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175 Stone Wood Rd Lot 8 Davie County,NC. Tax Parcel Report Friday, December 30, 2016 I i 0 � I 151 W r 159 169.-__ f/ I— r f r'f C5 175 Q 1 , 6T0, C_ VV O^D FAD r r — f _ 174 q � 1 ltl WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M4050B0008 Township: Jerusalem NCPIN Number: 5736600142 Municipality: Account Number: 8302117 Census Tract: 37059-807 Listed Owner 1: GUYE BRENDA Voting Precinct: COOLEEMEE Mailing Address 1: 207 MR HENRY ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028 Voluntary Ag.District: No Legal Description: LOT 8 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.73 Elementary School Zone: COOLEEMEE Deed Date: 4/2013 Middle School Zone: SOUTH DAVIE Deed Book/Page: 009230284 Soil Types: GnB2 Plat Book: 0007 Flood Zone: Plat Page: 073 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 91ay.�� 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 daims 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 ga- P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 090000787 Tax PIN/EH#: 5736-50-6147.08 Billed To: Southern Showcase Subdivision Info: C l.,a-,t s-r-o N e \Al oo J s b t!? Reference Name: Bill Latimer Location/Address: Nolley Road-27028 Proposed Facility: Residence Property Size: see map -ATC Nu�pber: 2534 **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 M. NDrAC #People #Bedrooms —r-5 #Baths �11 Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: [D"" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:❑ Lot Size Type Water SupplyC Wft? Design Wastewater Flow(GPD) , (` o _ Site: New 2� Repair❑ System Specifications: Tank SizeGAL. Pump Tank GAL. Trench Width Rock Depth IZLinear Ft. I E7E c� Other: tT�-lt3y-Rfl+J~ �S.f�S Required Site Modifications/Conditions: I.JS N-L b•J Cs►J 1 b J 1bmE1 " tom, OTT- Pei. U� IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 K 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.**** 1— .50 ICOI C)' . tOp kit- '0 Ai O Q too- 1 y,S' �W t1a t�_ LOT C Environmental Health Spec ist's Signature: Jate: DCHD 05/99(Revised) \ � r 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#: 5736-50-6147.08 Billed To: Southern Showcase Subdivision Info: Reference Name: Bill Latimer Location/Address: Nolley Road-27028 Proposed Facility: Residence Property Size: see map ATC Number: 2534 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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONST ION I VALID FOR A PERIOD OF FIVE YEARS. 42*j Environmental Health Specialist's Signa e: 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. �t o� i5rj - ai Septic System Installed By: Environmental Health Specialist's Signature: Date:A-0/7-10Y7 DCHD 05/99(Revised) APPUCCRON FOR SITE EVAUTATION/IMPROVEMFM PERMR&ATC Davie County Health Department AM 18 2000 Envimmenfa/Health Section P.O. Box 848/210 Hospital .Street ENVIRONMENTAL HEALTH Mocksville, NC 27028 DAVIE COUNTY (336)751-8760 ***IINFORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instruction/s. 1. Name to be Billed So• contact Person �/�� !� C1.�m•�f^ Mailing Address 1 0 ,r&S L4 10 601A) Home Phone City/state/LIP ' //OG,�S'tJ//�� �� Business Phone 2. Name on Permit/ATC if Different than Above 'C 1:a n L.C/ 0 fes` Mailing Address se-/'U City/state/Zip 3. Application For: 0 Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to service: ❑ House f Mobile Home 0 Business 0 industry ❑ Other a. If Residence: # People . # Bedrooms # Bathrooms O Dishwasher 0 Garbage Disposal EilPashing Machine 0 Basement/Plumbing O Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # showers # Urinals # Mater Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Nat©r supply: County City 0 well 0 Commursity e. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes ,)(No If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: I7� WRITE DIRECTIONS(from� d M+oclksville)to PROPERTY: Tax Office PIN: #'S�3�'^–ice , to tet' J 4w,6 0/ S C�V ( 4 Property Address: Road Name ^d e d - te ll`f City/Zip If In a Subdivision rovide information,as follows: Name: 6�K\\—dsnw-e W otnv Section: Block: Lot: 4 Date Property Flagged: f 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 to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNAWRE �• THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and we ' ions, structures, setbacks, and septic locations). Site Revisit Charge �Q Date(s): �\ Client Notification Date: 10 ,S � EHS• - �� Account No. ` Revised DCHD(07/9 Invoice No. b APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC D 0 Davie County Health Department Environmental Health Section O.Box 848 JUL ' 2 1998 P. Mocksville,NC 27028 (704)634-8760 UIVIRONrIEWAL HEALTH AVIE COUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS 1 ALL THE REQUIRED INFORMATION IS PROVIDED. (� 1. Name to be Billed Contact Person Mailing Address o�� Jy t�- C� Home Phone 01 a a City/StateMp o�k% \\\e �\3 C.- c> a Business Phone Z5 ('L a a- 2. Name on Permit/ATC if Different than Above Mailing Address / City/State/Zip 3. Application For. M- Site Evaluation ❑ Improvement Permit&ATC ❑ Both 4. System to Serve: a—House U�-Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms _ # Bathrooms q3 Dishwasher ❑ Garbage Disposal O-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: 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: 500)C X 33.5.� X 905',S',�y( SO9.S',� j/ �7 7 ? 1 WRITE DIRECTIONS(from 1 Mocksville)TO PROPERTY: Tax Office PIN: # _� 7.3(z.. - �� - _(��L( '� 1 p ll 1 'F D Property Address: Road Name 1 -EoN City/Zip oc C_ 1 1 If in Subdivision provide information,as follows: 1 Name: Ncd 1 Section: 15 t\LR e Lot #: 1 1 1 This is to certify that tL-.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 toenterupon above described property located in Davie County id owned by c2 ad. je- d /"1 i to conduct all testing procedures necessary to determine the site suitability. ') ATE /-at- q o SIGNATURE evised DCHD(06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME V GGI`C�° O DATEEVALUATED PROPOSED FACILITY PROPERTY SIZE S�rA/C SUBDIVISION 47 4,ae ve 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 ,C Consistence Structure Mineralogy HORIZON II DEPTH r i Texture groupL' C Consistence r 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 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(0l-90) I c,Jomc�S II 73 Oj FINAL SUBDIVISION PLAT APPROVAL DEPARTMENT OF I DIVISION OF HIGHWAYS DIVISION O ^ This is to certify that this plat meets the recording PROPOSED SU' 1 requirements of the Subdivision Regulations for CONSTRUCTION STAN[ ^�• Mocksville/Davie County and, if applicable, that a certificate of approval has been issued by the APPROVED /'1..C.•: Division of Highways persuont to Artir1e7, Chapter 136 DISTi I of the General Status, State of North Carolina. t L dF This the� day of TL(NG 1999 DATE 9 NORTH cumuNA - wo RIS` T1 lop OR OF PLANNING _ o• '32'44' E 93 - �a 2.77 (a N ' E aK W � �� I6j.1 �p s `tea SARAH NOL�LEY CURVE 2'52'44'FA RADIUS 25.01 s( q9 `\ s 6 73 D.B.38 PG.206 C2 1T55'o1" 497.74 155.67 155. OT ,#2 *J�.Tp7 C3 10'56'08' 497.74 95.00 94. p•f' *f;°f (0.778 AC.) Ist fs'�0 C4 4750'00" 25.00 18.69 18. o C5 70'53'34' 50.00 61,87 57. n� J` Js�\ 10 i �y C6 48'04'26' 50.00 41.95 40. C7 5S22'07' 50.00 46.57 44. to Ca 9519'54• 50.00 11.45 72. LOT #3 ,�„ i� 4,0 Q�Q C9 42'50'00' 25.00 18.69 18.:I C10 11'07'20' 557.74 79.07. 79.1 (0.720 AC.) ` C11 1C'16'22' 557.74 100.00 99.1 4p� \ , ^L01p /0 Stiaa�r' C12 13'20'18' 557.74 129.84 129` ,SEIJCNT LOT #1 ` �•'�¢ a' 2�`r / (0.960 AC.) s 0s- LOT #4 00 5396..00 TOTqL) (0.724 AC.) hbn / 7653 02 . 199,0p E _. 134.36 ��`rJ. i'cp q CU e, 90'42,34. sj s �.. (�ci �,p 2 "r LOT #5 ;, ^///- '6500 61 V \>�10' UiIUTY (D.748 AC.) o N LOT #6 ^ `!-^Zc Gfl d����f� CONj��I ORNE'PE EASEMENT I R (0.690 AC.) o N LOT 22 (0.698 AC.) ,o LOT #15 Aq�IJ c3 75.0p , N (1.133 A.C. ; \\C pJ '1/ X2235 __ LOT #8 0 / ) (0.730 AC.) `+ } o` W2 j' i EASEMENT/K cl0 S 76.49 56. N 6.4956• C4 C5 \ SN04J C�SG LOT 23 f `'27.35 ET n -120.p0 222.35TO N 89'18.04• E [ v0 :v Wr 195.88 ` P o are A^Rrbhb LOT #14 �75•00� c9 qM' (1.299 AC.) C8 �O SARAH ` 'a a, ry r ' W LOT #13 - - - ��au><�i D.B. PI Z (0.758 AC.) W LOT #12 LOT #9 (0.762 Ac.) W LOT #11 (0.845 4C.) I poHp $ i CD o o' (0.736 AC.) 3 I �N In . L 21� I NinN LO #10 Cu - v 944 AC.) I'Iz%!$TING IRON PIPE 'ExISTlNa IRnN PIPE °LOVE 236.19 120.00 I 120.99 �--_ N 14'09'04• 1/ 156,35 UNE BEAR'K, DISTPN�E LI ' 04'1921' w 34.93 (915.48 TOTAL) L2 S 23.0844W 190.37 70.00 1 '.3 S OT30'-0' W 23.46 L4 S 0730'20' W 30 45 L5 s 132 '3, w 11 61 SHIRLEY rJ�ONES (BENT)° IRON PIPE N 84 D.B.66 PV.206 (CONTROL CORNER I I I I DUKE PO1 D.B.65 P( I I We, hereby certify that we are the owners of I, hereby certify that the -subdivision plat shown the property shown and described hereon and hereon has been found to comply with the Davie I, Grady L. Tutterow, certify that this ply that we hereby adopt this plan of subdivision County Subdivision Regulations with exception of under my supervision from an actual s1 with our free consent, establish minimum set- such variances, if any, as are noted In the under my supervision (deed description back lines and dedicate all streets, alleys, walks, minutes of the Planning Board and it tps berm ,"a t Book 206 ; Page g eyed etc.)cl arty i di parka r sites and easements to public approved for recording in the Office of Deeds. `5• - /� ' boundaries not surveyed ore clearly indi rivals use as noted. Futhermore, we hereby It is hereby noted that such approval for . from information found in Book P, dedicate any nd all son sewer, storm sewer recordation does not include approval for the - �>`` '!•� that the ratio of precision is calculated and water Ii to is C un applicable). construction or occupancy of buildings or structures. - that this plat was prepared in accordan •iz A( 47-30 as amended. Witness my origin registration number and sealthis �_ OWNER VIE COUNTY[PLANN NG DEPARTMENT _ - IL AD., 1999 � OWN (Seal or Stamp) Registration N REVIEW OFFICER'S CERTIFICATE I, John Gollimore, Review officer of Davie County, THIS SURVEY CREATES A SUBDIVISION 0 OWNER certify that the map or plat to which this certification THE AREA OF A COUNTY OR MUNICIPAL! is affixed meetr all statutory requirements for recordinq. AN ORD�I�°'NCC THAT REGULATES PARC£I R OFFICER DATE