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1282 Yadkin Valley Rd (2)Davie Countv, NC . ' Tax Parr.Pl RPnnrt Wednesdav, October 12, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: 2ip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WAKNllV(T: TH1S 1S NOT A SUKVEY Parcel Information B700000�45 Tovmship: Farmington 5863551059 Municipality: 13312000 Census Tract: 37059-802 CARTER GLENDA S Voting Precinct: FARMINGTON 1282 YADKIN VALLEY ROAD Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 NC Zoning Overlay: DAVIE COUN7Y QD 27006-0000 Voluntary Ag. District: No 13.236AC YADKIN VALLEY RD Fire Response District: FARMINGTON 12.07 Elementary School Zone: PINEBROOK 4/1988 Middle School Zone: NORTH DAVIE 001420718 Soil Types: ApB,WeC,PcC2 Flood Zone: Watershed Overlay: DAVIE COUNTY 138420.00 Outbuilding 8� E�ctra 780.00 Freatures Value: 167820.00 Total Market Value: 307020.00 ° �'� Davie County, `'��N��' NC 200400.00 � . �, ; � _ � ; _ _ , . : � ,. , -� r�, , . - - • ° ���... .� , . , ., _ , _ , .: , �. � , ,,;:. , . �1�%�d i� �K,� ._ :a �U�Hi)RIZATION NO: � 0$ � 9 DAVIE COUNTY HEALTH DEPARTMENT . ,_, - . Environmental Health Section PROPERTY INFORMATION Permittee's fy �e �� j/ P.O. Box 848 ��'r/ �,..�r Name: ,C�/% � � C�r Mocksville, NC 27028 Subdivision Name: ' f r� � Phone #: 704-634-8760 Directions to pioperty: � i/� ��� �% Section: Lot: AUTHORIZATION FOR p/ WASTEWATER Tax Office PIN:# � C �, �- �� - !'� � SYSTEM CONSTRUCTION Road Name:��� ''' Ci.l�� iP �� � �t� **NOTE** This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forn�/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) HEALTH !-� � � ''� -'� CIALIST DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION , IS VALID FOR A PERIOD OF FIVE YEARS. ._ , . , � �� r.: , . , -�>,. �y, , a , > .. , ,. , . , , . .:,.f . ,. �. . , .. - .. _. . , . ,, ,, �, � � . ` , : , , : . � i�.), a " _ � '� �� '� � �f � �+ ` DAVIE COUNTY HEALTH DEPARTMENT t `�+'`��, � �« IMPROVEMENT AND OPERATION PERMITS t ,,,, } � ,^ ��._ : �-.._ , � - ,1 y' PROPERTY INFORMATION Perriiitfee s`. � M �.- ,�'� /� ,f. ��..-�� ' • ` Name: � 'c' ��''"t l'l f �''� . r� � ;'t" • � � ' � Subdivision Name: «, _ ,, ; Directions to property: !i' �' r�!�-�f!f':-� ,'' r� _�ection: Lot: / Il�IPROVEMENT ' , ' - PERMIT � ,. ,� f `� �. `.�c Office PIN:# ���r :.�- � -� _ �:� ` Road Name: .�z c:�, ' 1 �+Mt � t i:. �a<�:_ • i ; �) , �'Lip: '^•— �� �t� **NOTE** This Improvement Pernut DOFS NOT authorize the consttuction or installation of a septic tank system or any wastewater system. An AU'THORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON 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*** TI-RS PERNIIT IS SUBJECT TO REVOCATION IF SITE f•�,c, ,� ,t ' ,",� ,r f r:).F t,' /'! �',,/�','',;�� PLANS OR THE IlVTENDED USE CHANGE. YOUR WASTEWATER 20NMENTAL HEALTH SP CIALIST � DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE i INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �,� # BEDROOMS .� # BATHS _L # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY �_ DESIGN WASTEWATER FLOW (GPD) ��, f� NEW SITE L.� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ��" GAL. PUMP TANK GAL. TRENCH WIDTH .�1� ROCK DEPTH �_ LINEAR F��Z OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT � **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: _-�� �n �► �� � � r, � �� �loc� s � ,i�.1oT �- '��, �, F2�n� Y AUTHORIZATION NO. �_ OPERATION PERMIT BY: cJ►�-1�'i— ��'�Pi�i DATE: l�0 W **TI� ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT Ti� 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) ��� 7' APP�.ICATTON FOR SITE EVALUATION/IMPROVEMENT +'� ' Davie County Health Department � Environmental Health Section P.O. Box 848 Mocksville, NC 27028 � (704) 634-8760 p �-�-� o�� F� 1��1AY 1 3 1997 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed l�1 G I'tc�� �. � C"'�� � Contact Person �a'���t��- `,�� �e� Mailing Address ���� j rz �i GC� 1 �ri� l i�e U� oc: �; ( Home Phone � GI �`�`1 4�a City/State/Zip �'�U �� c',b '� C �.'� v a 4' Business Phone �'� 2. Name on PermidATC if Different than Above "— Mailing Address 3. Application For: [] Site Evaluation City/State/Zip [ ] Improvement Permit & ATC 4. System to Serve: [] House [ij'1C�obile Home [] Business [] Industry [] Other [ ] Dishwasher �c �arbage Disposal �}'$oth 5. If Residence: # People�_ # Bedrooms_� # Bathrooms�_ [�}�TJashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type �—� # People �--- #Sinks — # Commoc�cs--- # Showers _— # Urinals -- # Water Cooler-s- If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [ ount City [] Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes (�o If yes, what type? EZTHEIz tl YLf1T OIZ SZTE PLt1N PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** 1�c�'OF THE PROPERTY MUST BE SUBMITTED WITH T,H�S APPLICATION. Property Dimensions: �� .[_"�2�. � WRITE DIRECTIONS (from Q locksville) TO PROPERTY: i e.ris�' Tax Office PIN: #� - J� -%D .5 � �,� ri Q.' �"a �Cci (� na P_a<<� o r. i, t�f ��.ti Property Address: Road Name I G�i�i i n Ui4-��r�� %c� �f ��`� %;� 1 e.y� �� � D l '�1 �� (` i�, �Si' City/Zip fti�UO�lcr �1%G v"Z 7 6 d C� ; � � +a e _ - �f- � -i- If in Subdivision provide information, as follows: � / c � f ��- o ��•� `� Name: ;� o ct s� -� ti i R: r' v w �� � �.sJ �'t i`fr _ � � Section: Lot #: ;�q p r r! �� � r a Q�1 - — 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 CJ'� 11 � �_ ��:� r'�r✓ to conduct all testing procedures as necessary to determine the site suitability. DATE -�- � 3 -�'/ '`7 SIGNATURE .�f" -�t .,�J- �r�'2��- Revised DCHD (06-96) THZS AREA �1A� $E USEb �OR b1ZttNINC� �OUIZ SITE YLAN: � ;.� �> � ' . . ,. { ✓ � it , � ' , . � , � " .:i. .. �. ' , , . ' � � ' ; granite monument� � � ./!� . i� ' , ; / ,S 03° 05',02 � W ` . _ : . ,- , ,.' r I 12:05 � � �! ��, � � � , ,., � �� . �i � S 67° 27� 15�� E new : iron 208.62 ;:, , i , I ' �- '��.E ;=,ROY HOWELL;_' : ; (BY ;WILL ) . NN�. F�° �A,,�. N 03°05� 02�� E ? � (238.82 total ) , : ;. � , � .� ,. .- � , � : placed iron on I�ne ezisting iron _---- �g' paved y 9 , 'i 'i 3.`i,� . . . , I ; ... . , . .. . . . . . . . I�� , � �. . � l; � ' � .., f ��.�,�' ' ` Y � { i )�. 4 ,. . S 67° 24�:40��,E'. , ezistinq '° 190'. 00 iron S 10° 00 00'� W 229.52 � t ARE = I.00 ACRE �. AREA=�O P/0 . B. 58 P. 588 :D.6.� 99.' I1 .39 existing ., ,/ iron ' /' 178. 92 �� _.---- N 67° 49 03�� W - YADKIN VALLEY.ROAD - S.R.1452 � . \ . . . � . �. . .. . . �. ' ' ' � '" � ` DAVIE COUNTY HEALTH DEPARTMENT ;. . ' Environmental Health Section SECTION LOT SoiUSite Evaluation APPLICANT'S NAME G��C ��r� DATE EVALUATED 5��0��7 PROPOSED FACILITY ��f,� PROPERTY SIZE /!9G SUBDIVISION ROAD NAME ���I /�,. v- Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut_ SITE CLASSIFICATION: ""� EVALUATION BY: � L�c �� LONG-TERM ACCEPTANCE RATE: '� OTHER(S) PRESENT: REMARKS: 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 day 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 Mineraloev 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fll - 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 DCHD (01-90) ■����■��■■■■■���■ ■■�■�■�����■�■■�■ ■■■■■■�■■��■�■��■ ■�■■■�■■��������■ ��������������� ■�■�■■■■■�■����■■ ■■��■■���■��■■■■■ ■����■�■■■������■ ■����■��■■�■�■��■ ■■■����■�■■■�■��■ ■■■�■�■■��■■■■�■■ ■■■�■■■■����■■■■■ ■■����■��■��■�■■■ ■����■�■�■����■�■ ■■�■�■�����■�■■�■ ■��■■■■■■����■��■ ■��������■�■■■��■ ■�■■■�■■�����■■■■ ■�■���■■■■■�■��■■ ■■■�■����■■�■���■ ■����■��■■���■■�■ ■■■■�■ ■����■ ■�■�■■ ■■■��■ ■��■■■ ■���■■ ■■■■■■ ■■ ■�\■ ■■■■ ■■�■ ■■■■ ■■ ■�■����■�■■�■�■■■■■�■�■■■■■■����■■ ■�■■�■■■■������������■����■��■■■�■ ■����■ ■■■■■■■■�■■�■�■■■��������■ ■■■��■���■��■����■��■��������■��■ ■■■■■■■�����■����■��■���■■�■■���■■ ■■■�■■■�■■��■���■���������■■■���■■ ■■��■�■■■■�■■■■�■■■��■■■■�■���■■�■ ■���■■■�■■■■■■■■■��■■■■���■■�■■■■■ ■■�■���■■��■�■�■■■■���■■■����■���■ ■��������■■■■■■■■■�■■■���■■■■■■�■■ ■�■■������■����■■�\��■■■������■�■ ■■�■�■ ■����■■■■■■�■■■■���■■�■�■■ ■�■�■■��■■■�■�����������■■�����■�■ ■■■■■■■■■■�■�■��■�■�■■■�■���■�■■■■ ■■■�■■■■■��■����■��■■■■�������■��■ ■■��■��■■■������■����■�■■■�■�■■■�■ ■��■����■�■■■■■■■■■■■■■������■��■■ ■��■���■����������������■■■■�����■ ■�■■■■ \���■■■■■■■■�■■■���■�■■■■■■ ■�■��■ "J■■�■����■������\��■■���■■ ■�������■■■�■������■�■��■■��■�■■■■ ■■■■■■�����■�■■■■■�■■■���■■■�■■■■■ ■������■■■■■�����■����■■�■■������■ ■■�����■■��■���■■■�■��■���■■�■���■ ■■■■■�■■■�■■�■■■■��������■■■���■�■ ■��■�■■■��������■���■■���■��■�■■�■ ■��■�■�■�■��■�■�■■�■■■■■���■�■■�■ ■■■■�■ ■■■�■�������■���■■■�■���■■ ■�■■�■■��■��■■■■■��■�■����■■■■■■�■ ■■■�■■��■��■■■�■■�■■���■��■■■�■■�■ ■■■■■���■���■■■■■��■��■■��■■�■���■ ■■�■■■■■■��■��■■■��■�■■���■■�■���■ ■■�■■�■■■�����■■■������■�■■��■�■�■ ■■�■■■P1■■��■�■■■■�■���■■�■��■�■■�■. ■��■��L`��■■��■���■■�■■■�■■■■■���■■ ■��■�����■ ■���■�■��■ ■■�■��■��■ �■■����� ■��■�■ ■��■■■���■ ■■���■��■■ ■\��■�■■�■ ■i��■■�■��■ ■I������■■■ ■■■■■■ ■��■■■■�■■■�■■���■■■■ ■■�■�■ ■���■■■�����■■�■■■��■ ■�����■■�����■■■����■■�����■■ ■�■■�����■■■■����■■■���■■■��■ ■�■�■■■����■■■�■���■■�����■■■ ■�■ ■■■■■�■ ■���■■■ ■■�■■�■ ■■■���■ ■�■��■■ ■��■■■■ ■�■■■�■ ■��■■■■ ■■■���■ ■■�■ ■■■�■■ ■��■■■ ■����■ ■��■■■ ■�■■�■ ■�■��■ ■■■��■ ■���■■