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319 Brier Creek Road Lots 69-70I Davie County. NC Tax Parcel Report Tuesday, January 3, 2017 I ------------ �=LK ESU -- F i /lV _ N Irij rn i I� IA m 319 0 { � 176 318 I 166 167 i 158 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: WARNING: THIS IS NOT A SURVEY Parcel Information H702OA0001 Township: 5769864966 Municipality: 39421340 Census Tract: IVEY PHILIP ALLEN Voting Precinct: 134 LAKESIDE DR Planning Jurisdiction: ADVANCE Zoning Class: NC Zoning Overlay: 27006 Voluntary Ag. District: LOTS 69-70 GREEN BRIER Fire Response District: Building Value: Land Value: Total Assessed Value: 1.79 Elementary School Zone: 6/1991 Middle School Zone: 001590716 Soil Types: 0005 Flood Zone: 099 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A ADVANCE SHADY GROVE WILLIAM ELLIS EnB DAVIE COUNTY No All data is prodded as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the P Davie County, 1 implied warranties of merchantability or fitness for a particular use. All users of Dade County s GIS website shall hold harmless the , County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to �o �� NC I or arising out of the use or Inability to use the GIS data prodded by this website. 7. T--rr+... •—.'r•• x-y:.w...P.... vN„^,•""'"'",,":`aa""`ic:!-sac+.',,"�,-.a•.. .,T.� �.,.,v�.T..... .. - -.^• - I, PenrutteSs . `�` ? DAVIECOUNTY HEALTH DEPARTMENT Environmental Health Section 'PROPERTY INFORMATION ; .-. r P.O'.• Box 848.; `Directions to.property / fi r" - / %'� + Mocksv lle, NC 27028 Subdivision Name: ` � s Ij Phone #:x'336 751-=87600 Section: Lot: .� AUTHORIZATION!FOR WASTEWATER, Tax Office PI'N:# - - "" SYSTEM CONSTRUCTION AUTHORIZATION NO:A Road Name:Zip: **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/Authorization Number should_ be presented to the Davie County Building Inspections " Office when, applying for Building Permits; (In compliance with Article I 1 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) T ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION f '• IS VALID FOR A PERIODOF FIVE YEARS. ENVIRONMENTAL 'HEALTH SPEC ALIST' DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE, '` # BEDROOMS JQ #BATHS #.00CUPANTS; GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION FACILITY -TYPE # PEO • # PEOPLEISHIFT # SEATS ''INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATERSUPPLY ` DE IGN WAS WATER FLOW (GPD! •NEW SITE 'REPAIR SITE lam_ SYSTEA J SPECIFICATIONS:• TANK SIZE «/ _GAL. PUMP'TANK . GAL. TRENCH WIDTH -FFG •ROCK DEPTH � LINEAR FTNM OTHERII REQUIRED SITE MODIFICATIONS/CONDITIONS: s IMPROVEMENT PERMIT LAYOUT *.*.CONTACT A'REPRESENTATIVE OF.THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM' BETWEEN8:30 9:30 A.M. OR I:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE #;IS (336)751-8760. OPERATION PERMIT " SYSTEM INSTALLED BY: it j.,c /\ ��. ►- AUTHORIZATION NO. .OPERATION PERMIT BY; .•s _ J/ DATE:' ! 14. "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM'DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE • WITH ARTICLE 11 OF G.S. CHAPTERI30A, SECTION .1900 "SEWAGE -TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BETAKEN AS A GUARANTEE THAT THE SYSTEM, WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME: DMD 02/02 {Revised I lilt A CATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department $ Z 05V Environmental Heath Section I P.O. Box 848/210 Hospital Street / t Q Mocksville, NC 270281 n (336) 751-8760 1111777��� %..i* ORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS -PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Vey Contact Person pfr<<• SUEX Mailing Address 3ici Home Phone Cl cl�y City/State/ZIP /-IOVAtUCE,. ,u,C Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address ``—� City/State/Zip 3. Application For: Site Evaluation % DAVIE COUNTY HEALTH DEPARTMENT ` IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION : *NOTE: Issu6d in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage Systems !���; Permit Number NameZil—,/ (1// f'�, r ��,: �1,. '�/ ,��fl 1 Date .�2 %/ N2 6 43 Location::N=r;<• Subdivision Name /�/✓'%.i✓ %/a r'�� Lot No. 41-Y-20 Sec. or Block No. Lot Size atm, X':�crL7 House Mobile Home _ _ Business Speculation No. Bedrooms .No. Baths No. in Family Garbage Disposal Auto Dish Washer Auto Wash Ma thine Type Water Supply YES ❑ NO 0, - YES NO ❑' YES i NO ❑ Specifications for System: _ < 1 / � tri lii`1 �••u - � .st�Yt ��..�, f *This permit Void if sewage system described below is not installed within��arsJrom date of issue. This permit is subject to revocation if site plans or the'intended use oarfge. �-- N ,0 F fir' �t Y id/ mprovements permit by '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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by �` �,r .. '%" S .Qt., p Certificate of Completion CL " Date 9 "The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. v DAVIE COUNTY HEALTH DEPARTMENT a IMPROVEMENTS PERMIT AND CERTIFICATE OF CO ETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems �;,! Permit Number .,_ Date S .. Name {;, > rl',% f f`? ;�% ._`*� ,i ' ' /i �� ��� NO Location Subdivision Name <.r".r r'� �✓ /�,-� Lot No. Sec. or Block No. Lot Size r ''�'f'i /� T - House Mobile Home Business _— Speculation No. Bedrooms No. Baths �' No. in Family '�/ —. Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES NO E:]' //���� Auto Wash Ma :hive YES � NO ❑ j ' Type Water Supplyif' u *This permit Void if sewage system described below is not installed within 5 year-s_f.rom date of issue. This permit is subject to revocation if site plans or the intended use cha ge. v /Improvements permit by *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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by k,,�), _> Pv r Certificate of Completion �/ r Date �� 1 �� "The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. r APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section i �� �� P. O. Box 665 � ' I Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. W DO H me Phone 9W 41-ce J 1. Permit F 2. Address 3. Property Owner if Different than Above ss Phone Z AW Address 4. Permit To: a) Install -K— Alter Repair b) Privy Conventional-i:!!f'—Other Type — Ground Absorption C) Sub-DivisionSec. Lot No.=9,�__6!5?`Z- 5. System used to serve what type facility: House Mobile Home Business Industry Other b) Number of people 6. ay If house or mobile home, state size of h me and number of rooms. House Dimensions Bed Rooms Bath Rooms Den w/Closet 14) If Business, Industry or Other, State: Number of persons served What type business, etc 76 1��, ��) (ed Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals garbage disposal lavatory showers-- washing machine dishwasher �y sinks 8. a) Type water supply: Public i� Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions 6-6 X a6- -P-7< _ b) Land area designated to building site l^-� © 7 rl�it/T c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of my knowledge. ate Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: ��� ted✓"' �-- r7� DCHD (6-82) k .ZX) B t_a'f_ L A 01 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAMEDATE EVALUATED ADDRESS PROPERTY SIZE��l�iip PROPOSED FACIILTY LOCATION OF SITE Co h2;C Water Supply: On -Site Well Community Public ,r -, Evaluation By: Auger Boring 1_1 Pit Cut FACTORS 1 2 3 4 Landscape position L L L Slope % -2 .2 - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH /e" Texture group Consistence Structure 1" 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 -9 a SITE CLASSIFICATION LONG-TERM ACCEPTAN REMARKS: DCHD(01-901 :EAATE( � C / EVALUATED BY: _ Z-'� ,/Z OTHER(S) PRESENT: 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 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 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 watet 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 ■.■■.....■.■.......■■■■.■.■■■■■■ ■■■■■■.■■■■■■■■■■■■■■■■■.■■.■■■■ ■■■■■■■■■■:■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■.■■■■■■/■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■.■■..■■ ■I!.■.■■��.■■......■■■■■■■■■■■■■.■■■■■■■■■■■■■■.■■■■■■■■■■■ EM �� ■mm11��s ■■ MEN COMMON ■■■■■MOORE �■.■11■■.■rl■■ ■■■■■ ■■.■■■■■■■ ■■■■■■■■■�■■■■■■■�■■■ ■■■■■■■ ■■■■.■..■■11■■■■It■ ■■■■■■■■■■■■■■ ■■■■■■■.■■.■..■■■■■■■■■..■■.■..■ INEENSINEMMEN . sl���� /iii■iii mm M min iniiiiiiiiMiii 0 ::::::: on 0 ■: .n■■■■■■■/■■■..■■............................... ■■■...■■V•.........■..■. ......................................... ■■■■■■ M■■■■■ ■■■■■■ ■v■■■■ ■■■■■■ ■■...■ ■■.■.. ■■■■■■ ■■..■..■..lr■..■1■■■..■■■....■■NAS.■■.■■■.■■■■■■■■■■.■■■.■.■■■■■■■■ ■■■ ■/■.■■Ir.■■■��...■..■■..■■■.■■.■■.■■.■■■.■■.■■■..■.■.■■.■......■ ■■■■■■■■■■■■■.■■Ill■■.■■■/■■■.■.■.■■■i.+^--------_-_- ■e.■.■■.■■■■.■■.■.■■w••_:�c::■■ria■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ DAVIr-? COUFTY HEALTH DEPART11EUT ENVIROUMENTAL HEALTH SECTION SOIL/SITE EVALUATIOM VAI'M DATE ADDRESS LOT SIZE- TOPOGRAPTHY: SOIL TEZURE : u ,e SOIL STRUCTURE,: te3 DEPTH' . 4e,,; RESTRICTIVE HORIZOUS: PERCOLATIOU PATE: 1. 2. 3. LOCATIO1.14 el,17 rj- _ 1-4,0 &14WAJ llcr-� Presoah Hark & time Drop Time Ratefidn. Inch ***CLASSIFICATIOII: Suitable Provisionally Suitable�nsui_table� COITIHEUTS: PreX 4-1.. 7 SAFITARIAF SITE DIAGMM — — ------------ DAVIE COUz?TY HEALTH DEPART MIT 76 ENMR01TT0"?TAE HEALTH SECTION SOIL/SITE EVALUATIOIT I?AI4Ef7u,p� ,�, DATE 3 - 2 3 �- ADDRESS LOT SIZE 16,0 r4/D d TOPOGRAPHY: ?f SOIL TEI TUBE: ?5 SOIL STRUCTURE, :?,5 DEPTH: Z o " RESTRICTIVE HGRIZOFS e PERCOLATION FATE: 1. fm 3. LOCATION G // Presoak Hark & tine Drop Time Fate iir.. Inch i ***CLASSIFICATIOY?*Suitable Provisionally Suitable Unsuitable COMIMITS a 7 / - ---- SAD! ITARIA?T yh�NOd SITE DIAGF.A,"'i _ v.t�t y S �e,r i/r•� - Nr rrrH ��.a•✓ /r'' ,6�/.�. p11ef.t , 4,11ei 4Ci4&�' AV�fdoo"� f S'c: G - -TW y° a '