311 Feed Mill RdDavie�County, NC
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Tax Parcel Report
WAKl�11VlJ: 1111J1�1VV1 H.�U1tVL' Y
Parcel Information
Parcel Number: G80000004903 Township:
NCPIN Number: 5789093591 Municipality:
Account Number: 27042810 Census Tract:
Listed Owner 1: FOSTER RICHARD K Voting Precinct:
Mailing Address 1: 311 FEED MILL ROAD Planning Jurisdiction:
City: ADVANCE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag. District:
Legal Description: 1.83 AC FEED MILL RD Fire Response District:
Assessed Acreage: 1.81 Elementary School Zone
Deed Date: 3/2012 Middle School Zone:
Deed Book / Page: 008860027 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value: 228290.00 Outbuilding & Extra
Freatures Value:
Land Value: 32990.00 Total Market Value:
Total Assessed Value: 262480.00
Wednesdav. October 12, 2016
Shady Grove
37059-804
EAST SHADY GROVE
Davie County
DAVIE COUNTY R-A
No
ADVANCE
SHADY GROVE
WILLIAM ELLIS
Pc62
DAVIE COUNTY
1200.00
262480.00
9�,x��F AII data Is provided as is without warranty or guarantee of any kind elther expressed or fmplied including but not limited to the
Davie County� Implied warranties of inerchantability or fitness for a particular use. All users of Davie County's GIS websito shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and al� claims or causes of actlon due to
n0�, N,�'L NC or arlsing out of the use or fnability to use the GIS data provided by this website.
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AUTHORI�,4TION NO: O 9 9 9 DAVIE COUNTY HEALTH DEPARTMENT j�' T �v
.�� ....»�- r.. Environmental Health Section PROPERTY INFORMATION
�Fer�nit:ee's .,.,r . �-_- P.O. Box 848
Name: �\ `: V 4 r� � � r�' ,� �, ^ ..�._.........,.
Mocksville, NC 27028 Subdivision Name:
, �,- Phone #: 704-634-8760
Directions to property: � t�� %, i'_ "�� �'t J �� Section: ~' ' Lot: "�
i e� t r• r; ,, . 1,. .- AUTHORIZATION FOR
l',e � ,_:'� '�`� � :x• �`ti,'+� ` t..1;�� �r �,'�., WASTEWATER C' `' �- �--�'.,�� �•
z SYSTEM CONSTRUCI'ION Tax Office PIN:# J�, �� ��i -�� �
,.ti �._, ";t-w`_� ,�Y .,� ,.*� , � ` . �
'-::. ;.> > _`� RoadName:� �� 1� ��� �'� Zip: -..� �� �
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pernuts. '
(In compliance with Article 11 of G.S. Cfiapter 130A, Wastewater Systems, SecGon .1900 Sewage Treatment and Disposal Systems)
��'� , . �;�,: ' .� • ...�,, ��, ***NOTICE*** THIS AUTHORIZATION FORWASTEWATER CONSTRUCTION
,``� _`>.: �^,..r:.:}� l.c� ��'°^�S--�. ����' ti� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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i R"y ,�'�, -�' , . DAVIE COUNTY HEALTH DEFA,�TMENT '�'' '
�� �. .» `�,�-;v ,.�'^'' -, IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perm�� e's �.�-- _., ., �. .
,; Name•.� i� °�'- � � ti � , ti �� `�� , �`:.. Subdivision Name:
��,
?Direcfions to property�: +' r 1''. '� � r v$ � � Section: �"�� Lot: . " �'
� IlVIPROVEMENT
�:' � � . � t `�� � � :� � � PERMIT � � Tax Office PIN:# � ,�;� '�� � i _ � ' i s�
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� ;:��,;, Road Name �'�", � :'S, � , z :; � Zip; �: r �. �. s, iJ
**NOTE** This Improvement Pernut DOFS NOT authorize the constructian or installatian of a septic tank system or any wastewater system. An
ALJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Arficle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
•: 1 T�,�.,. ;,, f• ° ��• ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE
`� 7"��. �.. ���; `, 1 PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER '
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING TI� SYSTEM.
�RESIDENTIAL SPECIFICATION: BUILDING TYPE v.=�,# BEDROOMS ~� # BATHS �# OCCUPANTS GARBAGE DISPOSAL: Yes o�
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTB: Yes or No
LOT SIZE �� �``'� TYPE WATER SUPPLY � DESIGN WASTEWATER FLOW (GPD) ��� NEW SITE � REPAIR SITE
'� 1 li � 1
SYSTEM SPECIFICATIONS: TANK SIZE b� p GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH �. LINEAR FT. �. %��
REQUIRED STI'E MODIFICATIONS/CONDITIONS: _
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IMPROVEMENT PERMIT LAYOUT
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1
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 830 - 9:30 A.M. OR 1:00 - 3:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
I OPERATION PERMIT
f SYSTEM INSTALLED BY: ���.) �4: ` t�C''C
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AUTHORIZATION NO. �L OPERATION PERMIT BY: DATE: � 7
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT SYSTEM DESCRIBED A E HAS BEEN INSTALLED IN COMPLIANCE
WTI'H 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 OS/96 (Revised)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT
�_
****IMPORTANT****
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704)634-8760
THIS APPLICATION CANNOT BE
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed �Q V� n '"`5 ��� Contact Person /�' ��L 0 F= � V/ �
Mailing Address ��� ��`� n K� Home Phone (n� y�y� �
City/State/Zip �%(� � vl � � e nC a ��a 8 Business Phone q �O - � `J�q- / � � � � /u � �
�, 2 31997 �� �
.�
��:�' �
.,. & ; k ��-�� �
ALL
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2. Name on PermidATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [�Site Evaluation [] Improvement Permit & ATC [] Both
4. System to Serve: [�]'�Iouse [] Mobile H me [] Business [] Industry [] Other
5. If Residence: # People ��'� # Be�oms� # Bathrooms� [ti,]'Dishwasher [] Garbage Disposal
[�'VVashing Machine �8asement/Pltlmbing [v�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: E�.]'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 *** �i�%.�A'�OF THE PROPERTY MUST BE
y SUBMITTED WITH ��S APPLICATION.
� 1. 5 ���c es
Property Dimensions: � WRITE DIRECTIONS (from ocksville) TO PROPERTI':
TaxOfficePIN: #�'1 � ���- .3s9� � 1J�8 � Td �UQ�1C� i n�SC'G-�b�
Property Address: Road Name �eedrn� /� �d, � ' � ��I h -� � "v n �O � -
City/Zip /-��l V A nG� a��v� ; -� C�+ ►2oaC1 -1�CGzC�S nd
If in Subdivision provide information, as follows: � S� �� h'�" On I=.� edm ���
�
Name: � � � � �-i- I S 0. �C� i1►� ��� � � e ��
�
' .{J 5 �'� rn � o � �'}.�U ��5�2�2 -� f7Ck.
Section: Lot #: '
i t7n nri.. 1��� LL� 111n/'L �L,�� llGrt _1
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
Repre e tative of Davie County Health Department to enter upon above described property located in Davie County and owned
by t /� ( /!i. to
DATE 'T I� f CI �l SIGNATURE_�
Revised DCHD (06-96)
THZS ttllEA �fAJ $E USEb �On v1�tWZNG JOULz SZTE Pl�iN:
procedures as necessary to determine the site suitability.
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' � ' � • • •' DAVIE COUNTY HEALTH DEPARTMENT
. � ��
•' Environmental Health Section SECTION LOT
� � SoiUSite Evaluation
APPLICANT'S NAME �=V � N � a�e,� DATE EVALUATED �����
PROPOSED FACILITY, �O�o� PROPERTY SIZE 1•� C�'
SUBDIVISION � ROAD NAME � � � � N�
Water Supply: On-Site Well Community
Evaluation By: ��� Auger Boring ✓ Pit
FACTORS I 1
Slo e % - �
HORIZON I DEPTH " �
Texture rou S �„ c
Consistence
Structure
Mineralogy \'.� \
HORIZON II DEPTH
Texture group
Consistence
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
IV DEPTH
Texture
Structure
,�
SOIL WETNESS ,S'.
RESTRICTIVE HORIZON — --
SAPROLITE — —
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE � � �
SITE CLASSIFICATION: � 5
LONG-TERM ACCEPTANCE RATE: y �
REMARKS: �� �� � `\ ���
DCHD (01-90)
2
Public ✓
Cut
3 4 5 6 7
EVALUATION BY: a--��'"'
OTHER(S) PRESENT: �`� � ���
'� " LL+'CiL+'Nll
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
Mineralogv
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 - gaUday/ft2
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