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167 Woodberry Trail Davie County,NC Tax Parcel Report Tuesday,November 8,2016 1 �Rt) LLI V%'OODBER ?y r= P L �-y _. .........:........_.:...:_._....--- ......................... ............ ._.............. ..................... .......... ..................... ............. ...........__ ............... .............. ...._...__.............--............................................................... ...:..... WARNING: THIS IS NOT A SURVEY Parcel�Irforination , `. Parcel Number: 'G70000000402 Township: Shady Grove NCPIN Number•. 5860204733 Municipality: Account Number: I - 72485250 Census Tract: 37059-803 Listed'Owner 1 �-:.. TALLEY.GERALD A : Voting Precinct: WEST SHADY GROVE Mailing Address 1: 167 WOODBERRY,TRAIL. Planning Jurisdiction: Davie County City: MOCKSVILLE- Zoning Class: DAVIE COUNTY R-A State NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No - Legal Description: 13.27 AC HOWARDTOWN RD Fire Response District: CORNATZER-DULIN Assessed Acreage: 13.02 Elementary School Zone: CORNATZER Deed Date: 11/1997 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001980690 Soil Types: PcC2,EnB,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 293290.00 Outbuilding&Extra 4610.00 Freatures Value: Land Value: 73300.00 Total Market Value: 371200.00 Total Assessed Value: 329390.00 Q PIS, All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to �OUN� N`"�r or arising out of the use or inability to use the GIS data provided by this website. too DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT J - **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) NAME PROPERTY ADDRESS La�1P '93��a DATE � LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: s No COMMERCIALSPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 'r 'l+lC, TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE l./rREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE."Q GAL. PUMP TANK GAL. TRENCH WIDTH : 2l ROCK DEPTH /; �� LINEAR FT. OTHER ,',t& REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY ZIA / **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) 634-9760. OPERATION PERMIT SYSTEM INSTALLED BY /Od' 14 QU �s r /J /tb� 001 AUTHORIZATION NO. Q) 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 FLNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 } � «y-��, : t f .1.. "' `N•'f= s ..'7rY, - .`S .", C s�Yni=. a�,-,.tK.P � ..i: Davie County Health Department —� ENVIRONMENTAL HEALTH SECTION 'V P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRICTION i (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** / AUTHORIZATION NUMBER NAME DATE NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION n. P COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRICT WASTEWATER SYSTEM **#NDTICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTIONIS VALID.FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI /✓ Davie County Health Department Environmental Health Section 2 3 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By f k,4 4A Mailing Address FZ $ Home Phone '7/67 ` 410 2 73y Business Phone `j/ O 766 Y-/G6 2. Name on Permit if Different than Above 3. Application for: General Evaluation $Septic Tank Installation Permit 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms Washing Machine No. of Bathrooms l� Dishwasher Dwelling Dimensions Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ PublicPrivate ❑ Community 8. Property Dimensions 7 2 G R k S Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes XNo If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date'issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: T 1)QN /, 6 r- r 0 N /fd ul,9 ,O7-4w14 1P0A,JO 0 PF ON PA 14 f-A L AN& • 60 ; 9 00 4; H e-1.4 T6 To R.41 t, Ff. ee . C 6 1- n r T A t.a,t,e, F t`NG k. �u v T I L y o u s of 4 S u -4L'A Y M,A.e X f,4S . AAkA VS A PPRo X I A 4 .T 4'-i- r �� /� �s 6Ae-il 7-v W-04001 -5 - 0 _0aos . This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BEZONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. /X 2. 1 DO NOT OWN the property. If you checked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of tI�e Davie County Health Department to enter upon above described property located in Davie County and owned by uI Cdr F_ AAL-S to conduct all testing procedures as necessary to determine said 'te's suitability for a ground absorption sewage treatment and disposal system. 6 -13 - 15- - - "-41 , ':&� DATE SIGNATURE DCHD(1193) • DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation NAME ��/�1�1 DATE EVALUATED ADDRESS _ PROPERTY SIZE PROPOSED FACIILTY ��l/9"re LOCATION OF SITE / i�Jrl✓��1s-yt/ �/�me�a L�`' Water Supply: On-Site Well b'___ _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L .4 Sloe HORIZON I DEPTH Texture groupelz Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence i Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: A LONG-TERM ACCEPTANCE RATE: 42 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 ;lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-V---.-y friable FR-Friable FI-Firm VFI-Very fine 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 3C--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 Ilorizon 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) LIAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■■.■..■■■■■■.■■■/■.Noss■■/..../...■.■..■■.■■■■■.■ mese■■■■ ■■■ie.■ ■■..//.....■/■e...e■■e..■■■.■....■■NeeeeesesseesiesssN.e■■ecNess■ ■■■.■.■■■■e■■e■o■■■.■..■e..■■..e�■■■■.e.■.■=.see■■.■■■eeeee■■■■■■ ■/./...■■N■ee■■■.■■.■.■■■.■e■■■e■■■e.e■■■e.. eee■..NN■■..■■.■e!■e■ ■.■........./....■../.■.......■...■....■./ee.ee■eeeeeeeee■eeeeeee. ■■./..■■■■■■e■■■■...■..■■■■e/■■■■■■■■■■■.■■.Nee■■■■■■■..e■ee■■■■■■ .......................................... ........ ............. ■■■.■.■■■■■..■.■■■.■■///.■■.//■■�Neseesec■■e��e■.iss.ec■see■■!■■ ■.■■.■e■■■eee■/..■e...■■/■■■■■.■ ee■eee■■.e.ee■....■.■eN■.■■■!e■■ ��■■t1��% EMI'EMEMOMMEiiiiiiiiiiiiiii%iiiNosiiiii ■■e■■■■■■■e■■■■■■■.■e■■!■■■eOeeeO■■■e■■!■■■■EN ■■■■.■H .!s■■■NE. ■■..■■....■Ne..■■■.e■■!.■■eee■eee■..■..e�..■=�"I'=iiiIN MEMi�'IN.�iii ■■■.■■■■■!e■■e.■■■■see■■e■■■■■!N■■■..e.. ..■ ■ ■eee■eee■eee■■.■■■.■■N■ee■NeeeeeeeeeNe.e■ee..eee■ .come■ .ee.eee.. ■■■e■■e.■■■eee■■■■■■e.e■■s■■■■e■Me■e■.■■.ee.eee.ee...■.�■■.■■.mom ■■■■■■.■■eO■■e■■■eO.e..e■■.e■e■ ■te■l.eNsee■eOlN■■!■■■cmc■ecce■ ■seeseeeee■■■e■eee■eeeeeeee■e■eee■eleee.ee.Neee ■ _ ■■■■■■■Nese■eee■!■■eee/■■ees..ee■■■■ ■Nee■/■!■■s■ eE■e■ ■E■Ees■■ ■■■■■■e■■.ecce..■■.■e■esc■■■Ne■..■ .�MEMOS.■!.■■..■■!■■■M■■■.■■■ ■e■eeeeee■■■■.■Nee.■■■!e■■■■■■■■e■=eee■■■.e.eHee■m.�■■■■.e■■ee■=■ ■./■.e.e■■■eee■.■ecce■e./e��e■e.e■■■e��e■e■■eee■.eee .ee■eeeee eee ■......N...■■..■e..■e../..e....�.e.■■■eN�■■e■uuss■■e■ceN■iOEM ■..■..e.......■■....■..■.e.o.■.■ l.EE.eE■ ■■ mo■N■■■!■■■■..om.■ ■■■.■s.■■N.sc.■s.sO■eN■■.■■■.ecs.css■secsss.s .s.■ ■■■mess■■! ■■■■■■■■■■■■■■■■■■■■■■H■■■■■■l11�■■■■■■■■■■■■■■■■■ MEN MEN ■■ee.eeeesee/■ecce.see..■■■■....��.■./■..■■..N.ii J mom OEM No i'iii �sia ■ese.eee.e■■tit■s■ccs■.ss..ee■■else■s.■.sslss■. 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Talley 828 Beauchamp Rd. Advance, HC 27006 Re: Site Evaluation Pamela Lane - 7 1/2 Acres Dear Mr. Talley: As requested, a representative from this office visited the aforementioned site on July 6, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this Office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd a ' Enclosure(s) S