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413 Potts Rd
Davie County,NC Tax Parcel Report c�o�� Wednesday, October 5, 2016 i �� ii � � r , � , i � � � � � i � ���� � 1$9 �(���E�g�� i e � ; 1'� � 165, � -�`r"� '�l' 132. 425. i � � i rxy � �r i 4 i � i � i �` � �429 i 155 i ; { 167 � r i ' � �`� r pUT�LN ' � ' 1� �, r . 165 423 i r 4.27 �� ti 't � y\ �� �!f 71 1 i � � 415--_�, 421`'�- 158� �`, =- � i~r ~�`��� 17$� 413 �� �. �_--115 "132 �--�--� i r 190 389 397� ' 387�---��..� -F- �� _ I I �~ 383��Q�. �_ WARNING: THIS IS NOT A SURVEY �. - -- - -- - -- - � ___,_ ..,. _ .,-_ _ : _ . _ _. _.w . _ _ . _._ ---, __ --- ____ : :. _ . Parcel Information _::� : Parcel Number. F80000011101 Tovmship: Shady Grove NCPIN Number: 5880175735 Municipality: Account Number. 82512946 Census Tract: 37059-803 Listed Owner 1: OSCAR JUDITH S Voting Precinct: EAST SHADY GROVE Mailing Address 1: 413 NORTHEAST POTTS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Ciass: DAVIE COUNTY R-A State: NC Zoning Overiay: Zip Code: 27006-0000 Volurrtary Ag.District: No Legal Description: 6.77 AC POTTS RD Fire Response District: ADVANCE Assessed Acreage: 6.61 Elementary School Zone: SHADY GROVE Deed Date: 7/1999 Middle Schooi Zone: WILLIAM ELLIS Deed Book/Page: 003080015 Soil Types: PaD,Pc82,PcC2,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 130200.00 Outbuilding 8�F�ctra 19090.00 Freatures Value: Land Value: 80290.00 Total Marlcet Value: 229580.00 Total Assessed Value: 229580.00 0����, All data ia provided as la without warraMy or ywnntee ot any Idnd eitfier expessed o�Implied Includiny but not Iimtted to the Davie County� Implied wam�Ales of inercharrtability w fkness tor a particular usa All uaera ot DaWe County'a GIS webake ahall hold harmless du 7�T CouMy M Davle,North Grdina,its agentc,eonwlh�rta,coMractora w employen irom any and a�daims or uuaes of�etlm due to ��U N� 1�� a��ng out of the use or Inabtlity to use Me GIS dah proNded by this websfta ;. C' .. •-� •iiu Z+ '.{�4�T Vt�' Ri i- �i�1�-.�d'i]�f", i.�yt�ir• "V Y Y,:."t.;�{t- •M'. �`..)r�D �e�..����. � 'v;��.� a+�.t� T+� � }.. _ ' .. .• � . :"�. . � . � 4 /� ( . �'���� . �` , . ... � ,'. / a .. �. AU'�HORI�LA,TIONNO: � ��, � DAVIE COUNTY HEALTH DEPARTMENT u -� - '=�' `Environmental Health Section PROPERTY INFORMATION : Perntittee'ti�`���� � P.O:Box 848 Name ' '�l CJ'G�! ���� Mocksville,NC 27028 Subdivision Name: , ��1'� -; Phone# 336-751-8760 birections to propeRy: rs y�S� r�` �! Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#:���- �� ��� SYSTF.M CONSTRUCTION ' . Road Name: �'O/,�� Zip; ���U� **NOTE**'This Authorization for Wastewater System Consuuction MUST BE ISSCJED bythe Davie Counry Environmental Health Section prior ' to issuance of any BuildingRermits.This Forn�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. ' �' (In compliance with Ariicle 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) �' ,,�} ' /' , , ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CQIVSTRUCTION ��;,��"/u� . .ir` ��.(J' ,�r',�( ���'� , IS VALm FOR A PERIOD OF FIVE YEARS.: 'ENVIRONMENTAL HEALTH SPECIALiST DATE lSSUED �� t � o�,.--.n*-�"""�-ii e .4 . r y: ;.i r —:�;. ...�.._ -� .. . 'i 1�+ . � � —"�� � � � ` � `-� l 1 P�/ T���� D . ` . �, _ ! ... , ;y , : � , ; ._ ' �]��� '� ,� DAVIE CaUNTY HEALTH DEPATtT��NT � . _ ��-w""�sr�-- '"` �.. � ' �r''� � '��-"' ` �-';-� y' IMPROVEMENT AND OPERATION PERMITS 'PROPERTY INFORIVIATION , P�rfnitte�',5�...�'.''�� �,!� ,�') �z � �� ' Name:= �"�AOG��'r 't/��� � Subdivision Name: � �, ti � � i . , ,,� �'r�a �' ,`, Directions to property:;,�'�'� �"�#�' .�= ���' ` Section: Lot: Il�IPROVEMENT- ` . `� PERNIIT _ :� + Tax Office PIN:#� c� -,��_,�_� Road Name• � �"A�0'� Zip:.���d�`� **NOTE*�.This Improvement Pernut DOES NOT authorize the construction.or installation of a septic tank system or any'wastewater system.An_•. , ' ALPTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be;obtained from tlus Department prior to the ' � � coristructioii/installation of a system or the issuance of a building pemut.: - ;;,:. ' ' (In compliance with Article'l l of G.S:Chapter 130A;Wastewater Systems,Section.1900 Sewage TreaUnent and Disposal Systems) , r,�'r�,�N � , , ,.� � � ��, ***NUTICE***'THLS PERMIT IS SUBJECT TO REVOCATION IF SITE �"s ;r: l�. : ; , ,r.::<�,�" . �,", . ,, �o•�,,, ; PLANS OR TI�INTENDED USE CHANGE.YOUR WASTEWATER ; ENVIRONMENTAL HEALTH SPECIALIST ; DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS'PERNIIT BEFORE ' ',; INSTALLING Tf�SYSTEM. ,,. .� . ___ _. . . , . , . , �... . . . . . . . . , , • . .. . , . . . . „ , , ' RESIDENTIAL'SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS 'GARBAGE DISPOSAL:Yes or No : ` �/P.��P l � ° /���ns , , , .COMMERCIAL'SPECIFICATION: FACILITY TYP #PEOPLE #PEOPLFJSHIFI' #SEATS INDUSTRIAL WASTE:Yes or No � � LOT SIZE � � TYPE WATER SUPPLY DESIGN,WASTEWATER FLOW(GPD) � � ' C� �/P/� 7D NEW SITE�� REPAIR STTE' _ 1 ., SYSTEM SPECIFICATIONSi TANK SIZE �Dd GAL. PUMP TANK GAL. TRENCH WIDTH�_ ROCK DEPTH� LINEAR FI'. ��/ OTHER��_-=��"-xY'S � REQUIRED SITE MODIFICATIONS/CONDITIONS: /7 f� �C /L�7 P' l/'/�;A r ,,-�ys�`�,�:ir .s i�i�-,�;r r -��, ., . _ , � . : � IMPROVEMENTPERMITLAYOUT: , ,AI'PEtOVEI� ��I.11EtiT �IL�I'ESdt sL�ISE€t«� IC 6�.`; �LQ� FIt�ISEt�D GF�t4D�� , , � f � � ^ � - /'�1�1� �a n�i��� ✓ _ , . ��J9w� �� �� i�C4 i��`��.a��, - /qvlL �,,� cr� �,r�' �r� �; . . . � �, �,�,� , . .. � . ; � �,�,.�.:�.�.---=-� . �o��� . . � _ . *'CONTACT A REPRESENTA'fIVE 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 DAYAF INSTALLATION.TELEPHONE#IS (336)751-8760. :��', OPERATION PERMIT ` : ,, ' , . � SYSTEM INSTALLED BY:": � � � ��� �� �;� i �x � �.� o� �� �f� ; - � `�� � �-� . .. �X��:-��1����ti�'� � � : � � ��� � ���7� �� !. � �'. s'� � ��� '� I ; ��T�� � ,� [� � „ AUTHORIZATION NO��7 OPERATION PERMIT BY: '`�-� DATE: ' . .. , - ;.:.: � , 1 ��'TI�ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA THE SYSTE ESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANC$1. WITH.ARTICLE i 1 OF G.S:CHAPTER 130A,SECTION.1900"SEWAGE A'#'ME D DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN��S A ` � GUARANTEE THAT THE`SYSTEM WII.L FUNCfION SAITSFACTORILY FOR ANY GNEN PERIOD OE TIME. DCHD 05/96(Revised)' � , r� �� ��I�_� � _ , � . - _ . . �. , � ���(�A7�0 ,� OR SITE EVALUATION/IMPROVEMENT PERNIIT&ATC ' � � Davie County Health Department ys Environmental Sealth Section � � 7 '� P.O. BOx 848 NEW PHONE NUMBER: , t�np�HEA�TH Mocksville,NC 27028 EFFECTlVE MARCH 22, 1998 x��r;�'3�., _ 336 751-8760 ,�s,a;a,,.�,� .:, �(�Otl4 7 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed � �o�� �S. n�C�if�t Contact Person Jv�� �� ��Cl�2 Mailing Address �1� pD�S �c�. Home Phone �3�, �g�b-2�Oc( City/StateJZip ���1 RYl C-� . 1�.l�• 2"1 D b(o Business Phone �3� - '] I�- 2 2 g Lo 2. Name on PermidATC if Different than Above �An'1� Mailing Address SArrl� City/State2ip /�c��S A�nc� . �,C• 2'100C� 3. Applicatiott For. [ ]Site Evaluation [ ]Impmvement Permit&ATC [�]Both 4. System to Serve: [ ]House [ ]Mobile Home [�]'Business [ ]Industry [ ]Other 5. If Residence: #People #Bedrooms #Bathrooms [ ]Dishwasher[ ]Garbage Disposal [ ]Washing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing 6. If Business/OtAer:Specify type 1�Ca.v�r��� #People�_ #Sinks�_ #Commodes�_ #Shower�+`�#Unnals #Water Coolers ��j9 S � �'������Xf If Foodservice:#Seats� Estimated Water Usage(gallons per day) n�I A 7. Type of water supply:[ ]County/City [i,}'Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?( ]Yes [�J"No : If yes,what type? : � ' ` EITHER tt PLt1T OR SZTE PLAN PROPERTY INFORMATION REQUIItED:***IMPORTANT***��I'�OF THE PROPERTY MUST BE ' SUBMTITED WITS THIS APPLICATION. Property Dimensions:�e ,"1� Acr� � DIRECTIONS(from MocksvWe)TO PROPERTY: Tax Office PIN: # 5 S g v -�_- 3� . 0���� '�� 8 D I �, �,i,r n L rti $D 1 � � � Property Address: Road N�me y'�3 Po�'S Qd �Qn � mi��5 . Po�S Rc� on ��-1. 1.w� �e `as�- _ . Ciry2ip ���rar�cc .I�[, C. 2'100� ; a s�o��l ho►me on C� . 4 1 3 Po-Ns R�. . � �If in Subdivi�ion provide information,as follows: � - , Name: ; � section: I.ot#: ; .(9,AT��GR GG��i�'b�'f.�'T_y ' �v 1�at 1.'1.`I9 � This is w certify that the informadon provided is coaect to the best of my Irnowledge.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 informadon 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 Representadve of the Davie County Health Department to enter upon above described property located in Davie County.and owned by ��.a o�, a-wd� o ^ P to conduct all ting procedures as necessary to determine the site suitability. DATE 3�1�Q R SIGNATURE Revised DCI-ID(06-96) THIS " E�" MA1�f $E USEb �OR DIZAWINC� �OUR SZTE YLAN: ; . ,�/� ; _ _ _ _ � "T�� i _ � _ a�zr/= ��9 � � . ,, I. , . ,. . �. �, .. �. ..._. .�. �.._. ;_�.._..,,'_.__..._,.,.....,_._.-_..,.'_.__�--..�,-- .. ��.,� ...,� ,�i... . ..._ .��, ._ � . , ll .. . .... ,� � . ,. . 4. , .� . . � , � , , � � ,� '�. � . � ' ' i, o ' � ' �i � , i � I � .� � A�.,. � , � . rv �� � , � . .. .I._ . i �' I�F ' , i^,`' . ^ � �� � i � � I � � �, „i, � � ,� �' � �, . .,,._.I ,' ...,�. ,. ... ,i, � , 'Y�. . ° ,� ^��, �. , I i. � i � .�r , II ' , .��� �'.�, � '. �l ,�� �.' � � �' ,� � � � A 11�I I;�, � �. . ' � , � . i I � , � , . � � � � , . ' � ',1' � '+ , r� �i '1 , i , ' � ' � � � � i ,i� , �, , � � � � � . o � � � � , , ' , , , �, ,� � i�� r � � ' i � � , � � , , , . � � � � , �� � , � • � � �, .� � ' � i , �� � � �� � ,� ' � , ' ' � � . � � � ' � �. , i� . , � ' ' I . � , � ' 1 � ' ' , • . ' ^ ' . ' � �� � I ^ ' �"• $RE , I + ' � 3 � _ � ,_ . � ,. — ~ U . • � � � , , - - _ � _ _ 4 . ,� m- -� � IRON SET "'-'�� , . � .� �ji S 64°24'S7'�E � -_ �' , ,' ' �, ' � � � , / � 220.28' IRON SET \ " ,'� ADVANCE � , — _ / _ � � . , , — — — -.^ ,_ _ _ $p, pR � \ , ., , . , ,• ' coR►�rza�►�n. � � � � — — �V , . • - - - - — q � / , ,— , ` , A,?8� TF� � , ,. ¢ �g�a '8�• R �q0 � / � �'' ' I , � . , �Sp, � . \, ,. , , . LOCATION MAP � ��8r �6S2 �QSF � , � , , • , . � , / � . � . � �� � ?• � <8a F`,�T � . , .� — — -� � �-.... r �_ I � \.,,'\.I�yoRp � �\ � � . ,,, � ,.,� ���,�,.��M� „ . .� . . �,. ,��.., , . ��. ��T, ,.., � .. ,.��.� q , �� , ' � � �.. � � � / . i ' � � � � ` � �, ' I ' , ' \ \ � � ��, � � i � • � . � \��� � � +,' � � I . � , � ,r � � � � tS�� � . I � I , � s `�� \ . , .� , ,� , � s � � � .� � , � . ► � �'o, ��,, � •� I � " � ' � .�' ,� F` �\ � � , ,� \�° \ ,' I � I , . , � � � ' � . � v, � / � ' .' � , , o � I POND � I I , , � � � / s �S j2� .' I , , , , , � � 2 I o w � O• , � � ,� �� °i � � � , � w �` i /,o \�f, A�/ �?�e,�F 9 \ o �� ��� , � I , ' • � � /'�T ��2) •S2,c � � D.B. 158 PG. 796 ac �P ' ' � / /,� ��O ?E8 yoR � � ' , $ , � ' O � � 1 � \ ,�O � w � � ^ � � �/ �1 'i, I 6.7 7 0 5 AC R E +-, ���-�,a\�'' '�` �� � / Cqs� IRON SEf .�- � � ` ^ �Q� � ► ' - �'�� ° . , ' � '„ � �� � M�NT . ' s ;—a. � ' — �;� °�' �'� � � . � i � .' ' � � • , ' , � � � ,° SS z8'S�--E � —�` ^� � � � � a� . '' . .' , ,,�m' . ____a------____, _ � � � 18o,3s, � , I � ` ' I o. i �• � , �„��' �_►-1�-----------��, ����. � `.. � RRSP�kfS � , i , � , , . ,�,;�- . � -, �- � . . - , � 2 . � . . ��. �._ . _ � . , . . . . . . �w1 ` ^ . 1 V �,�a ,' / • ' , /� ,��',.``` '��P ` ` ^ p � ry ap. . / j,�. , , ,oRn,f Z • , , , � N�o p 1 � � s►+m ? � . P � • , P P P==-T-P`'- •,``' ' p• "� "�. p, 1 � m f�� � / � . , , POWER LINE � ''`- 1 I I ,��. ' . � �`� � SP/K f� ND I i GARAGE � O� � �� u � ,� �,. ,,� �, y, � � , .� , , � � � � � s ,�, ti ��� .� ,� , � , � ?,�m , o• � � . \ �I � �. � '°o. �°� / 3 �', r1 ��,,� "C , tl' W � � � � .� � � .a � N * q N \ ,' e1 1/2 STORY � •S � �/ � ,� . � o �[ \ �' � 1 ' � FRAME k � � D.B. 132 PG. 153 l �p� �ti. '� �' '� � � �f� \ , �• � � � O � � � , ryo ; ~ � � 273.0� r � � I , v 1 , ^- �, � � , e '�. � W � � , CONCRETE . � � � _ N � �. � . ° I ,� ��C,G � � '� "� "- � � ' iRON sEr �31.59' � '� , :� 1 POqL . . ,� A �- N 62�06�44��w . ; � ��' ; p5 72' ��� � , `r`r � . IRON SET ' 1 " 2 o,�`Z�lF�J��W � O '� � � o.e. ��t Pc. ss � 1' : N 83� � � / ' ' � • '6 \ � • • • 'o � cU?- 1 , � � � I '�^. ��1 �I ��' IRON FOUND � ' � n � . S , � • . / Q � O �. � a "v � , , 1 a � • , I . , � N , , c=i ' 2 , � 4�5��4�„W , 3 N g2�-- m ' � 50 0 50 100 150 , � GRAPHIC SCALE – FEET � ' � � ' IRON SET ' ' ,,`.•f'����~•��•"',� MAP WILS 0 N B. & JUDITH S. 0 S CAR /� � RICHARD MABE ' I JOHN RICHARD HOWARD certify that .•`��OP�N.�AR���3'y�5., FOR , � ',52•32"w � , D.B. 148 PG. 217 • this map was drawn from an actual;'` �;•''G�STE�qb� '� scn� TOWNSHIP couNnr srAr� DATE,s N 82 39, I field survey under my direction and= t� S� i � 1" � 50' SHADY GROVE DAVIE N. C. 8-21-97 q.08' p�Np ,` supervision. that the ratio of = � �,�gp,p = : D.B. 111 PG. 69 AND PART OF D.B. 132 PG. 153 �oNE f precision is 1 : � �y c� : TO A • � ; �'ti•�.0�1}�� �.• AND PART OF D.B. 156 PG. 796 ` "/ , '�•, ti �''•.....••'� P �s` � JOB NO., � ����4�.4�/ ��b� A�CHARO��•�r JOHN R�IHARDUHOWAR�D RLS 960848 REGISTERED LAND SURVEYOR L-2S9O , ,,•,/�~�����N�,,,,, P•0. BOX 276 ADVANCE, N.C. (910) 998-5396 , I �� . . i , ' . . , . _ , � . , ,,. ' . .,,. . , , „, , �.,,, _.., ,,,, , ..,. _.�.... , .,���, R .....,�...� .._.,,.. ..„_,�„ .,.�., ,.„ � , „,., .,�.,..�.,,. „_. �, _�, .,�,�,..�,.,,..... „ ,,._ , ,�..„,.. ._�.,, ,�.� „ ,.,.„_,� ,� ,.�. „ ,� � , .,� . . , �..w...w ����� ���,n,..n,�.��..,..,...�„�..�.w.....���w.w..s.��w..e��R....�������.�.���� ���ww��.wr� � ���..��u..w.w.we...,��T�.�..�+�.��.1...�.�nw.�� . ���.�iww n �.�n��*.s++.�^�..�.��+.w��. ,�..wwui�„�r.n.ew ..�w+.�+� � ���p,�w�.w..��..+�.�+.n.n.w.�. ���+i++� •a.�� w.r ,�.��.�.�...�w�+ nn�� i �n+�+ ..����w„ww.,,,r�� �. ��� in• ��,��� ,��R��n��w��� imn�• ip �T��T,.�..�, . - � • � ' ��' ' �� DAVIE COUNTY HEALTH DEPARTMENT . � � . � Environmental Health Section sECTtoN LOT ' Soil/Site Evaluation APPLICANT'S NAME �.S��JJ'�D DATE EVALUATED ���L�� PROPOSED FACILITY ,.�lc�/J�� � PROPERTY SIZE �o ��c SUBDIVISION ROAD NAME Water Supply: On-Site Well �/ Community Public Evaluadon By: Auger Boring � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition L L Slo e% � HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH �G '' .S '' Texture rou Consistence ,�j Structure i� � Mineralo l • !.` HORIZON III DEPTH Texture rou Consistence • Structure Mineralo • HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE �- , �- SITE CLASSIFICATION: f� EVALUATION BY: ' ��'� LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: LEGEND � Landscape Position R-Ridge S-Shoulder L-Lineaz 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 • oist � 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 tructur 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