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190 Boger RdAccount #: 990004246 Billed To: Emilie Dixon Reference Name: Proposed Facility: Residence, ATC Number: 4644 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital. Street Mocksville, NC 27628 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Tax PIN/EH #: 5851-62-2194 Subdivision Info: ) l/6 Location/Address: Boger Road -27028 Property Size: 2 acres **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. System Type:_ /� S.T. Manufacturer Tank Date ' 2 Tank Size /C100 Pump Tank Size611A System Installed By: E.H. Specialist:&Qate:L—//D a DCHD 11/06 (Revised) iA&'V VLC,S C).1L. DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street'"' Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account M 990004246 Billed To: Emilie Dixon Reference Name: Proposed Facility: Residence ATC Number: 4644 Tax PIN/EH #: 5851-62-2194 Subdivision Info: IWo Location/Address: Boger Road -27028 Property Size: 2 acres 10dr slz 1/09 75-/-6-6y� Site Type: r<ew ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms_ # Bathrooms # People 2 Basement/ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size Q t/'zs Type of Water Supply: Pounty/City ❑ Well ❑ Community Well System Specifications: Design Wastewater Flow (GPD) �{g0 Tank Size GAL. Pump TankppGAL. rr Trench Width 3& Ir � Max. Trench Depth 3G Rock Depth !'i`" Linear Ft._ rg,Z, Site. Modifications/Conditions/Other: f s stated in 15A NCA,C 1311.1.969(5) ULA;uptuSgsiems�aq arxrtxsusr Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760. ►I v 77 Jto,w wk iY4 x �k IL T �,,tt frLv Environmental Health Speci DCHD 11/06 (Revised) Date: 41 Ll —ei 7 Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 IMPROVEMENT PERMIT Account #: 990004246 Tax PIN/EH #: 5851-62-2194 Billed To: Emilie Dixon Subdivision Info: Address: 55 Tudor Road Location/Address: Boger Road -27028 City: Buffalo Property Size: 2 acres Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: /New ❑Repair ❑Expansion Permit Valid for: ?6 Years ❑No Expiration Residential Specifications: # Bedrooms # Bathrooms Z # People Z BasementAasement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats— , Square Footage(or Dimensions of Facility) Design Flow(GPD): L 0V Type of Water Supply: V6ounty/City ❑Well ❑CommunityWell pasn aq osie �Cew swolsAS paldaaaoe As stated in 15A NCAC 18A.1969(5) Site Modifications/Permit Conditions: ,� ,.r.,,nT „ _,,,R, , �T c d1 �9�E3az-va 9`�jiG-u!-p11aIr 4&cceptod Systeme ��ay also to u � System Type LTAR Initial CGY Repair 0. 1--7 Site Plan Environmental Health Specialist i.p.l 1-06 fi�-y-o7 t I �ytiQ 'q'ff �e 02/10/2007 14:26 .0i/09/2097 01:06 7166394678 THEUP5STORE PAGE '01 3369967641 PILCHcR ENTERPRISM PAGE 02 • r' FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davit County Environmental Health P.O. Box 848/210 Hospital Street i3 13 �oo� ywe, NC 21028 (3'36) S1-8760/ Fax (336)751-8786 �pliesti ip �ta oisli fetttcw?errnitAuthorization To Coutmct(.ATC) 0 Hoch n awry ORepairto Eacisting S OEupansiaNMod iaat;on ofl xisting system or Facility MMR ORT�N?`""''i'RI8 APFUCATION CANNOT SE PAOCBS16D UNLESS ALL Olt THE REQUIRED N nRmAm)l� IS PkOViDED, Refer to the INFORMATION BULLETIN for imtructiotzs. APPLICANT INFORMATION Kirin lobe Billed a I t .[) �Contact Person'`~ Ba ding Addrzsimp Horns Phone ' Ga .....� City/state/zlP ! Business Phone Kine on Parmit/ATC if DifJ'ereni than Above ;' 33la 3 Y� 0 3Ro _ Mailing Address - - City/statelzip *Date klountFacility Conwra FlaggedZ - ! 2'+�1 � NOTE; A Survey plat or gilts putt mot accor Vary this application. Xnclud44, p Site Pimm OPlat(to scale) (Permit islid; for 60 txivrttbs vitt site'PIPA no expiration with eou>ptete plat.) Owner's Name I r ''7 Phone Numbot Owner's Addrzs- ity/State/Zi l Property Address City ,mac ^ 5� VF") Lilt size ELLIE. PIAL# Subdivioicn Nen*(if applicable) Se ot�fl,ot# Directions To Site: If ate answer to Say of lila following questions is "yes", mpportitas doctor entat!i5 must be aitacitett., Are there any existtttg wastewater cyst= on the site? 0 Yes IZ140 Docs the site couttia jttritdictional wetlands? ' 90.040 Ate there any ease>,testts or rigWof'•eval1 on ft sit? es 07-40 Is the site subject to epptovol by another public agency? Dyes i To Will wastewater other than domestic smt+vage be generated? CYes ONO -- IF Sl1iENCE RLL OUT THE BOX BELOW . _ # Petaple # Bedrooms Std Ha ms Carden Tub/Whirlpool [JYes ONo Basement ss UNo 8amment Pi T, OYU 0N0 IF NON. 13 Type of FacilirylBtisiness Total Square ]~ootzgv of Building # Ptople dd Sinks ' _ # Commodes # showers # Urinfils Estimated Water Usagq (gallons per day) (Attach documentation of sirniler facility water consumption) FCIODSERVICI3 ONLY: # Scats Tyne system requested;-,�Coatvoutlottal OAcxzptod 01nnovative CAIMMative pother �,—. — _ - •�-f1iaYYl�rf it 1 ��r. 'r`.+ wrrw.r'r+.� ..�. We ter Supply Type: WC*= +lCity Water 0 NOW Well CExLAing Well C Corrttnurtity Well Do you anticipate Additions or ea: wsions of the fzciliby titin syswm is it teWW to serve? D Yes X. rf yea, what type? . 02/10/2007 14:26 7168394678 THEUPSSTORE PAGE 02 -8'4'/09/2007 01:06 9369967541 PILQrF-R ENTERPRISES FACE 93 7'it:.s is to ctr* that the i 1mmatiou provided ca this application is true and convet to the best of my knowledgc. II miderstand ftt AMY permits) or ATC(e) tatted bereatter are subject to suspensiota or revoution if the site is altered, the imended use changes, or if the itdortnetion v4brtitted in this application to falsified or changed f hereby giant right of entry to the Authorizcd Repmatative of The Davie County Health Depatt tent to conduct necessary Wspoctions to deten%inc compliance with applicable laws and rules. 1 widerstand that I am xesponzible for the, proper identification and labeling of pmpeM tines and corners and locating and tlaggi tg o �,teking the houaelthailiitXlocation, proposed well locations and the location of any otirwr amenities. Site Revisit Chttagc prcpetty owner's or owner's legal mpresentative signature Date(s): 1.� o' Cheat Motitjication Dzte: Dal a EIS: i Sian given i;Yes ONo Account # L l Revised 11/0 Invoice# 21131°7 /W nY 11=�idlll �Z -f-opq�AA, Pil,&,t �P-Oaf Ai ,VaJEd oWNee �it�iN N• Y. S��tt�� d ows e 15Qd2ra.P yleao �QG{Q. L'o�lti��' daulnl AV ; id1. � �ohQi.� S�o�� Suri✓e y�wa� ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990004246 Billed To: Emilie Dixon Reference Name: Proposed Facility: Residence Water Supply: Evaluation By: PROPERTY INFORMATION Tax PIN/EH #: 5851-62-2194 Subdivision Info: Location/Address: Boger Road -27028 Property Size: 2 acres Date Evaluated: 3 6 '46 On -Site Well Community Auger Boring Pit Public~~ Cut FACTORS 1 2 3 4 5 6 7 Landscape position L L- I, (,— Slope % y ` HORIZON I DEPTH 0—to ._ 4 Texture grou 5 L Consistence 1P ry P f111 Structure >2 J Mineralogy t - HORIZON II DEPTH t G Texture group G C. Consistence tAl Structure 56 IC , i MineralogyI. ri 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 C>. 7 i, SITE CLASSIFICATION: �� y,f . J k �•.. G�-U LONG-TERM ACCEPTANCE RATE: 6 '� REMARKS: EVALUATION BY: OTHER(S) PRESENT: 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 u . VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3y -d NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic 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 rltztr� 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 05105 (Re, ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■c■■■■■ecce■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■c■■■■■■■■■■ecce■■■c■■■■eee■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■e■■■■■■■■■eee■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■c■■■�e■■■■eee■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■ecce■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ecce■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■c■■■■■■■■■■■■eee■■■■■■ccc�■■■■■■■■■eeeeee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■eeeee■■c■■■■■eee■■■■■■■■■■■■■■■■■■■■■■■c■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■c■■■■■■■eee■s■■■■■■■■■■■■■c■■■c■■■■■■■c■ ■■■■■■■■■eee■■■■■■■c■■c■■c■■■■■■�■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■c■cc■■e■■■cccec■ce■■■■■ecce■c■cc■■■■c■■■■■■c■■■■■ MEMNONMENNEN iiiiiiMEMNON� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■cec■■rim±..■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ate■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ F a 00 `S� b f- A V"I— . G�orp• ReO�r. Sfon�, c�r�ify rha+ •n�� piot •as Ara�n ued�, my . . F�i�A for rep�s�rat�o� a� �_.___ ___. __o' cloek . M ��D��Y��ion Irom an ac�ual surv�y mad• unA�� my LuD��+�a1on iO�ed O�scr�D��on � - - � - r�cord�d �n 8sok = , �ap• : , s�c. ) (orMr)� �qor rh• 6oundari�s �a, R o a d � �urv�y�0 ar• el�ariy Indicat�d a� Crarn 1ro� info�ma��on found in Bo.M _. B o g e r . 2C . and ��corCea Fop�_ ' ��ar •tf• rc��o ot pr�cis�or as ccicular�d ie �i10.000; rRc� +�,s --_-----.----- ------- p�at ros Dr�par�G In oecordone• rir� ,.5. �7-10 ae oMrd�Q. M,r��ss nry o. ip:ea' . slpnu+ur�, r�0i�n ation numD�r an0 ��ai � .^ r:�� B,o� _ ._.__, Vap• -_--_-' �n�s 20_ eor o�_ December „ p 2ppg � D6 14 O PG 44 �.R . 1438 --,__. • DB 25 O PG 521 u. A.en� S�oo+. P�p s�a. o� oe�as • �e �2� O PG 814 60' Public R/W 20'+/- Pavement � ^, �•• ,� � s.te .� seoi o� Stpmp George R. Stone - ---- ---__---- ---_ _ -- -- ��� 8oger Rd , � Surv�yor �,`N C/�/�0� _ L_3162--- , Tax Lot 15.02 _._ ------------------------------- --- sH +a3e _ „ R.Q�.r.or�on wumD.. �� .OFE.SS/p���/� 'a""A'_ 4ifw ?ax Map E-6 :�.��T�-nss,sTaH- • r �a� ��� PRELIM��ARY � �/f Judy Whitehort � C�L , ` CB 141 � PG 20,' �;f L-3162 �: W � ���y �yp;� '�, `� � �-�xisting 30' �ccess Easement �� SURV� � � KOT F�R RECO�DATIOA�, T_�_�-�. �, j Reference: , � '�••.......•••' S DB 139 O P� 1d Tax Lot 15 �ROBER� DEEDS, OR BUtLDliVG T_?_33 ` � � _ l pg 25Q O P 90 n/f M neEC6McGuire �cinity Map (Not to Scale) `° �� � / DB 154 O PG 60 l I'J � � � �� 'a Gsa'q�RoWri�Prohrionoi:nnd 5�or, L-31`BY,ca�tify !o one w�,t ' � ? 1 g� O fp/ � \ .. / / oi!h.fobw m Mdbatsd mu.. �� « �"j' 1 ', J a. TMf tt�b plat Y ot n wrvsy Mc!ersafe�a wDd'rvMon d!�ne rMhrn TOX LOt �.�� i-3i--1--�' � � 9' �\ � / PROPERTY LINE CALL TABLE Ma ona d e county or munldpaRty Met nw an ord)nanee tnot TQX MQP F-6 '� �� ��°���d�; n/f Joseph F. Nee1y 1 i � � / COURSE BEARiNG DIS'fANCE r� e_ nwe n,�,pwr.ot a.�,,.�.y cnot.w�w x� .«n oo,t�o„or a and wife , r� (�_ � countY or munk.ipallty that a„n.yuwt�e os to an o�d�a�a JO CC R. Neel '�,� ' LOT � 8O�F � TOX L02 �`J.�il o � that rsqubtp pwceN ot bnd: �, L-1 S 68 03'13'E 295.96' DE 2?? O PGY693 ,t_____ _ '�` � °art of Tax Lot 5' nd ?ax Map �-6 L-2 S 6 8'O 1.'S 0"E 1 1 5.6 7'. � c �at m's c�vt�o�a�urvq o+o� exwc�oq corce�o� vorce�s ` r � T4X Map F-6 T` \� n/f T homas Ke�iy Atkinson o � � � 1 i p C� L-3 S 67 57 25'E 23.65' of lard: , i "O� 3 :�R 2�� � pCi 8� � '24 Pc-es +- pR L-4 S 18�47'OS"W 98.73' �� a. nwc tn»obe r�e a.�,.�..y m o.bcr,e<<ae.yw.. «,�n�.m. 1 'i Co c,,:s��e of a-ea w�t�;^ ::.:�. '�39 �- �' � i, o�ncned To� L-5 S 31°25'03"W 44.58' recomdnatro�a ed.nnq vorcw.a�«,.�-«a�roa.,,�.y o�atne. � ;c,. nt�ol C EIP Fnd L -B S 31°25'03"W 139.Q9' .�.v+�cc n,.a.n�t;«,or�,odw�.w�. � �' lRS o��e� I --7 S 31°25'�3"W 277.20' r'� e. Thot tM irriormotion ovdlopy tp t�b sun �'�s auc�tnof i ��r. + ,� o r i !-� +ttqbb to maq o dMemilnofion to Ma MAt of�ny �,m/esie�ni .. iv _ __ ,- ��� aDilRy a�to proviron�contoin�C�� (a)tn-�9^ ;d!above. 4' �E ��6.6�� y ' �OT 2 C 5 �t v`,' L 9 S 30°56•2���W 1�8.7?' � �� Part of rax ��: 5, �, T oi `'� �-10 N 55°51'28"W 60.05' Tax �Aap F-6 y�4� �'/�, �-1 1 S 31°OC32"'VV 89.43' George R. Stone ` ',� ; . �2a r�:,es , ' by Eiq � !-'2 N 50°50'20"W 4.08' -------_-- ---- _ _ ___ - _,.s�F o= �,c; ��nr. c•o �o , _-13 N 51°21'40"W 23.44' =4 0� � "> �Q ' ' -14 N 45°47'S5"W 44.83' o•o!a�sionc' ���d Si.�ve.o• _'!g2 . .v.a..� . c G •d�N - ?i� W \ _ , ?e,. i i _±5 N 36°05'30"W 1?.34' • Recomdinatior, of existing parceis. s ^�'; �RS Jf �°� - �-16 N 33°43'25"W 43.87' \ t �_ ; � � �r - ' � I � �y � c.��, � „�P� .:�� �'ri�„ �Q- � !_;, N 22°25'40"W 4G.52' � � �� �RS l.��4 r 4 �, � ! ° L-18 N Q9o2d,�„W 47.�0' �� -�� ..� � �, . Tax Lot ?.:.' ' Cont`O/ C�rner �f�l � `� L-20 N 03°23'15"W 17.99' STATE OF NORTH CAROUNA TOX MOp E -6 \ � �, L-21 N 03°05'10"E 30.92' COUNTY OF DAVIE r,/f Clessie Ola Mcivor Coles I� � ^� ��,nt��, _ L-22 N 03°12'15"E 36.11' RB 314 O �G 709 �-23 N 02°13'25"t 18.22' ty ! t � `�rn�r �-24 N 02°13'25"E 35.'0' , I. , Review Officer of Davie Coun , � "'•S o =K !�^,' �et ": +, - SF' '43�' _-25 N 03°54'40"E 63.28' certlfy that the map or plat to which this certifiication � i � �-26 N O1°58'05"E 54.78' ia affixed meets ail statutory requirements for reco�dir.g. �' �- � � � �- �_-2% N 02°�1'00"E 54.99' Review �cer. _ f `_ "< ,� :; , X tior.-.o•u.^en*e� �o-�t C� +,'- �R 'A38 1.-28 N 01°40'05"W 60.68' �ouse �-29 N 05'17'15"W 70.30' Date: Tox Lot 7 � ��_ !� �onst�,�`:t�o� ��"3; 'G ` ';;.;-;' ---------- Tax M a p E-6 ,,. . .. •.'; / �_-3? N Q8°14'00"W 88.59' n!f Mary Lois Mcivor W�Iiiams\ ` j �� ,-32 N 1 1'22'15"W 33.84' "NO APPROVAL REOUIRED BY THE COUNT`� P�NNING D�PARTAIENT" Ra ��4 O PG "2 \ ' J(�' + - ��T � /^ � o \ * ' �'art ot Toz �_ot 5 i ' Tax �ot 53.^' L-33 N 16 09'45''W 25.38' ___.__ , � �t T � V L-34 S 71°14'35"E 334.76' _ Piorning D�rectcr - ----- \ �1, dc ?ax �ot ,�1.C' ax !v�ep -E ^ L-35 S 71'14'35"E 4�7.80' �4 'ax Mo� �-�5 n/f ��rady i. MC�'amrocK, � � �`; -�es ' �� �� 2Q4 O -'G 52Q TIE �INE CAL� TA6�E Date TGx �ot ?.02 \� ; � `' �s P .' c-ec / `' � � w�th � ; . '.i1li �t W; > Tcx Mao t-6 ' ' � � . - �;f Jer.ry Lee Mc+vor \ t � � `` ��� COURSE BEARING D!STANCE , RB 314 O PG 706 � � . �,�° ?-' S 68°03'13"E 3.26' 1:'2" EIR Fnd---. T-2 S 68°03'13"E 50.82' . \F�ot Bar �1 �r T-3 N 65`12'46"W 216.17' 7-6 ,., ��` T -4 S 60'15'45"E 55.54' � T-5 S 59°15'08"E 40.53' NOTES: Por; of Tax Lot 50.�\ ��i �: 1 a T-6 S 54°42'S1"E 30.36' 1. Zoninq: R-20 Tax Map F-6 \ '-� ! -�� c 2. Minimum Building Setbock Unes: DB 211 O PG 693 \ � � t Q T-[3ar �nd 3. Lots ti dc,3 ho e not been e oluated by the \ ,-. a o 4 D 1�2" E1R Fnd \ ��� \ c Davie County Health Department for on site T-5 � o GOQ septic systema at the date of this survey. 5/e" EIR F�d- \ ` ,�� 3', � 4. No USGS or NCGS Monuments found within 2000' of site. T-4- - �''�`�` � "r \ �.°/'� � � 5. The existing field monumentation doea not comply � �� ti° ^ � . �� :'lox Lot 51.0 2 � w i t h r e c o r d e d p l a t / d e e d d a t a. T h e e z i a t i n g r i a �O � �p � Tax Map F-6 monumentation wos used. Yadkin Valley Telephone �;�� DB 203 1�'PG 798 . ?'R . T-�� ",�`aP Survey for: �' � Fr.G � x, Tax Lot 5�.01 � � �\ , Tax Map F-6 � �i � �. \ '/ n/f Joseph F. Neely �`' \��� w Percie Morg an Heirs - and wife y � \ �, & Joyce R. Neely . Emilie 1' . Dixon �� R9 314 O PG 699 R�w R/W - Right-of-Way FC - Face of CurD F�P - ExietinQ Iron Pipe B� _ ��k o, ��� & G e org e M. R o b ers on E1R - Existing kon Rebor PP - Power Pole (we; �ereby certity lnat I am (we orej the owner(s) o' the proper!y P - P� LP - Light Pols described hereon, whic� ia �ocated in the aubdivisio� juriadiction ot CM - Conctrt� Ibnurr�nt MN - Man Hoh / povie County and thot I hereDy aGopt thi� �ubdivisio� plon wkh rny froe IRS - �ron ReDar S�t CH - C�ord Distance ' P/� - Property Un� P/0 - Pa�t of consent, establiahed minimum Duifdinq setDock lines and ded�cate oll C�A - Contrdhd Aeq�s D8 - Deed Book streeta, olleys, walke, parlce ond oMx sitee ond eaaements to puD+ic o� TOX �OtS `J� dt �J�.�� . CF' - Concret� Pip� PB - Pict Book CMP - Corruqat�d Alstal PiPe RB - Record Book private ux as netetl. TpX Mop F-6 P ��� P��� P�P� �� - �090 Ueed Book 14 O Poge 44 -F- 100 Y�or Flood Boundary CB - Cotcfi Bosin � -O- Overheod Utifities -S- Sewer u� � sigr.ed - Deed BOOk �27 OPPage 814 �� -X- Fenca WAt - Watar Meter (D Fnd - Found wv - waca von.e a oa�e --- ota� Area: 5.566 Acres +/- by coordinate geometry n/f - Nox ar Forrt�erMy 8M - Bsnch iAo�ic T I�IP - Nonmonumented Paint TBM - T�mporory Bench Alark • ,�nc!usive of area within S.R. 1438 R/� =� CL - Cent�r Line RRS - Ral Rocd Spike � Ownero/Heirs: �' / ••� . EP - Edge of Pw�mant CTV - Coblt T�twisio� P�d�stat --_-_-- _ aigned _ _ ETE8t F. Morgan � T�'�IP COUNTY STATE Q�jE TP - TNspfwne P�dptal �e - E�t.;c T�o�sro„n.. aox r' Cate - �IItOT E. Morgon 1" = 100' Farmington Davie North Carolino '.2-20-2006 -W- Woter Lin� CO - Sonitory Sewer Cleo� Out N • Emilie V. Dixon m � George M. Roberson Stone Land Surve�/Ifl COfTI Q�'1�/ �� 100 0 100 200 300 a ------- siqned ---------------- -- - SURHEYEU: l 9 P 1 .l08 110. ..: �°�e COntact Address: SC,DB,RS 317306 Ceory� Robert Ston�. PLS L-3182 , - ! 55 Tudor Rood w1PPED: �s'-F s��cn ��,� ;t ��35; �sa-a�3� MIW NO- GRAPHIC SCALE - FEET - - ,+9,,•� _ Cheektowoga, NY 14215 GRS �� K���i�e, N r;, 2,�2e 17306 �te , �