118 Yankee LnDavie County, NC
Tax ParrPl RPnnrt
Wednesdav, October 12. 2016
WAK1V11V(J: 1'Hl� 1� 1VU1 A �UKVLY
Parcel Information
Parcel Number: M40000006601 Township:
NCPIN Number: 5736405411 Municipality:
Account Number: 82519740 Census Tract:
Listed Owner 1: WYRICK STACEE SPILLMAN Voting Precinct:
Mailing Address 1: P O BOX 738 Planning Jurisdiction:
City: COOLEEMEE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27014-0000 Voluntary Ag. District:
Legal Description: 1.126 AC CRAWFORD RD Fire Response District:
Assessed Acreage: 1.12 Elementary School Zone
Deed Date: 9/2012 Middle School Zone:
Deed Book / Page: 009010885 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
°P��°'�' Davie County—�
f
�ot,x�=� NC
0.00 Outbuilding & Extra
Freatures Value:
9700.00 Total Market Value:
14200.00
Jerusalem
37059-807
COOLEEMEE
Davie County
DAVIE COUNTY R-A
DAVIE COUNTY CZOD
COOLEEMEE
COOLEEMEE
SOUTH DAVIE
MrB2,CeB2
DAVIE COUNTY
4500.00
14200.00
No
AII data is provided as is without warranty or guarantee of any kind eithcr expressed or implied Including but not limlted to the
implied warrenties of inerchantability or fitness for a paRicular use. All users of Davle Countys GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and aIl clafms or causes of action due to
or arising out of the use or inability to use the GIS data provided by this we6site,
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AUTHORT?A�'IOIv NO: ��� �� DAVIE COUNTY HEALTH DEPARTMENT
; , ' " � Environmental Health Section
Perrriittee's" _ /' l � P.O. Box 848
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. �_1� �
PROPERTY INFORMATION (p� �— 9$
Name: �r C�� ���'� ..�` ',�''/� Mocksville, NC 27028 Subdivision Name: :�:� .S�
w Phone #: 704-634-8760 `� --��- "
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Directions to property: ��f�l�f ��� Section: �+ Lot. ..-�
AUTHORIZATION FOR
�o�� q8�
ENVIRONMENTAL HE,4'�TH SPECI?EY.ISI' DATE ISSUED
WASTEWAT'ER Tax Office PIN:# ����='- ��� _ I t � n
SYSTEM CONSTRUCTION �
1�, -�- S "�/ J�c�. �7�: ;
Road Name: � j�'• t Zip: �
***NOTTCE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALm FOR A PERIOD OF FIVE YEARS.
. ^�W . , � �C.�
. �i,' y � r _ _ . � �.. � � ., �� � . . . � . � - . . .. . , . . .. , : . . - . � �', � � ,
�k �; �,:" -�y° DAVIE COUNTY HEALTH DEPARTMENT . � � �-�
�` - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ��- ef —��
�. -� ! . ,��' a ,
Permittee s � :, ! ,�
,
Name: ,�'�'( c t'-��;� ,�* f �.�,,��fi��; �
_ t.,y, �`' �-
Directions to property: �' ��'i" � � "����
Il1�PROVEMENT
PERMIT
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t 1, ' ;� !`-�'��
Subdivision Name. ,. � -= � 6 ". t ���� ;? r� ° r�
• '°�t" ' : 'r'- �, �-1,,,�'' o
Section: � Lo[:: r� j=�� Cl�»
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1 �:� >, : �! -; y�;l� ��;
Tax Office PIN:# � P�"r"�' - �' �-' - 4� . r � -e
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,:�� �r`' ! ' �! Z�,.� p; � �',�''' '"''ti�
Road Name: _ �� 4% � s- � � t • Zi � � �-"y ��
**NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AiTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON must be obtained from this Department prior to the
const�uction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
—�q ***NOTTCE*** THI.S PERMIT LS SUBJECT TO REVOCATION IF SITE
�ti,f,� _�i �,Q �/��� �~c�+ f PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRON ENTAL H A • DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE
INSTALLING T'I� SYSTEM.
RESIDENfIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS � # BATHS .�. # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE ��� ` TYPE WATER SUPPLY �- ' DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
% %�'� , ^ �i i
SYSTEM SPECIFICATIONS: TANK SIZE �`�� G� GAL. PUMP TANK GAL. TRENCH WIDTH S-f' ROCK DEPTH 'c�'� LINEAR FT. ��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**CONTACf 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
AUTHORIZATION NO. f �L� OPERATION PERMIT BY:
SYSTEM INSTALLED BY:
��
1 a° e�'� �
.. �
_�� 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 OS/96 (Revised)
' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &
//�'" ,•�, � ' Davie County Health Department
. ` , � Environmental Health Section �
P.O. Box 848 �
Mocksville, NC 27028
(704) 634-8760 � �
�!��s� 1
,,.
�
,, . .
...
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSEIYI�NI:ESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed f� ��� ���,LL�a'N Contact Person ����-�'�
Mailing Address �� ��38 Home Phone a g�"— °2� ��
City/State/Zip l��i�� � �� � � C �� � � Business Phone �`'�' — �'�� �
2. Name on PermidATC if Different than Above
Mailing Address . _ i- � � City/State/Zip
3. Application For: Site Evaluation [�mprovement Permit & ATC [] Both .
4. System to Serve: [] House (/]' Iobile Home [] Business [] Industry [ J Other '_
5. If Residence: # People # Bedroom �# Bathrooms -2 [] Dishwasher [] Gaztlage Disposal
[ ] Washing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing �� �
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers "
If Foodservice: # Seats Esdmated Water Usage (gallons per day)
7. Type of water supply: [� unty/City [] Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve7 [] Yes [] No
If yes, what type?
r3�������
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'!1�,��t�.T OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: i WRITE DIRECTIONS (from Mocksville) TO PROPERTY
�
Tax Office PIN: # 5 � �J � _ �{" 0 � 4' � �P '
_ �
Property Address: Road Pfiame 0� �`Z rC.w ;
City/Zip D�is �l l��-� o���� i
If in Subdivision provide information, �s follows: �
�2 �,wv � (,� h+s ;
Name: ,
�
Section• Lot #• �
i
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter aze
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
ve of t �e Davie County Health Department to enter upon above described property located in Davie County and owned
by I.��C.u. C� rn ►u�.
DATE �-" � '- ��
Revised DCHD (06-96)
all testing �cedure� a� necessary to determine the site suitability. �
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+- -• DAVIE COUNTY HEALTH DEPARTMENT
�� • Environmental Health Section SECTION � LOT '�
� � SoiUSite Evaluation
�
APPLICANT'S NAME
PROPOSED FACILITY /,��j!
SUBDIVISION e',.�1'U � �
Water Supply:
Evaluation By:
FACTORS
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
HORIZON II DEPTH
Texture group
Consistence
HORIZON III DEPTH
Texture group
Consistence
Structure
IV DEPTH
Texture
Structure
On-Site Well Community
Auger Boring ' Pit �i'"
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
LONG-TERM ACCEPTANCE RATE
DATE EVALUATED
PROPERTY SIZE
ROAD NAME _
�-sy-�'
�/�C'
Public
Cut
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SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: r �/
REMARKS:
DCHD (01-90)
...:-; � ;
EVALUATION BY:
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
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
Moist
VFR - Very friable
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely frm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
Mineraloav
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 - gallday/ft2
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT' S NAME ` �
PROPOSED FACILITY
SUBDIVISION �/`�/ /U�C�i`it �
Water Supply:
Evaluation By:
FACTORS
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
HORIZON II DEPTH
Consistence
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
HORIZON IV DEPTH
Texture group
Consistence
Sttvcture
�
SECTION�� LOT �
�
DATE EVALUATED �!�! 9�
PROPERTY SIZE / �� �
ROAD NAME ��'.�- � �
On-Site Well Community Public ��
Auger Boring Pit � Cut
4 5 6 7
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
LONG-TERM ACCEPTANCE RATE
1 I 2 I 3
SITE CLASSIFICATION: �
LONG-TERM ACCEPTANCE RATE: '
REMARKS:
DCHD (OI-90)
i
EVALUATION BY:
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
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
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
Mineralogv
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 - gaUday/ft2