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106 Heavenly Ln Davie County,NC Tax Parcel Report Tuesday, October 4, 2016 732 , i' r U) U) LL' W 106 1 z , ,;Z+ 10 S z W C u z WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: F80000013919 Township: Shady Grove NCPIN Number: 5880572645 Municipality: Account Number: 80576750 Census Tract: 37059-803 Listed Owner 1: WOOD CURTIS E Voting Precinct: FAST SHADY GROVE Mailing Address 1: 106 HEAVENLY LANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 3.500 AC UNDERPASS RD Fire Response District: ADVANCE Assessed Acreage: 3.34 Elementary School Zone: 'SHADY GROVE Deed Date: 1111999 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 003190062 Soil Types: PaD,PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 114620.00 Outbuilding&Extra 4670.00 Freatures Value: Land Value: 35170.00 Total Market Value: 154460.00 Total Assessed Value: 154460.00 All data Is provided as Is without warranty or guarantee of any Idnd eRher 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 N�� NC or arising out of the use or Inability to use the GIS data provided by this webshe. DAVIE COUNTY HEALTH DEPARTMENT /1I`s AUTHORIZATION NO: C �; T Environmental Health Section PROPERTY INFORMATION Permutee's -'2 / r P.O.Box 848 Name: r �f� ir,� 1 .^°+ Mocksville,NC 27028 Subdivision Name: '. Phone#:704-634-8760 i Directions to property: 'r'z ;: cis✓t Section: Keit" AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION — ,� I � . Road Name: �� =/ ' l Zip: + i **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 I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION "�' t�. r-ti c•�` ,//" IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DTE ISSUED DAVIE COUNTY HEALTH DEPARTMENT � / IMPROVEMENT AND OPERATION PERMITS )ROPERTY INFORMATION ...�. Pefdn r'ee 'Nape: SubdivisiQ Name: Directions to property: d�` Section: y �. 5or IMPROVEMENT PERMITTax Office PIN:# - '• . � Road Name:y tf 1'._e1r!t.i Zip; i, J **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) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR 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 #BEDROOMS�� #BATHS -*2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE. �.S t�C� TYPE WATER SUPPLY AW1 DESIGN WASTEWATER FLOW(GPD) NEW SITE /, REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE !�d GAL. PUMP TANK GAL. TRENCH WIDTH.� ROCK DEPTH Z� LINEAR FT. .'6�) OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: 1. S IMPROVEMENT PERMIT LAYO l4 r" "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. Lon OPERATION PERMIT SYSTEM INSTALLED Y: 70 AUTHORIZATION NO.—abT OPERATION PERMIT BY: DATE: **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) Call 5 e 7�K ,So i Ca,,�(s W o ac-, r ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section IF P. O. Box 665 Mocksville, NC 27028AN 2 61- r 1. Application/Permit Requested By S Y- �� J 3& 7 1A esf l&,0/C, A Mailing Address Ho /Vockw;/ho. Af& g?d,-Zy Business Phone 036) 7T d05/ k t 2. Name on Permit if Different than Above i 3. Application for: General Evaluation ❑Septic Tank Installation Permit 9: 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly i ❑ Business ❑ Industry ❑ Other ❑ Unknown I 5. If house, mobile home: Subdivision Section Lot # XBasement/Plumbing : No. of People ❑ Basement/No Plumbing {' No. of Bedrooms -� ,IS�Washing Machine No. of Bathrooms f Dishwasher Dwelling Dimensions l S G d s5• TT ❑ Garbage Disposal i 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals a No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures !: 7. Type of water supply: ❑ Public Private ❑ Community i 8. Property Dimensions Sq /4GGS Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes No If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORMATION REQUIRED: Directions to Property: Tax Office PIN it' � Road Name 11e r-VCA& CQi1Q� /vc.0 ea 5• �$ G,t�®(mss Box i/ (if /available) Le{Lci vK Gr/n `Iaas �', ty / dkrLc� 0��046 CYO 51 7 -K CkJ oc.d�lYZi" !`t 5 � ,A f r�5 . This is to certify that the information provided is correct to the best of my wl ge, and I under and I am responsible for all charges incurred from this application I DATE SIGNA URE i CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY k MUST CHECK ONE: ❑ 1. 1 OWN the property. 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 `2�_ pL�, t to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. 4 DATE SIGNATU DCHD(1193) L CURVE •'� `�;,ora ' 0' 49014' 26 R IS WITH WESTERN R/W LINE OF RAILROAD e��•E'r us- 1 122.9 1 S 00°47'24"E 159.62'Chord� - 965.04 TOTAL CURVE o"� � a 0-20'-04.'E Delta - 43012 00 rE des° a r Radius ' 1395.97 d 935.61 (� C ' 1045.54' ;E+r,Irnq $0-11 road a' Arc- 1052.53 ,�,1 p� �, 34.16 S 03°17' pg"yy 8 a S 24°- 53- 09"W V`� 381.59 30:02 334.51 E 380.4911� 30.20 - 309.44 _ iron otacad 49 Chord 1,027. 78 �_N 01.12'42..W �N 03.17 09 E 352.14 30.05 . •S /j 8'ZQ•�' / �N 03.17 / •�.•' 171.41 Chard � _— ,8 09 E 312.91 .� 32109�N� L\ 30 30 EASt=A/ IYT . / it`y 6.•� 'M yr > 30 0.O j 'oE iron DIaeN /A Cao.d Ila! 9 pry W 3Te.ee Ifs �• W \ O C'0 1 1 . 092 AC. 0 5.596 AC. P MP W C� 93•• 90 ?! op .� .� ^ ` ^ aA 6.972 AC. M'o� W ,oar q°s, Fwd° 460296039.,W G Q J /` fD !`�e (D N 8.5 3 ACU C a a P/y" ' (tie) Q• (� Q rn An n N 45• •E'�` �N 8413.86' W n 29 09 a - `6 h in 32.33 V e W it cc I - co 5.380 AC .� e t I? - 346. 24' ' c EASEMENT '8' N O.N C M L N 04°- 427.30' iron G 3 1 Total O / 44' 25" E • oloc°d f 449.05') ° N co •C� !— non �wnrre 11rnr rdc' round 294.60' °1oc4C iron •°+ u ° M C on �— 392.17' °• n P L E N 04048' 38.•E- oac4d Jorvrs Rd. -0 O 6 1 529.87'2092.99 _SR I658 .Q Z ma Mary Crews .� RAW a: 010,11164 � ' --2 V2.. „on found in E Of 6' 3 Peebles I e,F NI DOT SR r s. D. B. 96-P• 418 ir N►aud,e o Enoch E. Vogler i Crews i Peebles o 12.000 AC m D. B. 49- P, 65 Jennie B. Foster / ID Q 110-475+ m Z I D.B. 66- 603 / I Q Flat iron round ! / a10L0 �_N 05014' 58"E 236.20' S /s q0113 OS•0e W � Iran °raced APPLICATION FOR SITE EVALUATION/IMPROVEMENTS. PERMIT � l l , Davie County Health Department 14 ( ^�N Environmental Health Section • ,/(�Q� P. O. Box 665 DEC 1393 Mocksville, N.C. 27028 I CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BE UED.,/ Home Phone 1. Permit Reque ted By �� �,��I� Business Phone W67-16d 2. Address #3 v 9D Q6 , 3. Property Owner if Differ nt than Above L _ Address -� �• �- 4. Permit To: a) Install ' Alter Repair b) Privy Conventional. Other Type Ground Absorption c) Sub-Division Sec�-� Lot No. 5. System used to serve what type facility: Housed Mobile Home Business Industry Other b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions '2.�DOI- - Bed Rooms_Bath Rooms -3 Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water-using fixtures: commodes 3 urinals garbage disposal lavatory showers washing machine dishwasher sinks 8. a) Type water supply: Public Private Co unity b) Has the water supply system been approved? Yes No 9. a) Property Dimensions -r0,-f 2 3 Sb X 76 6 b) Land area designated to building site ea. c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of m dge 7 /,93 Date Owner Signat OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LO ALWS Allow 5 days for processing �— ections to property: b� C� r i lei• r �p / /Q PO V DCHD(6-82) ..�, e y SQA � ��J��Y '•� t r ♦ r � • I t.. Il Az L • 1 .,*.AWN ar lam Iq pay I � �v,, 7.. �.4.' -+moi, ' i' • . �� ' •� • r . • = ' \► f 11 4 .4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED ADDRESS IF PROPERTY SIZE ?/ PROPOSED FACIILTY ��/'�1 _ LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position t. I- �— Slo a Z HORIZON I DEPTH Texture group S L J-4 SZ Consistence Structure Mineralogy HORIZON II DEPTHS y Y Texture groupC Consistence i Structure /l Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH i Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 77 77T LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: C V 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 3C-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(01-901 ■■■■■■..■■■■■■.■■■..■■...■..■■■■■■■.■■■■■■.■■■.■■..■■■■■.■ ■■ ..1.■ .■■...■■..■.■■.■■...■.■...■�.■■■.■■E■E■■■MEM■■■ommmmEEM■■■■■N■■■M■ ...■..■■..■■■..M■.■■■■■M■■. .■■■■■■■■.■■■■.■E.. ■■.■■■■E■M■■■.■■■M ■■........■■■.■■■■■■■■E.■■■MM■■■■■■■■.■■M.■■■. ■■■■■.■. ■■■■■■■■■. ....■.■■...■■■.■.■■■■■■.■■■■.■...■.■■..■CCCms CMMMMMMMM MMMMMEM CC ....■■...M.■■..■■.E..M■...■..■...■M■■... .■■.■.■.■■■■■■■.■.■.■■■....■.■■■■.■■■■■■■■M■■■■M■M■E■O■■■■EM■N■OM. .■■■■M■■■■■■■■■■■■■■■■■E■■■■■■■■ ■■■E■■■■■■■M■■■■.E.............. 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Box 11 Advance, NC 27006 Re: Site Evaluation Underpass Rodd/$arbara Clapham Dear Mrs. Potts: As requested, a representative from this office visited the aforementioned site on JanLtary 6, 1994. Based upon the information provided on the application for a site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on—site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr. , R.S. Environmental Health Section RH/aid Enclosure(s)