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2193 Milling RdDavie -County, NC ;9 953 1 10122 i 1' r...-1 ...� I ..............: 11123) _w 21013. 1 a a --.,� 2127 213 71 21.12 ' � I I-- 2 0 71; Tax Parcel Report v 3l� Friday, September 30, 2016 47 x-145 Legal Description: WARNING: THIS IS NOT A SURVEY 2245 !ry 2181 '193 Parcel Information L Parcel Number: ; 159 Shady Grove NCPIN Number: 2185 197 Soil Types: WeB,RnC,RnD,ChA Account Number: 2203_ ,'. ~~ 15 Listed Owner 1: 217.51 21.7, a 112 f . L ,r (( ! ~ `� — ` %✓ Planning Jurisdiction: r !2212 Zoning Class: DAVIE COUNTY R -A State: NC Legal Description: WARNING: THIS IS NOT A SURVEY Fire Response District: CORNATZER - DULIN Assessed Acreage: Parcel Information Elementary School Zone: Parcel Number: G600000065 Township: Shady Grove NCPIN Number: 5759875594 Municipality: Soil Types: WeB,RnC,RnD,ChA Account Number: 8300384 Census Tract: 37059-803 Listed Owner 1: MAYERS BRIAN MICHAEL Voting Precinct: WEST SHADY GROVE Mailing Address 1: 2193 MILLING ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Total Market Value: Zip Code: 27028 Voluntary Ag. District: No Legal Description: 2.693AC MILLING ROAD Fire Response District: CORNATZER - DULIN Assessed Acreage: 2.69 Elementary School Zone: CORNATZER Deed Date: 6/2011 Middle School Zone: WILLIAM ELLIS Deed Book/ Page: 008600772 Soil Types: WeB,RnC,RnD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 115360.00 Outbuilding & Extra 4500.00 Freatures Value: Land Value: 39770.00 Total Market Value: 159630.00 Total Assessed Value: 159630.00 �v I 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 website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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) NAME lle9l , /,j PROPERTY ADDRESS 741,111 Y? q DRTE � r� LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS cl # BATHS 0 # OCCUPANTS „ GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT A SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE�l TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE 4 --'REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE Ze2� GAL. PUMP TANK GAL. TRENCH WIDTH_s�C ROCK DEPTH /7 LINEAR FT. OTHER REDUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY **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 A IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY —a �E 1 A—J-A I''V-Z AUTHORIZATION NO. 0300 OPERATION PERMIT 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 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTION s P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** AUTHORIZATION NUMt9ER NAME DATE . s'/_��l% NO NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION /rl,' CON ENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM fffMDTICE*#* THIS AUTHORIZATION F R WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENOIROMIENTAL WATH SPECIALIST DATE r- DCHD 10/95 g APPLICATION FOR SITE EVALUATION/IMPROVEMENTS l� Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By �� �? r�✓c L Mailing Address / l"-luDf D Home Phone B 4siness Phone 5' ioi� (aj - /; ooh,:n. 7� � - off y drlw•vic,9 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve ❑ Business ❑ General Evaluation ❑ House ❑ Industry 5. If house, mobile home: Subdivision No. of People 3 ErSeptic Tank Installation Permit EYn obile Home ❑ Place of Public Assembly ❑ Other No. of Bedrooms 3 No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: L.9'Public No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Private 8. Property Dimensions A 56 AC, PA- To?i9L 7f Ac. Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑Basement/No Plumbing 2-'W'ashing Machine E 'Dishwasher ❑ Garbage Disposal ❑ Yes P -No ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: M /L L /A/G ieD .� .D (tel. L I At/ /?!,>, S /f SES 4'A/ L .t 14 -r, k1,4 C 19 it/ T L T O it/ L£ r i B�Ttc1Et i(/ Tax Office PIN: #Cr1o000e90O 6J PROPERTY AbbRESS, as follows: Road Name: InIJ-1-11t,16- 9D City: e9e14e �/LLQ SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. o DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: EV 1. 1 OWN the property. ❑ 2. 1 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 ountyy H�ealtt�Dt to }nter upon above described property located in Davie County and owned by '� /i/. /V75 �% to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. -71 DATE SI ATURE DCHD (1/93) 32L ti i` j384.8 9 j �, (15 Ac s • wY. .' ? , 4 - F - DULIN CNUR -. r s a <= i -a50. 6lk 8 N ; - _ b a 63 i 1,:3.05. 24.67 AC. 43': 2 y 427.12�� .; �'' K(� s f �, f,. t �Y•-QC t� i xMr# ti ` i •�' a�,� € S. � � z 'i 892.22 . ',, � 5i! 87�� ?_40 64 73 66 114.N jJlMAc O �n 24 S 0 78 �8�iacAc) N w7 66 2i 3 l n rn ( 16 A C. 5 A C. ro 7�s� P 2.14 Ac. 6600 w 0 os 75 i 0 7701 1.5 A'c rn f5 292. 18 �° - 3� 2 ° 'T i7it '� 64 r 77 7 5 i3.Q (A� c.7� 6.544C. M N 10� 85. 10 AC. <r - e a u — ��.' 699 65 252.5 0 98 r 55. 44 X021 44 4- 1.3.86X 133.98 3.3 AC ,1 .. 73.92X2`.76 J.. q,2 0 cc ry - a x 4` n� u LF tF — 7 NORTH DAV I E C ®V I V T I a I V. C. G-7 TAX MAPS [H —6 H —7 11_ - — __ n C' , 4 . n u� •r,' 2.03 -Ar - 4060 427.84 � x r.. s ltY K . Bs 'i 892.22 . ',, � 5i! 87�� ?_40 64 73 66 114.N jJlMAc O �n 24 S 0 78 �8�iacAc) N w7 66 2i 3 l n rn ( 16 A C. 5 A C. ro 7�s� P 2.14 Ac. 6600 w 0 os 75 i 0 7701 1.5 A'c rn f5 292. 18 �° - 3� 2 ° 'T i7it '� 64 r 77 7 5 i3.Q (A� c.7� 6.544C. M N 10� 85. 10 AC. <r - e a u — ��.' 699 65 252.5 0 98 r 55. 44 X021 44 4- 1.3.86X 133.98 3.3 AC ,1 .. 73.92X2`.76 J.. q,2 0 cc ry - a x 4` n� u LF tF — 7 NORTH DAV I E C ®V I V T I a I V. C. G-7 TAX MAPS [H —6 H —7 11_ - — __ n C' , • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTYLOCATION OF SITE XcL Water Supply: On -Site Well Community Public L�-' Evaluation By: Auger Boring t/ Pit Cut FACTORS 1 2 3 4 Landscape position 11 Slope Z -- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r - Texture group Consistence 411, 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: A LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED BY: X // 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 ;lay 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 5C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralosty 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 ■���������������������■■�������������������������������� e�■ 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