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128 Meadowview Road Section 1 Lot 4Davie County, NC Tax Parcel Report Thursday, January 26, 2017 115 NN , O` I --"" 154 136 128 -120 112 ir-- ` 106 64, j N I � Olv �F WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J6050E0004 Township: Fulton NCPIN Number: 5757899765 Municipality: Account Number: 82516578 Census Tract: 37059-804 Listed Owner 1: SMITH DANIEL L Voting Precinct: FULTON Mailing Address 1: 128 MEADOW VIEW DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 4 HICKORY HILL SECTION 1 Fir Response District: FORK Assessed Acreage: 0.45 Elementary School Zone: CORNATZER Deed Date: 4/2001 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003650737 Soil Types: Gn132 Plat Book: 0004 Flood Zone: Plat Page: 105 Watershed Overlay: DAVIE COUNTY Ouuildin& Extra Building Value: Freatures Va ue: Land Value: Total Market Value: Total Assessed Value: 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 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 nCU N�� NC or arising out of the use or Inability to use the GIS data provided by this website. Ai JTHORIZAT,ION NO: O 8 4 6 DAVIE COUNTY HEALTH DEPARTMENT "�fi'• ' Environmental Health Section PROPERTY INFORMATION Permittee's l P.O. Box 848 Name: .. m r��►'/�'t:�?� Mocksville, NC 27028 Subdivision Name: -111�AMAII Phone #: 704-634-8760 Directions to property': /tf (% [' �, jJT' Section: Lot: { AUTHORIZATION FOR --m ` WASTEWATER Tax Office PIN:# (0 - SYSTEM CONSTRUCTION Road Name-.1dr," )DO lr,) I/Jt�lp: **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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) J7 "j ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION r•, fl rte!!,f f /'/ �i` % ���� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED -- 4 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS 'Directions to property:/ 1 IMPROVEMENT I - { PERMIT l�= A\-0. PROPERTY INFORMATION Subdivision Name: s A� ' •f Section: 1�/� Lot: Tax Office PIN:# --) r, - Road Name%,.'.A$)4111W/ rjJ21p:. .If I, *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) PLANSR 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 IJ- # BEDROOMS ':T' # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE %! 'D ✓ TYPE WATER SUPPLY — �-+— DESIGN WASTEWATER FLOW (GPD) ?/d NEW SITEZ./' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE %' G % GAL. PUMP TANK GAL. TRENCH WIDTH/ ROCK DEPTH �/ ; LINEAR FT. 7 ' ) REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **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: F AUTHORIZATION NO. 9 Y6 OPERATION PERMIT BY: A�(!l DATE: —7J **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 05/96 (Revised) WILLIAM BLAKE TRUCKING 526 Bobbit Road ADVANCE, NC 27006 910 998-3653 NAME ADDRESS H. NO. DATE SOLD BY CASH C.O.D. CHARGE I ONACCT. MDSE.RETD.. PAIDOUT LAYAWAY QTY. DESCRIPTION PRICE AMOUNT TAX RECEIVED BY TOTAL No 0 0 0131"7 ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL. GP -153-2 PRINTED IN U.S.A. 6t!/ APPLICATION FOR SITE EVALUATIONAMPROVEMENT PER " Davie County Health Department is Environmental Health Section P.O. Box 848 MAY - 6 1997 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed d41WLZS-5 Zl Mailing Address 7 p 0 City/State/Zip �. U �� c Ci 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person Home Phone 0 2,(1""-42- Business Phone2- City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC �th 4. System to Serve: "o -use [ ] Mobile Home [ ] Business (] Industry [ ] Other 5. If Residence: # People # Bedrooms- CS_ # Bathrooms -�L [ 1shwasher [ ] Garbage Disposal [<ashing 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: [t)eounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes �A`No If yes, what type? X EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A^A1�'TOF THE PROPERTY MUST BE y t �� SUBMITTED WITHAPPLICATION. Property Dimensions: 1 QQ WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office P1 .4- - c r 4,9 6K Ll �Z Property Address: Road Name 1 d City/Zip If in Subdivision pr vide info rmati llows: d D 4� Name: Q l� e (rte 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 I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Re pr ntativ of the Da ie Cou JHeah Dc&rtment to en r upon above described property located in Davie County and owned by / to c t 1 testing procedures as necessary to termine the site suitability. DATE %' 6 r 7 SIGNA Revised DCHD (06-96) —A THIS AREA MAY $E USED FOR DR?AWINC YOUR SITE PLAN: h�. lr. ,,sir rte. •1 r• ;e' Y ,� , i1'� '. Iu•O (ALA N O i, 0Q o U1 O L4 ID 01 ri . m 0rtj `- " PINFVALLY��' t V, W X 1.. z tv-r`' .0 r l_ , j':;, sR. o; _6-x.0.. P / W . • ' ».. to r,, .n a, w. ?:t ,10'£07 ,!, i ; N n� Ycn 0 '�7I y,ii1 ' '�1�/9-�'I•�Xi�i'•:°!,6� .' - '.^ ti �•0 0.m1p��+�•:'�► I.Y ,,�`':•l,L\N..�/�. f"?(S�_�D'rir;t3,��QC_<,�i'o.;A.2?�7.,`�,g:�i'1,.:.'.m' '•;i' •i•�Oo�Oq:`3°,1. 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LA I.10 0 Q p 00 35 WO 200.v O ±u 'N I S140) 200.00 U'O e4,O O O O -O •' t�1 ' . ru,1 ,•1 .:rI r. 1�`''r,t:�'✓. 1F•i(`C;. t!r�l ,u•. ra'l1;'�ir�vtN' •(t;:'�r� .;;y'i'".1+ t-. r:t••'_ 'r�' i'lo l0 S1423 0 1 LA 2p0'O0 V� G 2 1 /33 00 io 0. uw' x D' o 1 0 0 200.00a A O I t nS 25' 00 u ; 0 O oU. 15 '40 L4 .00 1 „o p 2Sow;oo°6100 o w -0O2p° oQ poO200'.,.i; .',.IA_Y•t,; .1• �'O o oil S1Z 12 2 C S -T4 W o - 14b23 10 0. 01 vN • .• O1 j' Q r O ,'•til;::! „ar''a'� = orl �ltI: ' 54'. 'N08°59'a0„W•123:r1tl.70N08 ENO W ID -11 401.77' R VROAD 6CMOkN HgWT W 1 0E 56 -'-10"E o662..94G O � •f,ww , ; `r •< ~ '. __-----�- -� 100.00, 100.00 122.0 140 :81' 109.00 s 00 A0 , It It N co r N NCO O o O O !�' w' E y ' ' DAVIE COUNTY HEALTH DEPARTMENT Q� Environmental Health Section SECTION LO7�_/_ Soil/Site Evaluation APPLICANT'S NAME �!//�lr� DATE EVALUATED PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community, Evaluation By: Auger Boring f/ Pit PROPERTY SIZE /,I,& l ROAD NAME ✓G'�'d�u Public 1� Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogye _ HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: I 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 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 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 DCHD (01-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■i■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■omm■■mommom■oo■momm ■■M■■SE■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■1.IEEE■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■IEEE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■IEEE■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■/■■■■■■■■IEEE■/■■■■■��CGi�I■■■ MEMO EMMONSmisommm MENNEN� ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■E■■■ ■E■E■ ■E■E■ ■E■E■ ■EMM■ ■E■E■ ■■■■■ ■E■■■ ■■■ ■■■E■E■■ ■■MEMS■■ ■■MEM■E■ ■EMEMEM■ ■■M■MEM■ ■■MEM■■■ ■E■■E■M■ ■EMMEME■ ■■■M■E■■ ■ME■■M■EM■ ■E■E■■MEM■ Mom■■m■om■ MUMMEMEMME EMEMEMEMOM ■M■M■■MEM■ ■■■EMME■M■ EMEMMUMMEM ■E■■M■■ME■ ■■■mono■■■ ■MEMS■E■M■ MEMEMEMEME ■