346 Yadkin Valley Rd Lot B Davie County,NC'- Tax Parcel Report Thursday,December 29, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: 080000000105 Township: Farmington
NCPIN Number: 5872384634 Municipality:
Account Number: 82529548 Census Tract: 37059-802
Listed Owner 1: WILLFAM LLC Voting Precinct: HILLSDALE
Mailing Address 1: 346 YADKIN VALLEY ROAD Planning Jurisdiction: BERMUDA RUN
City: ADVANCE Zoning Class: BERMUDA RUN OS,RM
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 5.000 AC YADKIN VALLEY Fire Response District: SMITH GROVE
Assessed Acreage: 4.73 Elementary School Zone: PINEBROOK
Deed Date: 12/2011 Middle School Zone: NORTH DAVIE
Deed Book/Page: 008760530 Soil Types: PaD,PcB2,PcC2
Plat Book: 0006 Flood Zone:
Plat Page: 105 Watershed Overlay: BERMUDA RUN
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9l'iw�AAll 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
County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website.
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41 A flRtZATION,NO:, 0 5 81 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION"X
Pen.�s r �.� Mocksville,P.O.Box 848
NamM � ` NC 27028 Subdivision Name:
e:. �.
1 Phone#:704-634-8760 -rRAC Cr-
Section:— Lot:
ections to property: � ' = t^ p "� Section: Lot.
AUTHORIZATION FOR
WASTEWATER JTZ
44 111, V SYSTEM CONSTRUCTION Tax Office PIN:#,. - �-
�- ,� s. 00
� Road Name: AAK��dYAtt�E,y zZlp:joa� 4
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS_. L
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
"�, -.-- :• DAVIE COUNTY HEALTH DEPARTMENT
" - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATIONS '9
Perm e's P, i
Name. )> 01
�, Subdivision Name.
Directions to property: '` ' �, 'Section:
I- f i _ IMPROVEMENT
PERMIT Tax Office PIN:#,:
V '•.y+�r) J �-. Road Name: t�Nied P,4,i 1-EJ edzit): piyzo 0&
**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
constructionhnstallation of a system or the issuance of a building permit.
(In compliance,with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***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 TILS PERMIT BEFORE
INSTALLING THE SYSTEM.
Y
RESIDENTIAL SPECIFICATION:BUILDING TYPE QS4 #BEDROOMS 4#BATHS 4f� #OCCUPANTS GARBAGE DISPOSAL.Yes.or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS ' INNDUSTRIAL WASTE:Yes or No
LOT SIZE 6�b TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) qzo NEW SITE ✓ IPA1R SITE
SYSTEM SPECIFICATIONS: TANK SIZE I aoA GAL PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.1500
OTHER z
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
rbw
"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(704)6348760.
OPERATION PERMIT t
SYSTEM INSTALLED BY:
Nooses
ah r3
�� 7 r AZ
O fr.3
44�
AUTHORIZATION NO. OPERATION PERMIT BY: 1 G J
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY M SC ED 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 GWEN PERIOD OF TIME.
DCHD 05/96(Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&
• Davie County Health Department
Environmental Health Section
P.O.Box 848 FNOV1996
Mocksville,NC 27028
(704)634-8760 EFr-A LIVITAL HEALTH
vel;coulmr
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed lf'a-:ati CZr>t Contact Person G. r
Mailing Address 4 0 l 5 Home Phone 'xo
City/State/Zip t/ Z 0+' (r,e c• -2 7-W 6 Business Phone a
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ❑ Site Evaluation ' ❑ Improvement Permit&ATC )d Both
4. System to Serve: 14 House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People �_ # Bedrooms _� # Bathrooms = —
Dishwasher id Garbage Disposal J6 Washing Machine ❑ Basement/Plumbing 6W 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: Iff County/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 14 No
If yes,what type?
PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
P.�--to- 4c, .3I SUBMITTED WITH THIS APPLICATION.
Property Dimensions: s C)r c S 1 WRITE DIRECTIONS(from
l99G l�rc( !�9/8 1 Mocksville)TO PROPERTY:
Tax Office PIN: # �6�3!G 0-00- O - 1
p1 + 600-1k � & nom- �o 10 z _ ILO
Property Address: Road Name g.n tea/ • 1
City/Zip X7 6 cI NL ro o .
IS 3 07 e9n
If in Subdivision provide info ation,as follows: 1
Name: �NTI N 1
1 . J4 G
Section•c A • Lot #: 1
—. 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 Representative of the Davie County Health Department to enter upon above described property located in Davie County
and owned by P d u o► to conduct all testing procedures
as necessary to determine the site suitability.
DATE„1l- �—•�� SIGNATURE
Revised DCHD(06-96)
X
' DAVIE COUNTY HEALTH DEPARTMENT /�Ac
Environmental Health Section
Soil/Site Evaluation
NAME ��� DATE EVALUATED -
ADDRESS !` S A".0-f b `� PROPERTY SIZE
PROPOSED FACIILTY \r\0� 5 `� LOCATION OF SITE V 4JORn F�
Water Supply: On-Site Well _ Community Public
Evaluation By:t._L. Auger Boring L"/ Pit Cut
FACTORS 1 2 3 4
Landscape position S' .S
Sloe % <6 v - S "3a
HORIZON I DEPTH 4�"
Texture groupL
Consistence
Structure C� C
Mineralogy
HORIZON II DEPTH
Texture groupC C C
Consistence t" 7 -
Structure \
Mineralogy ', �•,
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS SS SS S�
RESTRICTIVE HORIZON
SAPROLITE —
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE , r'
SITE CLASSIFICATION: �� ' EVALUATED BY: CZ4_R-atJ��
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 :lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-V+--.-y friable FR-Friable FI-Firm VFI-Very film 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
3C--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
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I JOHN RICHARD HOWARD certify that �aiN� �ti FOR DOUGLAS D. & CAROLYN W. WALKER
this map was drawn from an actual G��,TF,p'' �'•,� SCALE TOWNSHIP COUNTY STATE DATES
field survey under my direction and •Q
�� supervision, that the ratio of $ i = 1" =100' FARMINGTON DAVIE N. C. 11-1-9
AP precision is 1 tC� L-2=
•''o� -.4, � • • '�f HOWARD SURVEYING JOB N0.
`'•'�` CktiRC�
LOCATION MAP ���` JOHN RICHARD HOWARD RLS 9f085A
REGISTERED LAND SURVEYOR L-2890 ••••••••••••`,,r P.O. BOX 276 ADVANCE, N.C. (910) 998-5396
APP (CATION FOR SITE EVALUATION/IMPROVEMENTS PER @ J
Davie County Health Department "
i^ Environmental Health Section 1 i.
P. O. Box 665 1 1 i9 1_,`,),7
Mocksville, NC 27028
J ���,��� 13,1 ��� �� ► I
1. Application/Permit Requested By J /
Mailing Address d• 2-3 o)!� 2 1 r Home Phoned
2 2 0 0 • 2, L`�0 Business Phone
2. Name on Permit if Different than Above
3. Application for: / El General Evaluation Septic Tank Installation Permit
4. System to Serve: ®'House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Indust ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot#
CR'Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms R'Washing Machine
No. of Bathrooms ( / 2 Dishwasher
Dwelling Dimensions 3�'D 0 t`1• �7�N//�1 u� Cil,/Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: p Public ❑ Private ❑ Community
8. Property Dimensions S+ 46C4_C-$ Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, what type?
*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:
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 th779.,
n.
,�.
DATt SIGNATLJhE
CONSENT FOR SITE EVAWATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: SA 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
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 procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD(1/93)
U1ou
i
1.4
Ora
riIISI f � -----•-..,.... -
^a, .a . --- '-"�`�Y•4� . -:. f
x f 0, � r.,
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME �i�i?//�U DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE • 11,1W ZIG�
Water Supply: On-Site Well Community Public !�
Evaluation By: Auger Boringy Pit Cut
FACTORS 1 2 3 4
Landscape position L 4 L
Slope % '`
HORIZON I DEPTH 41 `'
Texture groupG
Consistence
Structure
Mineralogy
HORIZON II DEPTH < �-r.' �f
Texture groupC
Consistence i
StructureMineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE ZZ
CLASSIFICATION
LONG-TERM ACCEPTANCE RATEy
SITE CLASSIFICATION: �S EVALUATED BY: .
LONG-TERM ACCEPTANCE RATE: / Y 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 <,lay 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)
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