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129 Edgewood CircleDAVIE COUNTY ENVIRONMENTAL HEALTH ' P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 OPERATION PERMIT .!Lq Ed r✓�dool �� Account #: 989900057 Tax PiN/EH #: .M5070A0006 Billed To: Randy Grubb Subdivi!5io;f Info: �3y67Ne Reference l�ianne: Joe and Jeanne Warwick Location/Addres : wy.801 S: 27028 Proposed Facility: Residental Property Size: 3.5 Acres - a /v ATG#koUr�: Tfi isluance 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. ManufactureTank Date %Z�.�/_Tank Size GD Pump Tank Size IlVate: , System Installed By: Jn e 2,e E.H. Specialist: { V(/t l/ — GPS Coordinate: DCHD 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 989900057 Tax PIN/EH #: M507OA0006 Billed To: Randy Grubb Subdivision Info: Reference Name: Joe and Jeanne Warwick Location/Address: Hwy 801 S.-27028 Proposed Facility: Residental Property Size: 3.5 Acres Site Type: ❑New ❑Repair ❑Expansion ATC Number: 5871 **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 Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size Type of Water Supply: ❑County/City JgWell ❑Community Well System Specifications: Design Wastewater Flow (GPD) 3fCQ_Tank Size bDd GAL. Pump Tank GAL, Trench Width Max. Trench Depth Rock Depth Linear Ft.30p��/10' Site Modifications/Conditions/Other: 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. ' IWO/# l2C facr AIM I x% gdUclien Environmental Health Specialist DCHD 11/06 (Revised) ! G Date: .2/97,61/7 ' Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville; NC 27028 (336)753-6780 / Fax (336)753-1680 IMPROVEMENT PERMIT Account #: 989900057 Tax PIN/EH #: M507OA0006 Billed To: Randy Grubb Subdivision Info: Address: 130 Kent Lane Location/Address: Hwy 801 S.-27028 City: Mocksville .Property Size: 3.5 Acres Reference Name: Joe and Jeanne Warwick Prop.R sidental &? ?his 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: NNew ❑Repair ❑Expansion Permit Valid for: X5 Years. ❑No Expiration Residential Specifications: # Bedrooms_ # Bathrooms Ph # People Z Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): 0�`' Type of Water Supply: ❑County/City XWell ❑Community Well Site Modifications/Permit Conditions: System Type LTAR Initial Repair u I&AwArm - A P(0aQ ITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P� FE U i 2012 P.O. Box 848/210 Hospital Street P P Mocksville,NC 27028� FEB n A�� (336)753-6780/ Fax (336)753-1680 Application For: Site Evaluation/Improvement Permit ❑ Authorization To Construct Type of Application: ❑New System 0Repair to Existing System ❑Expansion/Modification of Existing System or Facility©w," ***IMPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE -REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. j APPLICANT INFORMATION Name/ ���i Contact Person Address 6 Ke Home Phone 9 City/State/ZIP )4C,,, /�<yl ,_ 70 Pk Business Phone-5�__ `fnns// Name on Permit/ATC if Different than Above W ��'�" CZ�I(/� ACW Z Cl Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged 2// • �Z NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan; no xpiratiou with complete plat.) Owner's Name aL G Phone Number 3?y -%d 5<--o Z Owner's Address wv;iSrh c City/State/Zip6/C.-,z54, -6 Ale", 2%Z/5f Property Address City Lot Size 3 y2- re -5 Tax PIN# Dip Subdivision Name(if applicable) Sectio ot# Direcltons To Site:(g0/ .5u tp $'O %y�h •� %y H,; L 4­7Te- f •1�= c ) /_ 4 / - / ter. If the answer to any of the folloWing questions is"Yes",support' documentation must be attached: 7Yes Are there any existing wastewater systems on the site? No Does the site contain jurisdictional wetlands? ✓% Are there any easements or right-of-ways on the site? _Yes Is the site subject to approval by another public agency? _Yes _Ye _✓No ✓lo �, Will wastewater other than domestic sewage be generated? —Ye , s , No IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms _ # Ba$rooms Z Z Garden Tub/Whirlpool ❑Yes o Basement: ❑Yes o Basement Plumbing: ❑Yes 9No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: /60nventional ❑Accepted ❑Innovative ❑Alternative- ❑Other Water Supply Type: ❑ County/City Water ./New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes /No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws nd rules. I understand t I am responsible for the proper identification and labeling of property lines and corners and loc ig a g ' t g the house/facility location, proposed well location and the location of any other amenities. Site Revisit Charge roperty owner's or owner's legal representative signature Date(s): Client Notification Date: Date EHS: Nat �v;c�.Sian given ❑Yes ❑No Revised 11/06�n �I f j NaC1Q U Z2 Account # Invoice # l� IN Z2 n� 7�ci bAVIE COUNTY HEALTH DEPARTMENT - Environmental:Health Section' _ Soil/ Site Evaluation f APPLICANT INFORMATION , PROPERTY INFORMATION Accourit,#: 989900057 , r;F Tax PIN/EH #: M5070A0006 . t :... Billed To: Ranby Grubb Subdivision Info: Reference Name: FY, Location/Address: Hwy 801 S.-27028 Proposed Facility: Residental Property Size: 3.5 Acres Date Evaluated: 149/Za v ' Water Supply: =.', On -Site Well Community Public Evaluation By: Auger Boring Pit Cut „ FACTORS 1 2 3 4 5 "� -: ,. ' "` 7 Landscape position Z � . i` Slope % C/%'• p HORIZON I DEPTH Texture groupte Consistence Pit Structure' Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy_ - HORIZON'III DEPTH Texture group Consistence a -Structure Mineralogy HORIZON IV DEPTH Texture group_ Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: OTHERS) PRESENT: LONG-TERM ACCEPTANCE RATE:_ . . REMARKS: it) 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 `''4 SICL -SiltY clay loam SIL -SiltY loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC Silty clay C - Clay CONSISTENCE NlQist _ . VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3y -'et 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 Pk - Prismatic Mineralogy 1:1, 2:1, Mixed 1 _ 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 chioma 2 or less Classification S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptande rate - gal/day/ft2 I DCHD 05105 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■s■■■■■■■■■■e■ee■■e■e■■■■■■ee■ee■■■■e■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ee■■■eeee■■e■■■■■ee■■eee■■■■■■ ■eee■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■ee■■■■■■e■e■eee■e■■■■■■■ ■■■■■■■■e■■■■■■■■■■■■■■■■e■■■e■a■■■■■■■■■eee■■■■■■e■■e■■e■■■■■ee■■ ■eeeee■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■e■■■■e■e■■■■■■ee■e■■■■■■e■ ■■■■■■■■■■■■■e■e■eee■■■■■■■■■■■■■■■■e■■■■■e■ee■■e■■■ee■■■■■e■■eee■ ■■■■■■e■■■■■■eee■■■■■■■■■■■■■e■■■■■■■■■■■■e■■■■■■■■ee■■■■■■■■ee■■■ ■■■■■■■■■s■■■■■■■■■■■■se■■e■■■■■■■ev■■e■■■■e■■e■■■■■■e■■■ecce■■■e■ ■■■ee■■ee■■■■■■ecce■■■■■■s■■■■e■■■e■■■■■■■■■■■■■■e■ee■■■eee■ee■■e■ ■■■■■■■■■eeee■■■■e■■■em■■■�■■■■■■e■esse■see■■■s■e■■e■e■■■■e■■■■■e■ ■■■■■■■■■■■■■■■■■■■■■n�7■���■■e■���■■■■■■■■■■■■eee■■e■■■■eeee■■ecce ■■■e■■■■■■■■■■■■■■■eere�e■■==�i■����■■■■e■■■■■■e■■■■■see■■■■■■ee■ ■■■■■■■■■■■■■■■■■■■■■■►�■■■a■►.�■■eeeee■►■■■e■■■■■■■■■■■■ee■■■■■■■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■v■■��■■■i�nn�,�e■r,eeee■e■ee■ee■■ee■ee■■e■e■e■e■ ■■■■■■■■■■■■■■■■■■■■e■eee■n■■■��_••_�:+e■■ee■■■■e■■■■■eee■■■■■e■■■■■ ■■■■s■s■■■■■sa■e■■■■■eee■n■■■■■■�e■■■■■■■■■■■■■e■■■eee■■e■■■e■■■■ ■■■■■■■■eee■■■■■■■■■oPFe■■�J�4v■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■. ■■■■■■■■■■■■■■■■■■■■Yiil�IlllW■i�■■■■ee■eee■■■■■eee■■■■■■■■■■■■■■eee■■' MENNENiiiiiiiiiiii MENNENiiiiiiMEMNONMENNEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■s■eee■■■■■■■■■■e■■■■■■■■ee■■■■e■■■■■■■■e■■eeee■■■e■■■■■■■e■e■ee■■ ■e■■■■■■■eeee■■■■■■■■■■■■■■■■■■■�ea■■■■■■■■■■e■■■■e■■■■■■■■■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ee■e■■■■■■■■eeee■■■■■■e■■■■■■■■■eee■■■■■■■■■■e■■e■■ee■eae■e■e■■ ■■■■■■■■■■■e■■■■■■■■■■■■■■■■■e■■■■e■■■■■■ee■■■■eee■■■■■■e■■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■e■■■■■ee■■■ee■■■■■■e■e■■eeee■■e■■■■eaeeeee■ ■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■�■■■■■■■■e■■■e■■■■eee■■ee■e■■■■■■ ■e■e■eee■■■■■■■■■■■■e■■■■■■■■■■■■■■■e■s■e■■■■■■■■■■e■■■e■■■eee■■■■ ■■eee■■■■■■■■■e■■■e■■■■eee■■■■■■■■■■■■ee■■■■■■e■■■■e■■■eeeee■■■■e■ ■■■■■■■■■■■■■■■■■■■■e■■■■■■■■e■■■■■■■■■■■e■■eeeeee■■■■e■■■■e■e■■e■ ■■■■■■■■■■■■■■■■e■■■■■■■■■e■■ee■■■ss■■■■■■e■■■■eee■■e■■■e■■■■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ z*', I, Georg• Robert Stone, certify that this plot was drawn under my u spervision from an actual survey isads under my supervision (dead description , eco, dad kn Book —A. Page —* . etc.) (other): that the boundaries not I ur vey•d are cIs arly indicated as drawn from infer Milan found in Book _ , Pogo that the ratio of precision as calculated is 1/10,000: that this plot was prepared in accordance with G.S. 4T-30 as anwnded. etitsess my original signature, registration hustler and seal this 18th day of February . A. D. 2012 kle. i} l Seal or Stamp George R. Stone I Surveyor �N CAR L 3162 o� E.SS% •`�A_ Registration Number 2003-E-129 2 : • OF 0,�; •• Yy s RB 328 O PG 903 Q s R8 604 O PG 179 '•a SEAL s RB 784 O PG 927 L-3162 �'� B 4 o PG is 0�c? F "yo F- R NOTES: 1. Zoning: R-20 2. Minimum Building Setback Distances: Front: 30', Rear: 30', Side: 15' 3. Watershed Classification: None 4. No USGS or NCGS Monuments found within 2000' of site. R/W, - Right -of -Way EIP - Existing Iron Pipe EIR- Existing Iron Reber P - Post CM - Concrete Monument IRS - Iron Rebar Set P/L - Property Line C/A - Controlled Access CP - Concrete Pipe CMP - Corrugated Metal Pipe CPP _ Corrugated Plastic Pipe -F- 100 Yew Food Boundary -0- Overhead Utilities -X- Fence Fnd - Found n/f - Now or Formerly NMP - Nonmonumented Point CL - Center Line EP - Edge of Pavement TP - Telephone Pedestal -W- Water Line .......... ■■■■■■■■■■ LEGEND FC - Face of Curb BoC - Bock of Curb PP - Power Pole LP - Light Pole MH - Mon Hole CH - Chord Distance P/0 - Pott of DB - Dead Book PB - Plat Book RB - Record Book PG - Page CB - Catch Basin -S- Sewer Line WM - Water Anter WV - Water Valve SM - Bench Mark TBM - Temporary Bench Mork RRS - Rag Rood Spike CTV - Cabo Tokevision Pedestal ETI - Electric Transformer Box CO - Sonitory Sewer Clean Out Q Cc rz I, George Robert Stone, Professional Land Surveyor, L-31�y62, certify to one of the tohowit as indicated than. ® of ElJ : F] o_ That this plot is of a survey thot crectss a subdivision of lord within the area of a county w mtow-ipaWy, that has an arAnanm that roguit"s parcels of land: b. That this plat is of a survey that s located in such portion of a county or miunicipaky that is unregulated as to an ordinance that rogulatw p- , I of kind: OC. That this plat in of a survey of an existing pored or parcels of kwd: d. That the plat a al a survey of another category, such as the recombination of exstkvg parcels, a court-ordered survey of otter acept)on to the deRrdti in of subdivision: ❑ e. That the information available to this surveyor is such that I am unable to make a determination to the best of my profeet ionai ability ce to provisions contained in (a) throdgh (d) jobove. G R St PLS STATE OF NORTH CAROUNA COUNTY OF DAVIE I, Andrew Meadwell, Revievi Officer of Davie County. certify that the map or plot to which this certification is affixed meets alt tatutory requirements for recording. Review Officer Date: .Z it 20 Igo 17 - "NO L"NO APPROV REQUIRED BY THE COUNTY PLANNING DEPARTMENT' Pl7ning ik�tor .2 / 20 (0014 —� pate Filed for registration a`Gtf o'clock l -_M FWEUA1 \ IJ O , to•`^/ and recorded in Plat Boot Page ML Brent Sheaf, (�Register of Deeds Filing Fee Paid Sgt. by --I� -�� ci, ASSIST 46 0 eorge . one, _ Professional L-3162 planted Stone Fnd • Exempt Minor SubdivisionLI, Tax Lot, 7 IT�2—E1R FBlof Tax cMai' M-5-6 n/f PNC Bank, National Association RB 871; O PG 34 Point A 1 F R Find I Tax Lot 5 Block A Tax Map M-5-7 n/f Spry Estate, LLC RB 875 O PG 921 I Tax Lot 6 Block A Tax Map M-5-7 n/f Jeanne Booe Warwick do Joe R. Warwick, Jr. WB 2003-E-129 R8 784 O PG 927 RB 604 O PG 179 RB 328 O PG 903 (Remainder) GAP -114 p, to 8 -- 2„E1P Fnd ro 6a• Southwest of Une A -B ij 1 w L 6 IRS IRS LOT 1 0.920 Acres +/- P,,agewooa usrcce J'..tt. .leuj T-6 �nt/Find r 2 85' SaAthwest t at one 8 Tax Lot 30 Block A Tax Map M-5-7 n/f Kay M. Tilley RB 806 O PG 584 60' Public R/W 20'+/- Pavement Width 1 1 I I I I (we) hereby certify that I am (we ore) the owner(s) E dg ew o o d Circ l e of the property described hereon. which is located in the subdivision jurisdiction of Davie County and that OWNERS S.R. 1203 I hereby adopt this subdivision pion with my free Joe R. Warwick, Jr. consent, established minimum building setback lines Jeanne Booe Warwick and dedicate ap streets, alleys, walks, parks and 1911 Townsend Forest Lane South other sites and easements to public or private use Brown Summit, N.C. 27214 2-i8- iZ _ mftmw(*) Ode 1 " EIP Fnd PROPERTY LINE CALL TABLE COURSE BEARING DISTANCE L-1 N 47"40'00"W 169.43' L-2 N 43°49'38"E 129.71' L-3 N 65°55'17"E 66.82' L-4 S 53033'35"E 100.91' L-5 N 42036'48"E 95.00' L-6 S 53032'22"E 86.19' L-7 S 42"02'39"W 94.87' L-8 N 53.33'35"W 50.00' L-9 S 41646'40"W 205.09' TIE LINE CALL TABLE COURSE BEARING DISTANCE T-1 N 47040'00"W 225.00' T-2 S 47040'00"E 230.57' T-3 S 41022'34'V 105.58' T-4 S 56'06'12"E 740.19' T-5 S 02052'41 "W 119.68' T-6 N 57044'1 V"W 100.16' T-7 N 57"19'08"W 180.47' T-8 S 42"02'39"W 80.32' Survey for: Joe R. Warwick, Jr. Jeanne Booe Warwick LOT 1 Part of Tax Lot 6 Block A Tax Map M-5-7 PIN: 5745396109 Will Book 2003-E-129 Record Book 784 ® Page 927 Record Book 604 O Page 179 Record Book 328 O Page 903 Plat Book 4 ® Page 30 LOT 1 Acreage: 0.920 Acres Area Computations by Coordinate Geometry SCALE TOWNSHIP COUNTY STATE DATE 1" = 60' Jerusalem Davie North Carolina 2-18-2012 Stone Land Surveying Company Sum. DB,MT,RSBusiness Finn Certificate Number' C-1704 Joe No 1412 George Robert Stone, PLS L-3162 MAP NO. MAPPED: 11,1 Crum lone (,5!6) 998-4733 1412 GRS Mocksville. N.0 27028 e --i cc I Tax Lot 5 I Block A Tax Map M-5-7 I n/f Spry Estate, LLC RB 875 ® PG 921 19 a Tax Lot 6 Block A Tax Map M-5-7 n/f Jeanne Boole Warwick & Joe R. Warwick, Jr. WB 2003—E-129 RB 784 ® PG 927 RB 604 0 PG 179 RB 328 ® PG 179 (Reaminder) L-4 IRS I L-6 IRS 2" EIP Fnd CAD Q Sp�o9 2 SR yr/ O m b � W I / IRS Vicinity Map (Not to Scale) I WM — Water Meter PROPERTY LINE CALL TABLE LOT 1 40 0 40 80 120 I I COURSE BEARING DISTANCE i unable to make a determination to the beet ofrmy professioncl ability as to provisions contained in (a) through (d) above. V ( L-1 N 47°40 00"W 169.43' SURVEYED I L-2 N 43°49'38"E 129.71' j thlS plat: : t L-3 N 65055'17"E 66.82' CL — Center Line RRS —Rail Road Spike L-4 S 53033'35'E 100.91' I I 0.920 Acres +/— L-5 N 42036'48"E 95.00' CTV —Cable Television Pedestal IRS Placed L-6 S 53032'22"E 86.19' Building TP — Telephone Pedestal L-7 S 42002'39"W 94.87' "' by Angle Iron 3/4" EIP Fnd L-8 N 53033'35"W 50.00' IRS L-8 L-9 S 41046'40"W 205.09' I I WM — Water Meter I LOT 1 40 0 40 80 120 Fnd — Found n/f — Now or Formerly i unable to make a determination to the beet ofrmy professioncl ability as to provisions contained in (a) through (d) above. we surveyed the property shown on SURVEYED I TBM — Temporary Bench Mark j thlS plat: : t DB, ST,RS CL — Center Line RRS —Rail Road Spike I I 0.920 Acres +/— EP —Edge of Pavement CTV —Cable Television Pedestal I TIE LINE CALL TABLE Iv Building TP — Telephone Pedestal I "' Proposed vRS —W— Water Line CO — Sanitary Sewer Clean Out SO I JOB NO. 1412S MAPN0. Well ProfessionalLfbnd 5urvfyor, L-3162 COURSE BEARING DISTANCE Tax Lot 6 „3 l o A— Tax Lot 30 Block A I I W o Block A I T-1 N 47040'00"W 225.00' Tax Map M-5-7 Building II Tax Mao M-5-7 T-2 S 47°40'^""r- '.3t n f Jeanne Booe Warwick / I n/f Kay M. Tilley .57' T-3 3 42'02'39"W 80.32' & Joe R. Warwick, Jr. IRS I X / RE 206 ^C 58" WB 2003—E-129 II OS 784 9 PC 927 I� I i RB 604 ® PG 179 RB 328 ® PG 903 (Remainder) Proposed Septic Tank I —28_2' NOTES: 66_7' �— 1. Zoning: R-20 1� -- Proposed I 'roposed 2. -Minimum Building Setback Distances: House Drive I Front: 30', Rear: 30', Side: 15' Proposed ---------- Septic Field N I p 0 I \ I N l< a l ' ^ (D m IRS IRS �— _-- _— I Cl- I IRS EIP Fnd TT -22 � L-1 � I T-1 Edgewood Circle S.R. 1203 60' Public R/W 20'+/— Pavement Width ' I, George Robert Stone, Professional Land Surveyor, L-31�62/, certify to one I CARO I of the following as indicated thus, ® or L : —SS�O '✓ I a. That this plat is of a survey that creates a subdivision of land within �• •�� ��'. LEGEND the area of a county or municipality that has an ordinance that Q R/W — Right—of—Way FC — Face of Curb regulates parcels of lana; SEAL EIP — Existing Iran Pipe BoC — Back of Curb L-3162 (11 EIR — Existing Iron Rebar PP — Power Pole b. That this plat is of a survey that is located in such portion of a P — Post LP — Light Pole county or municipality that is unmguated as to an ordinance 0 • ����• Q CM — Concrete Monument MH — Man Hole that regulates parcels of land: IRS — Iron Rebar Set CH — Chord Distance 0�3C' S(1R`1•• c�� P/L — Property Line P/0 — Part of Q c. That this plat is of a survey of on existing parcel or parcels ' C/A — Controlled Access DB — Deed Book of land; 15)0 BER CP — Concrete Pipe PB — Plat Book CMP — Corrugated Metal Pipe RB — Record Book C d. That this plat is of a survey of another category, such as the CPP _ Corrugated Plastic Pipe PG — Page recombination of existing parcels, a court—ordered survey or other —F— 100 Year Flood Boundary CB — Catch Basin exception to the definition of subdivision; —0— Overhead Utilities —S— Sewer Line Site Plan for: Joe R. Warwick, Jr. Jeanne Booe Warwick SCALE 1"=40 —X— Fence WM — Water Meter e. That the information available to this surveyor is such that I am I declare that on .'_0_ 40 0 40 80 120 Fnd — Found n/f — Now or Formerly WV — Water valve BM — Bench Mark unable to make a determination to the beet ofrmy professioncl ability as to provisions contained in (a) through (d) above. we surveyed the property shown on SURVEYED NMP — Nonmonumentetl Point TBM — Temporary Bench Mark j thlS plat: : t DB, ST,RS CL — Center Line RRS —Rail Road Spike GRAPHIC SCALE — FEET MAPPED: EP —Edge of Pavement CTV —Cable Television Pedestal George R. Stone, PLS t TP — Telephone Pedestal ETB — Electric Transformer Box "' 1-' vRS —W— Water Line CO — Sanitary Sewer Clean Out Land Surveying Company Business Firm Certcote Number. C-1704 George Robert Stone, PLS L-3162 JOB NO. 1412S MAPN0. ProfessionalLfbnd 5urvfyor, L-3162 1412S LOT 1 Plat Book 11 ® Page 23 Formerly Part of Tax Lot 6 Block A Tax Map M-5-7 Will Book 2003—E-129 Deed Book 784 (4 Page 927 Deed Book 604 �O Page 179 Deed Book 328 ® Page 903 Plat Book 4 ® Page 30 0.920 Acres +/— by coordinate geometry TOWNSHIP COUNTY STATE DATE Jerusclem Davie North Ccroiino 2-20-2012 Stone Land Surveying Company Business Firm Certcote Number. C-1704 George Robert Stone, PLS L-3162 JOB NO. 1412S MAPN0. 'rum Lane 1412S „3 Parcel #: M5070A0006 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Sill Search Sales Search View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information N t Parcel #: M507OA0006 Account #:82530562 ,' Owner Information Building: Tax Codes BXF• ARWICK JEANNE BOOE & WARWICK JOE R JR Land: ADVLTAX - COUNTY TA Market: 129 EDGEWOOD CR ssessed: READVLTAX - FIRE TAX Deferred: OCKSVILLE NC 27028 Improved Property Information 2 Township Land (Units/Type): 2.230 AC 04 JERUSALEM ddress: 7345 S NC HWY 801 Improved Deed Information 3 Local Zoning ate: 03/2009 Book: 00784 Page: 0927 03 2009 WD Piat Book: age: Improved Legal Description 4 PIN 2.23 AC HWY 801 2003 WL 5745396109 Property Values Building: 95,92 BXF• 4,57 Land: 27,76 Market: 128 25 ssessed: 128,25 Deferred: Unqualified Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00328 0903 03 2000 WD Unqualified Improved 0 2 00604 0179 04 2005 WD Unqualified Improved 0 3 00784 0927 03 2009 WD Unqualified Improved 0 4 2003E 0129 05 2003 WL Unqualified Improved 0 View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information Page 1 of 1 oN'.r� woul-I'S Davie County Web Site 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 public Information sources should be consulted for verification of the information. All Information contained herein was created for the Davie County's Internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or Implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountyne.gov/itsnetfView.aspx?prid=1467387 8/24/2016