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3020 Hwy 801Sn Davie County, NC Tax Parcel Report 166% Wednesday, September 28, 2016 v*�� 1 Davie County, NC WARNING: THIS IS NOT A SURVEY °°e� causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: 1800000063 Township: Fulton NCPIN Number: 5788282254 Municipality: Account Number: 71276000 Census Tract: 37059-804 Listed Owner 1: STOCKTON JERRY WAYNE Voting Precinct: FULTON Mailing Address 1: 3020 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -20,H -B State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1.15 AC HWY 801 Fire Response District: ADVANCE Assessed Acreage: 1.07 Elementary School Zone: SHADY GROVE Deed Date: 11/1969 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 000810540 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV -P Building Value: 181950.00 Outbuilding & Extra 6330.00 Freatures Value: Land Value: 25490.00 Total Market Value: 213770.00 Total Assessed Value: 213770.00 v*�� 1 Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 °°e� causes of action due to or arising out of the use or inability to use the GIS data provided by this website. __. .. _; :.: j,✓> ,. �j.. ,�r�w : ;s, rw"�.7ro ..f �'ii •!. .ri• k .- - ski N;�""'^";e �a., �, r {a 1. _ �;, •- � ._... .. e • -y., r.;,.; : }. ,- +,. '. AUTHORIZATIbN No: DAVIE COUNTY HEALTH DEPARTMENT !Environmental Health Section PROPERTY INFORMATION Perm.tree s r P.O. Box 848 Name: �rC4 F�=�'3— Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 Directions to property: Section: Lot: l 4Pt AUTHORIZATION FOR -ne.., N L Moo WASTEWATER Tax Office PIN:#��f``�.`=�D- SYSTEM CONSTRUCTION - ..,. .. , !.=qui,- Road Name: 13 Zip: - F<. �ti�/ 0 **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. 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. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. —•�-----tom' ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ` 'r. ,.t�h �, .oma, ....-.,,-... v ..—w- •. � _: - I DAVIE OUNTY HEALTH DEPARTMENT IMPRO'V'EMENT AND OPERATION PERMITS PROPERTY INFORMATION .F ' Name-' ��� ""`�,.. r a° ;: ! "i'%,' a Subdivision Name: Directions to property: 4 ;� '! sJ,:.� :> f j ' Section: Lot: UvIPROVEMENT .,- x ' `" �- PERMIT Tax Office PIN:#�.� ` _ -f 1�r7 - T: Road Name. r -r - `6�. • Zip. **NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THUS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ,_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE_ TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEAGAL. PUMP TANK GAL. TRENCH WIDTH OO ROCK DEPTH ..'� LINEAR FF.,22 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: r -eo� AUTHORIZATION NO. J OPERATION PERMIT BY: �'r��/�� DATE: p� "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96 (Revised) � RR 22 jj p,�j • ,��,� LIGATION FOR SITE FVALUATION/IMPROVEMENT PERMIT & AT D Davie County Health Department Environmental Health Section JUL 1 31998 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 EI;VIM1.11 i ffAtli.c���� ***I161POR ** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION S PROVIDED. Refer to the INFORMATION BULLETIN for instructions. G 1. Name to be Billed Q Contact Person ` C/l ' Mailing Address �2 J�,�/��}L �uHome Phone 9�����/ City/State/ZIP A(l✓!L4o t Q ,�� , 2 70o (b Business Phone (`- j o 2. Name on Permit/ATC if Different than Above Hailing Address City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC Both 4. System to Service: AYHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms_ # Bathrooms �. Dishwasher ❑ Garbage Disposal Washing Machine /IXBasement/Plumbing asement/No Plumbing 6. If Business/Industry/Other: Specify type Y # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply:County/City ❑ Well 11Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes Bio ***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: I OL ( t2 Tax Office PIN: # _ 5-138-0-7-7669 Property Address: Road Name city/zip (Uc& ' 2 70(o If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: 2 s �1P - �reM / 6 /e 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 the Authorized Representative of the a ' ounty Health Department to enter upon above described property located in Davie County and owned by /l� X .STd Z /ill to conduct all testing procedures as necessary to determine the site suit,#bitity. DATE / / 1.` S / Vel SIGNATURE / LOJ",- f--/. THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: No. Invoice No. l Revised DCHD (07/98) uz 1 5$-45„E . ca p JAS 46.E N 76°47 E— — N 82 ot'f errSi,"mon iron placed p 4 .50"E corner��-- N8 nce of bend o}346.61 ran piand ofd 3 60 7`_ fence at fence �2 83' ��` Potnt- 88.23' 15 E W F /1 .�D8.62-265 / -Q O 'tD X - 29 V' 0• B' _ 493 W O t % LO tC! U 0 m / N R. �Q % D.8 .29. 463 O . 1 D. e.`` Tota 568.31.'- / 59.255 .,a, placed Gant a` ,� f c _� 38731' -`} -30 E . / 4 Point N 9. N 3.418 A i ran -tel � 2o'.... m CRE ,n .:.. nt iplaced�l Co 0, o :S @3°- 46'_`35' W'�-ptQl ODI-- 0 594.27 f° W _ N 3.418 _0 C Iron PtRS / N acep 608.4 ' N - W °' S 86 ° 43 '- 30 , 3 ►0.86. �-� V ' $ oN (0 =Toto g 19: o N `° C, 3.418 qC :79 poz � R 'ron DI0CeQ M t` 0 M N623 (DO, -5,0 44 N 1 46 O w Tot ►ro�'92, , 6 ' `'� 6 °r a 1 o► W 0t oraced ` N 65 4 3.41 Q 46.`36, : ° o ! CRE f--, 0� S35 3g /'toun- 24 �0, a �� »G°in 9' ?3 ; tron °Sen'enf ��� ^jam W890 ' found` CARS PqR 8 L ` oTON �cEL SIV trO7 PARCEL6.93' MA 3 ouna RICHARD � 51 � 62? Rk�AN MARK�AN D. B. 50-462 p D. 8. 58,227 r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation CF APPLICANT'S NAME r s��C� DATE EVALUATED',�+O PROPOSED FACILITY /T PROPERTY SIZE ZA/6 SUBDIVISION 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 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 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND EVALUATION BY:� OTHER(S) PRESENT: 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) ■ ■■N■■■ ■■N■■■ ■■MONS ■■N■■■ ■MM■■■ ■EMNO■ ■■■■■■ ■■MN■■ MEMO■■ ■■■N■■ ■■M■■■ ■■M■■■ ■■N■■■ ■■■N■■ ■m■■■■ ■SONE■ NEEM■■ ■■ME■ ■■mm■ ■E■ME■ ■■■■E■ ■E■ME■ ■EMME■ ■■■■■■ ■E■NE■ ■MMEM■■■ ■E■E■NO■ ■EMME■N■ ■■E■■ME■ ■■MM■■M■ ■■M■■■■■ ■■M■■■E■ ■■ME■■M■ ■■M■■MM■ ■■MN■■S■ ■■■■■■N■■ ■m■■■■■m■ ■M■■N■■ NEEM■■■ ■M■■■■■■■ ■M■■NN■■■ ■■E■■■■■■ ■■N■■■■■■ ■■■■■■N■■ ■m■■■■■■■ ■MON■MMU ■■■EOE■ ■■M■■M■■■ ■■MN■M■■■ ■■M■■■N■■ ■■M■■M■■■ ■■■■■MEN■ ■■■SN■■■■ ■E■■■■■M MENS■■■ ■NEEM■■■■ ■■■E■NMM■ ■N■■■■M■■ ■E■■■■■■■ ■■■■■m■__= ■ ■ Emus ■■■■ ■■■■ MEMO ■■■■ NONE ■N■■ ■ ■■■MN■■■■■ ■■■■N■■■M■ ■■■MEMO■■■ ■■NMN■■■S■ ■■U■■■■M■ ■■ ■■■M■■ ■■■MMM■■■■ ■■■EEM■■■■ ■■■■■■M■■■ m■■■■M■ME■ "EMM■M■■■■ WENNEEMEME ■■■■N■■■■■ ■■■■■M■■■■ ■■■■NEEM■■ ■■■■■■M■■■ ■E■■EEEE■■ MMEMOMMEME ■■N■mm■■■■ M■■■NSM■■■ AM■■M■■■■■ IN■■S■■■■■ L7■■■■mmN■ MEMMMEMMEM ■E■■EM■■■■ ■■NMEM■