110 Stone Meadows Lane Lot 1 . . ,
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' DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street II��l�l
Mocksvi(le,NC 27028
. (336)753-6780/Fax#(336)753-1680
.
OPERATION PERMIT
,qccnu�t #: 990005433 �'ax Pi�€.�EH#: 5841-08-7890
BiIlc�Tc�; A-P Construction Co., inc. Su�ac�ivi�iUtt l�tf�: ��p S-{�b��1,1�.C�.OWS �(l
1�e�er�r�ce Rl�me: Mike Gardner LocalianiAddr�ss: Puddrng-Ridge-Raad-27028
�'ro�t���;c9 F��;ility: Residential Pro�er�.y Six�: � 2.358 Acres
a�TC Numb�r: 5051 ��
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**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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. - '
System Type: l P S.T.Manufacturer�(��iuQ�r�'�� lla�� Tank Size/�ba
Pump Tank Size ��b��.
. System Installed By: � S E.H.Specialist: �� UV� �� �/��,D(�
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DCHD 11/06(Revised)
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, . DAVIE COUNTY�ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Accau�t #: 990005433 �'�x F'IN/EH#: 5841-08-7890
8illcd To: A-P Construction Co., Inc. Su�idivi�ian lnfa:
Refer�E�ce Na��e: Mike Gardner LocaiioniAddr��s: Pudding Ridge Road-27028
Proposei� F��:i[ity: Residential Pco��r�y Size: �58 Acres �
Site T e: ONew ❑Repair ❑Ex ansion
t�T� Nurrtber: 5051 , YP P
**NOTE**This Authorization to Construct(ATC)MiJST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Speci�cations: #Bedrooms�#Bathrooms�J #People 2 Basement� Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Lot Size �.3�o Type of Water Supply: �C;ounty/City ❑Well ❑Community Well -
System Specilications: Design Wastewater Flow(GPD) oty� Tank Size r,�GAL.Pump Tank ��a GAL.
�r 7 �` /� 2 �
Trench Width�[r Max.Trench Depth� Rock Depth� Linear Ft.��
Site Modifications/Conditions/Other: As stated in 15A ��AC 18A.1969
, � y a st, � us�
Contact the Davie Coun Environmental Health Section for tinal inspection of this system between
8c30—9:30a.m.on the da of installation. Tele hone# 336 751- 7 0. �
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Environmen 1 Health Specialist V / Date: � — �1!"��
' DCHD 11/0 (Revised) �
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DAVIE COUNTY ENVIRONMENTAI�HEALTH
P.O.Box 848/210 Hospital Street '
Mocksville,NC 27028 - '
(336)753-67.80/Fax#(336)753-1680
�!
Acc�►u�t #: 990005433 "��x P1NiEH#: 5841-08-7890
Bi!!c�To: A-�'L��n�Q�o-n c�N��R WASTEWATER���5�'EM CQ�N�STRUCTION
t�
Re�er�r�ce Rlar��e: Mike Gardner - Loc�i�oniAd�r��s: Pudding Ridge Road-27028
f'ropase� F��:ility: Residential �'cop�r#y S�iz�: 2.358 Acres "
ATC Nurnber: 5051 .
.,�. .
Site Type: C�New ❑Repair ❑Expansion
**NOTE**This Authorization to Construct(ATC)MLJST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
�
Residential Specifications: #Bedrooms_�,#Bathrooms�#People � Basement❑ Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats
. Square Footage(or Dimensions of Facility) �
Lot Size '�� `� Type of Water Supply: C�lCounty/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow(GPD) �� Tank Size I/o��AL.Pump Tank��AL.
i� �� � �.
Trench Width � � Max.Trench Depth � �o Rock Depth�� Linear Ft.t��
As stated in 15A NCA� 18A.1969,5�
Site Modifications/Conditions/Other: arrPnt�ri Cv�t�������T���� �,�s�
Contact the Davie County Environmental HeaIth Section-for final inspection of this system between
8:30—9:30a.m.on the da of installation. Tele hone# 336 751-8760.
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Appraisal Card Page 1 of 1
.� ,
� DAVIE COUNTY NC 7 29 2013 12.33:26 CM
ARDNER MICHAEL W GARDNER IOYCE M Retum/Appeal Notes: ES-000-00-00401
130 STONE MEADOWS LN � � � UNIQ ID 6230
2531483 , ID N0:5843087890 �
COUNTY TAX(100),FIRE TAX(100) fARD NO.1 of 1 �
eval Year:2013 Tax Year:2013 LOT 1 GARDNER S/D 2.358AC 2.030 AC SRC=Inspection s
raised b 19 on 03/08/2030 03003 CEDAR CREEK TW-03 C- EX- AT- LAST ACfION 20130617 n
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE �
oundation-3 E� B�E StandaM 0.0300 . p
ontinuous Foo[in 5.0 US 0 Area UA RATE RCN EYB AYB REDENCE TO MARKET m
ub Floor System-2 F
lab on Grade-Residential/Commerclal 6.0 DI 01 3 118 103 72.10 2760 01 01 %GOOD 97.0 EPR.BUILDING VALUE-CARD 220 78
� Merior Walls-21 iYVE:Single Family Residentlal Single Family Residential EPR.OB/XF VALUE-GRD 5,04 �
ace Brick 34.0 MARKET LAND VALUE-CARD 43,52 =
STORIES:1-1.0 Story OTAL MARKET VAW E-CARD 269,34 �
ooFlng Structure-03 r.
able 8.0 �
ooFlng Cover-03 � OTAL APPRAISED VALUE-GRD 269,34 �
halt or Com ositlon Shin le 3.0 OTAL APPRAISED VAIUE-PARCEL269,34
nterior wall Constructlon-5 .
walt Sheetrock 20A �' � OTAL PRESENT USE VALUE- �
nterlor Floor Cover-12 � PARCEL
ardwood 10.0 � OTAL VALUE DEFERRED-PARCEL
ntedor Floor Cover-14 �sT � us�� OTAL TAXABLE VAWE-PARCEL 269,34
a et 0.0 i���*'% ir ;�;R.; ir
eatlng Fuel-04 . � e az� � PRIOR
IedNc � �1.0 BUILDING VALUE 233,00
eating Type-SO BXF VAIUE
eat Pum q.0 ND VALUE 43,52
ir ConditioNng Type-03 ' � PRESENT USE VALUE
entral �4.0 DEFERRED VALUE
Bedrooms/Bathrooms/Half-Bathrooms OTAL VALUE 276 52
/2/1 12.00 �
droom5 ��
AS-2NS-OlL-O �� �� '
"�.�c.R+�" VERMIT
throoms 3� CODE DATE NOTE NUMBER AMOUNT a
AS-2 FUS-0 LL-0 ._ at s �
Ha�f-Bathrooms ROUT:WTRSHD: ro
BAS-1 FUS-0 LL-0 SALES DATA '
m
S�0 FUS-0 LL-0 �� (E�'. 31 �. r"�R'� ;�� RECORD ATE EE SA 5T o
OTAL POINT VALUE 307.00 BOO PAG M R TYPE PRICE o
BUILDING AD7USTMENTS 0734 039 10 00 WD Q V 7300 0
ise 3 Size 0.910 x� 0816 910 1 Ol WD E V �
ha e Desl 4 FACTOR4 1.050 S � • s� 0634 344 11 00 WD C V o
u t�•oRr s � .
uall 3 AVG 1.000 � i�� � z o
OTAL AD]USTMENT FACTOR 0.96
OTAL QUAIITY INDEX 30 NEATED AREA 2,360
Click on image to enlarge Nores
� 10-NEW SFD
SUBAREA UNIT ORIG% ANN DEP % OB/XF DEP
TYPE GS AREA % RVL CS ODE DESCRIPTIO LT H N VRICE COND LDG L B AYB EVB RATE V COND VALU
BAS 2 36 10 17015 10 ON PAVING 2 8 1 60 3.5 011 011 5 9 504
GD 682 04 2213 OTAL OB XF VALUE 5 04
OP 35 03 894 �
ST 8 04 230
US 59 OS 2127
FIREPLACE 4-2 S[ory Single/1 Story Z 80 _ .
Double
UBAREA 4,06 27,60
OTALS
UILDING DIMENSIONS BAS=W20W46537E1053E13N4NSE3055E15N36Area:2,360.0;FOP=N12W17512E1�Area:204.0;FGD=W22533E22N31Area:682.0;FOP�E30N5W3055Are
a:350.0•UU5=E42N13W38N13W4511513Area:590.0•UST=WBS10E8NIOArea:80.0•TotalArea:4 066.0
� NDINFORMATION
TIiER ADJUSTMENTS TOTAL
IGHEST AND USE IOGAL FRON DEPTH/ LND COND ND NOTES OA LAND UNIT WND UNT TOTAL AD]USTED LAND LAND
EST USE CODE ZONINCa TAGE EVT SIZE MOD FAR RF AC LC TO OT TYPE PRICE UNITS TYP AD)ST 'UNIT PRICE VALUE NOTES
URAL AC 0120 348 0 1.7390 4 1.3700 +30+12+10+OS+00 PW 9 000.0 2.03 AC 2.38 21 438.0 4351
OTAL MARKET LAND DATA 2.03 43 52
OTAL CRESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parce1=E50000000401 7/29/2013
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_ �L� SITE EVALUATION/IMPROVEMENT PERMIT & ATC
�; � �, � Davie County Environmental Health
' •r 2 '���� P.O.Box 848/210 Hospital Street
` � 2
�� , ��,e • Mocksville,NC 27028
i,,� 'y.�� ��� (336)753-6780/Fax(3 )753-1680
� ��p��`�nE����yyT1
Ap licat on k��.�i valuation/Improvement Permit Attthorization To Construct(ATC) ❑ Both
Ty e of Ap ' ion: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility
��
*�*IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORI�IATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION LL �� K-'
Name to be Billed it/��-.n�.�yT�:rG�"�� (.-�� .�✓�• Contact Person ��l;�y �� �{(,�XJ�.':.'��r'
Bilking Address �jC�� S��{lo /1/���c��� /5 U Home Phone_�j�,•- :=�'�j- '�S r�
City/State/ZIP_�,�,;�i,';,i���•z.,,, /1/_L", Z�Z�'S— Business Phone 3 3�,-- ����j �-- ;j Zv ,�
Name on Permit/ATC if Different than Above ' � �il/��
Mailing Address �T City/State/Zip
PROPERTY INFORMATION *Date House/Facilit Corners Fla ed .2 23 ��
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan OPlat(to scale)
(Permit is valid for 60 months with site plan,no expiration with complete plat.)
Owner's Name��;,�c G ����ce ��tl�.�'E�.' Phone Number 3�(A-y�-�l�l�
Owner's Address City/State/Zip
Property Address City
Lot Size �.;3 Tax PIN# ,� �
Subdivision Name(if applicable) Secti/on/Lot#,
Directions To Site• � � �,� ` � --
/:�-,�.t i 3'�6s� c� T :.t c���.✓e K;�`:c{�` •�i � c�c: l��i
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If the answer to any of the following questions is"Yes",supporting documentation must be attached: �
Are there any existing wastewater systems on the site? Yes ✓No
Does the site contain jurisdictional wetlands? Yes v2�10
Are there any easements or right-of-ways on the site? �es No
Is the site subject to approval by another public agency? Yes ✓No � '
Will wastewater other than domestic sewage be generated? Yes ;�No
IF RESIDENCE FILL OUT THE BOX BELOW
#People #Bedrooms �L #Bathrooms c�1� Garden Tub/Whirlpool C�es ❑No
Basement: ❑Yes C1�'1Qo Basement Plumbing: ❑Yes L�3Qo
IF NON-RESIDENCE FILL OUT THE BOX BELOW
Type of FacilityBusiness Total Square Footage of Building #People
# Sinks #Commodes #Showers #Urinals
Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: #Seats �
Type system requested: L7C;onventional ❑Accepted ❑Innovative ❑Alternative �Other
Water Supply Type: Q'County/City Water ❑ New Well ❑Existing Well Q Co}nmunity Well
Do you anticipate additions or expansions of the facility this sysfem is intended to serve? ❑ Yes C�o
If yes,what type?
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand'
that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use
changes,or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized
Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable
laws n�rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and
loc i and fl� ' staki he house/facility location,proposed well location and the location of any other amenities.
Site Revisit Charge
P rty ow�ier's or owner's legal repr^sentative signature
� Date(s): �
�'ZL " ��'/�-� Client Notification Date:
Date EHS:
Sign given ❑Yes ❑No Account# �c�
Revised 11/06 Invoice# ���
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N 85°29'12"E 100.00' R�
S 84°20'26"E 247.8' .\� —
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- '�~ =� �--�'' '� E EV�LUATION/IMPROVEMENT PERMIT & ATC ,b���
�; vie County Environmental Health n �1�
�,��� � .O.Box 848/210 Hospital Street V"�� t� ��
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� Mocksville NC 27028 � �
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; �p,�.j� �751=8760/Fax(336)751-8786 Ul
t c``t,McN��N y , . /
Applicati'` For: �i,��C%'a` 'on/Improvement Permit ❑ Authorization To Construct(ATC) [�Both ,
Type of A lication: ew System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility
***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
r
Name to be Billed� ► �ti Contact Person i,r.�
Billing Address 6 l, Home Phone 36 7?� �DO
City/State/ZIP �,.v��/�,�, ,JC� d 7�t17 Business Phone ,�(o ( —�� 7 L�►
Name on PermidATC if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged � �''�Ol
NOTE: A survey plat or site plan must accompany this application. Included: � Site Plan ❑Plat(to scale
(Permit is valid for 60 months with site plan,no expiration with complete lat.)
Owner's Name .�� �� � �J� Phone Num er q 'u�c� ��--G
Owner's Address �{ ' ` Ci /State/Zi 0�4S�i •�'"d-
tY P �?s2 �
Property Address [.� � ,��`��,�r� � � City �,�Lksui' � .C ,
Lot Size �A-c��— Ta P # S�U /a�'l 7 Fl`3� �I`� I � ���
Subdivision Name(if applicable) Section/Lot# /
Directions To Site: � st Kr �-ii ,./ L lt�% �� ��-o�el
�C ' — � S, " l�. �''" se -- L�n,r/' �Z S,a� ►�•r��-
f the ans er to any o the following questions is"yes",supporting documentation must be attached.
Are there any existing wastewater systems on the site? ❑Yes �To
Does the site`contain jurisdictional wetlands? ❑Yes [�io
Are there any easements or right-of-ways on the site? ❑Yes�No
Is the site subject to approval by another public agency? ❑Yes ��io
Will wastewater other than domestic sewage be generated? ❑Yes o
i IF RESIDENCE FILL OUT THE BOX BELOW �
; #People '� ! �tf � #Bedrooms ��1�2)J�C�#Bathrooms�� arden Tub/Whirlpool Yes ❑No �
,
Basement: ❑Yes No Basement Plum i� es �o
� • IF NON-RESIDENCE FILL OUT THE BOX BELOW
Type of FacilityBusiness� Total Square Footage of Building #People_
#Sinks #Commodes #Showers #Urinals
Estimated Water Usage (gallons per day) _(Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: #Seats
Type systemrequested:. �Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type:T�lCounty/City Water . ❑New Well �Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes f .No ,
If yes,what type? �
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that -
any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if4he site is altered,the intended use changes,or if
the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative
of the Davie County Health Deparhnent to conduct necessary inspections to determine compliance with applicable laws and rules.
I understand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging
, or staking the house/facility location,proposed well loc�tioa and the location of any other amenities.
� . Site Revisit Charge
operty owner' r owner'�leg representative signature
Date(s):
Client Notification Date:
Date EHS: _
L
�� i
Sign given ❑Yes C�No Account# _ �h
Revised 11/06 � Invoice#
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n/f Trrr►oth�r Ea�or�' Heirs: . Tta 1�
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_,.-. Soil/Site Evaluation
APPLICANT INFORMATION I'ROPERTY INFORMATION
', Account #:'990004415 Tax PIN/EH#: 5841-08-7890.01,� �� /_ /,,,J�
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� Billed To: Tim Gardner Mike Gardner Subdivision Info: (i/?�
,�eference Name: Location/Address: Pudding Ridge Ro d-27028
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LONG-TERM ACCEPTANCE RATE O,Z,
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REMARKS• � �i u'�� ���,
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- corrsis�NCE -
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Horizon depth-In inches
Depth of f II-In inches ,
Restrictive horizon-Thickness and inches from land surface
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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-gaUday/ft2 DCHD OS/OS(Revised)
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�, - � '' � � ' " Davie County Environmental Health �
P.O.Box'848/210 Hospital Street
� Mocksville,NC 27028
(336)751-8760/Faz(336)751-8786
IMPROVEMENT PERMIT
Account #: 990004415 Tax PIN/EH#: 5841-08-7890,1d'1,c�1
Billed To: Tim Gardner M ke Ga_,rdner Subdivision Info:
Address: 6063 Willowmere Creek Location/Address: Pudding Ridge Road-27028
City: Winston-Salem Property Size: 5 Acres
Reference Name:
Proposed Facility: Residence
**NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An
Authorization To Construct a wastewater system must be obtained from this office prior to the
construction/installation of a wastewater system or the issuance of a building permit(in compliance with
Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to
revocation if site plans,plat or the intended use change.
,
Pemut Type: ew ❑Repair ❑Expansion Permit Valid for:,,B'S�Years ❑No Expiration
Residential Specifications: #Bedrooms � #Bathrooms�#People � Basement� Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Design Flow(GPD): U'W Type of Water Supply:�ounty/City ❑Well �Community Well
Site Modifications/Permit Conditions:
S stem T e LTAR
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Tax Map E-5 o IRs 359.56' rRs i�,� ' PB
n/f Mark A. Dellinger I .
/� RB 556 � PG 27 w � N 85°00'14"W ��i �
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w Part of Tax Lot 4.01 ►� o �Q, n/
� � o , Tax Map E-5 o rv � � � &
on r� 2.644 �cres +/- � � i , I � R�
'�5 Tax Lot 2 � � ; I
• Tax Mop E-5 1/2„ EIR re<i Existing i i ,
n/f Homer A. Jones �nd S s�o ne 60' Access & Utili Easement `
ond wife 4,g4B„ 1/2„ EIR tY � � I
Elizabeth H. Jones 899 E' Bent/Fnd Reference PB 8 � PG 325
RB 599 � P� 938 Reference PB 9 � PG 211 � i
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Tax"Map E-5 �
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� RB.,634-0 PG'344
eview Offtcer of Davie County, \
to which this certf�catton
y requirements for recording. \
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Tax Lot 52, Tox Map D-5 �
n/f Tmothy Eaton Neirs T�o Line
5 04 49'29"W
DB 35 � PG 33 3o.1s•
N 85°29'12"E S 84°20'26"E Tie �rne
247.80' N 84°20'26"W
100.OD' 1/2,� �IR F�d � 237.38'
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1&1/4" E1P (_„ � �"'�r � PK—Nail Set
6ent/Fnd ,
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N� � � i N 03°46'09"E-J
Branch/Wet Weather 6itch � � � 30.23'
- Lof � �� w " ' I
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W �
N N � j � I
� R�V� Q rv Part of Tax Lot 4.01 0-� � � i i '
. i. � � Tax Map E-5 o c° " � � I
N iv 2.358 Acres +/— � � i � •
v v inclusive of area � � Existing �
r*i w i t h i n S.R. 1 4 3 5 R/W � i � �0' Wateriine
� � Easement �
� � Reference:
�' IRS 359.56' lRs ' � ' PB 9 � PG 211
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o N 85°00'14"W ��� I
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m � � Lof 2 N 'm� Tax Lot 4
. o � o w ,�� �o i I Tax Map E-5
�, �! � Part of Tox Lot 4.01 w o �a, I n/f Debra L Lakey (
� � o Tax Map E—5 o nW, ' � I & J i l l C. B ro v a n
o : ' ' � ` RB 634 � PG 344
, r,j 2.644 Acres +�— . � i i
t � � �
. � i i
�E i R T�G� E xis tin9 i � �
� S 6j 4 ne t/2" E!R 60' Access & Utility Easement �
$s,�B�F Bent/Fnd Re ference P B 8 � P G 3 2 5 ; � I
Reference PB 9 � PG 211 � i I
� , , Existing {
' � 10' Water Line �
�N 07°17'49"E ' � Easement �
10Q.02' i ; Reference:
. ' � 374.56' � ��� Z PB � PG
/2" EIR Fnd N 82°13'06��Vy b �
Control Comer f---_. �/2" EIR Fnd � � ---------_
+� �i Existin ReferenCe pg 9 Contro! Corner m i I t-�o.�2� ���•9$'
t 9 � � PG 211 so.os�
Permanent Sewo e g � �� c�,f� � r���ne
NMP 9 ystem Easement�
-- �--- NMP i ; •-N 82°i 3'O6"W
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- � Tax Map E-5 `
' n/f Debro L. Lakey � �• �
' & Jill C. Brown � �
' . RB 634 � PG 344 ��
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