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110 Stone Wood Rd Lot 1 Davie County,NC Tax Parcel Report Friday,December 30, 2016 r—Z� 115 208 I ZT 1 r' rn i Ifs 1 I � 1 12 7 5 � 121 2.30 110 139 iy5 v 1' OO rr ,J. y r r I t'. 235 126 ------- - – -- 245 — –--- -------- ------ --- -- - - 1 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M4050B0001 Township: Jerusalem NCPIN Number: 5736501215 Municipality: Account Number: 82529987 Census Tract: 37059-807 Listed Owner 1: DAVIS MICHAEL L Voting Precinct: COOLEEMEE Mailing Address 1: 110 STONEWOOD DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 1 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.96 Elementary School Zone: COOLEEMEE Deed Date: 8/2008 Middle School Zone: SOUTH DAVIE Deed Book/Page: 007670607 Soil Types: GnB2,CeB2 Plat Book: 0007 Flood Zone: Plat Page: 073 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: O[ /� 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 County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to nOUN S NC or arising out of the use or Inability to use the GIS data provided by this websfte. 19/2002 23:23 , 7048721166 CLATON HOMES PAGE 03 TNov 19 02 02:06P davie. caunty envhealth 336 751 8756 �- DAVIE COIJIM HEALTH DEPARTMENT' 3 Environmental Health Section J P.U.Boa duale Hapitel Sb•eet 5 Mockavillq NC 27028 (33(s)751476t1 IMPROVFME.N'170PERAT ERMIT Account #: 990002048 C�S r Tax PIN/EH#: 5738-6"147.RF Billed To: Subdivision Info: Gtadgtons Wood@ tot 01 Reference Name: Location/Address: Sherwood Drive-27028 toe Proposed Facility: Rsoder "��S Property Size: we map ATC Number: 3011 *•NOTE•"This Impromneot/Opention Permit DOES NOT authorize the construction ofa 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 1 I of G.S.Chapter 130A.Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). TENS I'ERMIT LS SUWEiCT TO REVOCATION IF SM PLANS OR THE WTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE WSTALLImG SYSTEM. Residential Specification; Building Type /f NPeopie #Bedrooms a$aths—A— Dishwasher Garbage Disposal:C3 Washing Machine Basement w/Plumbing:171 Basement/No Plumbing: Commercial Specification: Facility Type Qeople #People/ShiR #Seats Industrial Waste:0 Lot Size__,- Type Water Supply` Design Wastewater Flow(GPD) Site: New 9 Repair C3 �. System Specifications: Tank Size/[&GAL. P=p Tank_ ,�-GAL. Trench Width Wim- Rock Depth�_ Linear Ft. Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT I,AVOtiT- APPROVED EFFLUENT FILTER. RISER(S)lFe.~BELOW FINISHED GRADE. ^••-NOTICE: Contact a representative ofthe Davie County Health Department for final inspection of ibis system between 8:30 a.m.to 9.30 a.m.or 1;00 p.m.to 1:30 p.m.on the day of installation. Telephone a is(33fr)751-876(1.**** "uv ee lee i t Enviroomattal Health Specialist's Signature: Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002048 ,`lJy Tax PIN/EH#: 5736-50-6147.RF Billed To: Clyn J/ Subdivision Info: Gladstone Woods Lot#1 Reference Name: h"b�i Location/Address: Sherwood Drive-27028 Pro osed Facility: Residence Property Size: see map ATC Number: 3011 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). 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.Cliapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT O STRUCTION IS7XOA PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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 o time. P Ala SU Ni✓{l � G Septic System Installed By: Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) 11/19/2002 23:23 7048721166 CLATON HOMES PAGE 02 APPLICATION FOR SITE F.VALUATION/IMPROVEMENT PF KMIT&ATC �[ Davie County Health Depanment G1o( Environmental Health Section / P.O.Box 848 Mocksville,NC 27028 t"","V8760 33�" 336-7Sr �- ■•••IMPORTANT•••• THIS APPLICATION CANNOT OF PROCESSED UNLESS 1 ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �� // T�j;�Ij P� y� Contact Person +�` j v Mailing Address ~ �f'i(/® yw"- PA t Home Phone City/State/Zip 5,412 fit/.& '/rG. 1��S "j Business Phonc�{�Dy 2. Name on Permlt/ATC if Different than Above Cl" �+ ewn MoilingAddresx lo9s"� i{/elfjp� Rd _ City/State/Zip 3. Application For. Site Evaluation ❑ Improvement Permit&ATC I-Joth 4. System to Serve: House Mobile Home ❑ Business ❑ Industry ❑ Other // S. If Residence: 0 People 2� 0 Bedrooms 3 N Bathrooms .Z 'Dishwasher ❑ Garbage Disposal A Washing Machine ❑ Basemcm/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type ' M People rt Sinks N Commodes M Showers 4 Urinals M Water Coolers If Foodservice: M Seats Estimated Water Usage(gallons per day) 7. Type of water supply: i-CouMy/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes SZ-11'No 1f yes,what type? PROPERTY INFORMATION REQUIRED: •**IMPORTANT•••A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: I WRITE DIRECTIONS(from 1 Mocksville)TO PROPERTY: Tex Office PIN;r S 7.310 _ ,�o - ��,►7 9�- 1 0 Propefty Address. Road Name. Ir�RPf�di►t �c�com�S .�D�' / 1 I 071 /2� City/Zip 1 If in Subdivision provide information,as follows- Name: l J/9e.�s7�erw� G toa e►ee S ' 1 1 1 Section: 4-A-d FA1' . �c�nc�oQS Lot U: XO f ye-b1 � 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.1.also,understand that!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 >'*l/9r/ 5, 611 c& -Tr4Ys C Jto conduct all testing procedures as necessary to determine the site suitability. DATE 2 610 Z_ SIGNATURE Revised DCHD(06-96) C� APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC914 Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville,NC 27028 y t7 4-8760 93G-Vi— ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Contact Person Mailing Address 2,0;25;' Z�%qdfA q)Z40— O)q I Home Phone City/State/Zip INI-a)2. —17 ` � Business Phone r 7 —2 2. Name on Permit/ATC if Different than Above J el9'n OE I SJ�"!y n, W V,)6& Mailing Address g � �i/�)��/TRGti City/State/Zip J 3. Application For: t '4d Site Evaluation ❑ Improvement Permit&ATCBoth 4. System to Serve: IF House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People 2� # Bedrooms # Bathrooms `Dishwasher ❑ Garbage Disposal Washing 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: Off ounty/City C3 Well ❑ Community 8. Do you anticipate additions or,expansions of the facility this system is intended to serve? ❑ Yes No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: I WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # S 7 3� - � - �1 7� a JJ I 4 v Property Address: Road Name �i �1G�Sxe� �aay�S •�o City/Zip I t m� lK 1 If in Subdivision provide information,as follows: ; Name: C..f l{to2e�tQS ' t n Section: Lot #: O + 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 11 and owned by _/Thyn S 'S& 'T-ff4w ZE. )wwtu, 11�to conduct all testing procedures as necessary to determine the site suitability. DATE —ZZ—> 9 ^ 02 DO Z SIGNATURE Revised DCHD(06-96) ,jL%��/� 7 f� f6'0, F Gwy r/f o 9 SFrb°r ZZ (f 'r f •� \\ (ti c L -- -- - - - - - - - - - - - -- _ - - - - z LOT #1 / (0.960 AC.) 285.26 -�*— N 80'42`54' V .. . pta / DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section • ;` :' P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002048 Tax PIN/EH#: 5736-50-6147.RF Billed To: Rachel Freeman Subdivision Info: Gladstone Woods Lot#1 Reference Name: �aL' e Location/Address: Sherwood Drive-27028 Proposed Facility: Residence t4-&-y-=s Property Size: see map ATC Number: 3011 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People & #Bedrooms 'C� #Baths Dishwasher. Garbage Disposal: ❑ Washing Machine; Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply { Design Wastewater Flow(GPD) Site: New R!( Repair❑ ,�/f� l System Specifications: Tank Size,/ QD GAL. Pump Tank GAL. Trench Width "� Rock Depth A Linear Ft.�0d Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) . ' DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002048 Tax PIN/EH#: 5736-50-6147.RF Billed To: Rachel Freeman Subdivision Info: Gladstone Woods Lot#1 Reference Name: Location/Address: Sherwood Drive-27028 Proposed Facility: Residence Property Sizer see map ATC Number: 3011 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT O STRUCTION IS VA ID O A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. Septic System Installed By: Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) r tJ l'1 .,�' •`' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC D Davie County Health Department En vironmental Health Section NOV - 9 2001 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 ENVIRONMENTAL HEALTH DAVIE COUNTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED i INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. �/� 1. Name to be Billed 1 Contact Person L o h f w Re e Mailing Address as Home Phone 770Y- 971 -070S- 2. 94- ^7 Y (nCity/State%ZIP / \�1 d e N( ,, -7- Business Phone /( J Y- 9 / 1 -0 70J 1 2. Name on Permit/ATC if Different than Above Q:),r'�Ae I Civ V-\ MCC yyl I�p l Mailing Address C � -I ^�C/ity/State/Zip r r �C V 1 l �C� 1 )CD7Oo�� 3. Application For: ❑ Site Evaluation p�Improvement Permit/ATC ❑ Both 4. system to Service: ❑ House � Mobile Home (❑ Business ❑ Industry ❑ Other 5. If Residence: # People _ # Bedrooms # Bathrooms n— XDishwasher ❑ Garbage Disposal X Washing Machine ❑ Basement/Plumbing O Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes % # Showers # Urinals # Water Coolers T IF FOODSERVICE• # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City ❑ Well ❑ Community a. Do you anticipate additions or expans ons of the facility this system is intended to serve? ❑Yes XNo If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: �'" � WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # —7- S° "" ��/ t-` � Property Address: Road Name w e° K (7R' City/Zip If in a Subdivision provide information,as follows: Name: a-& S ►'� ° ° I S 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 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 an: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 to conduct all testing procedures as necessary to determine the site suitability. --(n� DATE I _ -O SIGNATURE �lh 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). Site Revisit Charge C/oDatc(s): -}-a �, b � Client Notification Date: J �j►'I EHS: Account No. Revised DCHD(07/99) Invoice No. 5 'r 00 SCALE ,1 (IC"7-Y MAP / o N 51.52'44'* / 72.77 / °° / N 44° 46' 46" 88.46 \ / / \ LOT 2 N 41.55'24'* E 10' x 70 o \��,� SIGHT N 40-19'22** E 00 / EASEMENT 58.37// ��•/ � 2/ \ N 39.15,29"E// / OT \ 89.62 \ N 90. 4 'S4 w134.36 3/9.52 OTAL O LOT 22 P WILDWOOD SUBDIVISION � PL.BK. 4 PG. LOT 21 LOT 2 _ L( 3 LA �l F- t0° LOT 24 tD C' V' LOT 25 LOT 26 11.95 I } i 4 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI if O �( Davie County Health Department Environmental Health Section P.O.Box 848 JUL 2 1998 Mocksville,NC 27028 (704)634-8760 EtIVIltONMENTAL HEALTH AVIE COUNTY MP ****IORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLES ALL THE R\EQUIRED INFORMATION IS PROVIDED. ,� '( 1. Name to be Billed �oC�J Contact Person �"►(A�c� �' ` fit Mailing Address `J U o P4) &J fe. (� Home Phone 3 2 d ? City/State/Zip � S \\\e `��'C- d a Business Phone 75 �'a a a a Kti c70 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: O' Site Evaluation ❑ Improvement Permit&ATC ❑ Both 4. System to Serve: Q—House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms _ # Bathrooms dishwasher ❑ Garbage Disposal B'Washing 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: a County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes E;--No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE /saw. SUBMITTED WITH THIS APPLICATION. Property Dimensions:500A ?33.52 X 90S f,��( SO�i.Sa X 5,7 1 1 WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # t��7 3 c2 - �� - �� a.' Property Address: Road Name 1 -Eo N city/zip C_ 1 1 If in Subdivision provide information,as follows: 1 Name: �� d <_--1 t o �-- tJ1�©f1 1 1 Section: 15 1\c.Q v- Lot #: � 1 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 �e ad �� `'� i o conduct all testing procedures as necessary to determine the site suitability. DATE /'�- 7 SIGNATURE c Revised DCHD(06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION---/ Soil/Site Evaluation APPLICANT'S NAME B DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE 6 7p/fC' SUBDIVISION �� S- �� ROAD NAME Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit t/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Sloe% HORIZON I DEPTH Texture groupC L Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence i 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 71 SITE CLASSIFICATION: or EVALUATION BY- LONG-TERM ACCEPTANCE RATE: / OTHER(S)PRESENT: REMARKS: f LEGEND Landscape Position R—Ridge IS-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(0I-90)