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179 Fulton RdDavie County, NC -{ Tax Parcel Report 151 3 Q Thursday, September 29, 2016 Total Assessed Value: 71680.00 161 WARNING: THIS IS NOT A SURVEY Alldataisprovided 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. . , Parcel Information Parcel Number: J800000005 Township: Fulton NCPIN Number: 5777392210 Municipality: Account Number: 61012000 Census Tract: 37059-804 Listed Owner 1: RICHIE CHARLIE THOMAS Voting Precinct: FULTON Mailing Address 1: PO BOX 175 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0175 Voluntary Ag. District: No Legal Description: 2 AC FULTON RD Fire Response District: FORK Assessed Acreage: 1.80 Elementary School Zone: CORNATZER Deed Date: 9/1980 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001110705 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 38370.00 Outbuilding & Extra Freatures Value: 4500.00 Land Value: 28810.00 Total Market Value: 71680.00 Total Assessed Value: 71680.00 161 Davie County, NC Alldataisprovided 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. r`:.xt J:l v+. C".,:ee .-e�,�r �` .�kT�N 'W 4,':a r ,''l..k .*_:: n -+r i y, K..r. J'a ..,.� '�;'..+:i i'� ;" /,•w r "'"tiY'i '.r".y .f 6 `a r /�" �,/%�'.!rJ.,r •dt Yk;=t 3 ti.r.'k:. .r'°" -at �7`.� -jAUTHORIZAT�ON von DAVIE COUNTY HEALTH DEPARTMENT nvinmHealth Section PROPERTY INFORMATION P.O. Box 848 Permittee's .---"—" Name: r►1 r { /t Mocksville, NC 27028 Subdivision Name: Phone #,336-751-8760 Directions to property: /�'u %T0,C'� . Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION �� -/_U Road Name: f� //t� Zip G a� **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/Authonzation Number should be presented to the Davie County Building Inspections' Office when applying for Building Permits.. (Incompliance with Article. l I of G.S. Chapter 130A, Wastewater Systems', Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE***:THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION Y IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPE IAL[ST !DATE ISSUED -;'�•—• • •,,,i a'S-. 6 t+pJ i� {a..F ., �f - :j7- ; ,. . i-5, 9 SA DAVIE COUNTY HEALTH DEP4RT}VI T IMPROVEMENT AND OPERATION PERMifi PROPERTY INFORMATION Permittee's Name: Subdivision Name: 4 Directions to property: ,.r /� _, ,' : �' Section: Lot: IMPROVEMENT _ PERMIT Tax Office PIN:# a J Road Name 7, f Zip: **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 Department prior to the (In compliance with Article 11 0 on of a system or the.issuance of a building permit. construction/installa _ f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) J r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE /V # BEDROOMS _ # 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) ,�2 / NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZElDOV GAL. PUMP TANK GAL. TRENCH WIDTH lj':O� ROCK DEPTH LINEAR FT ^� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (Mt)M"161Ix (336)751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: MIA Irn too AUTHORIZATION NO OPERATION PERMIT BY: DATE: 9 **THE ISSUANCE OF THIS O ON PERMIT SHALL INDICATE THA THE SYS DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREA T 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) 39"ADAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's--,, .Name:_ Subdivision Name: Directions to property: e" Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:4t Road Name:./ —Zip: **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 Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE 4?) tj # BEDROOMS –.J— #pArHS # OCCUPANTS –!P GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 46 00C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)� —iW NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/4%G'%–—GAL. PUMP TANK GAL. TRENCH WIDTH ,,-fe", ROCK DEPTH _,, LINEAR Fr.,-,.,, OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT EFFLUENT F1 TE * *RISER(S) IF 671 BELOW FINISHED GRADE* "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. !�R /t,fDO - 1:30 P.M ON.THE.DAY OF INSTALLATION. TELEPHONE # IS "YOU?WX (336)751-8760 OPERATIONPERMIT SYSTFS1 INSTALLED BY: �d / Ifoe �. ,f,�� AUTHORIZATION NO DATE: OPERATION PERMIT BY: Z4 "THE ISSUANCE OF NRA ON PERMIT SHALL INDICATE 4THA 'THE ABOVE HAS BEEN INSTALLED IN COMPLIANCE S? S E WITH ARTICLE 11 OF G.SJqHAPTER 130A, SECTION. 1900 "SEWAGE TREA 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) APPUCAIION FOR SITE EVALUATION/IMPROVEMENT PERMIT ti Davie County Health Department Env►rnnmenta►lfea►tfn SftWon D u! % P.O. Box 848/210 Hospital Street Moakaville, NC 27028 KAY 14 (999 (336) 751-8760 NMENTAL HEALTH ***nWORTA?PZ*** THIS APPLICATION CANNOT BE PROCESSED UNLESS INF9RHATION IS PROVIDED. �1Refer to the INFORMATION BULLETIN for instructions.., 1. same to be Billed -F0 rn M a �r Fra n L2 S I,I ch I Pr Contact Person fly-,,- Y� c�S Mailing Address ?0 B 0 x 1 / Rome Phone q " S — /�_ � 0 3 City/state/zir A d V (/ nue,, VC 2 1-/ o 0 "1 4 (-G Business Phone 0 ' lY 5 2-6- 2. same on Permit/ATC if Different than Above Mailing Address City/state/Lip t�7`'— 3. Application For: l� Site Evaluation i� Improvemen Permit/ATC tO B -Both a. system to service: 0 House Mobile Home ❑ Business ❑ Inde ❑ Other °p a. If Residence: # People # Bedrooms re Bathrooms 0 Dishwasher O Garbage Disposal (/trashing Haehine O Basement/Plumbing 0 Basement/so Plumbing 6. If Business/Industry/other: Specify type # People # sinks # Commodes # Showers # Urinals # Nater Coolers IF FOODSE MCE: it Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 0 County/City 0 Well ❑ Community s. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yea )q No If yes, what type? ***IMPORTANT*** CLIENTS 11tUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PIAN MUST BESUNtITTED by the client with THIS APPLICATION. Property Dimensions: 2 Tax 011ice PIN: # 5 q q In — Jq - a; U 0 • 00o' .oa Property Address: Road Name FLA 1-1-0 n Rd City/Zip s ✓ODC-e, NG LIMP If in a Subdivision provide information, as follows: Name: WRITE DIRECTIONS (from Moclevtlle) to PROPERTY: Go G� tDwa rd s Fo M iu,vr) on Far �- It Y b� -cL TO, -Kc, I st— ( ohfv Ful -6 ah0C�r)V�. �►� O Section: Block: lot: Date Property Flagged: 5- 1 q —a °1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) 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. 1, also, anderstand that I am responsible for all charges incurred from this application. 1, 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 pedures as necessary to determine the site sui bilin. DATE 7V SIGNATURE CL��.i,'CJ THIS AREA MAY BE USED FOR DRAWING YOUR SITE P (Include ail of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/98) Account No. 57-3 Invoice No. 02 G/r Fu- P—MIRM s4�;v-61)k- . r �, ' •.! ""♦ a a` � . � �... qp rly 56*6 ►Y �,� AY_ k 48'I. 05 ,.gyp �'46� a, 1 13.04 r ,r �. 5.7 A .. 4 ) ' '�=fi - , • N d ".+r i"!� y' *j s ' 6.7 A v _kk to 2 5 p 8 (5) h+ .. r, V t - N"_ 13 15.93A 'rYs. b.� ^� +►. ' + � 3 ;5:67. 25 C rN(.�rbo a 13.05 3-03 S �. v f9Dm 98 �R J. 3 AC. co M o 12 (0 m2Ac3.88Ac�. M mow"' M N 200 w 11 �,✓ •�;y, f .«-,�p9 Na; �: 5 •r92 0 � �„ .421.(}-8 y, --� " c� p,., •:. �'l' CP 2 5.5 5 A cQ! 147_ ` ( 6.0 5A c .) .:,, 1 520 . 0$ 14 .�`A 6- c13' r! 115 5 331.9 ,2 ',.. . _ k. 00 CU)M 4 .115 AC.cv �9J`t` •,�' c�''i� 422 zs' (3.1I"Ac) 32 Q�a 2 58.E 2 2:. I FJ6�0 y t Ilk 5 92 32 a. 2 co .1 Ac 3 5 A c. _E , I g:',J , . " f DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION - LOT Soil/Site Evaluation APPLICANT'S NAME i DATE EVALUATED _ PROPOSED FACILITY ;w; PROPERTY SIZE �L SUBDIVISION ROAD NAME i9'> Water Supply: On -Site Well Community Evaluation By: Auger Boring I I- _�_ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH .i Texture group Consistence Structure s C 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: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY. - OTHERS) 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 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 ON ME ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ i ■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■s■■■■■■■Mae■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■�■■■■■■■■■■c■■EE■■Mee■■■■■■■■■■■■■■■ ■■■■■■■■ecce■■■■■■■■■■■■■Nc■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Ori■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■s■■■■■■■■see■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■c._�■■■■■■■■■■■Mee■■■■■■■ MEMO MEMNON�ii'iiiiMEMNON EMMEME MMEMEM ■■■■■■■■■■■■■■i■■■�■_•..�==___�::�■■■■■■e■■■EOE■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ DAME COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone #: (336)751-8760 June 3, 1999 Tommy & Frances Richie P.O. Box 175 Advance, NC 27006 Re: Site Evaluation/Fulton Road- IAcre Tax Office PIN: #5777-39-2210 Dear Client(s): As requested, a representative from this office visited the aforementioned site on June 2, 1999. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of an on-site sewage system Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist RH/mp Enclosure(s) AUTHORIZATION NO: 15.8 5A Permittee's DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Name: l Directions to property: _ 109 �t� Ilow le P.O. Box 848 Mocksville, NC 27028 Phone # 336-751-8760 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Subdivision Name: Section: Lot: Tax Office PIN:#cTJ- S/� Road Name: Zip: **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 Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION J91/4 m2l�X r.IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAITHEALTITSPECIALIST DATE ISSUED