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195 Boone Lane Section 1 Lot 10 Davie County,NC Tax Parcel Report Thursday,December 15,2016 241 6y :.. 00 Zm �O 215 167 - 203. --' J86 GONE LN; 195 Ci65' 170 150 '158 169 W 805r O 188 73 z 8;789 1 O Z• r m J i 827 ' _ _6510 ` �. r 6538 " 132 6570 , WARNING: TMS IS NOT A SURVEY --— — — ---- — -------- Information Information Parcel Number: L60000000402 Township: Jerusalem NCPIN Number. 5756175164 Municipality: Account Number. 82519206 Census Tract: 37059-807 Listed Owner 1: FROST TAMMY R Voting Precinct: JERUSALEM Mailing Address 1: 195 BOONE LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 5.389 AC WILL BOONE RD Fire Response District: JERUSALEM Assessed Acreage: 5.20 Elementary School Zone: CORNATZER Deed Date: 92002 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 004390970 Soil Types: PaD,PcC2,ChA CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all All dab Isprovided as bwithoutwaranty orguamrdeeofanyIdnd eltherexpressed orimplied Including butnot gmttedto the Davie County, Implietlwarrardlesolmechartabllgyergthessfoapartimdaruse.AllusersofoeviecouWattiswebskeshadholdCounty ofDavie,North Carolina,Its agerde,cooaubards,contractor orempioyeesfrom anyand all claims oresusesof action dueto N^/'+ oradsing out ofthe useorinabilHyto usethe GIS data provided bythismimlte. ^A TION NO 174 DAME COUNTY HEALTH DEPARTMENT Environmental Health Seed PROPERTY INFORMATION P Wee IS P.O-Box 848 Name. Mocksville,NC 27028 Subdivision Name: �ri�/�r£SQ7 �� Phone#:704-634-8760 ' Directions to property; 7JOh l Section: AD// /J �jg AUTHORIZATION FOR - - Lot WASTEWATER Tax Office PIN:#5 - S� SYSTEM CONSTRUCTION _ �' Road Name: zip?.�aJ� **NOTE**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/AuthorizationNumber 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) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION,. E` •" t, / �yf IS VALID FOR A PERIOD OF FIVE YEARS ENVIRONMENTAL HEAL SPECIALIST DATE ISSUED .., �,.i tf( y,.. .,,., 174 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Namej LT3/� d1 ��.YI dt'Y^ d�iGS`� 6A_ --r—� 'Subdivision Name: Directions to ro,.�P,.ert : 7 • 1 Section: '-Y� � Lo/t: � /to Alw / ld 11e PERMIT Ta;Office Office PIN:#5 5 - i, r Road Name: /��i0ll,r�� Zip; **NOTE**Tlu's 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 cons tmction/mstallation 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) A flr.i ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH-SPECT ALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE', #BEDROOMS _2 #BATHS_,�9__#OCCUPANTS Z GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE/� #PEOPLE #PEOPLEISHB•T #SEATS_ INDUSTRIAL WASTE:Yes or No LOT SIZE /1j9r TYPE WATER SUPPLY n DESIGN WASTEWATER FLOW(GPD)�2& NEW SrrE_4, REPAiR SITE /SO SYSTEM SPECIFICATIONS: TANK SIZED P,ICGAL. PUMP TANK GAL. TRENCH WIDTH�� ROCK DEPTH�/.LINEAR FT. OTHER L L Z_ 27-4 1A�l . REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT - per **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)634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. 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 FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05196(Revised) 117 .j DAME COUNTY HEALTH DEPARTMENT �, + IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pe$mitjee,'s Name: f fib"}° Subdivision Name: ---- S'� 7+ ` Directions[o prgperty: %Cr'>'. : / �" Section: '� p / / Lot/:IMPROVEMENT p / /D :+. *:. r"?✓ rf�'Y c�/��.^F�! ERMIT Tax OfficePN:#.:3f IJ�(I�-. P �+ Road Name /.� f}!.`tr!✓ p 71 t �y � **NOTE**This Improvement Pemut DOES NOT authorize the construction or installation a septic tank system or any wastewater system An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must obtained from this Department prior to the construction/installation of a system or the issuance of a building pemlit (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***TMS PERMIT IS SUBJECT TO REVOCATION IF SITE. l:,r/o i i. -, ..' � "'.' f J•i F `r' PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. ,RESIDENTIAL SPECIFICATION:BUILDING TYPE�H— #BEDROOMS —2 #BATHS, _#OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS_ INDUSTRIAL WASTE:Yes or No LOT SIZE •TYPE WATER SUPPLY ! ,1 DESIGN WASTEWATER FLOW(GPD)�?.& NEWSrrE—Z,---- REPAIRsrm �SQ ,, SYSTEM SPECIFICATIONS: TANK SIZE -4I GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH A;k LINEAR FT. - OTHER ZL s 2zz 1/��e REQUIRED SITE MODIFICATIONS/CONDITIONS: ' IMPROVEMENT PERMIT LAYOUT y,. **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)634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: ti AUTHORIZATION NO. 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 NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05196(Revised) APPLICATION FOR SITE EVALUATIONAMIPROVEMENT P RMIT &ATC Davie County Health Department Environmental Health Section D Q V R;.`� �r I I �" P.O. Box 848 Mocksville,NC 27028 DEC 2 21997 (704)634-8760 1 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UN / / THE REQUIRED INFORMATION IS PROVIDED. / 1, Name to be Billed- 11-2 e e hnhd/ `/5�2/^ Contact Person Mailing Address /1 S`9 N/a t �r 7�/¢s a /✓. Homophone City/State/Zip Business Phone7,r4 ,2 r a— .A0 3Z 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 222-p ,���j 3. Application For: [ Site Evaluation [ rovement.Permit&ATC [ ]Both 4. System to Serve: [L]House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other 5. If Residence: #People #Bedrooms_ #Bathrooms 2 [Dishwasher[ ]Garbage Disposal [Washing Machine [ ]Basement/Plumbing [Loasement/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: [vJ County/City 6yWell [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [VNo If yes,what type? ! EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***UVIPORTANT**WcUW OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS(from pMocksville)TO PROPERTY: Tax Office PIN: #.5752 - 5/ia �O I sc cc fk AQ PA JfX.'' Property Address: Road ljfame t, Lyra /--P L� .� !f'/i r y, �o �T.a � City/'L p Ac14y114 % C,270.2 9 If in Subdivision provide information,as follows: Name: bf\d S t=,ckz4l [ , Section: Lot#: /D , 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 dos o- con uct 1 testi oc ures as necessary to determine the site suitability. DATESIGNATURE Revised DCHD(06-96) .THIS AREA MAY ZE USED FOR DRAWING YOUR SITE PLAN: I , I I I I ) JUDY F. PRA77 O.B. 1/6 P ➢ /9/ JUODY F. PRArr 0.8.1. 46 Pp. /9/ ... �]an BnN 1 1�s>sr I •uvzr. I ua >"nn)orµ BELLE D. SOCER D.B. 66 Pp, ! I j laa F I JUDY F. PRA HENRY J 0 D.B. I/6 Pp. 49.1 w` ff<PR$e I D.B. 07 p ROFI X OR v 17 m]c' 1/nye o}p Ili 01 MWa11' [ s 14•ICBY { AREA =: 11.171 AC Evcw o'ir � PM/pye s ItZq.r[ s uvx.• [-_ fxa7 R r+ s Ira•r r uiiv "'� uu --N were.• v s w ` �s n•]ry [ !8� � neo [—� AREA = 1.635 ACRES �s a �) = 7.500 ACRES AREA = 1.639 ACRES f"^� AREA I s u']rar v B...... sy JOHN L PEELER lona —N .ro✓er v nas Old O.B. 166 I I >`A� skx•)q�BM 1��B)Bron v _� � �� � � _ � Py. 77/ OOQOa 95 i N Bi•o,.e• V i T4. :t 1 APPLICATION FOR SITE EVALUATION/IMPROVEMENT } &ATC ' Davpe County�ealth Department Environmental.Health Section P.O.Box 848 �� t' i �,t ,ti '•'�^ Mocksville 'NC 27028 $ 1997 (704)634-8760 I, , ****IMPORTANT**** THIS APPLICATION-CANNOT BE PROCESSED UNLESS THE REQUIRED INFORMATION IS PROVIDED. 1 ;Name fb be Billedi I I t S ,II/ Contact Person E✓�L ©' //� t S Mazlm'gAddress �q C W Sobt l hHome Phone 9 qY ' k7 Tg �i /StateJZip ((p Business Phone - P4 2 `Name on Pein'ttATC if Different than Above 1 1vlailirig Address City/Stateop 3 ;Apphcatton For Site Evaluation [ ]Improvement'Permit&ATC [ ]Both 4' System to Serve �j House Mobile Home [ ]Business 4. -]Industry ]Other Residence #People #Bedrooms #Bathrooms 2 Z [ ]Dishwasher[ ]Garbage Disposal ] ring Machine [ ]Base'ment/Plumbing .[ ]Basement/Nd Plumbing . ss/Other.Specify type #�eople #Sinks #Commodes } #Showers #Urinals #Water Coolers If Foodservice,#Seats Estimated Water Usage(gallons per day) 7 .-Type of}water supply:ACounty/City [ ]Well [ ]Commum ?, 8.,Do yoy anticipate additions or expansions of the facility this syst8tit'is intended to serve?[ ]Yes [ ]No .ren If yes,what'type? ,i,• 4+ A`! EITHER A PLAT OR SITE PLAN ' PRi `*IMPORTANT***'X-`MT OF THE PROPERTY MUST BE 1 SUBMITTED WITH THIS APPLICATION. Property Dini o. _.- 1 WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # / `7 D/ � O s�r, � (t I� heGSU C6HhPr" /!pp t I Property Address: RoaB Dlazsire I t I t�don2�{c C� �Q t-f LA)-,I Gal nn� City/Llp /hac�S t,:1 Ie 1 AC 7 ABY ; . YS I- ta..5fe EIva If in Subdivis rovide informs'on, follow ��` Pon 1° i' peItiSP% „ :Secaon • '' "' .Lot#• /71 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 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: f, also, understand that I.am responsible for all charges incurred from tlas application. I, hereby, give consent to th i,Authorized' Representative of the i Davie County Health Department to enter upon above described property located in Davie Country and owned' by�St{u.4 Of I t lP e �jj��. U S to conduct all fing procedures as necessary to determine the site surtab+ii . i DATE 9"M SIGNATUREtj �.. a t t', I! Rc Revised DCEID(06A� ' :'., L /I,(o , W : 4HTS , A' ilAtJ $E '1JSEb FOR bRAWZNG,JOUR SITE PLAN: t+ 41 l r . rl' ' o.. y :y�,�iYF•�9{�..2. i FieJl pt9 �_•a. v:..: ,• Dn . '. )r .' ..:jarot .Ar hMf.E:.,<',�� d9 :�:t�n,JQ'�'+�•hl�Nll DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section SECTION LOT_,!�D Soil/Site Evaluation APPLICANT'S NAME DATE DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION ROAD NAME Water Supply: On-Site Well Community Public C/ Evaluation By: Auger Boring Pit f Cut FACTORS 1 2 3 4 5 6 7 Landscape position ,C Sloe% - '2- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH !� Texture group. 14 Consistence / 'Structure - �C Mineralogyi HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 795 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: 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 ist VFR-Very friable FR-Friable FI-Firm VFI-Very fpm EFI-Extremely font 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 Mineralogy 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) LIAR-Long-term acceptance rate-gal/day/ft2 ncm(o)-vo) - - APPLICATION FOR SITE EVALUATION/IMPROVEMENT &ATC Davie County Health Department Environmental Health Section V P.O. Box 848 $EP8199 Mocksville,NC 27028 7 t. (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed�. t e, C. E I I t 5 Contact Person Fy uL &� 101;5/1tS Mailing Address C W t 66 Wv L Home PhoneQ 9 �el��4' 44 • City/State/Zip �A C kS d If e G -2 70 a-P Business Phone J, -4Q 8 Ca 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:Asite Evaluation [ ]Improvement Permit&ATC [ ]Both 4. System to Serve: House [Mobile Home [ ]Business [ ]Industry ]Other 5. If Residence: #People / #Bedrooms��#Bathrooms��2 Z [ ]Dishwasher[ ]Garbage Disposal [ ]Washing 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:ACounty/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ ]No If yes,what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT***QMMAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 31 Ar-y eS 1 WRITE DIRECTIONS(from MMocksville)TO PROPERTY: Tax Office PIN: # `/pp / 1711 iD 1 �o 0(� 66 u�ffi 1 To l , r-e-c,S V Cd N h'P_Y" Property Address: RoaBffilaSme W% I��d�nN�O lrP LA 1( City/Zip flocks u l e ,�L'_ ? 62 ; 1` ts+ b%uZe, 61n P&P-4- -Tr " r7 toi'J2r'�U If in Subdiviss�•q�n provide informs'on, follow -� hA P 'P r 51L- 'G Q ACA-)6S'S Name: <1Wt/r Py bm 611-6 Pi 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 Lam responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Reprrpesentative of the � Davie County Health.Department to enter upon above described property located in Davie County and owned by f.S� ie O./ !,t'if S . 1:F. , d Z to conduct all t ting procedures as necessary to determine the site suitability. DATE SIGNATURE Revised DCHD(06-96) THIS , -k �Ry BE USEb FOR bRAWINCG YOUR SITE PLAN: _e I 4e 1 yy 1 tla I ' I JUDY F. PRATT I D.B. 146 pg. /94 I ' I JUODY F, PRATT 146 Pp. 494 I I �oEvm°[Iw I xY JI I I2,ro Fav 1 I z°o' r• r I uv. 9.Le] rozµ wax B 66. BDOER I ^ 9• B + i laoo I JUDYFd�c pff c� I HENRY T . PRATTPRATCsn494 R`4e D.B. 97 Pp RD' O.B. I46 pg. C I Rf I m'Rrtsi'r . .. � f10T �--�J nocu• [ I/iz�t o�> AREA �i '/--�J sw 9zisiv c—� S loae r _= 11.171 AC n¢sEl e.r sf fmtnu i]L)]r C .. p „ ilorl • � ffiW __ Tb S 1 u»r [ s wzl'z [forq A -s mx.r t Z7 2 Z7 24' v �� l i th t118� ]zl. AREA = 1.635 ACRES Lx9 s er4rw• E— �s m zrw•[ �/ X., rn `` AREA ` ['a] AREA = 1.639 ACRES 7.. 500 ACRES I s iz'not• v 1'14' JOHN T. PEELER IDi; �x 4o]fzr v n.is ��' 0,8, 166 P9. 774 > I s f GOON j5 1 x tl•a,.tom'. v OI I•®4 SGSo I