3721 Hwy 801N�. da i, -awr. •e^S�f. �� 'r `��`"' 41'"^.'�'W'. $. 4 � ��. ,t ? .ctf a� rw. �4� �,u`+ 4,�X+. , r � : ( >�' � '� - t _
r 1 .� � �� .! �- Y•?�l� 1�i�-'q�Y�. f�r3 I .3 "'� ���'}r�u ',.+fk� � 5 ,.a 1 .w '�'roit`�y-%:`vrn � _ z�l� .�.5"a'�.
, AUTHqxizATtoN rro: ��. � � � '� .DAVIE � OUNTY HEALTH DEPARTMENT '� x0
t Environmental Health�Section . PROPERTY.INFORMATION�� �:
Perm�ttee ti f P.O: Box 848 _ g'��
,�('}' �-►�'` .
I�ame XJD�� /�,h��_ .� Mocksville,�NC 27028 Subd�vision Name: �� ._ fR� �
' �I Phone # 336-751-8760
Directions to property � '`-T���f li'rv�C.-. : :; ' � � , Section. Lot:
�; AUTHORIZATION FOR Tax Office PIN:#��� -��� `,
. �
y/ ! ' � �' . .- r ` WASTEWATER �
� ' ./���11 - Gs1/r l)1�J1�,; !�� �
- �O � j SYSTF,M CONSTRUCTION : �/
' . Roa� m� � � � ' t' �;LY�g .
**NOTE** This Authonzation for Wastewater System'Construction MUST BE ISSCJED by the Davie County Environmental Health Secdon prior.
; ..�' �to issuance of any BuildingPermits:;This FomJAuthorization Number should be presepted to the Davie Counry. Building Inspections '. .
, " ,' ` , Office when applying for Building Perrnits: :. : . ; . r ; . . , !; : '.
(ln compliance :with Article 11 of G.Si Chapter'130A; Wastewater Systems Section ,] 900 Sewage Treatment and Disposal Systems) �:
+'i"'r `�` ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
;� .
. �. �1�,,,.� .,.
- r,v ' , v � , ^�J�� : . ;'.IS VALID FOR A PERIOD OF_FIVE YEARS. , :
� ; ,
ENVIRONMENTAL HEALTH SPECfALIST : DATE ISSUED, '" ::
; -
(In.comp
This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system An;
AUTHORIZATIONFOR WASTEWATER SYSTEM CONSTRUCTION must be;obtained from this Depikment'pr or to the"
construction/installation of a system or the issuance of a building permit .
ace with Article 11 of G.S. Chapter.130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &
Davie County Health Department
Envitinmenta/Hea/th Section
P.O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Big t�10WR
A
AUG 2 0 1998
ENVIRONMENTAL HEALTH
DAVIE COUNTY
***IMP0P.T11NT*** THIS APPLICATION CANNOT BE PROGZSSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) _
7. Type of water supply: 0 County/City P
ell ❑ Communitl8. Do you anticipate additions or expansions of the facility this system is intended to serve? X'Yes ❑ No
,J �H yes, what type? &'s\q a PC� Q— up�yca-kAG
***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: ,�
n WRITR DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: -� og(t&gy
:17f 0 4-(n, A0 I tom(
Property Address: Road Name -2)%) 1 W _ i�U/ Nk
qZ S Ir -M�����r
City/Zip aorr Sy( P Q'70
If in a Subdivision provide information, as follows:
1i � i
Name: ` r
Section: Block: Lot:
r 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. 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 testingproceduresas necessary to determine the site suitability.
DATE 1 F 1 C'1 SIGNATUML--�--����
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN:
Revised DCHD (07/98)
r`�kin�S�Od�
Account No. Qv`Z
Invoice No. O
1.
Name to be Billed �nn ��(le�A
Contact Person
Q0.-
Mailing Address (SL(� �,��p�)PPC1�
/ / C!
\ Y'cc�t� Home Phone (J1 (9``I � IR
City/State/ZIP 1�� � � � ) (1- �q�y—m NCA
3 Business Phone 'SC( rYl�
2.
Name on Permit/ATC if Different than Agave �p��ti
O r�
Mailing Address CSUi'" e—
City/State/Zip
3.
Application:acr: ❑ Site Evaluation
❑ Improvement Permit/ATC
Both
nl otar-
4.
system to service: ❑ House ❑ Mobile Home
❑ Business ❑ Industry Other
py1�E:
5.
IILLC
f111Residence: # People
# Bedrooms � # Bathrooms'Pishwasher
�IarbageDisposal �Ia-hinq Machine ❑ Basement/Plumbing 11Basement/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: 0 County/City P
ell ❑ Communitl8. Do you anticipate additions or expansions of the facility this system is intended to serve? X'Yes ❑ No
,J �H yes, what type? &'s\q a PC� Q— up�yca-kAG
***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: ,�
n WRITR DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: -� og(t&gy
:17f 0 4-(n, A0 I tom(
Property Address: Road Name -2)%) 1 W _ i�U/ Nk
qZ S Ir -M�����r
City/Zip aorr Sy( P Q'70
If in a Subdivision provide information, as follows:
1i � i
Name: ` r
Section: Block: Lot:
r 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. 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 testingproceduresas necessary to determine the site suitability.
DATE 1 F 1 C'1 SIGNATUML--�--����
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN:
Revised DCHD (07/98)
r`�kin�S�Od�
Account No. Qv`Z
Invoice No. O
From: Craig Sizemore To: DONNA TONY
w'
.91
,4,P
ryr�
I c
I
1
I
1
52.0
E
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME ,?
PROPOSED FACILITY f2�"
SUBDIVISION
Water Supply: On -Site Well Community
Evaluation By: Auger Boring c/ Pit
DATE EVALUATED
PROPERTY SIZE / ��rl191i eyXs�l�
ROAD NAME
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position ,L. AL
Sloe % el Z
HORIZON I DEPTH k' 1? #-
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 17 21
Texture groupC .
Consistence y
Structure
Mineralogy r'
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: -AWIZ
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)
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MEMNONEMEMEMMEMNON MEMNONEMINEEMMENNEN MEMMEM
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l - 4
Drawn By: T. DAN WOMBLE, ATTORNEY AT LAW
Mail To:
Mail Tax Bills To: GRANTEE
STATE OF NORTH CAROLINA
COUNTY OF DAVIE
FILED FOR REGISTRJTION
qFPT RR 11 1998 11:42 A.M.
CAVE IIME
_=CO?DED Ii`1 GOOK 2,0_LPAGE-W
L SNORE, REGISTER OF DEEDS
DAVIE C UN
C:
Deputy
D E E D
THIS DEED, Made this the 9th day of August, 1998, by
Jimmy Lee Dull and wife, Elizabeth H. Dull, of Forsyth County,
State of North Carolina, hereinafter called Grantor, and Paul
Draton Toney, of Davie County, State of North Carolina, hereinafter
called Grantee.'
WITNESSETH:
That the Grantor, for and in consideration of the sum of
TEN AND N0/100 DOLLARS and other good and valuable considerations
to him in hand paid by the Grantee, the receipt whereof is hereby
acknowledged, has given, granted, bargained, sold and conveyed, and
by these presents does give, grant, bargain, sell, convey and
confirm unto Paul Draton Toney, 100 percent undivided interest
therein, their heirs and/or successors and assigns, premises in
Farmington Township, Davie County, North Carolina described as
follows:
Lying and being in Farmington Township,. Davie County,
North Carolina and bounded on the West and North by the
property of Jimmy Lee Dull (DB 171, PG -922), on the East
by the property of Nellie Reavis Whitener (DB 184, PG
250) a common corner with Jimmy Lee Dull (DB 171, PG
922), thence the following five calls with the lines of
Whitener, South 04 deg. 37' 35" West a distance of
112.54' to an iron found, thence South 83 deg. 21' 08"
West a distance of 52.00' to an iron found, thence South
04 deg. 37' 35" West a distance of 107.22' to an iron
found, thence North 83 deg. 21' 08" East a distance of
52.00' to an iron found, thence South 04 deg. 37' 35"
West a distance of 114.88' to an iron found, a common
corner with Jimmy Lee Dull, thence with his line, North
80 deg. 22' 25" West a distance of 150.00' to an iron
set, a new corner for Jimmy Lee Dull, which lies South
80 deg. 22' 25" East a distance of 51.96' from an iron
found, the southwest corner of Jimmy Lee Dull (DB 171,
PG 922), thence on a new line with Jimmy Lee Dull, North
04 deg. 37' 35" East a distance'of 321.56' to an iron
set, a new corner for Jimmy Lee Dull, thence on a new
line, South 85 deg. 22' 25" East a distance of 119.43'
to a point, thence continuing on said course South 85
deg. 22' 25" East a distance of 30.00' for a total of
149.43' to the Point of BEGINNING. Containing 1.0000
more -or less and being a portion of that property
described in Deed Book 171, Page 922. According to
survey by Sizemore & Associates, P.A., dated July 31,
1998.
NO TAXABLE CONSIDERATION STATED
V,9D 80PAGEOX
TOGETHER with a perpetual 30' Easement for ingress,
egress and regress across the property of Jimmy Lee Dull (DB 103,
PG 496 and DB 171, PG 922) from US Highway 801 to the above
described property, and being more particularly described as
follows:
BEGINNING at an iron set, the northeast corner of the
above described 1.0000 acre tract, thence along the north line of
said tract, North 85 deg. 22' 25" West a distance of 30.00' to a
point; thence North 04 deg. 37' 35" East a total distance of
594.521, (crossing a point in the north line of DB 171, PG 922 a
common line with DB 103, PG 496,• at 360.991), to a point in the
south Right-of-way line of NC Hwy 801, thence along said Right-of-
way, South 31 deg. 15' 101' East a distance of 51.19' to a point,
thence South 04 deg. 37' 35" West a distance of 13.21' to an iron
found, the northern most corner of DB 171, PG 922, thence along a
common line of the Jimmy Lee Dull tract as described in DB 171, PG
922 and DB 103, PG 496, South 04 deg. 37' 35" West a distance of
181.47' to an iron found a common corner of the aforesaid tract,
thence across the tract of Jimmy Lee Dull (DB 171, PG 922) South 04
deg. 37' 35" West a distance of 162.78' to an iron found, the
northwest corner of Nellie Reavis Whitener (DB 184, PG 250), thence
along her west line, South 04 deg. 37' 35" West a distance of
195.58, to the point of BEGINNING.
TOGETHER with the right to install and maintain drain.
lines for the operation of a septic tank, onto the remaining
property owned by the grantors as described in Deed Book 171, Page
922, Davie County Registry.
The purpose of this deed is to include the wife of the
grantor as a party to this deed and correct the description in that
deed recorded in Deed Book 204, Page 598, between Jimmy Lee. Dull
and Paul Draton Toney.
TO HAVE AND TO.HOLD, the aforesaid tract, parcel or lot
of land, all privileges and appurtenances thereto belonging to the
said Grantee in fee simple.
AND THE SAID party of the first part covenants to and
with the said parties of the second part and its heirs and assigns
that it is seized of said premises in fee, and has the right to
convey the same, in fee simple; that the same are free from all
encumbrances and that it will warrant and defend the said title to
the same against the claims of all persons whatsoever, save and
except easements and restrictions of record.
- DEED BooK 2A0:155 PAGE g3
IN WITNESS WHEREOF, the Grantor has hereunto set her hands
and seaD3, the day and year first above written.
LEE
H-.
(SEAL)
STATE OF NORTH CAROLINA - COUNTY OF FORSYTH
IMgt6
-u, 4L a Notary Public of the County of
ate of Nort#jCarolina, certify that Jimmy Lee Dull
and w' fe, Elizabeth H. Dull, personally appeared before me this day
and acknowledged the execution of the foregoing instrument..
I ESS my hand and official stamp or seal, this the day
of
j
MAXINE W. HAYES?
NOTARY PU3LIC
My Commission .fORSYTH COUNTY, i.0 ).. / - It.COMMi00n ExpiresNotary Public
STATE OF NORTH CAROLINA - COUNTY OF DAVIE
The foregoing certificate of MAXINE W. HAYES, NOTARY PUBLIC OF
FORSYTH COUNTY is certified to be correct
This the 1_ day of SFPTFMRFR . 19—.gB.
HENRY SHORE, REGISTER OF DEEDS
By:Vl) atUJ
Deputy/
Parcel #: C40000001803 Page 1 of 1
p
Davie County, NC - Basic Estate Search
WO
Davie County Web Site
• Basic Search Real Estate Search Tax Bili Search Sales Search
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: C40000001803
Account #:82533066
Owner Information
Tax Codes
S BANK NATIONAL ASSO TRUSTEE & WELLS FARGO ASSET SEC. CORP.
ADVLTAX - COUNTY T
476 STATEVIEW BOULEVARD
READVLTAX - FIRE TAX
ORT MILL SC 29715
14,63
Property Information
Township
(Units/Type): 1.000 AC
Ess:
FARMINGTON
3721 N NC HWY 801
1998
Deed Information
Local tonin
Pate: 02/2016 Book: 01011 Page: 0353
0
Plat Book: Page:
01004
Legal Description
PIN
1.00 AC OFF HWY 801
5833017946
Pro a Values
Book
uildin
120 46
BXF•
Instrument
Land:
14,63
Market:
135,09
eased:
135 09
Deferred:
1998
Sales Information
No.
Book
Paye
Month
Year
Instrument
Qual/UnQual
Improved
Price
1
00205
0691
09
1998
WD
Unqualified
Vacant
0
2
01004
0569
it
2015
TD
Unqualified
Improved
80,500
3
01011
0273
02
2016
WD
Unqualified
Improved
66,500
4
01011
0353
02
2016
WD
Qualified
Improved
71,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
Its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnetfView.aspx?prid=1483929 9/22/2016