190 Markland RdDavie County, NC Tax Parcel Report Arj3 1 Friday, September 30, 2016
1723 V t1716
%;1701)-
�•.1 E;9
' 169 ��•_ �;
r'1E69
`12 C1 i
1.3;12B
tE 141.
f i f.
t 125 111
\ j 205
193
229
77 ( r319
244,` ! r:1aF;FoL�1i'x1)�'C)
r
17@1
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, North Carolina, 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 webslte.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
G700000101
Township:
Shady Grove
NCPIN Number:
5779177871
Municipality:
Account Number:
82528809
Census Tract:
37059-804
Listed Owner 1:
CHURCH JOSHUA GRANT
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
190 MARKLAND 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:
TR 1 + 2A 4.429AC
Fire Response District:
ADVANCE
Assessed Acreage:
4.15 Elementary School Zone:
SHADY GROVE
Deed Date:
10/2007
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
007320489
Soil Types:
GnB2
Plat Book:
9 Flood Zone:
Plat Page:
219
Watershed Overlay:
DAVIE COUNTY
Building Value:
50280.00
Outbuilding & Extra
Freatures Value:
1760.00
Land Value:
67670.00
Total Market Value:
119710.00
Total Assessed Value:
119710.00
17@1
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, North Carolina, 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 webslte.
AUTH6RiZATI0N NO:�� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name:rr �'i�'/J a�f f%._rS Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property:.X/.//4` f1 "%i �1� Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name:��l%%�� :%fl� Zip: o`
**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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
-j" ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
/ /�.C, ,- • �� dK� r,> //, �" %f� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
3"7 7 DAVIE COUNTY HEALTH DEPARTANT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permitte,1's / E `;
Name -., Jfk� !� ? P' -(` SSubdivision Name:
, ; .1; r'1�:�
Directions to property:,/ �.- : �%r/� Section: Lot:
IMPROVEMENT
' PERMIT Tax Office PIN:# i% -
Road Name, f i Zip: lC.
**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)
***NOTICE*** THIS 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 f`7' # BEDROOMS,-? # BATHS # OCCUPANTS yam_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZSS1 TYPE WATER SUPPLY ( U DESIGN WASTEWATER FLOW (GPD) IF -6116 NEW SITE_�REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�GAL. PUMP TANK GAL. TRENCH WIDTH r'ROCK DEPTH LINEAR FT. ?aG
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPP.tDVM, Ei'FLUERT FILTER* *RIGER(G) IF 6" 61CM011 FIIIISIIED GRADE*
L�
"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:
6 $� �\
eo 1�
i-
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
"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 05196 (Revised)
APPLICA110N FOR SITE EVALUATION/IMPROVEMENT PERMIT do ATCFWAR
-------
' Davie County Health Department EaWmamenfal HealthSectionP.O. Box 848/210 Hospital Street 9 1999
Mocksville, NC 27028
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE TtEQUI
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed 'oy,"'h k C+Il \ISS -n- Contact Berson
Nailing Address 1.> 6 /pct: ,r - " C' 1 � Q d. name phone 336 ' 9 Y.5- 53513
City/state/LIP _ Mo c Ks.: I I e AIL'. ✓. 2-702Y Business Phone
Z. Name on Permit/ATC if Different than Above
Nailing Address City/state/Lip
3. Application For: Evaluation p6Wrovement Permit/ATC 0 Both
4. system to service: Ouse ❑ Mobile Home 0 Business 0 Industry 0 Other
2
s. If Residence: # People d # Bedrooms 3 # Bathrooms o2 --
V Dishwasher U Garbage Disposal j( Washing Machine 0 Basement/Plumbing Il Basement/No Plumbing
6. If Business/Industry/other: Specify type # People # Sinks
# Commodes # Shovers # urinals # Water Coolers
If FOODSERVICE: # Seats Estimated Nater Usage (gallons per day)
7. Tppa of water supply: 0 County/City 0 Well 0 Community
e. Do you anticipate additions or expansions of the facility this system is Intended to serve! Yes 0 No
If yes, what type' zzc - �i moo` ai
***IMPORTANT'** CLIENTS AIUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PIAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: > /4 c Y c S / WRITE DIRECTIONS (from Moclaville) to PROPERTY:
Tai Office PIN: # ® Jam% % q " 1 ' 7 7 I L, 000 �� 67 %D t >� h b /?% ' o V1
Property Address: Road Name Mar K a n A tU MCIr I1?d
City/Zip Ad tj tin _
If in a Subdivision provide information, as follows: °' brie X %' ° L5 -C ` h 2 Ue
Name:
Section: Block: Lot: Date Property Flagged:
This Is to certify that the information provided Is correct to the best of my knowledge. 1 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 Kiat I am raponsible for all charges lncarrred from
this application. 1, hereby, give consent to the Authorized Representative of the Darie 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. lT V— C
DATE 3 �q - 7 % SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. dg -/
Invoice No. 60 Z
IRON SET
FLAT IRON FOUND
0
co�
\TTN SO,`
s
'9� X90
N 82043'2511W
40�►
3.1403 ACRES OUT OF R/W
0.1662 ACRES IN R/W
3.3065 ACRES TOTAL
138.11'
N 88032'31"E
0.3991 ACRES OUT OF R/W
0.0166 ACRES IN R/W
0.4157 ACRES TOTAL
^A�
V 1t O
^ Z S 86044'42"W
152.83'
ro q��O q,
h
FLAT IRON FI
N 0
z
IRON SET
W
w
GEORGE HARRIS o 0
ao
D.B. 163 PG. 253f
\ ��• y IRON FOUND
rz \ r,N `
Ait o
`V1,'�•,�
�
SONE
HN H. ROBERTSON
NCES W. ROBERTSON ��
10
.B. 157 PG. 521
LENA B. GIL
D.B. 69 PG.
\ ? Hp o
ri Z
M
t,
IRON FOUND
t
IRON SET
FLAT IRON FOUND
0
co�
\TTN SO,`
s
'9� X90
N 82043'2511W
40�►
3.1403 ACRES OUT OF R/W
0.1662 ACRES IN R/W
3.3065 ACRES TOTAL
138.11'
N 88032'31"E
0.3991 ACRES OUT OF R/W
0.0166 ACRES IN R/W
0.4157 ACRES TOTAL
^A�
V 1t O
^ Z S 86044'42"W
152.83'
ro q��O q,
h
FLAT IRON FI
N 0
z
IRON SET
W
w
GEORGE HARRIS o 0
ao
D.B. 163 PG. 253f
\ ��• y IRON FOUND
rz \ r,N `
Ait o
`V1,'�•,�
�
SONE
HN H. ROBERTSON
NCES W. ROBERTSON ��
10
.B. 157 PG. 521
LENA B. GIL
D.B. 69 PG.
\ ? Hp o
ri Z
M
t,
IRON FOUND
APPLICATION FOR SITE EVALUATIONAMIPROVEMENT
Davie County Health Department
00 Environmental Health Section
` 1 fc�
I�. P.O. Box 848
5 Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
�j TRED NFORMATION IS PROVIDED. p
1. Name to be Billed 'CJI �HE Q J d Contact Person 21J /V
Mailing Address ) f iyW L / Home Phone_1�3.3(0� 7 �o of - 56-,b y
City/State/Zip�(//'/✓S >�O�, S l� ern �+ �7/�% iBusiness Phone J �l62 -214Y
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: f�Oite Evaluation [ ] Improvement Permit & ATC IV16oth
4. System to Serve: [ ] House [s] Mobile Home [ ] Business [ ] Industry , [ ] Other
5. If Residence: # People # Bedrooms_ # Bathrooms [Dishwasher [ ] Garbage Disposal
[r] 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: 1 County/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions
/nof the facility this system is intended to serve? [Yes [ ] No
If yes, what type? r:l �1nn-�
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT OF THE PROPERTY MUST BE
_ SUBMITTED WITH THIS APPLICATION.
Property Dimensions: IqC-r� WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # -(��� 1 -1 � � �~-
Property Address: Road lame '1 ` � A t` I r1/ ' CY � Q 0.1 � oL_ c�- . � �
City/Zip V4 !✓C Q- %%�� B��- �—Q- jS -0-�
If in Subdivision provide information, as follows: 0-
Name:
Section: Lot #: ,
This is to certify that the information provided is correct to the best of my knowledge. I understand Rht 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. rof the Davie
County Health Department to enter upon above described property located in Davie County and owned
by FP - A N C 1 S 3 6 13 %L%S0 i�icond�c all t"tiDZ procedures as necessary to determine the site suitability.
DATE % "�) " l SIGNATURE�—, \.&
Revised DCHD (06-96)
THIS ARF -A AfAy BE USED FOR DRAWINQ JOUTA SITE PLAN:
FEB 27 '98 10:12 PRG 910-765-4525
12.5 Ac
If
,In,
P.2
(6)
44
ION
226.43X 30m X
152,29X 106A4
s
DAVIE COUNTY HEALTH DEPARTMENT
* ' Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME 1 l2
PROPOSED FACILITY m !1t
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit
DATEEVALUATED
PROPERTY SIZE 3.9a
ROAD NAME
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
L
y
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
y
r
Texture group
Consistence
Structure
,e
s ld
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: A5
L
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
LEGEND
Landscape Position
EVALUATION BY: _Az/
OTHER(S) PRESENT:
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
■ENE■
■■M■■
■■NE■
MEN■■
■
■
■
■
■
■
■
■
■■E■■■■
■■MEMS■
■E■M■M■
■M■E■E■
■E■EME■
■■■■■■■
■MEMS■■
Emiibm■
■■E■■M■
■E■■M■■
■EM■■■■
■■■EMM■
■■■■■En
■M■EOEW
■■■■■I(i7
■EEE■NA
■E■MMEM
■■■■■■■
■■■■EEE
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■MME■EMEMMEN ■E■E■MEMEMME■■■■
■■■■■■■■■■■■■■■■■■■ MEN ■■■■■■■■■ MEN ■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
Cori■■■
■ ■■■■■■■■■■■■■■■■■■■■■■til■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
EMEMMEMEMNONMENNEN MENNENMM■MMEMENNEN�
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
NOME
■■■■
■■■■■
■EEE■
SEEMS
■■■E■
■■■■■
■EN■■
■■
■
■■M■■■
■E■■■■
MONO■■
■■■■■■
■■■■■■■E■■■E■
■■■■EEE■■■■■■
■■■■■■E■■■■E■
■■■■EE■■E■E■■
■■M■E■■■■■■■■
■■EEE■■■■■M■■
■M■■■■■E■■■■■
■■MME■■■■■■■■
■■■■■■SEEN■■■
■N■■■■■■■E■■■
■■OSE■■■■E■■■
■■■■M■■■■■■■■
Davie County Health Department
and Home Health .Agency
Environmenta[Heafth Section
P.O. Box 848 / 210 HOSPITAL STREET
COURIER #09-4.06
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-8760
March 13, 1998
John B. Brandon
401-2 Hebron Church Rd.
Winston-Salem, NC 27107
Re: Site Evaluation
Markland Road
Tax PIN: #5779-17-7871
Dear Client(s):
As requested, a representative from this office visited the
aforementioned site on March 10, 1998. Based upon the information
provided on the application for site evaluation and after the evaluation
was completed, the site was found to be provisionally suitable for installation
of an on-site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/wd
Enclosure(s)