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156 Stone Wood Rd Lot 12
Davie County,NC Tax Parcel Report Friday,December 30, 2016 ti ~'"r luy 169._--, 1 �1 ` = f I i26 i f 1'1/00D � r ,• f175 � f 00D RD 1 I f -- 140 ~ r i ------_--- 174 1 I i t 148 i r' 'ti 156 ' 16 4 ti 5 1 t 170 WARNING: THIS IS NOT A SURVEY Parcel Information_ Parcel Number. M4050B0012 Township: Jerusalem NCPIN Number: 5735596878 Municipality: Account Number: 82518185 Census Tract: 37059-807 Listed Owner 1: OREA GILBERTO RODRIQUEZ Voting Precinct: COOLEEMEE Mailing Address 1: 156 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 12 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.76 Elementary School Zone: COOLEEMEE Deed Date: 2/2002 Middle School Zone: SOUTH DAVIE Deed Book/Page: 004060501 Soil Types: GnB2,GnC2 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: E61Ail 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.Ail 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. ` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002028 Tax PIN/EH#: 5735-59-6878 Billed To: Gilberto Orca Subdivision Info: Gladstone Woods Lot#12 Reference Name: Location/Address: Stonewood Road-27028 Proposed Facility: Residence Property Size: see map ATC Number: 2998 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 VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: <! s 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 M 0A,Section .1900"Sewage Treatment and Disposal Systems,"`but shall in NO WAY be tat the system will function satisfactorily for any given period of time. / " Septic System Installed By: Environmental Health Specialist's Signature: -/if6 Date: —QZ DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section f —1 T"a/ P.O.Boz 848/210 Hospital Street !� Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002028 Tax PIN/EH#: 5735-59-6878 Billed To: Gilberto Orca Subdivision Info: Gladstone Woods Lot#12 Reference Name: Location/Address: Stonewood Road-27028 Proposed Facility: Residence Property Size: see map ATC Number: 2998 **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 &/,Z #People_ #Bedrooms #Baths 2 Dishwasher 4?1 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: Ne)y.�Repair❑ System Specifications: Tank Size/ l06 GAL. Pump Tank GAL. Trench Width Rock Depth 4? Linear Ft�fdQ 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:-,//—i 21�� DCHD 05/99(Revised) y • APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC Davie County Health Department ` EnvironmentaiHeaith Section R M [ Q [ P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 OCT Z 9 2601 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS LViP VTF-A]:HEALTH INFORMATION IS PROVIDED. Reefer to the IN,/FORMATION BULLETIN 1. Name to be Billed G,C Qe�,�-o R iy1t,a U C'l) /V t A Contact Person 1111 A.,a,4 111,M+d/ D Mailing Address /yDJ DrA4/n0rJ 102 " / /c Home Phone J 4- City/State/ZIP tiy)Qe4r',I((f "V f- Z-)b IT Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation ,( Improvement Permit/ATC H Both 4. System to Service: ❑ House ili Mobile Home ❑ Business �1 El Industry U Other 5. If Residence: # People _ # Bedrooms J # Bathrooms _ 2�� Ik Dishwasher ❑ Garbage Disposal ,r Washing Machine ❑ Basement/Plumbing II Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: X County/City ❑ Well U Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes No If yes,what type? ***1MPORT4NT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION. • 1 Property Dimensions: fe, C /" ,q/-2 WRITE DIRECTIONS(from Mocksville) to PROPERTY: Tax Office PIN: # .r7.1-s-- -r'99- 7 O Xo lr4 01-bonr-f Property Address: Road Name .STI"— .z-yMW Ay wodl7s_ City/zip -"' Geh v/ Me- If in a Subdivision provide information,as follows: Name: w i A D S'laryt r lJoy Os Section: Block: Lot: 7— Date Property Flagged: l O 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 ant responsible fur all charges incurred front 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 eZ to conduct all testing procedures as necessary to determine the site suitability. DATE Z SIGNATURE 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 Datc(s): Client Notification Date: EHS: Account No. Revised DCHD(07/99) / J/ �4� Invoice No. / ,e. � r ,a, ' _C7:(71 6 C:]s C_n . A •: A 1 ' u V. ^e/^+v<CJ Y J d !f P 6 tict a g�' occ:e of en.ra I .Ix<n M 6y t•. Ap RO'70_rlL• y M1� n• 1 Hgh.a;•a pe ve t tJ Mt 1) Crcp!<r IJd CS'Rk7 _ER S �'(UY•l 4.eemer.1 Statue•State of.lortt Carolina. TTI.the�L C/uYy f Tw�JG�/////�J 7333 CaiE ��i e! l� Jc�t C_ -("r•G-/�•/ /.%'bs✓f/ vGr.'N UROuu U'.:E C.'1.r7^r alP �� r ,a Q• f` OR OC MVheq 00 Z ria •o,,, i :f S:,? NJLLEY c::crl .E*+ a-t,lus tiRc rrR:) TANGENT cHc,o E_.^ D.3. 3 PG._06 +97.7, 25.01 25.01 12.51 N 45'. 13"N .; \\ ,OT 2 f<•�3,`y ^' 1T550e 447,74 155.67 155.03 73.47 N ``5x'13" N C3 10'S5'0d' x97.74 9500 54.55 47.E4 •!71'21'52" N (0.778 AC.) + /Si"a3•'k7 - Ca 4750'00" '500 19.E9 19.25 9.91 S EI'a5'Ca'N j 7o1 ooOe f CS 7P53'3a' 50.00 61.87 57.99 35.59 N 8a'13'C9"N �� C6 48'0425" 9J.00 41.93 40.7J 11.30 v 1a'a Y09' `•"`\ yj 0,5. C7 93'22'07" E0.00 46.57 44.91 25.13 N .L53'07"E \ , C9 95'9'54' 'Co 11..5 71.74 53.00 S 1982"_ \ + LOT #3 ,:r lc. c9 .rsc'ca isoo Es9 fe.x5 3.91 s".24'Ss"- 6 CIO er07'20' 557.74 79.0? 79.00 39.60 S 7245'15"E `•f \ (0.720 :cJ •` a "'f` Ctl 10'15'11" °57.74 100.00. 5987 50.f} 5 6T3+'24'E `� ;�,♦P C11 13'10'18' 557.74 1 i`p 29.84 129.55 65.21 5 SPa6'Ca'E #4 '" 7'2'00 (0.724 AC.) -4- W R �DyP O Z° m ti LOT #J T o \ s' \ w'vi r CSL-EA..yE•r -�(0.748�AC) q S SIcO LT #6T 0690 AC.) aV! #7 i (O.ESB AC.) ?5o 511 R SLOT #15 I �• J /'C] 7 : �.�zip' v LOT ;R # 4, '/J a2 .7 =5✓7 ll23s. _ (0.73J �:) - 4 /r .r•..:i�' .Ct0 S 76.49 y .,,,�•�3-d 7`4. C5 --' :t'';7r •LA �T as -120.EO-(222']3 7p7A a N 83.1 d'[4• _ #14 75.00., .9 S'' r s ��'' (1;9 x.) ` ` � �O SARAN VOLLEY LOT #13 I �l�"ic D.P. PG.206 Z n (0.71,8 AC.) LOT #12 1 LUT #9 (O.7E2 -C) LOT #11 (0.- +5 AC.) a9 !0.736 LOT •#10 -I1.iS •/ 235..9 ) � z ever. � �_O / j �- <7i 54 •3 Oa• y •ISd 35 C��vJ. i .• 7 a9 T tall 0�0.) T 26459 SHIRLEY JONES ' '=` N e4 i D.B.66 PG.206 .==.,1 1]'02 ! GLAB I DUF E Po WFP 1 r APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC Davie County Health Department (� Environmental Health Section O l5 l� P.O.Box 848 Mocksville,NC 27028 EJUL 21998 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED LESSON p VIE ENTAL HEALTH ALL THE REQUIRED INFORMATION IS PROVIDE . 1. Name to be Billed r S W kee_ Contact Person Mailing Address RSIA R—R� Sv Xte, Home Phone 3 2 City/State0p o �' S�\\\e L- a Business Phone 7 5 LL a wrap? 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: B—House 6"'Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms �- `U I]lshwasher ❑ Garbage Disposal IB-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: bounty/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9-10 If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:-700x 93.3:52 X 905 Six SO�i.Q k -92 7 L? I WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # _� 7.3(.,e_ - � - �<<-( '� I . Property Address: Road Name � I -Eon.► Citymp o C_ 1 \ 1 If in Subdivision provide information,as follows: Name: e_ 1 1 Section: IS N e.,e.e Lot #: /.2- 1 1 ris is to certify that the information provided is correct to the best of my knowledge.I understand that any permits)issued hereafter r jubject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is alsified or changed.I,also,understand that I am responsible for all charges incurred from this application.I,hereby,give consent to e Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County d awned by Ay�o conduct all testing procedures necessary to determine the site suitability. ATESIGNATURE / o c evised DCHD(06-96) ti DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_ LOT Soil/Site Evaluation APPLICANT'S NAME QS it I`l'k ©o 41 DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE y SUBDIVISION _ lOrhe "� ROAD NAME /, Water Supply: On-Site Well Community Public elm Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH �Texture group rou 4 Consistence Structure Mineralogy HORIZON II DEPTH +� " 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 c, SITE CLASSIFICATION: EVALUATION BY: 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(O1-90)