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147 Rainbow RdDavie C6unty, NC Tax Parcel Report Friday, October 7, 2016 WAK UNU: THIS 1S 1VU1' A NU1,(VI:Y Parcel Information Parcel Number: E600000041 Township: Farmington NCPIN Number: 5851854252 Municipality: Account Number: 28058000 Census Tract: 37059-802 Listed Owner 1: FRYE RALPH H Voting Precinct: SMITH GROVE Mailing Address 1: 147 RAINBOW ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 4.02 AC RAINBOW RD Fire Response District: SMITH GROVE Assessed Acreage: 3.96 Elementary School Zone: PINEBROOK Deed Date: 6/1996 Middle School Zone: NORTH DAVIE Deed Book / Page: 001870666 Soil Types: MrB2,EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 249680.00 Outbuilding & Extra 10730.00 Freatures Value: Land Value: 55290.00 Total Market Value: 315700.00 Total Assessed Value: 315700.00 1-07 Davie County, NC AUTHORIZATION NO: '? DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permiftee's P.O. Box 848 Name:�t-r1 Mocksville, NC 27028 Subdivision Name: - Phone #: 704-634-8760 Directions to property: << �t 1;- ` t Section: Lot: ++1 _ AUTHORIZATION FOR t=A• �r .�'. ►< () %L `i'A� �`y f'- .1 Ltfl' WASTEWATER Tax Office PIN:# `�`Xfl - ` . _ 41- _"7> 7 SYSTEM CONSTRUCTION Road Name: �_' i._ �.t:ta) � Zip: sc:.;(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.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ENVIRW4MENTAL HEALTH SPEECIAI;IST DATE ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. fa ' 2 DAVIE COUNTY HEALTH DEPARTMENT ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION —Perm�eexs "' ' Name itl� ►' i 3 t,. Subdivision Name: Dlredtions to property. ti 4 l `'' c+ t ° Section: Lot: IMPROVEMENT't f LL.(T PERMIT Tax Office PIN:# Road Name: 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPEq6)2SF # BEDROOMS --'�5 # BATHS _41— # OCCUPANTS z- GARBAGE DISPOSAL: Yes o&q,) COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE.t STYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)_ -- O0 NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ("KQGAL. PUMP TANK GAL. TRENCH WIDTH r'� ROCK DEPTH , 2 t ! LINEAR FT. OTHER ' � i f 1 )v o tj REQUIRED SITE MODIFICATIONS/CONDITIONS: I0 TnLL in c._--J'ibtiQ �.i:_1 ! �'4�" i M^. ►= !�; !!l3J IMPROVEMENT PERMIT LAYOUT �I�S� to�2lo�8 1W, x ,,"a�,2 �. ID !oy' ,. LI�oS 20�i 'TCi,�9d21) fLO�n /UCi' Mei% ►}a J G 'TO aJ C iLz+� Sto az, -pzPrN• A -4 c) s4J}0�-'1*J U J.V�. -M Fl -r ,_j &RSA !J rLC..31- _ f 175 ' **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: /1D ID AUTHORIZATION NO. � OPERATION PERMIT BY: 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) DAVIE COUNTY HEALTH DEPARTMENT a IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PermiCtee's } Name:Y"! e t i -! l" f v.. Subdivision Name: Directions to property:Section: Lot: IMPROVEMENT s PERMIT Tax Office PIN:#' t Road Name: k ', .: ; .. 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL IHEALTH Sk!EEIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE Of1C #BEDROOMS •_ #BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes o�No ? COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or Nc LOT SIZE T1 ;•STYPE WATER SUPPLY YDESIGN WASTEWATER FLOW (GPD)- =( t NEW SITE REPAIR SITE l� �1 SYSTEM SPECIFICATIONS: TANK SIZE -`GAL. -C3AL. PUMP TANK GAL. TRENCH WIDTH ^ ROCK DEPTH , LINEAR FT. OTHER �� 1.' I i :� j I r % -j f REQUIRED SITE MODIFICATIONS/CONDITIONS:-1 AJ -C V\ k. t;�1 f ` <'- 1�1C chi fry LJ IMPROVEMENT PERMIT LAYOUT mil ► � Ct'I2.1D�� {��►�MF• Dti'1 D� F��T �LEIT �. -TQ /7S � ^)Z,& �e **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. I OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. OPERATION PERMIT BY: 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) r APPLICATION FOR SITE EVALUATION/IMPROVEMENT PER (�7 ! Davie County Health Department Environmental Health Section WR �1 2 7 P. O. Box 848 Mocksville, NC 27028 rJ (336)751-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed lcl 11.4 ��' {'/ Contact Person l i! t' Mailing Address / Home Phone City/State/Zip 6 /NSJ` �t -�. /r �► ,0�1 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Cdr Site Evaluation Improvement Permit & ATC W --'Both 2r/ 4. System to Serve: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms Dishwasher ❑ Garbage Disposal Or Washing Machine 3-B-asement/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: County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PhMH THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �� t WRITE DIRECTIONS (from Tax Office PIN: # % _ r� _ v I� Mocksville) TO PROPERTY: / V -.- A /,// �/ r ( L J v O,I � 1 U 0 Ltd K Property Address: Road Name irl U// (l City/zip l'I l44/7C'e 59 7 Q t to ,s+ zicr �a d'1 If in Subdivision provide information, as follows: . 1 GlliT� �jcll�ct; MdYKtrSa.t ('oYHe Name: t i f °a+s Section: Lot #: t 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 7�Yy t— to conduct all testing procedures as necessary to determine the site suitability. DATE Z—" �!`� SIGNATURE Revised DCHD (06-96) YOU MAY f. USE THE BACK OF THIS FORM FOR PRAW I NG YOUR SITE PLAN. Tax Lot 48 \ Tax Map E-6 Maryanne Post DB 160 O 326 Area tee uis n R 3/4" E1P 5 89.11'00"E and Deed d line Is / 23.13' P 0.13 Acres +/- - 5 89.1 10 ' Ti 0"E 489.43e line 1/2" OP S !1 J t 1 A 111 , Q s z d•� S WJ O. o Tax Lot 42 'J �. C) 1` r Tax Map E-6 '. S `, Howard G. Hanes J� \ 1111 T•itthia M. Hones P tS DB 92 O 269 CI DB 116 O 129 L L, N {TE tj ,fP t 1 1 1 Iry Y t ^, 1 1 N r 1 1 1 1 Areo tomer Dee�l7 ✓ t tRR Spike is 4.02 Acres +/- t By Computer � 1 V 1� X., 1/2..OR {� 1/2n ER 1 f\ 1 S 54' 19'30W N ; �• N 6� 0~ of Tax Lot 39 � J swim. that Hkyde P�p to him sem' �30� LECEND R1* - Kght--*f-way C -ter LkW ' i docwnents ars famished to aro p--(.) non. Tax Lot 41.02 PP a n S 28.29'35"14 tt-�and m ameratmo a — by othe v - rxrtr,y eras RIOar �'� \ P P - Pcon Cu - C'arcrsts 4arsn.w4 Pim = - tp y �� 4iCY RS - hon Rebar Set PA - Prap" Lkw 411 M6n i1oM R - Roth+. Tax Lot 41.01 C A - ConhoMd Aooese RCP -Iwved PSP• CH - Chord Oletanoe P O - Part et * �� -Rs Cawet. P = � 5 - Deed E0.km.nt SRA 0CCPF- -100fbdd 8andarl, _ �' -O- OverMad V ftm •"�� -S- w lJne -x- Fence V'cw4r ykp (Not to Sa04) WM' This plat 4 subject to any Eo—die, Agr"ronts. or Rf"-d-way of nscrxd prior to the dote of Ude plat• wldrh .ars not vin'ble at the Ume of rrW lnepection. N^a 6 Tax Lot 39 Tax Map E-6 Donald G. Longworth Bonnie D. Longworth DB 99 0 571 D8 95 O 367 This map or drawing and cnT accornparrying ' i docwnents ars famished to aro p--(.) non. Tax Lot 41.02 PP a n S 28.29'35"14 tt-�and m ameratmo a — by othe v o" i. p•mvttsd unless vAhorizd by \ Allied Land Sury yk g, PA Z 1 4oP not for reoordctka . --.. \ Prod.;- 1:10.000+ Tax Lot 41.01 S 182 O 915 �"% Tax Lot 37 Tax Map E-6 4q � t declare that on_ —til 19fz, Eo we surveyed the property shown on \'I this plot: � _r (' /`�• j ry i� N^a 6 Tax Lot 39 Tax Map E-6 Donald G. Longworth Bonnie D. Longworth DB 99 0 571 D8 95 O 367 Lillian B: BeaUOAaMp Tax Lot 41 Tax Mop E-6 Part of Deed Book 92 Page 267 Rainbow Road SCALE TOWSW OOt1NTT sun 041E 1" . 100' Farmington Davie North Cororno 3/01/96 ,,, Allied Land Surveying Co., P.A.. „s No. Mpp A :=-d P. bWI R, RLS -3176 7107 IfA'PT.P. f720 +erste+ Wi Food Fr.o..e (910) 765-2377 LL+F No- JCA/4z 1rnslr-SA.-. N.C. 271C3 Fix 7&7-%)G 7107 1 gf ' i Tax Lot 41.02 PP a n S 28.29'35"14 o" I \ Tax Mop E-6 1/2" ElR 16.40' Z 1 \ Ewell G. Specs a Sylvia MCC. Specs Noil in Cap; ; 1 Tax Lot 41.01 S 182 O 915 �"% Tax Lot 37 Tax Map E-6 1 i 1 Tax Map E-6 Maryanne Poat Cinger Yokely N ; DB 122 O 225 DB 157 O 29 =^ti 3/4" SP Lillian B: BeaUOAaMp Tax Lot 41 Tax Mop E-6 Part of Deed Book 92 Page 267 Rainbow Road SCALE TOWSW OOt1NTT sun 041E 1" . 100' Farmington Davie North Cororno 3/01/96 ,,, Allied Land Surveying Co., P.A.. „s No. Mpp A :=-d P. bWI R, RLS -3176 7107 IfA'PT.P. f720 +erste+ Wi Food Fr.o..e (910) 765-2377 LL+F No- JCA/4z 1rnslr-SA.-. N.C. 271C3 Fix 7&7-%)G 7107 s DAVIE COUNTY HEALTH DEPARTMENT •, �, Environmental Health Section SECTION ' "LOT Soil/Site Evaluation APPLICANT'S NAME 94A 1' DATE EVALUATED l4pd PROPOSED FACILITY 14DA5f, PROPERTY SIZE ` ��a� SUBDIVISION ROAD NAME e&j & j 'eo Water Supply: On -Site Well Evaluation By: Auger Boring Community Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L & A— Slope % HORIZON I DEPTH a - Z Texture grou L Consistence /5n1 rr 1�) Structure e Mineralogy (; 1,") HORIZON II DEPTH (p. Texture group Consistence Structure Mineralogy HORIZON III DEPTH -01 1 . Texture group "5'6.ISe'p Consistence - S - S Structure k Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE 13 -S: - SITE SITE CLASSIFICATION: CJS LONG-TERM ACCEPTANCE RATE: o•3 REMARKS: DCHD (01-90) LEGEND Landscape Position EVALUATION BY: OTHER(S) PRESENT: 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 ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■■■E■■ ■■■E■■ ■■■E■■ ■■■E■■ ■■■E■■ ■■MEM■ ■■■E■■ ■■E■E■ ■■EME■ ■■M■■■ ■■■■E■ ■■■■E■ ■EM■■■ ■EM■O■ ■EM■■■ ■EM■O■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■E■■■ ■E■E■ ■EEE■ ■E■■■ ■ESE■ ■E■E■ ■ENE■ MESO■ ■E■E■ ■E■■■ ■E■E■ ■EME■ ■■■E■ ■■■■■ ■E■E■ ■ME■■ ■E■■■ moon■ ■E■E■ ■M■EME■ ■EMEME■ ■■■■ ■O■■ MEMO ■O■■ ■EM■ ■EM■ ■EO■ ■E■■