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187 Meadow Glen LnDavie County, NC Tax Parcel Report 161 X Friday. September 30. 2016 WARNING: THIS IN NOTA NUKVEY Parcel Information Parcel Number: D20000003810 Township: Clarksville NCPIN Number: 5812136172 Municipality: Account Number: 81294120 Census Tract: 37059-801 Listed Owner 1: YELLICK DOUGLAS K Voting Precinct: CLARKSVILLE Mailing Address 1: 187 MEADOW GLEN LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-5884 Voluntary Ag. District: No Legal Description: 15.92 AC LIBERTY CHURCH Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 16.67 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/1997 Middle School Zone: NORTH DAVIE Deed Book / Page: 001970728 Soil Types: MnB2,GrB,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 259080.00 Outbuilding & Extra Freatures Value: 49450.00 Land Value: 123170.00 Total Market Value: 431700.00 Total Assessed Value: 431700.00 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 1\ 7� C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to 1. or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: I DAVIE COUNTY HEALTH DEPARTMENT 3, 3c----) Environmental Health Section PROPERTY INFORMATION Permittea's T P.O. Box 848 Name:--yy�L/�� �L�-t-�� i� Mocksville, NC 27028 Subdivision Name: /Directions to property: �'� TC Phone #: 704-634-8760 Section: Lot: !� AUTHORIZATION FOR ? I� Qf� ��� tJra +•'r'�'£..�:� WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION Road Name ✓q r **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�8, Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION C7i '� 7 IS VALID FOR A PERIOD OF FIVE YEARS. N ENVIROENT4 HEALTH SPECIALIS DATE If SUED ` 0 7 �DAVIE COUNTY HEALTH DEPARTMENT �- IMPROVEMENT AND OPERATION kRMITS PROPERTY INFORMATION Name: Diregtions to property: $; t tr l `i }} , 1 IMPROVEMENT PERMIT Subdivision Name. 1'` w e z s S �n, w/ �•' Section: Lot: Tax Office PIN:# rl 4^ Road Name. 1 ; r. rk ' s f -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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE _ „k € a . / ` �' - - t •r:._ r; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMb4AL HEALTH $PECIAE°ISDATE I$SUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE L INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE '� # BEDROOMS 4: -# BATHS r # OCCUPANTS — 1!�/ GARBAGE DISPOS Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE COPEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE .i TYP WATER SUPPLY *-� DESIGN WASTEWATER FLOW (GPD) /. NEW SITE � `r REPAIR SITE iw`L 4 ,t i SYSTEM SPECIFICATIONS: TANK SIZE GALL. PUMP TANK GAL. TRENCH WIDTH 3.� ROCK DEPTH _L LINEAR FT. OTHER .1� ivy i ,t�Tl ONO�CG- REQUIRED SITE MODIFIC ATIONS/CONDITIONS: IN)SIALt- ),��V t u c'p� CL,--%TpC3�,2 , jtt'CC- IS ! Ur(- IMPROVEMENT PERMIT LAYOUT e" I1 p�15� fr I 60 -'OWItT "►��7ALL51JA1,LCa-X /fo.S -' L .IAJCS 1 s- Tl. - e" I1 p�15� fr I 60 -'OWItT "►��7ALL51JA1,LCa-X /fo.S -' L .IAJCS 1 s- Tl. - **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 SYSTEM INSTALLED BY: D413 P3 Y 0" ( TA iLy 2— -FA "3 V 1>0N t- 2� 130 AUTHORIZATION NO. OPERATION PERMIT BY: DATE: /0 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DEC ED ABOVE EN 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 PE Davie County Health Department17SEP [ (` `Jt9�, Environmental Health Section e �'��\ P.O. Box 848 2 3I997 NI ` Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed I Gt S 111J' . Mailing Address �.O, 1 s- �} City/State/Zip I Y ccksy l to , U6, -%(oug 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [-]-Site Evaluation Contact Person oc Na,,t ! l 1 & Home Phone `70 '401 - %D (77 Business Phone 1 -WO P17Uju:so 8 Zq City/State/Zip [J Improvement Permit & ATC [Both 4. System to Serve: L, 'Rouse [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People " _ # Bedrooms �i-J# Bathrooms � [L] -Dishwasher [t rGarbage Disposal [1,]�Washing Machine [ L]-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: mtounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [Li -No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **XXFUAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 5• ?18r 4e-rc 5 ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # - C gJ ! «• y 1,01 `%O L%6er-t„ Clu," R2 Property Address: Road ]lame MCa-Aoun 6rt Crn "E L e.4 �rrr� m L b e c C 9u. c l� crn City/Zip 64ew, t,,Ct&1y-, If in Subdivision provide information, as follows: Name: Section: Lot #: I; 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 �Qlr+b 1171T� s 6&V it e�l to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE��� Revised DCHD (06-96) THIS AREA MAY $E USEb FOR bRAIVINC7 YOUR SITE PLAN: r1 Y ' m W ��. CLLta.r1�I. 2m 20, G8 110 - t39 M IL'7173T /�j �� 08 110 - 7\l 160-1 �/ 3..Y7Ro•C 11iSOC // 1 47 17-W 4 YY�O�a 3 ,3`30-737 IM47 OL 37 - 37. 017. - �` /\ S Mar P—W mm 22.957 ACRES \ ;a '.';7; �Cn =L Rl�8 -4 Da -17• \ • •l`~«/ \ to \ ` Y P—I 3R-01 Da 1731� 713 loo, 19.984 ACRES R 3 i 7.006 ACRES /s OF-) �Y j �•'t .480 ACRES « 3 C.... d •� 6. - n I Ds. 37-•w .fi I Di. 47-M 1 § 12.617 ACRES 11.032 ACRES 15.928 ACRES 4V N V`Ia-,01 136•.7f 76l.Y 31,1.73- k &Wg-W, lt.73-N`1 .17.� M l.YTXTTI N Ml �.+ i J%. 20 071 ,Op _ wp 1 l .Inl�. r �rrr DNI�N \1 " Bellhaven " Sr Mw @.A IR -377 pal X T. M. D -I sn" YOWNSW Cgptly SIAM DATE 3 ' V SIT 1 } LEGEND R/1♦ _ RIgMti/-Ilg - C.RI.r l IR• F[yp - ElY6.q M pM M R.OaI R - jyNWM.q � y wr POY� W - C11IaN.1• W\ww..it... 4 _h•p•f/711.• R_Rc C" C A _ fpll\MM A �r P/0 - � yN.w. RD - RiAveM C•nalb Flp SE - S7ga -�,. � � =- 3:_�.RoaN ,DD l.�.tsw .NwOwf -u- pwrMN IRIS -X -s- A r' {i« Wr.: "IS p ? If M1.CT TO IM W[I M. 10MEWIlls. R wIR. IF w1 a K= ".0 To Il[ 0•T. IF —s pL1i. w'.w 1.'ilx•"• Mo•'O :m wlisi n 1i rlIF DNI�N \1 " Bellhaven " Sr Mw @.A IR -377 pal X T. M. D -I sn" YOWNSW Cgptly SIAM DATE DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT r Soil/Site Evaluation APPLICANT'S NAME 00co Ye LLICX DATE EVALUATED Zai 7 j9z�Y PROPOSED FACILITY i Js� PROPERTY SIZE r �<_ SUBDIVISION ROAD NAME Water Supply: On -Site Well / Community Evaluation By: Auger Boring ✓ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position S S L Sloe % % HORIZON I DEPTH 0-10 D -I 0--10 Texture group CC1L 5 Consistence S O Structure C_�M Mineralogy 1: ! ! ; HORIZON II DEPTH 1Q -Z4 I 2 -? O Texture group sc, G C_ Consistence ; <ss s Structure C'10 Z .,N4 Mineralogy j: 1 : ` 1: HORIZON III DEPTH Z_ J-- So -14-o -?.Z, Texture group S'C V I) d"t < C�_ +c -Q Consistence S Structure sb k QfLk �t � Mineralogy : Il ,I HORIZON IV DEPTH :�>?.� Texture groupt Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE O, 3 3. SITE CLASSIFICATION: P 5 LONG-TERM ACCEPTANCE RATE: ora REMARKS: DCHD (01-90) EVALUATION BY: G4AAA1T 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 ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■tet■■■■■■■■■eee■■■■■■■■■■■■ ■■■■■■■■!►11X11■1!■■■■■■■G�■■■II■■■■■■■■■■■■■■■ OiMENNEN MEM�,C�'=Emi bl■tL!■ IMMENNNMENNEN ■■E■■■■■■■■NM■■■■moi■fir'■■■■I1■■■■■■■■■■■■■■■ ■M■■■■■■■■cera■I,eeecu�a�t■■u■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■R�[i�n■■■■■■ NONE ■M■■■M■■■■■■■ ■M■■■M■■■M■■S ■■■M■EON■ENNE NEEM■■■■ ■■■M■■■■ ■■■E■E■■ ■EMM■■■■ ■■E■■E■■ ■■■E■■■■ ■M■■■■■■ ■■■■■■■■ ■M■■E■■■ ■EM■■■M■ ■■■■■■M■ ■M■■■■■■ ■E■■■■M■ ■E■■■■E■ ■E■■■■E■ ■E■■■■M■ ■E■■■■M■ ■E■E■■■■ ■■■■■■M■ ■E■■E■M■ ■EMO■■M■ ■EM■■■■■ ■E■■E■E■ ■■■■■ME■ ■E■■■■■■ ■■■■E■■■ ■M■■■■■■ ■M■■M■■■ ■■■ ■■ ■■■ ■M■M■■M■ ■■■■■■E■ ■■■■■■■■ ■■■■■■E■ ■■■■M■E■ NEEM■■E■ ■■■■■■M■ ■■■■■■■■ ■■■E■■M■ ■■■■■■n ■■■E■■ ■OMEMM■■ ■■■E■M■■ ■■■M■M■e NEEM■M■■ ■■■M■■■■ ■■■MEM■■ ■■■ENE■■ ■■■M■■■■ ■NEEM■■■■■ ■■■■■M■■■■ ■M■■M■■■■■ ■■■■■■NEEM ■■N■E■ ■■■■■■ D�lvlc G)III I t v a) d I Dcpa I't I I wI I t I I I I I t I I S It IMII 1— k,\ III( V 2' (12; OVS11,11, 'NN As I'ENNATER FOR DWFLIANC Wheck One) RcDI:i,%:ctncnt Remodeling Recollnection '7— IN Qj 1 A -4 fR il C . 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