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3838 Hwy 601SDavie County, NC Tax Parcel Report 1 At6 I Tuesday, September 27, 2016 AI fj � ` A1013 ,20� 239 y� r 11 it �'r 6128 124 V 1828 ` x'1837 —00 r .; 6098 230 8 \, �^ 9017 ( �r - r \1 WI 223 — 223 ! � \ \ 1 � 845 zrez 5021 6996 % 1 2'16 i'1\ Yom, 'a p23 7a 211\ i 4950 `! 1 X28 \ r , +� u4u, \ 5900 �� Y '• l72 F I , �� ` 5 . 7777 ��' 068 2776 ,n 1 ti'!2 86 1674Y" \ 3579, � / � 1� n9GJ_1rts 1 9545 't --mow.— 7523 - + l 177 NV�, \4--176 3457 .i 16 4339 '-P 1 460 \ -, \ + f ,x�4 '",..--' ,�!• 030.9� /,� 5173 'P�a\ ".`r __.��23 7,1 135'" \ Y�� 16 SaC4S 161 /� q 1924 �l-. A. 2205'" .;; ._ N inft v�vra All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NC 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 °° r5 causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY - Parcei'tnformatron , Parcel Number: M412OA001201 Township: Jerusalem NCPIN Number: 5735566996 Municipality: Account Number: 72976000 Census Tract: 37059-807 Listed Owner 1: TENOR RODNEY PEARCE Voting Precinct: COOLEEMEE Mailing Address 1: 223 CLARK ROAD Planning Jurisdiction: Davie County City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: No Legal Description: .612 AC OFF CLARK RD Fire Response District: COOLEEMEE Assessed Acreage: 0.58 Elementary School Zone: COOLEEMEE Deed Date: / Middle School Zone: SOUTH DAVIE Deed Book f Page: Soil Types: GnB2,GnC2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV -P Building Value: 49550.00 Outbuilding & Extra 1660.00 Freatures Value: Land Value: 7630.00 Total Market Value: 58840.00 Total Assessed Value: 58840.00 v�vra All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NC 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 °° r5 causes of action due to or arising out of the use or inability to use the GIS data provided by this website. ~� DAVIE COUNTY HEALTH DEPARTMENT 2�5 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems G�°r Permit Number Name N°_ 7401 Location G `�5'-✓��vP �r�- ;� '� i1 ! Subdivision Name. Lot No./ Sec. or Block No. Lot Size --�� House Mobile Home __E! Business Industry No. Bedrooms No. Baths —?.— No. in Family Public Assembly Other Garbage Disposal YES p NO Ips Specifications for System: Auto Dish Washer YES, NO p Auto Wash Ma -.hive YES NO p Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. *Contact a representative of the Davie County Health C 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. 19pection of this system between 8:30-9:30 A.M., 704-634-5985. Final Installation Diagram: �b ,p Ste' Installed by Certificate of Completion-_ Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any givenperiod of time. 00" APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department A Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By r- Mailing Address R e)- RC2 X I I � Home Phone (�A e"e, MC, 3 �W Business Phone 7e - 41 6- 6606 2. Name on Permit if Different than Above 50gML 3. Application for: a General Evaluation WrSeptic Tank Installation Permit 4. System to Serve: ❑ House ❑ Mobile Home ' ❑ Place of Public Assembly ❑ Business ❑ Industry _/❑ Other ❑ Unknown 5. If house, mobile home: Subdivision NA6Zi5'/1�WI�9 Section Lot # No, of People 4 No. of Bedrooms & No. of Bathrooms a' Dwelling Dimensions L- 0 1 &, 27:9 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: ❑ . Public 8. Property Dimensions No. of Sinks No. of Urinals No. of Water Coolers _ Water Usage Figures _ ❑ Private Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/Plumbing ❑ Basement/No Plumbing C( Washing Machine V Dishwasher ❑ Garbage Disposal ❑ Yes ❑ No ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: P� 11'16 wed T-0 This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. /�---25-�3 &�Zz 'Id, a'Z�e� DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE -QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: [9 < I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MAST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative t Davi oL�u�r ty Health Damartment to enter upon above described property located in Davie County and owned by — 4 sli-X-e >?7, to conduct all testing procedures as necessary to determine( §aid site's suitability for a ground absorption sewage treatment and disposal system. /-. - ;)-,73-9-3 DATE VSIGNATURE WHO OAA tp DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME 7,o,_h,! d - ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well DATE EVALUATED 6 `� PROPERTY SIZE f LOCATION OF SITE Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z -� HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r t 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: EVALUATED BY: M 2 LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 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 DCHD(01-901 NONE■■■■■■■■■■■■■■■■■■■■■■■■t..M■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■MMO■ ........................... ................... ■■M■■■■■■.M.■■.M■■ ■.■■.■■■■■.■■■■■■■......■■t■■■■■■■■■■■.t�■■■■r!7 ■.■■■■■.■■■■■s■■ ■■■■■■■.■■■■■..■■■.■■■...■■■■.■ ./..■.■■.■......■MMM.M■Mt.■.■■■■ ■■■■■■.■■■■■..MM■.M■■MMM■..e■.■M.■■■M■■■■■■..M■■■■■■..■M■■.■.N■■■s ■■■■■.■H■■■■....■■.O.■■■O■M■■■■�.■e.MMN.N=..■■...M■■.■■..... ■■■ ■■■■■■...■■..■■■■■■■■■■.■■■■■■■■■■■■■■e.■■■■■■■■.Mee. ■■■/■■■■■■ ■ ■M...MM.MMM...M...■MM....M.■.■.e�■MM...■...■M■M...e■.■.MM.■M.e.■■ ■.■...■.■■■.■■.....■.■sM.■■MMM.■■.■.MNN.■■.■...M■...■....■■■N■■M■■ ■.■■■■■...■■.■.■.■■■■../.■.■.........=====��i�...MM.M ■.■. ■■■.■■■ ■.■■.■■■..■■■.■■....■.....■...i■i■i■i...■�■.■��..■.e■M=■■■■■■■■■■■■■ ��■iiii�iiiiii�iiiMii�iii�.i■�iiiiii� ■■■.M■..MM...■MN.■.■■..■■■■..■■e■■M■■.■.■■■■■■■. ■■■■■■■■■■■■■■■■■ .............■....ee■M......■...t■.■■..■■C■■mom■M H■■■■■■■■■■■■■■ ......................................... 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M■M ■■■■■■ /■ � ■■■■■■■■■..■■■■■■■■■■■■■■■■■■.■.■■■■H.■.N��■■ ■ ■■■■■�■.■�■ ON ■■..MM■....MM■MMM.■...■.■.■■.■.■�.MM...■�■.eM ..■NM.M■■.■■■=i'.M■■ ■.■/■■MM/..M.■■■■..■■■■■■ ■■■■■■■■■■■■.N■ /NN ■M.N■■MONO■HNN■■ .........................C.■.MM..■■N./■M.■■MN...■■■s.MM.■N■■■M■■M ■■■■■■■u■■■■■■■■■■■■■■■■■■■■■■■ ■............■■■................ .................................................................. ■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■e.■■■■■■■■■■■u■■■■ - p' STATEMENT l: DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION F : , 210 HOSPITAL STREET P. O. BOX 665 MOCKSVILLE. NORTH CAROLINA 27028, (704) 634-5985 January 7, 19.94 Rodney P. 'Tenor. P. 0. Box 1192 Cooleemee, NC 27014 r< - Site Eval.' & Permit 7401 — $100.00 MUCH iwo " YOUR CHICI . Within Y30cDc�uio cN= w rouft wcw,. ---------+---------------------------------------+------ 1-07-94 ISite Eval. & Permit 7401/Rodney P. Tenor 1 $100.00 +------- --------------------------------------------------- 1 1 ----------------------------------------------------+-------- I 1 - JAN 1 41994 1 ----------------- ---------- -- - -------------------- ------------- ---------------- I ------------------------------------------------------------- i S ------------------------------------------------------------- I I ------------------------------------------------------------- IA 1. ---------T--------------------------------------------------- {r ------------------------------------------------------------- r.. I BALANCE DUE — 1 $100.00 t�;