356 Gordon DrDavie County, NC . , Tax Parcel Report b GI10 Thursday, September 29, 2016
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WARNING: THIS IS NOT A SURVEY
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 Countys 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:
D70000002002
Township:
Farmington
NCPIN Number:
5862645389
Municipality:
Account Number:
2803000
Census Tract:
37059-802
Listed Owner 1:
ATWOOD JAMES G III
Voting Precinct:
SMITH GROVE
Mailing Address 1:
356 GORDON DRIVE
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
10.45 AC GORDON DR
Fire Response District:
SMITH GROVE
Assessed Acreage:
10.39
Elementary School Zone:
PINEBROOK
Deed Date:
8/1991
Middle School Zone:
NORTH DAVIE
Deed Book/ Page:
001600569
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
175200.00
Outbuilding & Extra
33670.00
Freatures Value:
Land Value:
127100.00
Total Market Value:
335970.00
Total Assessed Value:
244510.00
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Davie County,
�r
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 Countys 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.
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ROIZIZATION NO: 0610' DAVIE COUNTY HEALTH DEPARTMENT �� " 160
0 D
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t.A Environmental Health SectionPROPERTY INAORMATION
Pernuttee' ny P.O. Box 848 .
Name: --
7j Mocksville, NC 27028 Subdivision Name: "
`` Phone #: 704-634-8760
Directions to property: i 5 T- Section: Lot:
r AUTHORIZATION FOR
WASTEWATER Tax Office PIN'V4
SYSTEM CONSTRUCTION
Road Name: k5o k 16'n1t+, y_ zip: 10 ob%
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of"any BuildingPermit& This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits:
. (In compliance with Article 11 of G.S.;Chapter 130A, Wastewater Systems, Section :1900 Sewage Treatment and Disposal Systems)
***NOTICE*** * THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
AV U IS VALID FOR A PERIOD OF FIVE YEARS. ,
ENVIRONMENTAL HEALTH SPECIALIST. „ DATE ISSUED R
s W tv
><.. :.r ,.:,-., s i-. r °w ;. p e .. n • «_
_.; � i ` � r
y DAVIE COUNTY HEALTH DEP NT b 00 '
�f ��
�. = r `` `* y IMPROVEMENT AND OPERATIONu41ITS PROPERTY iNFORMATION
Perm eek .�-• .
-F, Subdivision Name:
i
rt., ,
Directions to property: � � �. } � Section: Lot:
IMPROVEMENT
n
�".Epjvfrr Tax Office PIN #
'j
'ry1 5; ' Road Name: � � * J # b Zip: �t�
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
3 „, , ; ° .0 ..; �,,. •'�,^, 1 "�� ' S 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 . I # BEDROOMS �� # BATHS. z # OCCUPANTS _D_ GARBAGE DISPOSAL: Yes r No
COMMERCIAL SPECIFICATION: FACILITY TYPE ",.# PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
, / 4
LOT SIZE, TYPE WATER SUPPLYV , DESIGN WASTEWATER FLOW (GPD) �� NEW SITE V REPAIR SITE -
SYSTEM SPECIFICATIONS: TANK SIZE 000 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. J
r
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONSi
w
�*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEN
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
- G �
F
�a Us�
AUTHORIZATION NW "' OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE i I 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)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &
Davie County Health Department'
Environmental Health Section D
P. O. Box 848
Mocksville, NC 27028 NOV 2 2 19.96
(704) 634-8760 '
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed � �:� �. 4 � W oob Contact PersonIMI i lS-./i (J
Mailing Address 1 -Se(vokA UR i � Home Phone q jU `I b ,-)&66
City/State/Zip D vA N c e a ,O— . a IOa9 Business Phone (Cu
2. Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3. Application For:
❑ Site Evaluation ❑ Improvement Permit & ATC
Both
4. System to Serve:
House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence:
# People a # Bedrooms 3 #
Bathrooms
dishwasher
❑ Garbage Disposal ,SrWashing 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:
X County/City ❑ Well
❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
❑ Yes 14^o
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: C7 / -7,V --? i�—� ' / 1 WRITE DIRECTIONS (from
00 700667 �Oy7 1 Mocksville) TO PROPERTY:
Tax Office PIN: # 13061C /3 r ���u���e - 1
�roR�l nl QR' 1 /s �r 740�.�� IA ,4d�d
Property Address: Road Name I 1/�.
Cityrzip/3JjAV ce d . a?'7liG�'r� �
If in Subdivision provide information, as follows: 1
1 A cid/e /aka C� '�f c -/e' a .J
Name: 1
1 /v .0 -P cid CcCl<
1
Section: Lot #:
1 �%Sn�►, �It ����w�� G���Se�c
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 '6e G� to conduct all testing procedures
as necessary to determine the site suitability.
DATE &%— 2 Skye SIGNATUR
Revised DCHD (06-96)
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"I. CERTIFY THAT ON ' .4 -.
19_ , WE SURVEYED THE PROPERTY SHOWN ON
THIS PLATT
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-DATE-
111 = 100'
FARMINGTON
DAVIE
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9.29.66 .
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SURVEYEDI jj
MAPPED:
WALNUT
Joe NO.
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EIP 39. I NIP
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292.041
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FOR A. E. LEE - - -.
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-DATE-
111 = 100'
FARMINGTON
DAVIE
N. C.
9.29.66 .
SURVEYEDI jj
MAPPED:
FRANCIS B. GREENE
SURVEYING AND MAPPING CO.
P.O. BOX 801 MOCKSV ILLS. N.C. 27020
Joe NO.
' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME��"Qs
PROPOSED FACILITY C3 U S�
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By:Z�. Auger Boring ✓ Pit.
DATE EVALUATED _ I q t[ y I(
PROPERTYSIZE �� 4
ROAD NAME h O da �R-
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
S
Slope %
O-� Z
HORIZON I DEPTH
10
Texture group
Consistence
Structure
t3l
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
k,
Mineralogy1
'.\
HORIZON III DEPTH
Texture group
Consistence
Structure
\
$ K
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S
.SS
RESTRICTIVE HORIZON
SAPROLITE
--
CLASSIFICATION
.
LONG-TERM ACCEPTANCE RATE
1
SITE CLASSIFICATION: S
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: (� %, " � 1 =� t%
OTHER(S) PRESENT: a
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
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