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127 Citadel Road Lot 2Davie County, NC r Tax Parcel Report Tuesday, November 15, 2016 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Davie County, Implied wamnties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North CaMina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. WAKNILN T: '1111, 1, 1VV'1' A bUKVhY _. Parcel Information Parcel Number: F3010A0002 Township: Clarksville NCPIN Number: 5811727107 Municipality: Account Number. 8305788 Census Tract: 37059-801 Listed Owner 1: ROBERTSON TIMOTHY L Voting Precinct: CLARKSVILLE Mailing Address 1: 127 CITADEL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAME COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOT 2 CHARLESTOWNE GRANT Fin: Response District: WILLIAM R. DAVIE Assessed Acreage: 1.78 Elementary School Zone: WILLIAM R DAVIE Deed Date: 12/2015 Middle School Zone: NORTH DAVIE Deed Book / Page: 010060656 Soil Types: MnC2,MnB2 Plat Book: ¢"''"' 0007 Flood Zone: Plat Page: 102 Watershed Overlay: DAVIE COUNTY Building Value: 174180.00 Outbuilding 8r Extra Freatures Value: 4980.00 Land Value: 28000.00 Total Market Value: 207160.00 Total Assessed Value: 207160.00 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Davie County, Implied wamnties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North CaMina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT(OPERATION PERMIT Account M 989900571 Tax PIN/EH M 5811-72-7107 Billed To: Shuler Building Subdivision Info: Charleston Grant Lot # 2 Reference Name: Location/Address: Wagner Road -27028 Proposed Facility: Residence Property Size: 1.756 acres ATC Number: 2736 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type ol/ �- #People #Bedrooms #Baths Dishwasher: G?"*" Garbage Disposal: C°r Washing Machine: 2' Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size { �sLI &C-"Sype Water Suppl jCj)jAC)k? Design Wastewater Flow (GPD) Site: New Repair ❑ System Specifications: Tank Size�(7GAL. Pump Tank GAL. Trench Width Rock Depth Z Linear Ft:-� Other: 2 �ST(Z.� &)TLo.3 Required Site Modifications/Conditions: tkrOTAu- cO.J ��1-�,�2� S� dF l}t�J (C� (0 0r-rfVV0. c.I•,3ui IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m, on the day of installation. Telephone # is (336)751-8760.**** / d J I zo' t �+s, • � ' �G 11C), �.r1 Environmental Health Specialist's Signature: ate: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900571 Tax PIN/EH #: 5811-72-7107 Billed To: Shuler Building Subdivision Info: Charleston Grant Lot # 2 Reference Name: Location/Address: Wagner Road -27028 n......,.4 . c: -,o• 9 7Cr, me -roc 'roposed Facility: Residence r -I VPUI Ly ��• �� ATC Number: 2736 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for build• permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Tre t and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER C TRUC N IS ALID A PERIOD OF I YEARS. Environmental Health Specialist's Signature: ate: 9 i7 **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. '11 ' y ,>� • Die � Ix r Septic System Installed By: Environmental Health Specialist's DCHD 05/99 (Revised) pum ,'P>rw#ku +k j.F-,+. •� ti, "`'""'. _ c.F it 1'�./ ' {{ ,+4)�'} '�,;, a v CJS%§ � N : f. 34 Ls 'S 1� i ✓ r r + r ett r - } •S S• � � " : x fir { ''� v ,�?i a•r• s Cr LOT #7 _ a ` LA`_=EeEENT c AREA= 3.255 ACRESyj .faa ;} CD CD fnrn o t\ m N 467'8% e ' o W LOT #72. E o AREA= 1.385 ACRES yj p o (h N C) N 86.35'36' E N 86'35'36' E o N 60' z l 53'S3� E 191.72 240.00 o I N 81' M R/W 451.02 i I 1 I I 1;TIUTti '�. SEAAc NT LOT # 13 LOT #6 u AREA= 1.580 ACRES N = AREA= 1.246 ACRES I LOT #5 tr)a, AREA= 1.504 ACRES 10'X70' SIGHT \\11 F ro jE ,..+ N EASEMENT(Tr'P) 32 Z 2(01� LOT #1, "'fir 2S O�P� AREA= 1.189 ACF (INCLUDES S.R. 1310 ,: 6j•�4'3� Ea:EMEI NIT C5 JTILI Y PMCN / `(�� 9' t • ' Z 1 l" O 49• C-; LOT 2,/ C �9- 9 v AREA= 1.762 AC S// 91• � � F co, o� zz. LOT #1 s9 n ��, 2a LOT #3 N AREA= 1.533 ACRES AREA- 1.321 ACRES R/W) 1310 (INCLUDES S.R. ,L � or 2 'L to ZL 70.00 _ o1fO io n A( ,j0 �Z ero N 92.0-,3 75.00 00 2102 00 no, rtr APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Davie County Health Department Environmental Health SL* on P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 p E WE MAR -- 7 2001 ENVIRONMENTAL HEALTH DAVIE COUNTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed S//!J In- :z: -,,r Contact Person Gr�i�e c 3//t%lti- !sailing Address�yo7 �//PcP Home Phone �9c1�' 7k,7S'" city/state/ZIP %j%D�'KSI�%/�/ Kms,/- a7OAr Business Phone 9'411 .2 Z 2. Name on Permit/ATC if Different than Above Hailing Add ass City/state/Sip 3. Application For: ❑ Site Evaluation improvement Permit/ATC ❑ Both 4. system to service: G7-1fol"use ❑ Mobile Home ❑ Business ❑ industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms -2 Qe*115'ishwasher t'Garbage Disposal ff washing Machine U Basement/Plumbing U Basement/No Plumbing 6. if Business/Industry/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 ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9 -No If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST 41ESUBMITTED by the client with THIS APPLICATION. t�k � Property Dimensions: /-/, Cir �S'� p RITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # //--7 o? Property Address: RoadName City/Zip ';�/ If in a Subdivision provide Information, as follows: Name: G�Gi <<STo�c>}!� �/`c{� p4 - Section: Block: Lot: Date Property Flagged: 3 — % — a % 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 1, 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 to conduct all testing procedures as necessary to determine the site suitability. DATE �%— P� SIGNATURE _�s2,G,� �z THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). U ua Revised DCHD (07/99) Site Revisit Charge •. Date(s): Client Notification Date: I EHS• Account No. Invoice No. o �' DAVIE COUNTY TAA". OFFICE 123 South Main St Mocksville, N. C. 27028 Mary Nell Richie Telephone: 336-751-3416 Fax: 336-751-0154 Tax Administrator f �...- C.--. . Applications for certification that a property owner owes no delinquent taxes for the purposes of obtaining a building permit. I PROPERTY OWNER: 0on tt0AiA, A ACCOUNT #: f SSFS k 2q �5`� 2. PROPERTY OWNER ADDRESS: 1�A�,, � c n a�cxx, _00)111 3. MAP NUMBER: 4. PIN NUMBER: 5. DESCRIPTION OF IMPROVEMENT. (new dwelling, addition to existing dwelling, garage, shop, farm building, etc.) APPLICATION FOR CERTIFICATION APPROVED: The office of the Davie County Tax Administrator certifies that the above named property owner owes no delinquent taxes as of the date above. TITLE: ............................................................, APPLICATION FOR CERTIFICATION DENIED: The office of the Davie County Tax Administrator denies certification. The reason being that the property owner named above owes $ TITLE: in delinquent taxes as of the date above. 6. DIRECTIONS TO SITE WA_ dA L C W11 ( _ 1\ 7. APPLICANT: lam/ . ' DATE: APPLICATION FOR CERTIFICATION APPROVED: The office of the Davie County Tax Administrator certifies that the above named property owner owes no delinquent taxes as of the date above. TITLE: ............................................................, APPLICATION FOR CERTIFICATION DENIED: The office of the Davie County Tax Administrator denies certification. The reason being that the property owner named above owes $ TITLE: in delinquent taxes as of the date above. APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmenta/Health S&Uon P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 ***D1PORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed _Y/��% (fee -r— e_e— Contact Person J)�JK J (fo Q2 E e� L. Mailing Address �j Z 174 -mc 1>6C e� Home Phone 4%! 7— City/State/ZIP City/State/ZIP 144OeKSd/e4-e-, A/C— Z7O7i?' Business Phone K I 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: J< Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: A House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms f) Dishwasher 11 Garbage Disposal 11 Washing Machine 11 Basement/Plumbing 11 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Nater Coolers IF FOODSERVICE: (I Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City 11 Well 11 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 'KNo If yes, what type? ***IMP0RTANT*** CLIENTS AIUST C031PLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUB,IIITTED by the client with THIS APPLICATION. Property Dimensions: d//_ A2 _=�o n2ITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # (j i dt�-I 6 0 / A/ �o L/ M92!2ti C/c kc -hl &P Property Address: Road Name WACWC2 /?est l> / g, LeF-r a� L/91 �, '0 1 M fee City/Zip o,LK 4.4,r Z7o Z Tu,P_,J f EFi o� G✓,�G.Je,� ,�'D _ If in a Subdivision provide information, as follows: Name: — 4�un Section: Block: Lot: ';2 50 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 falsiried or changed. 1, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the D vie County Health Department to enter upon above described property located in Davie County and owned by/ xpL• Cole�czx— • .Tit:. to conduct all testing procedures as necessary to determine the site suitability. DATE '� > " / d SIGNATURE 2� ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME ''! M Ca�1i zL PROPOSED FACILITY WSI;5 n SUBDIVISION��'J Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit DATE EVALUATED PROPERTY SIZE Z�u` t kl�fo �hZ7� t xjQY/$ax ROAD NAME WA&Jon- Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position t Slope % CQ2,0 HORIZON I DEPTH 0 _1D Texture group C11 Consistence $ Structure Mineralogy' HORIZON II DEPTH - L Texture groupG Consistence r Structure Q k Mineralogy HORIZON III DEPTH 2 - Texture group hl4- 4e- $ Consistence Structure Mineralogy HORIZON IV DEPTH q0 - f Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: PS LONG-TERM ACCEP/ ANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: 3=+'f- 65AJC*4A""f OTHER(S) PRESENT: 9me, Pi, 5Af , rJ PWZ 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"Z7'1. NS - Non sticky SS - Slightly siicky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic a 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) LTAR - Long-term acceptance rate - gal/day/ft2 ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■E■ ■E■ ■■■1�1■■■■■■e■ts■■■■■■■■■■■■e■■■■Nee■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Nee■■■NOON■■■M■■■■■■■■■E■■■■■■■■■■■■■ ■M■■■O■■■■■■■■■■■NE■■■■M■EE■■■■■■■■ ■■■■e■■EON■■■■■■■■■E■■■■■■■O■■■■E■■■■ ■■■■■■■■��■■■■■■■M■■■■■■■■■■■■■■■■■ ■■■�■NOON■EE■■■■\NOON■■EN■MEE■■■■■■■ ■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■ ■eeee■■■■M■■■■EEO■■■■�■IJn■■■■■■■■■■■■ mom EMEMENMRAMMMMENNENMMEMEM ■■■■■■■■■■■■■■\ill■■■■■■■■■■\■■■■■■■■■ ■■e�■■■■■■■■■■■■■M■■■■■MN■ME■■■\NOON ONE ■■M■■■■■■■■■■■■■■■■■■■E■■■■■�■■■ i ■ ■ ■■■.■■■■■■■■■■■tl■■■■■■■■■■ NOON ■■■■■■■■■■■■■■■11■■■■■■■■■■ NOON ■■M■ ■E■■ ■■N■ ■■■■■■■■ ■E■■■■M■ ■EMM■■E■ ■■■EMEM■ ■■■■E■C■ mmmmiiii ■■11■ ■■UM