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126 Stone Wood Rd Lot 15 Davie County,NC Tax Parcel Report Friday,December 30, 2016 11 2 8 I 122"F i SJ i U,L .'f 127 I 121 230 110 / Q r OQ ,' 139 151 159 169- 235 69-235 126 1 1 11 175 f' NI/ 245 Ov 253 �-� 140 ;? 1 ' __---174 -� 148 156 �� 164 `~4 255 ' 170 ' ~ 265 r .271 � _ -------279 183' Ly91- WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M4050B0015 Township: Jerusalem NCPIN Number: 5736502093 Municipality: Account Number: 82529533 Census Tract: 37059-807 Listed Owner 1: FRYE ALAN G JR Voting Precinct: COOLEEMEE Mailing Address 1: 126 STONEWOOD ROAD 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 15 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 1.15 Elementary School Zone: COOLEEMEE Deed Date: 4/2008 Middle School Zone'. SOUTH DAVIE Deed Book/Page: 007540588 Soil Types: GnB2,PcC2 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: 91 /� Ali 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 websfte 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 �pUtyS4 NC or arising out of the use or Inability to use the GIS data provided by this website. - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section • P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990000787 Tax PIN/EH#: 5736-50-2093 Billed To: Southern Showcase Subdivision Info: Gladstone Woods Lot# 15 Reference Name: Location/Address: Stonewood Lane-27028 Proposed Facility: Residence Property Size: 1.133 acres ATC Number: 3389 **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 #Baths Dishwasher: elo, 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)Q Site: New Z Repair❑ System Specifications: Tank Size/_ _0&GAL. Pump Tank GAL. Trench Width 5Rock Depth� Linear Ft,30V Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISERS)IF 6 i°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 #: 990000787 Tax PIN/EH#: 5736-50-2093 Billed To: Southern Showcase Subdivision Info: Gladstone Woods Lot# 15 Reference Name: Location/Address: Stonewood Lane-27028 Proposed Facility: Residence Property Size: 1.133 acres ATC Number: 3389 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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of qmple 'on shall indicate the system described on Improvement/Operation Permit has been installed in compliance witAti e 11 of G.S.Chapter 130A,Section.1900"Sewage Treatment and Disposal Systems,"but shall in NO A taken as a guarantee that the system will function satisfactorily for any given period of time. Septic System Installed By: GLe Environmental Health Specialist's Signature: _�L� Date: ,?-�2b lam` DCHD 05/99(Revised) * M 3 5a davie county envhealth 336 751 0766 P•2 r. APPUCATION FOR SITE EVALUATION IMP Davie County Health D partment PERMIT&ATc ERVM017=17tallleaith Section P.O. Box 848/210 Hospital Street RONMO N `� Mock`336)751-7028 8760 �P ***IMPORTANT*** THIS APPLICATION CANMOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED: Refer to the INS/FORMATION BULLETIN for instructions. wase to be Billed �1/iP.�sL„J CvVenl< t[OJ. � Z ��/�O ry InJ) Contact Person �'t Mailing Address /�yfe S•V/ ,. fin V Roma Phone / f City/state/ZIP /`�G /`s J)/�- IVC 01-7d Z� Business Phone Nage on Permit/ATC it Different than Above Nailing Address city/stato/zip 3. Application For: 0 Site Evaluation 9 Improvement Permit/ATC ❑ Both i System to Service: ❑ House 0 Mobile Home ❑ Business 0 Industry a Other If Residence: H People I _ / Bedroomsi J / H8thI00m9 4--t?Dishwashers t•1 Garbage Disposal Bashing Machin. IJ Basement/Plumbing fl Basement/No Plumbing 6. If Business/Industry/Other: Specify type a People M Sinks 1 commodes / Showers I Urinals �. / Hater coolers IF FOODSERVICE: 0 Seats Estimated Water Usage (gallons per day) - Type of water supply: County/City F4.11 ❑ Community .tee: Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes 040 Ifyes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLEPETHE REQUIRED PROPERTY INFORMATION REQUESTED ELOW. Either it PLAT or SITE PLAN MUST BESUBU17TED by the client with THIS APPLICATION. Property Dimensions: ,Qri�C^S W RI�RECPIONS(from Mockcville)to PROPERTY: ,__�Office PIN: # 5Q� d l M �(3 :Sri u /L/[���f' d Property Address: Road Name sive GyOd,O IO �.Z4"y re-V &h p,i 1&6.JJe t11 City/zip,'Odm/.rc/Ile A�c�ZS/ �e l �.NS%f•� w��a ,( ,—,per.Ev V/1f in a Subdivision provide Information,as follows: ON It, 'Z"'I7 Cd Name: if-laos rr/t woejoss o lsJ o o ja ' S Section: Block: Lot: /—� (eProperty NFlagged: 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 than 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 to conduct all testing procedures as necessary to determine the site suitability. Q—,—DATE SIGNATURE�� //� �— THIS AREA MAYBE 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 Datc(s): Client Notification Date: EHS: Account No. Revised DCHD(07/99) Invoice No. V /Irs1�EC(ON pF' 4'tlJRiNit; N 51'552'44' uS ~o a • 71'l77 a N 44'46'46' E 28.43 T i�1 a l`` d 4 44.46'4b' E + :� t,. c[ Saco /� t �° SARAH NOLLEY CURVE DELTA 4 y~ Jar ' C1 c� • D.8.38 PG.206 C2 fr55'08* 49, ,y JTf C3 10'56'08' 497:1 • *5�'v (0.778 AC.} t� C4 a 2'50'00 25.C1 o ? 1q f CS 70'53'76' 50.0( Co., ,c,2 / �.' 'CG 67'04'76" 50.0( ' C7 53*22'07" 50.00 \rso v \ C9 03'19'54" 50.00 0, LOT�,�T j�J 1 9 0 Cr] 42':50'00. `5.N' r�s �• \ ir, J CIO d'07'20" 557.7• (0.720 AC.) C 1 1 t0'1 G'2 2' 557.74 //'1 ✓ t` K \ icy �', \ ;;° rt'� •1X20'18' 557.74 5' tJCCAttvE1�p `QS, tl,. ACCESS EASEMENT .� \ \ �� w y lh z 3q '•: 2 1.23'4f3' y .LOT # I0C c. 11.22 (0.960 AC.) L O r 1��� t 9t;. (0.960 Co ;TIl: 193: 6 W (0.724 AC.) n ) •4 ,34 � tat.?S 4_ M 00.42,54' y f �^ `�, LOT # L 65.00 (0.7.18 AC.) 'o � t� ,y t in:;E�CttT �7' !LOT r G ` } lr,; _ r �Fn�l f c \ =r (o.r�90 .C.) L07' I{7 LOT 22 v v. (0.698 AC.) 1DIVISION r,J ry 'ou (l.l�� •w.) ��: "/ i�J tet.3$ .G L /T 2. (0.730 t�( ,) J. LOT / LOT 23 f ta C,o /�•4�,5 4 C4 . _ — f G C _' - . _,_, _�� ~,''(,' :Z� � JJ t c'0.t:l (~`�� J t0 c. N FI`--+'1 r3'(t•1' F. �� :• `; ,• •� ^ `SLOT �� 1�� /s.vo.- ? OT 2�� ;, � L O 7' tt 13 (0.758 :.c.) LOT r7 12 LUT rt9 ( ) ;� LOT rf 11 (0.8.15 AC.) ni '. `r n1• , j :� l�). i.la :l..i '� Ili E 120.0o J 26 f* OT04 of AJ- h .1 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&AT M • ' ' Davie County Health Department Environmental Health Section P.O.Box 848 JUL - 2 1998 Mocksville,NC 27028 (704)634-8760 ENVIRONMENTAL HEALTH ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL DAVIE COUNTY l ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed (��� `cc��, ���C, C ���J Contact Person Mailing Address , `� �� Rte' `�v F t= U Home Phone City/State/Zip �1` ui_�'.`•�'�\\L ��L– U Business Phone � L L L). K- t,)o 7 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: 0"House ❑Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms �'31 . # Bathrooms eci Dishwasher ❑ Garbage Disposal ©'Washing Machine ❑ Basement/Plumbing O 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: O County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9—No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: ���U1t r��3 X �iUS S,1 k' U . S X �7�7 f 3 1 WRITE DIRECTIONS(from t Mocksville)TO PROPERTY: Ta:-.Office PIN: # �� � �(.z_ Property Address: Road Name = 1 fl1 Citymp \t��c�� .We L C 1 1 \ t AcJSt�w� � o If in Subdivision provide information,as follows: Name: 1 Section: 1 S Lot #: �•� t 1 t 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.1,hereby,give consent to Cie Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County rnd owned by N = c-'7. ' �� � �� ��= � r c7C. �i ' �'� to conduct all testing procedures necessary to determine the site suitability. ATE '� SIGNATURE evised DCHD(06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION Soil/Site Evaluation APPLICANT'S NAME a DATE EVALUATED F—'2- PROPOSED FACILITY ROPERTY SIZE .3/j/ /IS� SUBDIVISION /ROAD NAME ` Water Supply: On-Site Well Community Public V Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% a HORIZON I DEPTH Texture groupL. Consistence Structure Mineralogy HORIZON II DEPTH " 10/ Texture group G Consistence i Structure S 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: EVALUATION BY- LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: 4QJ - 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)