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179 Hickory StDavie County. NC Tax Parcel Report bvi l D Thursday. September 29. 2016 �! 254 �`\ �`}''� �. 20 5r 215 /108 E ��—r� /.� 226 / 192, ,`•.. ( r�1E !126 { 141 253 5;=242 2C'20S .: 223' x111 I 2 _ 3 4 , f , —� 132 214 241 •:,1 4•F 214 20ti? } 243 211- / `Fl F�} *14- 2 1231'" _!r" 1 -?f14 108 r O- 4- 20 f 139 -116 `\ rj 9 1951+x. `�y1 48.E _x.76 / 115 ,. t ,• r 74 T, 0 7. r 12 2 15,4 -• 1 0 X168 rr 1..181 s g';' f t�� ` I: 762'. -.=176 `I 17_ 75 � r 185r / r}..126 �1 QL57= 76301 :,15F / ',--' 16 169 148'' ,r1�� 1701-;. j! -151 171`--�— ,160 �178�173 J 7r,4 07� 6. 145 �' ;=.`�� r`^ 182r 764 177. - ,r/641 • ::'•1 1136' rr 76665//8 r 12211�6 57 � 119 122 ' 76. �r67� 1123 ;1-7682 7673 125 121 107 1 �f2#16 149 169 776Y-92 158 L77 1717, ,133 141 7704 177 148 7716! FiI 11817722I No 9Duvx�BAll 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 �o N C NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M50000000702 Township: Jerusalem NCPIN Number: 5735962335 Municipality: COOLEEMEE Account Number: 82519941 Census Tract: 37059-807 Listed Owner 1: SAWS LP Voting Precinct: COOLEEMEE Mailing Address 1: PO BOX 738 Planning Jurisdiction: COOLEEMEE City: COOLEEMEE Zoning Class: DAVIE COUNTY,COOLEEMEE RS,0I,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: 5.200 AC HICKORY ST Fire Response District: COOLEEMEE Assessed Acreage: 5.19 Elementary School Zone: COOLEEMEE Deed Date: 12/2002 Middle School Zone: SOUTH DAVIE Deed Book / Page: 004570195 Soil Types: GnB2,GnC2,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAME COUNTY,COOLEEMEE Building Value: 0.00 Outbuilding & Extra Freatures Value: 4500.00 Land Value: 21120.00 Total Market Value: 25620.00 Total Assessed Value: 25620.00 No 9Duvx�BAll 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 �o N C NC or arising out of the use or Inability to use the GIS data provided by this website. J IMPROVEMENT PERMIT DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT **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) NAME t GEf"�'✓" r �% ,, ; >,.%' PROPERTY ADDRESS N, GV. �! S� P 'I n 1 q DATE .0v LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS .T # BATHS 2 # OCCUPANTS GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE .�'%<' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GRD) ` �� NEW SITE 1-' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/, GAL. GAL. PUMP TANK GAL. TRENCH WIDTH / ROCK DEPTH / ; LINEAR FT. - LG OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. r'r i n %L IMPROVEMENT PERMIT BYell- 1 **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 J!%Q.�YSTEM INSTALLED BY t l I, n �13-•��+�-:,� AUTHORIZATION NO. 0 OPERATION PmIT BY i �``?�e�� ` � � - DATE ?1- 94 **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 FINCTIONI SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 ..__, E' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By JU 1 0 1995 � Mailing Address - . Q. U r%-30 p �//n n Home Phone `�%Qq' h� ��/c�9 7 -0 Business Phone 2. Name on Permit if Different than Above 3. Application for: IJ General Evaluation dSeptic Tank Installation Permit 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry.. II El Other 5. If house, mobile home: Subdivision O ZA No. of People No. of Bedrooms ,3 No. of Bathrooms Dwelling Dimensions N yoo 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher' ❑ Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: Public ❑ Private ❑ Community 8. Property Dimensions 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. Directions to Property: � L This is to certify that the information provided is correct to the st of my incurreM71 this application. �� DATE PROPERTY INFORMATION REQUIRED: Tax Office PINI PDX A) Road Name r Box # (if available) City �aP� ; and pderstand I am responsible for all charges GNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: El 1. 1 OWN the property. EI -12. 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 representativ f the Dav' o ty Heal h Depa ent to enter on abov de cri d property located in Davie County and owned by to conduct all testing procedures as necessary to determin s ' site's suitability for ground rotibol sewage tredtment and disposal system. DATE I DCHD'(1193) s x , 1,4 , SEE MAP a: M+5_9 8� 25 �r, 707 ,03 ---�-- �R4NGER 0 7 �3 . Nl AVENUE 00 (D o 710 3.55Ac SEE MAP ps � o ° v v E,_5-9 , I 02 E S 0 4 (-J CD lJ 1 0 `C <- 2 AC 7 �� 3'01 N v g. 8.99 Ac 5,02 w A 231 t+ ' l Ac I 0 ti 210 a rn o ni a 4t_ LO Cp P . 0 OD x , a r J00 10 t0 !D �S4 N M 70 . �, 20- o ut 0 a> , J m � K 60 64.5 u" ,. - 132.16 �' DAVIE COUNTY HEALTH DEPARTMENT r Environmental Health Section Soil/Site Evaluation NAME .% ADDRESS yy> PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy 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: Z'5 LONG-TERM ACCEPTANCE RATE: , REMARKS: DCHD (01-901 EVALUATED BY: OTHER(S) PRESENT: 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 :lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V--ry 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 � • ' ` , .. _ � , 5 - -- i 4 - -- -f � 3 � - 2 I - 1 � i � i - � i , i ' - � _ _� _ i$- _i __i 1__i��i- --�- -� - � � � , i - � 3 2 1 0 � � � ! 2 7T1-1- 3 4 - _`_i 1-.. _�-�--r---i--f-�_ 7 I t-;--�- ;-�--'r-'t-}-�- - - -{-,--Y---f--t-'r-j--f-} -,--}-,-f� r_ � �__r_1__��.._ i � " --�-�--�-t-i T 1-• - �-�-r� -- -{-�.y._ y_ _y I I , ' � , T�- i ,_�_?_f_ -�-r-rt I I-' r-�- -�--�-,-i i -;--j-- -1-1-,-t---j- - - �- � �--�--�-,-T ��-j-;_,-r.�. �_.j--�--r I - �-�- , -r-1-,_,4,=1-+- , ;-�-;r---;-,-,-+- � : I i � ' j-i-_"". .�_i-;�I .?._ _ � I I i I I I � I. +--t'- -�r_�----.-i---1_- � r � - I I I � �i�' i r t- _.r i i , � -I _� --r-�. -I �f-y-._i-�� ..-r-,- . � -� I � i f i-�-- ....t-�-- i-r- � �-r-t�-� �-t � I I �--;-�--- ._.-r-r-}-t-- �'r-*-�-+r-1-- -' � I , , � � - ' ._., i • -� i � _ i � -7-:- -�.1_ . _J-_.�-r-� ~-t--� � ; ;--�-�-1- -- j-- - ;-�- -i-, .-, -.- -- ' I � Y-f_'�' ' r _'I_"'�--�1 { _ j- " i�-� �-r--� �-r ...?--- � I � '�- i I�'-1- 1- -t �-','- f-� � � t... t-I--�-1� ' � �r: �i-�-�-t�r- -,-i-�-T--;-1 , � � -rt-�- 3 � ' r�--{-�-r-t-t--1-�-,-r-�--�-� i � � � �i - -�i` , i-; -;�- , � � ��-'_7�� _ i ( '�-+--r-Y--1-+----' ' . i i i '-j-I-+�---�--r-�-- � -� - � 1 _ � �_ `�---i-t-�- -r- i i a ' fi� i � � 5 � � � Davie County Health Department • ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION o (Issued in compliance with Article 11 of G.S. Chapter I30A, Wastewater Systems) ***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 whe a plying for Building Permits.*** 7✓ �MRIIAT NUV'YBER NAME DATE -T 1011, NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION C@IEMITS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM *HNOTICE*** THIS AUTHORIZATION FOR A5 WATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. i EN ROMIENTAL WATHQkCIALIST DATE DCHD 10/95