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339 Baity Rd t Davie County,NC Tax Parcel Report Wednesday, October 12, 2016 .353 339 rFl r 7 f 315 r r � ! S f � t 4 f r 1 r i WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: C300000076 Township: Clarksville NCPIN Number: 5823416471 Municipality: Account Number: 42165000 Census Tract: 37059-801 Listed Owner 1: KEATON JASON EDWARD Voting Precinct: CLARKSVILLE Mailing Address 1: 339 BAITY ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: .66 AC BAITY RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.58 Elementary School Zone: WILLIAM R DAVIE Deed Date: / Middle School Zone: NORTH DAVIE Deed Book/Page: Soil Types: EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 53450.00 Outbuilding&Extra 5260.00 Freatures Value: Land Value: 12290.00 Total Market Value: 71000.00 Total Assessed Value: 71000.00 101 All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the �j County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to `C or arising out of the use or Inability to use the GIS data provided by this website. AL ATION O: 034 T DAVIE COUNTY HEALTH DEPARTMENT I ��" 2 Environmental Health Section PZame: PERT R�4TION----_.__ Permittee's / P.O.Box 848 � Name:. � 1.t Mocksville,NC 27028 Subdivision CY�� Phone# 336-751-8760 Directions to property: Section: Lot: AUTHORIZATION FOR / WASTEWATER Tax Office PIN:#—5723 - (9 SYSTEM CONSTRUCTION Road Name: Zip: Z ZDzd, **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 Pen-nits. (In compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION d "[ IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED Y 17 0 03 DAVIE COUNTY HEALTH DEPARTMENT - IMPROVEMENT AND OPERATION PERMITS PROPER lyARi AT`ION - PermittrWe s Directions to property: ('�j ilk Section: Lot: IMPROVEMENT . y/ G PERMIT Tax Office PIN:# Road Name: .+�7 (`&— Zip: **NOTE**This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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 I l'of G.S.Chapter 130A,Was Systems,Section.1900 Sewage Treatment and Disposal Systems) , Jam' ***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_! #BEDROOMS #BATHS �—#OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL'QSPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT .��L� #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE L TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)� NEW SITE �' REPAIR SITE el SYSTEM SPECIFICATIONS: TANK SIZE/DDD GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH,,Z.. LINEAR FT. _.. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT &APPROVED EFFLUENT FILTER& &RISERtSI 1F� 61' BELON FINISHED GRADE; '*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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BYi 80 AUTHORIZATION NO.L_OPERATION PERMIT BY: Lap DATE. **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH 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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. . DCHD 05/96(Revised) + �•-:+'"P .. ... .:,, ,r�+,- f.iv r`e,,. t t,j,:f W r AUT46RIZATIONNO: �DAVIE COUNTY HEALTH DEPARTMENT rR j �w-�•r--=.F" '.Environmental Health Section PROPERTY INFORMATION Permittee s ° P.O. Box 848 Name .,. N(ocksville;NC 27028 Subdivision Name, _ 'Phone#. 336-751-8760 Direction's to property. 2i'= r3741 DAVIE COUNTY HEALTH DEPARTMENT �i-nr• '4 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's Name- " .S"G' - �, ".Subdivision Name Directions to property: �r ,'Section: Lot:. IMPROVEMENT PERMIT Tax Office PIN:#^X44 .Road Name: Zip: l e)ZI'' **NOTE *This Improvement Permit DOES NOT authorize the construction or installation of a Septic tank system or any wastewater system.An r 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. (hi compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) A - .. , ***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..,; r RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #B OCCUPANTS '° _GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION:%FACILITY TYPE' #PEOPLE #PEOPLE/SHIFT #SEATS , 'INDUSTRIAL WASTE:Yes or No LOT SIZE /t A C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) _ NEW SITE v REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/AW-GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH,� LINEAR FT. 6 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ' �, r r *APPROVED. 1rF LUERT FILTEkw &R1SER(S� IF G BELOW EIII `GRADE& � ISIIED bt ti Sol,�� 4; { t "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(336)751-8760 OPERATION PERMIT" SYSTEM INSTALLEDBY: PYA • a AUTHORIZATION NO. ��� OPERATION PERMIT BY:" DATE:' 1 � � �yr!L "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED INCOMPLIANCE WITH 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 05/96(Revised) i DAVIE C UNTY HEALTH DEPARTMENT �4W IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's Name: '�,, � ,a'r e Subdivision Name. Directions to property: Section: Lot: IMPROVEMENT t F PERMIT Tax Office PIN:# `" - i Road Name 1.! Zip: `r » " **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 S6wAge Treatment and Disposal Systems) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER.' r SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE' ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. . RESIDENTIAL SPECIFICATION:BUILDING TYPE / &#BEDROOMS ,2 #BATHS *2.. #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS I/NDUSTRIAL WASTE:Yes or No LOT SIZE /1" TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) �'0 NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS' TANK SIZE QGAL. PUMP TANK GAL. TRENCH WIDTH- a ROCK DEPTH LINEAR FT. OTHER . REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ' *APPROVED EFF'LUERT FILTER& &RI'SCER(S) IP 61 ' BELOW 1+IRISHED GRADES d , "*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 (336)751-8760. a OPERATION PERMIT SYSTEM INSTALLED BY: f � ! _'1 " ✓ ✓ + . :•''- AUTHORIZATION NO OPERATION PERMIT BY: e^✓'GJ DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH 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 05/96(Revised) 4- '• APPUCAIIYN FOR SITE EVAU)AT1UN/IMPROVEMENT PERMIT do ATC ! t Davie County Health Department ' Envfronmenfof Healfb SftWon P.O. Box 848/210 Hospital Street ' Mocksville, NC 27028 (336)751-8760 ***IIMPORTANT►** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. i flame to be Billed '1Jdr1 ! contact person �� hi � �3 � Home 7� � � �' Nailing Address 1A � `,( City/state/Lip i v\e)0 I \SU) Business Phone �� 7`9•?'✓3(o aZ Z. Name on Pesmit/ASC if Different than Above Nailing Address City/state/Lip J 3. Applioation! For: kf Site Evaluation 0 Improvement Permit/ATC 0 Both I !. Cam to Box-vlm: 13 House FJ- obi:Le Home Ui Business 0 Industry 0 Other s. If Residence: . IF People —0— li Bedrooms i Bathrooms ., 0 Dishwasher 0 Garbage Disposal 0 Washing Machine 0 Basement/Pluabing 0 Basement/No Plusbing 6. if Business/industry/other: specify type # People / sinks • coamodes # Showers f Urinals # Water Coolers IP FOODSERVICE: 11 Seats Estimated slater Usage (gallons per day) 7. Type of water supply: 0 County/City i7 well 0 Community e. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes 0 No If yea,what type! ***IMPORTANT***CLIENTS A11ZSTC0AIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITIED by the client with TM APPLICATION. Property Dimensions: o�J , �5 1 C WRITE DIRECTIONS(from Mockr4ile)to PROPERTY: vT'ax Office PIN: # tol .dad,6-P 4,Property Address: Road Name City/Zip-wockp ot If in a Subdivision provide information,as follows: Name: Section: Block: Lot: Date Property Flagged: 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 plana or intended use change,or if the information submitted in this application Is falsified or changed. I,also,anAnwand that I ane ro ponsOle for a/1 charges Incu red from this opplicadon. I,hereby,give consent to the Authorized Representative of the Davie County Hel4lb Department to enter upon above described property located in Davie County and owned by X Fran t, i.:S . l 1)air n to conduct all testig procedures as necessary to determine the site suitability. DATE /-/T r SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, utbacka, and septic locations). Account Na 174,F0 Revised DCHD(07/98) Invoice No. t�"� APPULUIOMFOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC a Cbw ' Davie County Health Department • Environmental Keallfi Section AIP P.O. Box 848/210 Hospital Street)4 DEC 14 1998 Mockaville, NC 27029 �/�� 1336)751-8760 •� l� ENVIRONMENTAL HEALTH DAVIE COUNTY ***nW0Jt ANT***'THIS APPLICATION CANNOT HE PROCESSED U=YS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATIdN BULLETIN for instructions. 1. name to be Billed J snn Ll i On f-A &c6iQn Contact Person Mailing Address () I O 1 h R�� Home Mone city/state/zip. (����� ()1 I1_ ��• ry /v[y Business Phone 2. Name on Permit/ASC if Different than Above Mailing Address city/state/Zip 3. Application For: U Site Evaluation ❑ Improvement Permit/ATC Both 4. system to service: 0 House WHobile Home 0 Business 0 Industry 0 Other s. If Residence: # People # Bedrooms �1 # Bathrooms 0 Dishwasher 0 Garbage Disposal V�Washing Machine 0 Basement/Plumbing 0 Basement/No Plumbing 6. If Business/Industry/Other: specify type # People # sinks # Commodes # showers # Urinals # Hater Coolers IP FOODSERVICE: T Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: 0 County/City (Nell 0 Community e. Do you anticipate additions or expansions of the facility this system is Intended to serve? 0 Yes 010 If yes,what type? •**IMPIDRTANP**CLIENTS IIIUST COAfPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a S�PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: O� AG X b%X/y" DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: "# S g a?) 4 o� 7 4L I PJ Property Address: Road Name t o IVO r4 h a c W► I I 1 G rYN R Oa V ie-5C ho City/Zip Mmow i lk N.C. .4 Li FJ no Ihi !q mile If in a Subdivision provide Information,as follows: E'�of e � Q Name: IA)a tt/at (lk-A. -46 k�w� Section: Block: Lot: Date Property flagged: ( )- 14 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 lam responsiblefor all charges incurred from this application. 1,hereby,give consent to the Authorized Representative of the Davie County Ilealth Repartment to enter upon above described property located in Davie County and own d by wajv t to conduct all testing prrofc�edums as necessary to determine the site sui ility. DATE /IEl SIGNAT*J�, THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Account No. Revised DCHD(07/98) Invoice No. +� 90 u. 151 125 4C 4 2 � 7 �+ i, �} N •� N.a 1. v N Q .IAC x �4Aa 4.46 Ac: §tt c 355 2 10 �Lt " '�3i+'35.01 7 4,�. .� 5 6 7 8 9 �' ' �- 287.1 m ."6Q+} .,, ✓. .. + ` E- a` �! � ,.. °i `0 ro 1 13 h t x • ;; 22ejA,'h• 4, 4.. ' tit 613:8 - , A 302.92 m 2e Y8i +DL35Q art`t .' � p 39.0 ;1.'° 18 q 2.09 Ae 1 _ ._ , , �. ♦ i S `--� t �.a ` �• it r �. t z a10 ' m1l 38 1.56Ac 720j' 41 zsl.._.. m 43l�`�' )- L16Ae 17. R 1 � ko In O m "s ti ro 3 �2 . � 3.3Ac. ,. ^ ,� ♦ _ 7 N 72.02 JF. R { 70 r -172 11 1.04 47.01^ 4 22:asA� .81Ae ` +► ;� 4 5 a b ` B. A' ■7� ;.; 228.47 I.O$Ac. n' 3'?2A�'20•��,!' "48Ac' !3s 372 ass _ 75�� �e 288Ac R 520 Kf . _ 23i 204 1 S! (89A i° v ro N �) • c 8r� js 9�9 107 HI # 158�`� 1 (.52Ac) 784.79 r 4 181 39s a •. 1 Ir . : . • - ', - 6 W -_"'1 o Qy235 I •R.j4a., 'sx � tm n� � ;. Nc.�'�'�`.+'-+, '1`.,._� tJ 14 961 3. '2s -�' * "37 + C-6 7 212 •� 74 '.• �� �, g : 45.75 q ; ¢ 2.05 IL x' O !r' or i ' 26.33Ac + * 4 E 52Ac.(C) T69y 3F' 1), '; Q► M co l }>RS .Q1' •- N 1�` �28.IIQ` �i ` �,: • 1 + "` •Y•t �" x , 23.74A6 DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME L �:r� DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE ly�C SUBDIVISION ROAD NAME Water Supply: On-Site Well (,Community Public Evaluation By: Auger Boring Pit Cut , . FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH ,. Y, Texture group Consistence ,• Structure Mineralogyr` 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: A EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: z9/ � `� REMARKS: �Yti/ �/z � f� 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(01-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Emmons l�iiiiiiiiMEMNONMEMNONiiiiii ■■■■■■■■■■■■■■t■■■■■■t■■■■■■■■■■ ■■■■■■■■/■■■■�■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ r_ 272 Id N-, .p ♦ .7 54 cl p 1.0 3 A n. 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(2)- 72.02 N 72.03 N N 70) 7 4p3.26 =72.11 " 1.04 Ac ^_' - "23.81 4c 12 4701 � ' (3)- 22 46A 2L.94Ac - 464 (50.25 ', c e' 4 �- 77 b 0 o \ 76 86.75A ; '(7.',; a 16753 228,47 w W 6S C. �2 51 N "�� 5 75 M 49 3.02 Ac ,ZO 28 61+5.06 AC 1 ',355 3 3 96 C� y4.63 osAc. 72 73 N f 153m I 1 Q' s 70 _ ro 288Ac RD . szc _ 3 ( 1 �'_ 113A N 3.06Ac a - - 1 - u93 N 6g.O� ''� „ 231 - 204 r 784.79 (89 Ac) LZ 58 6$ a 3S�P 107 111 SBP (.52Ac) N9_ V4g4 1 o I ° ,aaPG 181.4 394 161 m A 71 _ -J cY M C ' o Q 00 166 ` W N 5 ,o 125 py23 S.R X42 ; - n1� u a d 14 N61 5 I -.Y �� Q 63 246.7 1 3 I I 9 72.12 , m 74 - r 1.19 c 4579 AC.',, '63 �� + ` 72.05 I 583 44 26.33Ac 72.06 ^ m sa4.7o 78 0 r o 29.62A'c (c) co69 N 00 00 01 r LL o - 23.74 Ac T. Q0 pt , ... yp �. i Jackie Francis Warner site DB 116'0 PG 319 eartr Rd Tax Lot 72.04 R. Shoro Dr .. sR 1421 Tax Map C-3 , ESP N 88030'00"E 135.00' iRS *gooe R IRS stt 1330 s - I � ?s � To Mocksvilie,NC Tax Lot 72.04 r l pp / •� IRS �Z� Tax 1Aap C-3 �. Wales .5;s �p'E o� Vfctnity Map (Not to Scale) 06 < / Gravel Drive / �� o 0 N / �S Proposed Utility Easement _. Proposed �O\ Part of Tax Lot 72.04 -� Utility Easement ; pp / Part of PP Tax Lot 72.04 / rn i r 665 Tax Lot 72.04 Tax Lot 76 /s Tax Map C--3 to ' ) N 0.663 Acres +/- N Cwt`► / ` WS C doo i IRS 15,76 IRS '5, ' 56- ' 1 S-urve,y for.- Jason ffdward Keaton tP� O d,o� ea by and wife atit� U'011C R�Gtdv 3 el Rood -Amanda ,Sigmon Keaton 50 P - Tax Lot 76 Tax Map C-3 Deed Book 209 ® Page 491 0.66.3 Acres -i-/•- by coordinate computation 4 SCX-E TOWNSHIP COUNTY STATE DATE declare that on= -2 "-�-� ,;fig�1 1 = 50' Clarksville Davie North Carolina 2-18-99 we surveyed.-the property, shown on this plat: Stone Land Surveying Company ,loB NO. MT,BL%1` `�•-' ,; _ � George Robert .hone, PLS L-3182 S2699 MAPPED: 113 Drum Lane Phone (336) 998-4733 MAP NO. DEED BOOK PAGE_Z_ Prepared by: Charles F.Eakes Return to: 101 Charlois Blvd.Suite 102 Winston-Salem,NC 27103 NORTH CAROLINA GRANT OF EASEMENT FOR SEPTIC FIELD DAME COUNTY THIS GRANT OF EASEMENT is made and entered into as of the 47/1 day of 4o r i L- . 1999, by JACKIE FRANCIS WARNER and wife, FRANCES BAITY WARNER(hereinafter referred to as"the Grantors"), and JASON EDWARD KEATON and wife, AMANDA SIGMON KEATON(hereinafter referred to as"the Keatons"). WHEREAS, the Keatons own that certain tract of land in Davie County,North Carolina, ,more particularly described in that certain Deed recorded in Book 209, Page 491, Davie County Registry, the description in said Deed being incorporated herein by reference(the said tract of land being hereinafter referred to as"the Keaton Property"); and WHEREAS, the Grantors own the property which abuts the Keaton Property, the said property being the property described in that certain Deed to Frances Baity Warner and husband, Jackie Francis Warner, recorded in Book 116, Page 319, Davie County Registry(hereinafter referred to as"the Warner Property"), and the Grantors desire to convey an easement over, across and under a portion of the Warner Property for the benefit of the Keaton Property. NOW, THEREFORE, in consideration of the premises and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, it is agreed as follows: 1. The Grantors, for themselves and their respective heirs, personal representatives, administrators, executors, successors and assigns hereby grant and convey to the Keatons and their respective heirs, personal representatives, administrators, executors, successors and assigns a perpetual (except as provided hereinbelow), exclusive easement-over, upon and under that portion of the Warner Property more particularly described on Exhibit A which is attached hereto and incorporated herein by this reference for the installation, maintenance, and repair of a septic tank or tanks and lines and drainage fields. The aforesaid easement shall run with the Keaton Property and shall inure to the benefit of the Keatons and their respective heirs, personal representatives, administrators, executors, successors and assigns. 2. The sole and exclusive purpose of this easement is for the installation, maintenance, and repair of a septic tank or tanks and lines and drainage fields for a septic system serving the Keaton Property, and the easement shall not be used for any other purpose whatsoever. 3. Notwithstanding anything stated her to the contrary, this easement shall terminate and become null and void and of no further force or effect automatically DEED BOOK. 2-11 PAGI _ and immediately at such time as the Keatons Property is served by a public sewerage system.._ IN WITNESS WHEREOF, the Grantors and the Keatons have hereunto set their respective hands and have adopted as their own seal the word"(SEAL)"typed to the right of their respective names, all as of the day and year first hereinabove written. "GSEAL) a&ie Francis Warner SEAL) Frances Baity Whrner (SE ) Jason Edward Keaton g��(SEAL) Amanda Sigmon Keaton DEED BOOK=PAGE STATE OF NORTH CAROLINA- COUNTY OF A V1 G I, o 4 4La Notary Public of the County and State aforesaid, certify that JA KIE FRANCIS WARNER and wife, FRANCES BAITY WARNER personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and official stamp or seal this j��day ofr,, 1999. Notary Public � EE ' My Commission Expires U' STATE OF NORTH CAROLINA- COUNTY OF A d/ I, YQ51, a Notary Public of the County and State of aforesaid, certify that JASON EDWARD KEATON and wife, AMANDA SIGMON KEATON personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and official stamp or seal this `Nday of 1999. .... Notary Public; My Commission Expire§ ,. OA ,raH J ? NORTH CAROLINA DAVIE COUNTY The foregoing certificates of Charles Folds, Notary Public of Davie County, NC, are certified to be correct. This instrument presented for registration at 11:45 A.M. and recorded in Deed Book 211, Page 4. This the 6 day of April, 1999. HENRY L'. SHORE, REGISTER OF DEEDS BY n44� Deputy DEED BOOK . �'� PAGF 7 M EXHIBIT A TO GRANT OF EASEMENT FOR SEPTIC FIELD BEGINNING at an iron rebar set in the northeast corner of the property of Jason Edward Keaton and wife, Amanda Sigmon Keaton(see Deed recorded in Book 209, Page 491, Davie County Registry) running thence South 64° 26';30" East 82.02 feet to an iron rebar; thence South 53° 06' 55" East 53.45 feet to an iron rebar; thence North 61° 05 ` 20" East 121.62 feet to an iron rebar; thence South 17° 10'20" East 84.80 feet to an iron rebar; thence South 660 05'25" West 131.74 feet to an iron rebar; thence South 650 29' 25" West 124.38 feet to an iron rebar set in the eastern boundary line of the aforesaid property of Jason Edward Keaton et ux;thence with a portion of the eastern boundary line of the aforesaid Keaton Property North 02° 51' 00" West 175.79 feet TO THE POINT AND PLACE OF BEGINNING, and being a portion of the property conveyed to Frances Baity Warner and husband, Jackie Francis Warner by Deed recorded in Book 116, Page 319, Davie County Registry.