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255 Livengood Rd Davie County,NC Tax Parcel Report Friday, September 30, 2016 �J�04 ��RL4-- TI1��-- n ---�"" LIVENGOOD_x,11 1-RD�__ LIVEN OO D Iii -NC3C QC RD"" �_-- ��s- - - C I � WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 180000000101 Township: Fulton NCPIN Number: 5778479904 Municipality: Account Number: 57315000 Census Tract: 37059-804 Listed Owner 1: POINDEXTER GENE A Voting Precinct: FULTON Mailing Address 1: 255 LIVENGOOD ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 20.00 AC LIVENGOOD RD Fire Response District: FORK Assessed Acreage: 19.54 Elementary School Zone: CORNATZER Deed Date: 6/1996 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001870813 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 324020.00 Outbuilding&Extra 28460.00 Freatures Value: Land Value: 174240.00 Total Market Value: 526720.00 Total Assessed Value: 526720.00 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 !'� Countyof Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to N`' or arising out of the use or Inability to use the GIS data provided by this website. .,4- :.'t'^'f^Y7 w++r..�7{�y-'a� 4+>.Y ''iv'' r``l fj..,�'a�.t.,fi`'_F� §,•kx^Y='Z$ �,._a,y ..c. c _et< `a+ F+ Y.' 5 { Fy� -;a.. �rv,•,,a-=5+ti ` ,.Y;:�y ti�.Y/-; � 'Y AUTHORIZATION NO: 0788. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Pennittee's P.O.Box 848. Name: ,P.,)7e doh Mocksville,NC 27028 Subdivision Name: Phone#:704-634-8760 . t �" Directions to property: elyAUSection: N AUTHORIZATION FOR ;ZZWASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION J�r rjr c•..t" Road Name: A43 it): **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) f` i ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION y° ,110 d IS VALID FORA PERIOD OF FIVE YEARS. ENVIRONMENTAL HE LTH SPECIALIST DATE ISSUED., R ✓ #yy. '{ d � : ;tA^iv �y ,.4fi# p # :.i 4 ;x. , �,+ t � .s r�.y`. � -. `•""�y1.4rk`+Q�`".�y�F��..{}-J,�,�,. a.w�t+( t ih '.,v /r : 'v DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ' Peniniteei=Sa Name �� �'�f Wit /c�Y Subdivision Name: Directions to property: ' . r r :` l Section: d.K7t'"'. IMPROVEMENT �n.,t' s,a'-x� 'c�<. � PERMIT Tax Office PIN:# - ^ - ��� Road Name: ' ,e� ,-w" zip: 7/)o **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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) a ***NOTICE***TILS PERMIT IS SUBJECT TO REVOCATION IF SITE y" nu,,isr� . sja '�` - > a7 PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEXLTH 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 COMMERCIALSPECIFICATION: FACILITY TYPE #PEOPLE- #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY ✓J/ DESIGN WASTEWATER FLOW(GPD) `/%�� NEW SITEy REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/'& GAL. PUMP TANK GAL. TRENCH WIDTH_fir, ROCK DEPTH XI / LINEAR Fr. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT r. "CONTACT A REPRESENTATIVE OF TH DA CO Y >J�L7EPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1 - .30 P.M N THENSTALLATION.TELEPHONE#IS(704)634-8760. I OPERATION PERMIT l SY INSTALLED BY: AUTHORIZATION NO. a�OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE i I 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 EVALUATION/IMPROVEMENTS PERM , Davie County Health Department MAY Z �yyb y Environmental Health Section 7 P. O. Box 665 0 fin' EpLTH Mocksville, NC 27028 �� �A � �11t0ryMUnAIH �lh P�f� AvtEcou 1. Application/Permit Requested By oe Mailing Addres � -2D Q Home Phone(( rt) 9��Y" Oy7�5 Business Phone(�1 7 `�'E:+n�, 2. Name on Permit if Differet than Above 3. Application/Permit for: P. -)�--S�- KGeneral Evaluation Septic Tank Installation 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home:S bdivision -Z Section , Lot # PX32 c• lei f— v�Y Z 9 � Cd1�in�'¢t71�to, �SP2 ,/)�Gia� _ "'7_5 "� lii�'� �asemenUPlumbing (S/,0,0No. of People 2 ! ❑ Basement/No Plumbing No. of Bedrooms Washing Machine No. of Bathrooms a-Dishwasher Dwelling Dimensions����X � X �S� 'Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No.of People Served No.of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public %c7r Private ❑ Community 8. Property Dimensions 53-3 '7 a QC' FS Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes XNO If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: (Oro jZe— � 3 u/y . SOc7k-c e) � b�xb� �d- 7U i n�P�-S�c�re� p� J- Y'90 Oma' l�'1 a� rt �v-✓A 171 L� �%r� �o ' � f jz yYl ;�e U-n C / . (L;1/Fc� , so VOCk Cc)— Y� Y ;�O ok .w-Ye) This is to certify that the information provided is c ect o the best of m dge, and I understand I am responsible for all charges incurred fr m t 's application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: (� 1. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie�ounty H alt Depart en to enter on above described property located in Davie County and owned by f\OJV — b, � to conduct all testing procedures as necessary to d rmine said site's suitability for a gr and absorption ewage treatment and disposal system. DATE SIGNATUAE I t DCHD(12.90) `C MAYNARD JONES D8.123 PG.845 DB 65 PG-566 II I i II 3 FENCE _..._ I r N - - - - --.-'-. A n 569.93 S 83' 3' 17" E W o SPIN fl F EIP J z REPLACED INE 3Y IN CONC. LI OW DI JLEY 10UR 'O 3 NPIN IN o CONC. iv 20.0 RES n n w o O o � e z a co m m N ynLLl AM 08.133 DB.78 115.26' N 84' 0' 40" W NP IN Q NPIN 454.88' N 857' 43" W NPIN 60' Rfw ... ,,.,T... C T` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section p Soil/Site Evaluation NAME :n�r°j/�C�r DATE EVALUATED ADDRESS PROPERTY SIZE �R� PROPOSED FACIILTY �8/�t' LOCATION OF SITECV Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Sloe 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogx 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: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: c� OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Footslope 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 3C-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(01-901 ■■...■■....■■■■..■■.■■.■■■■■■■■■ .■..■■■...■..■.■........■■■.■■■■ ■.■■■■■■■t■■■■■.■■■■■■■■■■■■■.■■■■.■■■■.■....■.t.■■..■■..■■.■■■■.■ ■MUMU■e■.■■■■■./■■.e■.■■■■e■■■.. ■..■■tte.t......e...t..■...t..t■ ■.......■■.■....■......■..■.■.■...■.■...■ ....CM M■■■.■CM■■■■■n■■ ■............■....■■..■....■./■t! .■..■.......■.......■■■.......■■ ■....■..t■.....■...■..■■.....■....■.■......■■..........■.■...e■■■■ ■■...■..■.....■.■...■....■...■■....■■.............s.C..■./...._=■■■ CCCCCCCCiiiiiiiiiiiC■■CCC�CCCi■C�CCCCCCCCCCCCCiiiiiiiiii�� mom Omni■■■.■.■■■■...■■t.■■t■N■■■■■t■■■■■■N■...e.t.■t.//..■�.■I/..!/..■■■i ■.....■e■■.....■.....■.....■.t....■■Ute.....■■.■t.■■. ■twR.i■■.. ■....et■Ut■....Ut■■■tt■.te■■■Ui.■■t.■t.t■tt.ttet.r��i,:vr�.c.�tte..tCt ■...Us■■■t■.ta..t....e...M.■��et■■t.t/■ttt..t..s:�.�����..t/..■...e■ ■■e..tttt►ttttttttt.■.t■.t■t.■e■ ■./....■■............■■.......■■ ■..■..■.■■►�.■■.NI■...tt..tt.■■t..�i..tt..t.te■. ■.■....t.et..t..e■ CCCCCCCCCC�ii►CCCCCCi■C�.CCC�eiiC�CCCiiiC��CCCCCC�tCCCCCCttCCCCCCC t..... ...... ...■■. ..■■.. 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Box 665 MOCKSVILLE.N.C. 27028 PHONE:(704),634-5985 May 28, 1996 Gene & Glenna Poindexter 5860 Woodsway Dr. Pfafftown, NC 27040 Re: 2 Site Evaluations Livengood Road/20 Acres Dear Mr. & Mrs. Poindexter: As requested, a representative from this office visited the aforementioned site(s) on May'23, 1996. Based upon the information provided on the application for a site evaluation and after the evaluation was completed on this tract, the site was found to be provisionally suitable for the installation of on—site sewage 'disposal system(s). If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr. , R. S. Environmental Health Section RH/wd Enclosure(s)