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155 James RdDavie County, NC 151 �I I 1:37 129 20 121�� 111 , 111' I `471 417_.�t 49 91 Tax Parcel Report 135 � Thursday, September 29, 2016 pe 164 1514 144 123`:r ._- r _ �' 1535 529 fi ! i, 17:16 155 133'i� 1521 ��4� 512 1507 ..................._....... _..... .... .._.__.__............ _..A.--_. ry 153/ i 474 .: r, 5 G 6 1489 490 491 r�! /j 1468 Le 1451 t! t1 192 112\ % 194 161 All data Is provided as Is without warranty or guarantee of any kind 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, NorthCarolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY w Parcel Iaformation Parcel Number: H70000006404 Township: Shady Grove NCPIN Number: 5779051969 Municipality: Account Number: 82514832 Census Tract: 37059-804 Listed Owner 1: ROTHROCK LAWRENCE H Voting Precinct: WEST SHADY GROVE Mailing Address 1: 155 JAMES ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27006-7.000 Voluntary Ag. District: No Legal Description: 2.420 AC JAMES RD Fire Response District: FORK,ADVANCE Assessed Acreage: 2.16 Elementary School Zone: SHADY GROVE,CORNATZER Deed Date: 6/2000 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003360311 Soil Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 13220.00 Land Value: 34800.00 Total Market Value: 48020.00 Total Assessed Value: 48020.00 161 All data Is provided as Is without warranty or guarantee of any kind 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, NorthCarolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or inability to use the GIS data provided by this website. 47 10 .gAuC?RIZATION NO: A 7 2 DAVIE COUNTY HEALTH DEPARTMENT J J Environmental Health Section PROPERTY INFORMATION Permittee's � P.O. Box 848 Name: Mocksville, NC 27028, Subdivision Name: Phone #: 704-634-8760 Directions to property: i9 F S ' A Section: Lot: AUTHORIZATION FOR �' WASTEWATER Tax Office PIN:#� SYSTEM CONSTRUCTION Road Name: **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. ENVIRONMENTAL HEALTH SPE t�fALIST DATE ISSUED fT.. T .,iy .,.. _ ..... ..ar -...f fw f'a.;,Yy--•4..-.r..'i -�H-v a . y, %;,�K r v-5. .. - .. r ._ _ r - i jV41.,: .�, DAVIE COUNTY HEALTH DEPARTMENT 4 IMPROVEMENT AND OPERATION fkRMIU PROPERTY INFORMATION it 9s IV�ame: Subdivision Name: Directions to property: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#'� Road Name•_=J�/y% ip: 0 tl **NOTE4* 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/mstallation 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPE ALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THUS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE At/ # BEDROOMS # BATHS ---I—# OCCUPANTS !Z GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT` # SEATS h INDUSTRIAL WASTE: Yes or No LOT SIZE f J( TYPE WATER SUPPLY �_ DESIGN WASTEWATER FLOW (GPD) -:re L� NEW SITE li REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE :QO— GAL. PUMP TANK GAL. TRENCH WIDTH XC ROCK DEPTH LINEAR FT. 7o6 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 (704) 634-8760. OPERATION PERMIT � � � ^lam IS SYSTEM INSTALLED BY: X3r,X,Z�� C13 CA 110 2�Z AUTHORIZATION NO. I ✓. ! OPERATION PERMIT BY: DATE: 9 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS M 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) ` APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMA x Davie County Health Departments ►, r Environmental Health Section P O. Box 848 APR - 6 19% Mocksville, NC 27028 (336)751-8760 ENVIRONMENTAL HEALTH ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS L-C4VIE COUNTY ALL THE REQUIRED INFORMATION IS PROVIDED. n 1. Name to be Billed S v (le—,kPA25Jy2(Q1C' Contact Person ��✓� ��-/� Mailing Address Tf L24 47 //114 aR . Home Phone 29"Lla City/State/Zip �G�' (i �(/C' i /�� �e Business Phone ��✓ ��Q�7` _ 2. Name on Permit/ATC if Different than Above PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P,y� THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 5�1�d 1 WRITE DIRECTIONS (from r/ 9 Mocksville) TO PROPERTY: Tax Office PIN: # / - - �/ Property Address: Road Name 1 CJ City/zip ' 1'�., f a,y Fmk BiX If in Subdivision provide information, as follows: Name: ' ' /SS �LIiL1PS Ad, Section: Lot #: 1 1 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 by0[��%i �� �� to conduct all testing procedures as necessary to determine the site suitability. DATE 6 11 p — !ff SIGNATURE Revised DCHD (06-96) YOU MAY USE THE BACK Of THIS FORM fOR DRAWINCG YOUR SITE PLAN. Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation❑ Improvement Permit & ATC Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other qI' 5. If Residence: # PeopleSIP _ # Bedrooms # Bathrooms ❑ Dishwasher ❑ Garbage Disposal fid' 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 VIN 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P,y� THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 5�1�d 1 WRITE DIRECTIONS (from r/ 9 Mocksville) TO PROPERTY: Tax Office PIN: # / - - �/ Property Address: Road Name 1 CJ City/zip ' 1'�., f a,y Fmk BiX If in Subdivision provide information, as follows: Name: ' ' /SS �LIiL1PS Ad, Section: Lot #: 1 1 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 by0[��%i �� �� to conduct all testing procedures as necessary to determine the site suitability. DATE 6 11 p — !ff SIGNATURE Revised DCHD (06-96) YOU MAY USE THE BACK Of THIS FORM fOR DRAWINCG YOUR SITE PLAN. q� M. ... ... ..... ..... ..... ..... ..... . ... ..... ..... ... ..... .... .......... ..... .. ..... ..... ..... ..... ..... .... .. ..... ..... ..... ..... ..... ..... ... ..... iii... . . ..... ..... ..... ..... ..... . - . ..... ...... . ..... ..... aw: 14 0 Vq DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME 5 r i O / PROPOSED FACILITY a GT SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit DATE EVALUATED � �Z /QC PROPERTY SIZE oC i �/ fic ' ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % JIV .2 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG Consistence 1� 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 , 4-1 "J SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: A �// OTHER(S) PRESENT: 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ MENNENMENNENiiiiiii m ■ ■ OMEN ■■M■ MEMO ■■■■ ■ MEMO■■■ ■MEO■MM■■E■■M■■■ ■EMOE■■ME■■■E■■■ ■■ME■■M■■■MMN■■■ ■■ME■■■■■■■■■■M■ ■■EM■E■■■■■■■M■■ ■■MO■MN■■MM■■■E■ ■■MOE■M■E■■■M■■■ ■■■/■■■EEM■■■■■■ ■■ME■MMM■■NE■■■■ ■■■E■M■■■■ME■M■■ ■■EO■■■■■■■■EO■■ ■■MEMO■■NMN■■N■■ ■■■■■■■E■■■■■■■■ M■■■■■■■■■■■■■■■ ■■■EMM■■EM■■EE■■ ■■■■■■■■■■■■■■■■ NEEM■■ ■■INN■■ ■E■■■■■■E■AMMEA■ ■■■E■■■■M■ME■■■■ ■■NO■MEMERA■MM■■ ■■■M■■■■■nE■N■■■ ■NEON■■■EIJEEMM■■ ■M■E■N■■MIREEMM■■ ■EMMEMM■MIAMMEMM■ ■■MOM■MEMII■M■■E■ ■EEMMEM■MME■EM■■ ■EM■■■■■M■■■■■■■ M■■■■■■EM■■■■■■■ M■■MM■■■■■■M■■■■ ■■■E■M■■■■■■■MEAd ■■E■■M■■■■ ■M/M■■ ■■ ■■E■■M�iN■ ■ ■ ■ iii ■■■M■■ ■ SEEM NONE