A � :� NAME �✓ � � e � ; � o NRME ON IIPROVE!£�IT PERMIT iIf different than above) 5ITE LOCATIQd � 2 � i� �� � � �\� `� O 'P � �T5/I;OrmITI�lS ON AUTHORIZRTI�N TO CONSTRUCT 41A5TEHATER 5Y5TEM , .. 1 ,k �� 6 . � ' 4. :e,' h, > . L �y S } d i Y i �}ND'TICE� TNIS AUTHDRI2ATIDN F�R WASTEWATER SYSTEM CON5TRUCTION IS VALID FDR A GEAIDD OF FIVE t5� YEARS. � ~� .��.�J�,�� � -�� -�%'� ' � 'ENVIR0�1�TtTAL �EAL.iH SPECIALIST OAIE i DCHD 10/95 .. . ; . APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC m ****IMPORTANT**** Davie County Health Department / Environmental Health Section �/� /J� P.O. Box 848 7 Mocksville, NC 27028 (704)634-8760 THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. � 1. Name to be Billed 1�%i�%i�S �/� ,/ .� ��S �./G 1� Contact Person �/�/Jlz`: / r Mailing Address ��% /<S ���C� %%%i�� ✓�C�� Home Phone c�%��%, s�� 1� City/State/Zip �����/aJ1� � ��� �i ��/.�/G' Business Phone � ��G'C�—�,�`i�i�i�/ f. �� G G 2. Name on PermidATC if Different than Above ---, Mailing Address 3. Application For: �Site Evaluation City/State/Zip [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [] House ,� Mobile Home [] Business [] Industry [] Other 5. If Residence: # People.�� # Bedrooms_� # Bathrooms�_ �Q 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:pQ County/City [] Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes �No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �•�/� /��Q�P J� � WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #� L�{�� - �1L_ - � � � � �i� S� �'J 1� /l/� �o i� ,% !� �o,�/������ �� Property Address: Road Name �r'�`'�,�,�,���1/, � Y,� %�� -��l_"�/' .�'LJl � c�O/ ��''J J'�!�"� - City/Zip J"1�/�/%G� /Y� ,�, �l>G ;�>�;'// ��r%- T�'- i���vx. / 1�� i/� If in Subdivision provide information, as follows: � L'%1I ���,�� 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 to conduct all testing r6ced� asnecess fo determine the site suitability. DATE ��'� � SIGNATURE �' .-'-//' �/' ��'� Revised D HD (06-96) / � �..�._.._�T' ----- � , �.. ,,_� t � .._,...�.._ _._.._._...r__._. �_.__._,. / -- - - -- __ _ _ _ _ -- -__ _ _ _ �—� �,T ; ��-- �� _,___ . ; ,-- �/. _ _.._----------i_�.._____ /____-----------.-._ �._._�� r✓��_ ._�z GL .�__ ��O____._._._....__h___ -- ___._�._.._�.__._ �.,._._ _Y� •----- .t�.� _ ��_�..�. ___ __.,�. ____._.. _—.__ �. � E� ` ZZ , GL , ,.___.� _ _ _. _ . _ _ _ _ _ OG . y 6l ._ _. . _ _. _. 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" __ .. .�- ...__..�- __ _ .. ... . .. .. _.. .,,___ �--'z- __a.� ' � •- DAVIE COUNTY HEALTH DEPARTMENT -• � Environmental Health Section � Soil/Site Evaluation NAME �'A"ccc� e S ��.1eS �, Q� DATE EVALUATED �J `� I' I� ADDRESS � A'C�� PROPERTY SIZE �- � C� �'� PROPOSED FACIILTY � � �L' '� Q LOCATION OF SITE r �. �-�a � ��� . � � Water Supply: On-Site Well _ Community Public V Evaluation By:C �,L,AugerBoring � Pit Cut FACTORS 1 2 3 4 Landscape position S � � � � __� 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 HORIZ SAPROLITE CL?�SS.LFICATION LONG-TERM ACCEPTA SITE CLASSIFICATION: ��JE ��� �ac �L�La ��� �� LDNG-TERM ACCEPTANCE RATE: REMARKS: �� DCHD(01-901 0 EVALUATED BY: OTHER(S) PRESENT: �S�„ �`,C�r�ti� �-�.�J�..�. � s��. �.•�� 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 ,iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-MQular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�cy 1:1, 2:1, Mixed Notes }�orizon 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 wate�' 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