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167 Pebble Valley Way (2) Parcel#: F80000011106A ' Page 1 of 1 , . 1 a�� � vP�f� Davie County, NC - Basic Estate Search � ' r;' �U K� Davie County Web Site Basic Search Real Estate Search Tax Bill Search Sales Search �Q View Propertv Record for this Par�,el Vlew Mao for this Parcel Vfew Tax Bill Information Parcei#: F80000011106A Account#: 100000251 Owner Information Tax Codes YERS JAMES&MYERS BEffY ADVLTAX-COUNTY T 167 PEBBLE VALLEY WAY READVITAX-FIRE TAX DVANCE NC 27006 Pro e Information Townshi nd(Units/Type): 5.210 AC SHADY GROVE ddress: 167 PEBBLE VALLEY WY � Deed Information Local2onin ate: Ol/2009 Book: 00779 Page: 0781 lat Book: Pa e: Le ai Descri tion PIN—� 5.213 AC OFF POTTS RD LIFE ESTATE 5880170645 Pro e Values uildin : BXF• 9 00 nd• 47 84 arket• 56 84 � ssessed: 56 84 Deferred• Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 00111 OU69 06 1980 WD Unqualified Vacant 0 00329 0056 03 2000 WD Unqualified Improved 0 00779 0781 O1 2009 QC Unqualified Improved 0 00200 0784 03 1998 WD ualified Vacant 35 000 Vi�w Propertv Record for this Parcel View Ma�for this Parcel View Tax Bili Information « Return to Basic Search All Information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned pubiic information sources should be consulted for veriflcation of the information.All information contained herein was created for the Davie County's internal use. Dav(e County, its emptoyees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or (mplled, in fact or 1n law, including w(thout limitation the implied warranties of inerchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County 7ax Office at(336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnetlView.aspx?prid=1463607 10/5/2016 ;� K i i,d r.�»s+ �''Rrn isFffp«y�,,.,n"�"�'� �r��"',�'w'}�' �r�+t,.+y'ti+ 11�:'K Y,�'�k�" '� Y, .. �e , , ., � . -. _..,.- . �_-:._ ......F. � ,;,. , . '� _�: ti"�� . , '" ' � • . . ~ �9� �i � _ -� :•�- � : . , � ,� /D-o�Z.-✓x p �JTHORIZATION NO: " r� DAVIE COUNTY HEALTH DEPARTMENT �. ..y� .�; - � "�� � Environmental Health Section PROPERTY INFORMATION � "�ermittee-s�.,�►'+"'"' , P.O.$ox 848 Name:=� � m�� � c�.��� Mocksville,NC 27028 Subdivision Name: , . : f� f Phone#:704=634-8760 �j 1 Directions to property• �f�'�S '�tY Section: Lot: ,,,,...—., / /� /� 7- AUTHORIZATION FOR d !,�/� �U -�rr�'� ,/�'',� l `` 1°'L�� �.�d�` / wASTEwaTER Tax Office PIN:#��C�� ,�� - �t{�"T� ': SYSTEM CONSTRUCTION' CG•��7� � Road Name: T_.S �. Qofo Zip:�,� **NOTE**This Authorization for Wastewater System Constniction MUST BE ISSUED.by the Davie Counry Environmental Health Section prior to issuance of anyBuilding Pernuts.This Form/Authorization Number should be presented to the Davie County Building Inspecdons : ; O�ce when applying for Building Permits. ` ; ' ' ' � (In com�ance with Article 11 of G.S:Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) l,f�, � �,�/ r ***NOTICE***THIS AUTHORIZAITON FOR WASTEWATER CONSTRUCTION ' •� :, ��� r,��it,�^/� �"' .,�`� ���'��r r o LS VALID FOR A PERIOD OF FIVE YEARS. . ' ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ' . � � �1,F yry i� 'x�'Y •7k rc7�� k ;' 3 �a`,M„; k ,�'Y �;�t . . . _li . .� ,��� , .'. . -"..'. . r 4� . .� 4 ,�i� � ��'?e i . . . � '� . ►- : �: �. „��-o� � �.;� ' `���y I . DAVIE COUNTY HEALTH DEPARTMENT ��� ' M � ��,.� - ��� .y , � ,�..�..i wz-�' `� ;' TMPROVEMENT AND�OPERATION PERMITS PROPERTY INFORMATION '!'ermitt ' �..�,�,�."" ��, � 1 „�.,r.�� .A�ame,�� ;-�l,�1"�'r'"�'' ,�'���,�+�'�� �.:'`'� � ` . Subdivision Name: �` ,�;�a '',t �'"" ��, �� , ; - . , , r Directions to property;�r"✓r>��f`� r""'~�� 'Section: Lot ` .�� �r'�,,' .,f' ��',e'`�- ,�`�'�^�° fTM �1���`,� �r�°I�X�,+'� �ERMTI' Tax Office PIN:#���5��-�_�!!''d ...� , � ` , C?„�' • `,�;��1� �� Road Name• � ,`�a ��::;i,. Zip: �-: f ��%`� **NOTE**This Improvement Petnut DOFS NOT suthorize the construction or installatipn of a septic tanlc system or any wastewater system.An ° ' AUTHORTZATION FOR WASTEWATF.R SYSTEM CONSTRUGTION must be obtained frcim this Department prior to the construction/installation of a sysfem oi the issuance of a building pernu� . -' (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ,., ;;. �;'„,, : ,� ,,�,,, +.,� .�� *ssNOTICE*s*THIS PERMIT bS SUBJECT TO REVOCATION IF STI'E f � � � r �� �'! `rt� /�,,✓ ..Y::`;.„.�` ;'�'�,�'"y� � t 'f � PLANS OR Tf�IlVTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE T�S PERNIIT BEFORE;" _ -._ INSTALLING Tf�SYSTEM. ;. . ` _ . ,. ,;. RESIDENTIAL SPECIFTCATION:BLTILDING T'YPE �� #BEDROOMS�-� #BATHS � #,OCCUPANTS�GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No � - LOT SIZE� TYPE VJATER SUPPLY �i�//`DESIGN WASTEWATER FLOW(GPD)� NEW SITE �t/ REPAIR STfE SYSTEM SPECIFICATIONS: TANK SIZE�� GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH �io� /LINEAR FT.���. ' OTHER �'� �• REQUIRED SITE MODIFICATIONS/CONDTITONS: _ � ' , • IMPROVEMENT PERMIT LAYOUT ��,~'' y -.-�. ��_ �� � , ' , :�� . . .�. � .. ; � ,f�'~ .. t 3 � � . " .� . . � . �� , . . .. . . �.� ��` .. � .. . � �.. . . .. � .. - . �� �F_M ,. . _ - } . . . . . .. . �... . . �...,,�} , � .. , . .. ,; ..-.... �... _ �. ��.'.. .,.�. � �; ,.�,� �..�.�-. . � �. �- �- :.- ..�..,� , ::, _ . . ,.� ... . . ., �_ . . **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DBPARTMENT FOR FINAL IIVSPECTION OF THIS SYSTEM BET'WEEN 8:30-9c30 A.M.OR 1:00-1:30 P.M.ON TI-IE DAY.OF INSTAL T'ION.TELEPHONE#IS(704)634-8760. OPERATION PERMIT _ SYSTEM INSTALLED BY: �� ` _ r�o ��3 -�-9s`".� _ .. � ` � a�� . � � �t� ;� �,� � �,! y � h . -,� ; � --6 �a �G /� l�mP 'n°� ,��' ' , ��� . 1 _ 1��� _ � � � �� .� . � c . _ AUTHORIZATION NO._,��OPERATION PERMIT BY: DATE:` J -eL,L;{'` � . �'+THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAP'TER.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 OS/96(Revised) _ . y � . • _ , APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE ' Davie Count Health De artment � ..- ::. Y P � C � � .�, ;� ;. '�' Environmental Health Section P.O. Box 848 �' . � — 5 �� Mocksville,NC 27028 (704) 634-8760 ENVIRONMEMAL HEt;�e� , DAVIE COUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ��l"O�G� �. �GI E('S Contact Person o)t�'i`1+E 5 //I G1 Q f� Mailing Address 3 � y " L Home Phone q'�/�" Z� �� City/State/Zip I/ L' � 00�o Business Phone 2. Name on PermibATC if Different than Above Mailing Address City/State/Zip 3. Applicadon For: [ ]Site Evaluation [ ]Improvement Permit&ATC [�-j'Both 4. System to Serve: [ ] House [�'1Globile Home [ ]Business [ ]Industry [ ]Other 5. If Residence: #People�_ #Bedrooms�_ #Bathrooms Z [ ]Dishwasher[ ]Garbage Disposal [e�-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: [ ]County/City [y'Well [ ]Community S. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [+�]'No If yes,what type? �� E Z THER tt 1'LAT OR S Z TE PLttN PROPERTY INFORMATION REQUIRED:***IMPORTANT**���T OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: f ��� �WRITE DIRECTIONS(from Mocksville)TO PROPERTY: TaxO�cePIN: # �S�D - /�- D�v -.��_ ; ��{D �AsT o SO/� /Q�G�i�on g�/ Sd[��� - Property Address: Road�ame 7�3 ��-�� � 5 �o�• /" 5 c�cyiz�P '� c�l r✓,�nce, /�� a'7oo� ; -� e�d o-� �de-s�c r If in Subdivision provide information,as follows: � �ID Tr � N�u.s�� A-�ei���3 d7n /e-f-T - A o � Name• � ' �/1c � 5 � ' � � Section: �ot�#'� � ' � , 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 t upon above described property located in Davie County and owned by � �-' S 1 tesUng �ocedures as ecessary to detertnine the site suitability. DATE 3 -S�"/ � SIGNATURE � Revised DCHD(06-96) THIS AREtt Mtl� $E USEb �OR bRAWINC� �OUR SZTE PLAN: 6?O lrl,� , I � I �p � 0 7 � � - � DAVIE COUNTY HEALTH DEPARTMENT , � :., -�--' Environmental Health Section sECTioN LOT SoiUSite Evaluation APPLICANT'S NAME � DATE EVALUATED �5���?S PROPOSED FACILITY PROPERTY SIZE .S�C, SUBDIVISION ROAD NAME f`Q �/C Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition Slo e% HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH �` � �� Texture rou Consistence Structure / /? Mineralo HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: � EVALUATION BY: l�'` LONG-TERM ACCEPTANCE RATE: � � OTHER(S)PRESENT: REMARKS: ��Y�'(� Cad'�GL LEGEND Landscane 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 Mois VFR-Very friable FR-Friable � FI-Firrri 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-Angulaz blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloev 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-gaUday/ft2 DCHD(01-90) ■�■■��■■■��■■■■■■���■■��■��■■■O�■�■■■■■e■ ■■■�■■�����■■■■■■��■■■■■■����■�■■���■■■■�■ ■��■����■■■����■■■■�����■■��0�■■■����■■■■�e■■■■■■■■�5���■■�v■���■■■■■����■■�����■■■■ ■■���■�■��■■����■�■■■■�����■���■■■������■■■■��■�■■■■■■■�������■■■���■■�������■��■■��■ ■■■■��■■■��■■■■■���■■■■■��■■■■����■■�•�s���■■■■���■■■■■�■■����■■■■■■���■�■■����■■■■�■ ■�■�■■■■���t�■■������■■■�����■���■���.ii����■■■���e■■■��■■����■■■■■■����■�■��■■■■■��■ ■�■■���■■����■■■■�■���■■■■�■■■■��������■����■■■�����■■■�■■■���■■■■■■���■■■■■���■■■■■■ 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