158 White Tail LnPazcel #: J80000001705A
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Parcel#:]80000001705A Account #:82517569
Owner Information Tax Codes
NIER SHIRLEY SMITH ADVLTAX - COUNTY TA
707 NC HIGHWAY 801 SOUTH FIREADVLTAX - FIRE TAX
DVANCE NC 27006
Pro e Information Townshi �
nd (Units/Type): 5.290 AC FULTON
ddress: 158 WHITE TAIL LN
Deed Information Local Zonin
Date: 04/2010 Book: 00823 Page: 0934
lat Book: Pa e:
Le al Descri tion PIN
5.357AC HWY 801 LIFE ESTATE 5778814054
Pro e Values
Buildin :
BXF: 8 22
Land: 43 42
Market: 51 64
ssessed: 51 64
Deferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQuai Impr
t 00565 0490 08 2004 WD Unqualified Vacant
� 00722 0738 07 2007 WD Unqualified Vacant
3 00823 0934 04 2010 WD Unqualified Vacant
View Prooertv Record for this Parcel View Mao for this Parcef View Tax Bill Information
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. Ail data Is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned pubiic information sources should be
consuited for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warra�ties of inerchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=762979 10/11/2016
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' AUTHORIZ�tTION NO. `� ���► DAVIE COUN�T Y HEALTH DEPARTMENT `���n�'�'�►�V �
.,' ," � , � �� .� I.�O�'�'T �( . �,1
- , � � onmental Health Section PROPERTY INFORMATION
Pe�mittee s, � ! P.O. Box 848 �� O i�/(%�{ 1�� �f�/ ��/V
Name: ��I `}�P+� ��!'J1�..a�-a .. �`=-- Mocksville, NC 27028 Suba�vision Name:
, ..
Phone #: 704-634-8760
Directions to property: �=�� 1.:. ��~ �d7i 1'`� , Section: Lor.
, " AUTHORIZATION FOR '
. �«.'�S`� ���vtJ� t;�. l t: �� � � k 7�,�;�" WASTEWATER .� � �, �e. PIN:# ' 1 �:1- � � _ S � �"%
�- SYSTEM CONSTRi1CTiON "A�'=r,� !�� �—��� ��
�i,%9 7i',�.� �1�, �.rl�h.11_.j;t7?��i i� ��„'�' � k+`�Q_mV�vl„r��,��H,/,T_,--�-�, '— '? t_'.���
Zip: !- �
**NOTE** This Authorization for Wastewater Sys[em Construction MUST BE ISSLTED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie Counry 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)
'"� ,' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
J�.�/ 9 r% IS VALID FOR A PERIOD OF FIVE YEARS.
�L HEALTIi`SPECIALIS � DAT� ISSUED
, �_
k � � a �. . ' � . ' . � � �..�! _ A.
'��" � . r',4���• � ` . �_ - . .. � ., . .. . .�� � ... � . . .. ' ��� � . �'- � � !',.+�^'�r�y f!
Y'Y�1 ` � �.` � .'�' ... .. '" . .. ' �. . . �$ � �r� %,�' �/l�f I �, /�. � . .
�-�� �✓7 } � � � r"° �� � VIE COUNTY HEALTH DEPARTMENT `�^4't��rm�'r+.��(�r, ���.�tJ �� 1�� ,
,.' ': tr y.,,;:=�; ` �� 1, L� �(� L' �p�Q���T AND OPERATION PERMITS:' PROPERTY INFORMATION
' Pe�uitt'ee',s��� `' ri } C� �.. � � `, �, 1 �' ;% �/U � 1 f "�� �r'� / ( L / � .
�- Name: '� ' �� :_- '� � �-a`� , : �r:.. Subdivision Name: �
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: �. f , ;
. Directions to ro ert : i�,�� t� ;, .'°`1.;� t"�; , -
p p y Section; Lot:
" �. � � IlbIPROVEMENT / �I Z,= �
.� p • �,,, � •: �: ! r�w £ •�,,'� . -• �: ._. �,r � PERMIT ; _ . ,: _ � _ ,� .
� " #�' ,�' a o Tax Office•PIN:# � rr s ,� t
, C . -- / %/
� � i:lA'�i;r� ��'°��" �+l�.1'i.ti..i"�/ii"�t "�, r !�'� -T if,�f �r'1� Y� li �%rff ��� ��� ��f���t��� t��:�f�ta L./� r""��' � .
.-, , ' L� Road Name �,. � Zip: ,�'c `�
**NOTE** This Impmvement Pernut DOFS NOT authonze ttie�constiuctaon or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUC'TION must be obtained from this Department prior "to the
construc�ion/'installadon 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)
. _ , , ,
�';' Kr �-',l
ENVIR01�[MENTAL HEALTH'SPECIALIST i D,
'� �._�..,,�-
***NOTICE*** THIS PERNIIT LS SUBJECT TO REVOCATION IF SITE
PLANS OR TI-IE INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE TI�.S PERMIT BEFORE
INSTALLING THE SYSTEM.
. .
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS r�_ # BATHS .��— # OCCUPANTS _;'�+ GARBAGE DISPOSAL: Yes �rNo�,1
COMMERCIAL SPECIFICATION: FACILTTY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE / ��"'��'fYPE WATER SUPPLY +_!..-�/ DESIGN WASTEWATER FLOW (GPD �'��'� NEW SITE �PAIR SITE
�./ 11
SYSTEM SPECIFICATIONS: TANK SIZE ��GAL. PUMP TANK GAL. TRENCH WIDTH �--�`{ /� ROCK DEPTH �� LINEAR Ff. ���.�_� !
OTHER � ,i�"i';'rE-I �,i� � t J � �-= �C� y
REQUIRED SITE MODIFICATIONS/CONDITIONS: ��"'� �! l� � C��r'•-� U� �j �� �`�-a � ��i��T t=-'�- �`'��t �d-� l' °1'`L- l.t.��-�.4---
IMPROVEMENT PERMIT LAYOUT
�,�i�t � �.�.�"".
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEt�LTH 1
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE D(�Y OF
OPERATION PERMIT
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FOR FINAL INSPECTION OF THIS SYSTEM
�N. TELEPHONE # IS (704) 634-8760.
AUTHORIZATION NO. / V! OPERATION PERMIT BY: DATE: 1�
**THE ISSUANCE OF THIS OPERATION PERMTT 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
" � ' Davie County Health Department
� ' Environmental Health Section
P.O. Box 848
Mocksville, NC 27028 '
(704) 634-8760
�����%�`' �� �
_ __�=�— ���a1
OCT 3 19�7
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED I T IS PROVIDED.
��.�����- ���
1. Name to be Billed ��/!y � 0� 'G�9/J ���' 'C�Q Contact Person �/✓ilf/� �� �-f1 A!I �0�
Mailing Address 3�c� �0 /v � �f w� �U % 'S , Home Phone � �� < ��- 53/'�
City/State/Zip � 1� il/�.� ./�' e- �-7oU � Business Phone7 7�Y �3�- �'�a0
2. Name on PermibATC if Different than Above �l0 t1�1 �S . LG�N� P�1' � 1/_ ( 7�-)'''�►'
Mailing Address �'Y�1 e QS �D f% City/State/Zip
3. Application For: [�-Site Evaluation �provement Pernut & ATC [] Both
4. System to Serve: [] House [�bile Home [ j Business [] Industry [] Other
5. If Residence: # People .3 -# Bedrooms 3 # Bathrooms� ishwasher [] Garbage Disposal
ashing Machine [] Basement/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 [�,}'�Vell [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [�]�P�o
If yes, what type?
'"'; EZTHER ft PLtIT OR SITE 1'LAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'�c�'.�a2lQ' OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: I� ���A � WRITE DIRECTIONS (from Mocksville) TO PROPERTI':
Tax Office PIN: # 5�%l� _$% _ Jo�� � y�1iy �P� �fi S'%� .�(E•�-� Dl� v
Property Address: Road I�ame �% {I/ � �0 � �QZt�% � 16� �6 � ����h %Q � /�1 3
City/Zip �I/Q/1�CC� /�`�- o27a0� ; p?N� tl ✓2Lc�e1 �/)�/ I�.��f f��
If in Subdivision provide information, as follows: ��.[_.J �d Il� s�, �fli /bax D/V �?�qh � hA.s
Name: � � c�%7� f) ll� �
�
�
Section: Lot #: ;
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 �JO h �l ,�• �-�t N��%2— J� . to conduct all esting pr�cedures s necessary to etermin� the site suitability.
DATE D 3 SIGNATURE �
�
Revised DCHD (06-96)
THZS �iREA MttJ 13E USEb �OR bRAIUZNC IjOUR SITF. Pt_AN:
t � y� y� �`'t' �.a�'r �`s {' ��
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5278
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Ths Devie County TaN Admi�istretor's
Oifics assumss no liability for any
inlonnBtion co�tained on this map.
Public informetion sourcee shoutd be
consulted for verific,tio� of
intormation.
' October03,1997 9:35 QM
� Pe�cel Identilication Ptumber
: s»e-e�•sz�a
._ , j '. :z � DAVIE COUNTY HEALTH DEPARTMENT
�, • Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME � 131-I� 1�-A� I� DATE EVALUATED �� �
PROPOSED FACILITY �" �� �flN�� PROPERTY SIZE I�C�.�S
SUBDNISION ROAD NAME ��Y RaI S
Water Supply: On-Site Well � Community Public
Evaluation By: Auger Boring Pit Cut_
FACTORS I 1 I 2 I 3 I 4 I 5 I 6 I 7
Slo e % r �
HORIZON I DEPTH p- 2 Q-
Texture rou C !
Consistence �
Structure S � c,�
HORIZON II DEPTH � -
Texture rou S
Consistence 5 F
Structure S � k 54
HORIZON III DEPTH -}
Texture rou C a
Consistence <
Structure �R
0
HORIZON IV DEPTH
Consistence
RESTRICTIVE HORIZON
SAPROLITE S S
CLASSIFICATION <
LONG-TERM ACCEPTANCE RATE U• D•
SITE CLASSIFICATION: PS EVALUATION BY: �� I���JC i�d��
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 clay SIC - Silty clay C- Clay
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very frm 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
Mineralo�v
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
DCHD (01 •90)
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