132 Myers Farm TrailDavie Co'bnty. NC
Tax Parcel Report b 1O6b Friday. September 30. 2016
WAK1 ENE: THIS 11 1VU'1' A SURVEY
Parcel Information
Parcel Number:
180000000601
Township:
Fulton
NCPIN Number:
5778681424
Municipality:
Account Number:
47077770
Census Tract:
37059-804
Listed Owner 1:
MARKLAND LARRY STACY
Voting Precinct:
FULTON
Mailing Address 1:
132 MYERS FARM TRAIL
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:
1.353 AC OFF LIVENGOOD RD
Fire Response District:
FORK
Assessed Acreage:
1.36
Elementary School Zone:
CORNATZER
Deed Date:
6/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006100661
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
121500.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
15410.00
Total Market Value:
136910.00
Total Assessed Value:
136910.00
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
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.
AUTHORIZATION NO: 0600 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Perrm ter's J . P.O. Box 848
Name: <--122 1-t4 zz .Cr ot n� ,i�Y '/'rh Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot:
J AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#t -
SYSTEM CONSTRUCTION F-�-
Road Name: fVe',11 L�JCr, ip: .9 1/00
0
**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
4 S IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALT 'SPECIALIST + DATE ISSUED
'PerrllrttV s -
_4
Directions to property:
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
IMPROVEMENT t r / s. � )-j-
PERMIT
PERMIT `
Tax Office PIN:#.�-i �� - . � � - f ���+
Road Name: I ` ? t",' :f`c;.. zip:
p: � 0
**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)
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 174 # BEDROOMS "Y # BATHS -? # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
- LOT SIZE Vll -� TYPE WATER SUPPLY 44// DESIGN WASTEWATER FLOW (GPD) `�/ X U NEW SITEy� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ��O 11 GAL. PUMP TANK GAL. TRENCH WIDTH --f G , ROCK DEPTH ! ` LINEAR FT. U �)
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
0
r
"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:
AUTHORIZATION NO. OPERATION PERMIT BY: G2iCi1 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 05/96 (Revised)
t
4 sr��
J0"11 /f0►0
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health De
partment
Environmental Health Section
P. O. Box 665
Mocksville, 1u
NC 27028
i4 C f/ M a r k' an lig
1. Application/Permit `RelIquested By 1 ?- r i j
Mailing Address T L:✓� 04 Home Phone 9gY-So 94 ;
d.,
1 i, r„ C, F WC, 2 )Off Business Phone
2. Narne on Permit if Different than Above
3. Application for: �� ❑ General Evaluation CYS
4. System to Serve: Oa House ❑ Mobile Home
❑ Business ❑ Industry ❑ Other
5. If house, mobile home: Subdivision
No. of People All,
'
No. of Bedrooms
No. of Bathrooms 3 i
Dwelling Dimensions 3 Z k LO
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
I
Tank Installation Permit 10
❑ Place of Public/ 1Assemblllyyl�o�
❑ Unknown I— V)��
i-
Sectionn Lot # f
E Basement/Plumbing I
No. of Water Coolers
No. of Showers Water Usage Figures _
7. Type of water supply: ❑ Public Eg/Private
8. Property Dimensions ) el 6 `` Sewage Disposal Contractor
❑Basement/No Plumbing
EY/Washing Machine
[Dishwasher Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 9 -No
If yes, what type?
❑ Community
'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.
PROPERTY INFORMATION. REQUIRED:
Directions to Property: Tax Office PIN # -2-2006 ny 006, O /.
y r 5775 -WJ4-2qf
pdU Rd
Road Name L, ✓Ati 420 o< d
'�. Box # (if availablee)_
V��/1 o,�gi � �7�L�� city
V
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I 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 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 said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (1193)
,5)
A ` L
1681
11661
l�O6
96
26.46 A
9827
EXED
778.01
zoo j
,
1 24\
1,261
07a
200
6o
3290
a
�6
yP
(19.63A)
5898
o�
(68.67A)
7631
QO
00
00
ti
v
1269)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME s���C //jl✓✓�
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED �%l 11Dje�
PROPERTY SIZE Z ?�G
LOCATION OF SITE
Water Supply: On -Site Well j� _ Community Public
Evaluation By: Auger Boring j Pit Cut
FACTORS
1 2
3 4
Landscape position
Sloe
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
�d ^
G•'
Texture group
C
Consistence
Structure
a I
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 ACCEPTANCES ATE:
REMARKS: ll1,o eltl lI _[?'5- —
DCHD(01-901
OTHER(S) PRESENT:
LEG
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- V+:. -y 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
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Davie County NealtF Department
and �lvme NeallI .�yency
210 HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-5985
October 31, 1995
Larry Stacy Markland
447 Livengood Rd.
Advance, NC 2700E
Re: Site Evaluation
Livengood Road/1 Acre
Dear Mr. Markland:
As requested, a representative from this office visited the aforementioned
site on October 30, 1995. 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 the installation of an on—site
sewage disposal system.
If you have any questions, please fell free to contact this office.
Sincerely,
Rdi,ez,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure(s)