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115-155 Workmans Way
. Davie County,NC • Ta�t Parcel Report (��� Tuesday, October 4,2016 I � � � �- ti Y' U �T---�------ � �/ I -._—__y_~--,1 Y� 168 170 � Yy 115 155 `-- 162 � � � F- Q 565 U � ~f� 469 Y 527� J�� O ' � H�wARor w �s�1 ��j f �� �1(f�Q 1l 575 �L ; , •1 ,; �� ; " ---��� `' :' - -- f -------- ---- WARNING: TffiS IS NOT A SURVEY . . ,�_ _�., � �:. ._ __ _� � __ - � - � - ., _ .. � ._. . _ . , k_ ParcelInformation , Parcel Number: G70000000502A Township: Shady Grove. NCPIN Number: 5860310726 Municipality: Account Number. 81006150 Census Tract: 37059-803 Llsted Owner L• WORKMAN RONNIE W Voting Precinct: WEST SHADY GROVE Mailing Address 1: PO BOX 318 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0318 Voluntary Ag.District: No Legal Description: 5.46 AC N OFF HOWARDTOWN Fire Response District: CORNAlZER-DULIN Assessed Acreage: 5.41 Elementary School Zone: CORNATZER Deed Date: 3/1996 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001860359 Soil Types: PcB2,EnB,RnD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 28460.�0 Outbuilding 8�Extra 14690.00 Freatures Value: Land Value: 53370.00 Total Market Value: 96520.00 Total Assessed Value: 96520.00 9 Am Iy�, All data Is provlded as is without wartarrty or puanntee of any Idnd either exprcssed ar Implkd Including but nM Iimited to the Davie County� implled warrantles of inereMa�Mabllity or 1ltneas for a particular usa Aq uaers of DaWe County'a GIS webske shall hold harmless the Cou�Ry ot Davle,Nath Carollna,its agerrta,conwltarts,eontradas or employees ftom any and aY daims or auses of aetlon due to �p�N,� NC or aAcing out of the uu w Inabitlty to use the pS data provlded by this website. .�v--:,. ....;�.v;r� , ..+�,-.,i t ...a,�".��, r;.-dY�t_ t,,=- - ,.. . ,r . 'o. F .,y .. . .. .. , � � �. ., . . .. , _. ; .,. _ . .. . .. - . - . . ., ,,:. .�. �. . :. . -r�... �,� . . _. . �- • . . . , � ...-. .� . � . . :. .. � . . ,. . � - . _ - .. . ..__ . . .. . . . . � ... � ��.✓ .,, . _ /_n^� . 7/(/ • • 'w\ . DpVIE CDUNTY FIERLTH DEPARTMENT +�=. _..:t; IM�ROVEh�IT PERMIT and OPERATI�N PERMIT ` _ . r. I�ROVEMIENT PERMIT �*I�ITE�+� This i�prove�ent per�it DDES NOT:authorize the canstrurtion or inztallation of a septic tank syste� or any NasteNater syste�. AN AUTI�RI2ATI�1 FDR IiR5TENflTER 5Y5TEM CDNSTRUCTI�1 �ust be obtained fro� this Depart�ent prior to the ; construction/installation of a syste� or the issuance of a building per�it. tIn co�pliance Mith Rrticle il of 6.S. Chapter 130A, NasteNater Syste�s, Section .1980 Sewage Treat�ent and Disposal Syste�s) , .^ i NA� ��//' � PR�ERTY ADDRES5 __�1�: c K���«� �R�- 2�0010 DATE �� i'�: LOCATION ./��` TFI/ �CG'l9/ �: L'�c i` , r 5UBDIVI5IDN NAME LDT t�ftJMBER 5EC./BLDCK MJMBER } } RESIDENTAL SPECIFICATI�1: BUILUING TYPE,�,� � BEDRQOMS� # BATHS ,� 1 0(�ANTS ,,�, 6ARBA6E DISP�AI.: Yes/No �i ; C�RCIf� 5PECIFICATIOM: FACILITY TYPE # PEDRLE � PEDF'LE/SHIFT � 5EflT5 INDU5TRIAL WA5TE: Yes/No ',� ' LOT SIZE _;�� TYPE WATER SI�L.Y ��� DESII�J NASTENATER FLOW t6PD) � 1�1 5ITE 1�REPAIR 5ITE r �, � SYSTEM 5PECIFICATIDNS: TANK 5ITE �6FlL. Pl� TRFM 6RL. TRENCH WIDTH � RDCK DEPTH .�� LIF�AR fT. OD � OTHER ��.l.r.tt v��� , REQUIRED SITE MODIFICATIDNS/CONDITIDNS: #+�*TNIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLAN5 OR TF� INTENDED USE CHANGE. YDUR WASTERWATER SYSTEM CONTR�TOR b�1ST SEE TNIS PERMIT BEFORE INSTALLIN6 THE SYSTEM. _ _ �f `/ 0 ,' �!� � X ' !�` A __ .�! ""°,...'" F IMPRDVEMENT PERMIT BY �'!� ��CONTACT A REPRE5ENTATIVE OF THE UAVIE COINJTY HEALTH DEPARTI�IT FOR FINAI. INSPECTIDN � THIS SYSTEM 6ETWEEN 8:30-9:30 R.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION, TELEPH01� # IS t704I 634-8768. , OPERATION PERMIT SYSTEM INSTALLED BY , � � �° /.�s T ,l..''"�� . � ��,� ., - AUTHORIZATION N0. 7� DPERATION PERMIT BY DATE ' �*THE ISSUAt�ICE OF THIS OPERATION PERMIT SHALL INDICATE TFWT THE 5Y5TEM DESCAIBED ABOVE I�S BEEN INSTAl1.ED IN COMIPI.IANCE WITH ARTICIE 11 OF G.S. CHAPTER 130A, SECTION�.19� "�'iE TREATMENT AND DIS�OSAI SYSTEMS", BUT 5HALL IN NO WAY BE TAKEN AS A 6't1ARi�iTEE.THAT TF� SYSTEM WILL FI�ICTIOM SATISFACTORILY FOR flF1Y 6IVEN PERIOD � TIME. . DCHD 10/95 . l� �� 2"� k��;, a4 Y� , ,a '' �: �; . , j �� �« . ' �r°��....�; ��,_^� ` Davie County Health Depart�ent ; � ' __ � .�.�"',�%3�` ` ENVIRIN�IMEN7RL HEALTH 5ECTI0�'-� ,�+� '4� �"' � P.D. Box 665 " " {� 'i'' Mocksville, N.C. 27028 � � �,�;� _ , AUT}IDRIZATION fOR WA5TEI�qTER SYSTEM COFl5Ti�1CTI0�1 ' �U . ;i lIsaued in ca�pliance with Arti�le 11 of • ".j G.S. Chapter 1"sQ�R, Wastewater Syste�s) , ? +�+��This Ruthorization For Wastewater 5y�ste� Construction �ust be issued by the Davie County Environ�ental Health 5ection prior to �" � � issuance of any @uilding Per�its. This Fr,r�/Authorizatian Nu�ber should be pres��d to the Davie County Building Inspections ` j Dffice when applying for Building Per�its.+�+� NWE �'7��1°// ��lKi�j�,� DATE � �� �AUTFqRIZAaTI� �9ER , NRIE ON IIQROUEl�NT PERMIT iIf different than above) ��. ti 5ITE LOCATI�1 �///'� Ti4t- � r��-LF � : COl1�NTS/[�NDITI�15 ON AUTNORIZATION TO [�NSTRUCT WRSTEYATER SYSTElI ` �. . � �fND'TICE� THI5 AUTN�RIZATIDN FOR TE TER SYSTEM C�NSTRIICTION IS VALI� FOR R GERIOD QF FIVE t5) YEARS. � �l-- : ' . , ENVIR01�lENTAL FfALTH SPE IST , . ; „ DATE DCHD 10/95 f � _�. _ -�•� �1— -- - - r � _ .x _ :.,, y _ ,_. - =_._..�.�5,_,;;t,_.,.� .�: _- - — , ._. ,� .. -_. . ,,__, . . ^ . . � ���} 1�. �,� . . _ . � � APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT . Davie County Health Department Environmental Health Section ���� P. O. Box 665 1 �y�� � Mocksville, NC 27028 �1' , � � � � 1. App ication/Permit Requested By ���.�5 F � �-►'"^ � /( )��-.�VYi��� ` Mailing Address �� � � J��� ��� Home Phone ��� -���`7�`�.�- C���p /1/�L E'_ /�v ��T}t� �� Business Phone . , 2. Name on Permit if Different than Above 3. Application for: 0 General Evaluation �ptic Tank Installation Permit 4. System to Serve: ❑ House p'Mobile Home ❑ Place of Public Assembly � ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ BasemenUPlumbing No. of People 3 � BasemenVNo Plumbing No. of Bedrooms '�3 L�Washing Machine No. of Bathrooms � - L�1 Dishwasher Dwelling Dimensions d4 /` �� O 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: C] Public [�rivate ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes C�t''�lo . If yes, what rype? � 'NOTE: Improvements Permits sh�ll 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: Tax O,�,f i ce PIN: # J'��b� ��3 �- D '7a �o rs.n�� � � PROPERTIJ AbbRESS, as foilows: . js /`�� Road Name: /�,l i C x�`�'q�-�-- � �(dh/yC � '�' /Yl. � / C i t J: ��V s�N�'G Z 7D D�o • . SU$MZZ ti PLttT WITH THIS APPLIC�ITZON. ��� � • '='� /' Revisions effect'sve October 1 � 1995. 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. � , �- � �/~- `'l� u�� -GGv DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. Ca''2. I 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 representativ f the Davie Count Health Departm nt to enter upon above described , property located in Davie County and owned by �ri C� ✓N� lt Q��g�l � to conduct all testing procedures as necessary to determine said site's suit bility.for a ground absorption sewage treatment and disposal system. �'� �� ' �b ` ..�� !�� DATE SIGNATURE DCHD(1/93) •..:: • 'T' • �` � DAVIE COUNTY HEALTH DEPARTMENT � � Environmental Health Section Soil/Site Evaluation // 6�� NAME G�D/`'f�l�'l� DATE EVALUATED �� ADDRESS , PROPERTY SIZE ��� PROPOSED FACIII.TY �!Y LOCATION OF SITE ,.��r'�/��`I�:� Water Supply: On-Site Well r/ Community Public Evaluation By: Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landsca e osition L L Slo e Z HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH d'� Texture rou �' Consistence i Structure /l �! Mineralo HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON. IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION f LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: Pi�`2' � EVALUATED BY: �Ce� / LONG-TERM ACCEPTANCE RA E: OTHER(S) PRESENT: REMARKS• ��� �2�✓ LEGEND Landscape Poaition 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-Vc.ry friable FR-Friable FI-Ficm 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 Siructure ,iC-Single grain M-Massive CR-Crumb GR-Granular ABK-AnQular blocky ' SBK-Suban¢uler blocky PL-Platy PR-Prismatic Mineraloatr 1:1, 2:1. Mixed Notes ��orizon 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 wate�' 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(01-9ot � ._. . _. ._. . _ �i � �tnr'.5 � . . ' as'� �ytr' e--f-' - i. �, --�! t�.'i' �y,s �iG �''��. i ' ,: t � ' . /�'+�.. J� �'�j,t �j. 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