172 Myers Farm Trail (2)Davie Countv. NC
Tax Parcel Renort b i- a O Friday. September 30. 2016
WAXN1.NU: THIS 1S 1VV 1' A NUKV. Y
Parcel Information
Parcel Number:
180000000602
Township:
Fulton
NCPIN Number:
5778589827
Municipality:
Account Number:
50115420
Census Tract:
37059-804
Listed Owner 1:
MEBEL RAFAIL
Voting Precinct:
FULTON
Mailing Address 1:
172 MYERS FARM TRAIL
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-7291
Voluntary Ag. District:
No
Legal Description:
21.680 AC OFF LIVENGOOD
Fire Response District:
FORK
Assessed Acreage:
20.49
Elementary School Zone: CORNATZER
Deed Date:
7/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
002040121
Soil Types:
PaD,PcB2,PcC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
472980.00
Outbuilding & Extra
Freatures Value:
26140.00
Land Value:
112390.00
Total Market Value:
611510.00
Total Assessed Value:
611510.00
E@1
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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)
4
NAME �1`%jJ/r f1 /%l�.r c� PROPER/TY ADDRESS L JG+': q /z�, % Z 7 D 6 DATE
LOCATION
e -1J
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 0 # BATHS 47 # OCCUPANTS GARBAGE DISPOSAL: Yes to
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)-'i6i NEW SITE L,, -REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 14,16 GAL. PUMP TANK GAL. TRENCH WIDTH ��/ � ROCK DEPTH ��.% � LINEAR FT. rM-"
OTHER
REQUIRED SITE M10DIFICATIONS/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 # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
&66TOU I
n
AUTHORIZATION N0. OPERATION PERMIT BY S,:tw 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
"'`"• P.O. Box 665
Mocksville, N.C. 27088
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.***
/
NAME �I� / DATE AUTHORIZATION NUV3ER
l i9�C' � � 112 0 41 1, 0
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION
COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
'
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM o
Davie County Health Department, JUN 2 7 1996Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By / ewd y C- `%7ial k <<
Mailing Address () 8X Z y 9& / Home Phone (2/_0 9el5= (o 4/0 /
Business Phone (9/O ) 76,o-071-7
2. Name on Permit if Different than Above ���� 191(3)(S�- //8( M:kt
3. Application for: L�dGeneral Evaluation
4. System to Serve: VHouse ❑ Mobile Home
❑ Business ❑ Industry ❑ Other
5. If house, mobile home: Subdivision
No. of People Oil
No. of Bedrooms
No. of Bathrooms -roo
f
Dwelling Dimensions (5� 8 ,X�
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
No. of Water Coolers
No. of Showers Water U age Figures.
7. Type of water supply: O Public s Private
8. Property Dimensions t3Gde5 3� Ri'A -340 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Yes
❑ Basement/Plumbing
❑ Basement/No Plumbing
�'WN shing Machine
Dishwasher
❑ Garbage Disposal
M
❑ 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.
Directions to Property:
Jol't 1;Y'e y Rd �0 X1.,
Tax Office PIN: #6-7-79-5,11482.-7
PROPERTY ADDRESS, as foILows:
Road Name: Vewaood f 6A
city: AArAl'ycr, a-0-a'7wb
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.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. Q' 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 County Health Department to enter upon above described
property located in Davie County and owned by karryc%snc�--klo
to conduct all testing procedures as necessary to dete� said site's suitability for a ground absorption sew ge treatment
and disposal system.
G �,Z1-9 &
DATE SIGNATURE
DCHD (1193)
W. M. JONES
DB 123 PG 845
IRON FOUND 1�
A91 -
to
y.
00
t� N
c0
W
O _
0
•.... o
0
IRON FOUND 0
O
2 ,
T
(0
L6
IRON PLACED
t
f
0 C. C. BARNES
DB 75 PG 288/
N.
/T. W. BARNES.
DB 163 PG 819
S 83019'50"E 1406.88' z �r
26.4660 ACRES
oD
t J
W. C. RICHARDSON
DB133 PG 466 f S. W..HENSQN _ D. L. BLACK.
C. C. BARNES
DB 75 PG 288 /
55" TWIN POPLAR
N 83.01'50~ W
0)
N irk
W
200.00
ser
//
I HOUSE
a
O
N
O N 1.3532
w 1D ACRES N
z
0'
f�I
776.73.1 TOTAL
} A v � tD
� � (
•
-r -
698.08"
61.89'
/i
i
200 0O•
78.65' 30.533 _6 - E
rJt'
G
_
383'0377"
/ S 46.5016" W
(" 1' (`
AXLE FOUND 200.
-F- 00'
30.53 30
595.67'
N . 03'(7" W
a
Z
3ASEM,
22
.d
1911.63' TOTAL
u-♦
SON Fo
.
Z
7-
0
0
W. C. RICHARDSON
DB133 PG 466 f S. W..HENSQN _ D. L. BLACK.
C. C. BARNES
DB 75 PG 288 /
55" TWIN POPLAR
IRON FOUND
.s
0)
N irk
V- m
°V (d; 1
//
I HOUSE
o�.
61.89'
/i
i
ROAD
30.IC
/ S 46.5016" W
39.10'
_
9.37'
595.67'
N 83°77'• W
.d
IRON FOUND
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME //L ri�Jl� DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE �y�Af/�6d?��
Water Supply: On -Site Well _ Community
Evaluation By: Auger Boring Pit
Public
Cut
FACTORS
1
2 3 4
Landscape position
,G►
-41,
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
. zK
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: fi�
LANG -TERM ACCEPTANCE RATE:,f
REMARKS:
DCHD (01-901
EVALUATED BY: _Z _
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
3 -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 -Finn 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
MineraloL,y
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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