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826 Baileys Chapel Rd Davie County,NC Tax Parcel Report Wednesday, October 12, 2016 ANNIE'LN CZL -J — Q' QPf 801 U-0 KEIry---� EN -._ moi..------ � --------- ----------- ------' --- - - ___1J WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H800000044 Township: Shady Grove NCPIN Number: 5779802621 Municipality: Account Number: 4356000 Census Tract: 37059-804 Listed Owner 1: BARNES JERRY THOMAS Voting Precinct: FULTON Mailing Address 1: 826 BAILEYS CHAPEL ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006-7145 Voluntary Ag.District: No Legal Description: 54.720 AC BAILEYS CHAPEL Fire Response District: ADVANCE Assessed Acreage: 55.99 Elementary School Zone: SHADY GROVE Deed Date: 1011992 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001660004 Soil Types: PaD,WeB,PcB2,PcC2,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 210600.00 Outbuilding&Extra 2420.00 Freatures Value: Land Value: 410930.00 Total Market Value: 623950.00 Total Assessed Value: 256040.00 All data is provided as is without warranty or guarantee of any ldnd 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 Nei NC or arising out of the use or Inability to use the GIS data provided by this websBe. DAVIE COUNTY HEALTH DEPARTMENT •A IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT ti **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 /11 PROPERTY ADDRESS !� r G 5 � __a DATE � LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING'TYPE '� # BEDROOMSL # BATHS AL2 # OCCUPANTS 1V GARBAGE DISPOSAL: Yes/�p COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) JY, d NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 1&00 GAL. PUMP TANK GAL. TRENCH WIDTH .?� ROCK DEPTH ,/' 'LINEAR FT. �d A 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. ,J f F i IMPROVEMENT PERMIT BY Il / 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. i OPERATION PERMIT SYSTEM INSTALLED BY C' r AUTHORIZATION NO. Q 3 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. I DCHD 10/95 ,,� � ,:- •: •._ , � #, Davie County Health Department ENVIRONMENTAL HEALTH SECTIONr P.D. Box 665 i� Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM.CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, 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 when applying for Building Permits.*** `-� AUTHORIZATION NUM SER NAMEJe 'All/VN2 Ir rwe DATE l NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM } MIDTICEaH THIS AUTHORIZATION FD WA5TEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD DF FIVE (5) YEARS. ENVIRONMENTAL tEALTHH SPECIALIST DATE_; ; DCHD 10/95 ,6. �J( APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department �ILAPRU19% ~�] Environmental Health Section owls P. O. Box 665 P Mocksville, NC 27028 1. Application/Permit Requested By e r 1 A 6 r /r Mailing Address �A n`�V-5 T�t1 -Home Phone 4 4dvanre,. c Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑General Evaluation U Septic Tank Installation Permit 4. System to Serve: [�I'fouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home:Subdivision Section Lot # Basement/Plumbing No. of People L4 /Washing sement/No Plumbing No. of Bedrooms Machine No. of Bathrooms 3 7), [V/Dishwasher Dwelling Dimensions L ?S 3 ❑ Garbage Disposal 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 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: 010, 4-o C r 1 O`pl- I PC/ 16 WA �nl cel max o-��icx, �in� X779 -�0 -al�a..1 cad I.�ame: ; ~Bc6 lcy'S Cho+CA C ►13: Rd vccr�ct This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this ap Iication. � 2 3 �9 T DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY Fanddisposal ECK ONE: [l'I. I OWN the property. ❑_2. 1 DO NOT OWN the property. ked Box #2, the rest of this form MUST be,completed by the owner or`a person authorized by the owner: ve consent to the authorized representative of the Davie County Health Department to enter upon above described cated in Davie County and owned by all testing procedures as necessary to determine said site's suitability for a ground.absorption sewage treatment system: 3 DATEST �— GNATURe DCHD(1193) "4�.f' :.�,'i x� t;�je}S;H.}. �:+;�.�7'�'fij+"�v'�'" fp:+ 'tiPi f�'YJ.�S-�'ti slx 7l�w.4i..'I j,4'K 1py f $ ' -` ..e•, .syr ' tRir•ehi,ysj`3•."wrf.i�s, X O .H n =N AUTHORIZATION NO: ' '� O �� DAVIE C'ELINTYNTY HEALTH DEPARTMENT tal Health Section PROPERTY INFORMATION/-g q g Permittee', P.O.Box 848 W8,8 Name: " SO Mocksville,NC 27028v Subdivision Name: !'`1'J �//! Phone# 336-751-8760 Directions to property: Section: Lor. 'AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#. 21 Road Name: Zip: eaS �QaS� **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 FomVAuthorization Number should be presented to the'Davie County Building Inspections. Office when applying for Building Permits. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH S CIALIST ', : DATE ISSUED , " 43 1.04 m I650Ac . (20.511 ac _Ma ' 142.48 Ac B (21Ac.) ( 17. 30Acl c. ) 'I ml 60 a t'1 ._ 43.01 I � V mID 142.46Ac m a y 136.46 50 2. }p 49 f-r �� 0s BAILEYS CHAP oA y' 04Ao,:) 50.01i,A METHODIST C •�` cOy�2AISA g �� ` ' 1.77 AC. dc 52 070 - 02 � 2g m *• �- . 871.20 Z 60 3'� \ 65 T x . aI►!'9R�''••. � �'s a �o (2Ac.) I � 165 4635 o 1, 4813s7 ,... � e2 e� 45 � • z 4o.gAc _ . . ) _ q0 — a to. a m ( 6AC.) m O Y• 7 f r 1041142 r 5 Y 55 A C. � a 47 I6 p \ V F OA c. l '• co s62 .42 SEE - Qy -- .(43.A kk AK i A S, ' s W DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation /� NAME lam//i^l�� DATE EVALUATED s� , ADDRESS PROPERTY SIZE r 7W PROPOSED FACIILTY LOCATION OF SITE C`�'IA�S e 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 MineralogX HORIZON II DEPTH Texture groupC L' 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: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 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 <;lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-V+:.-y 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 ■.■....■■■........■■........M.■■■■■....■...■■■!!!■■■■■.!■■■■.■MEMO ■......■...........■...■...■■..■ ■■■■■■■■!■■■MMM■MM■■■■!■.!■.!!■■ ■■■■.■!■■■■..■..■...■..■... ....■.■........■■■M�MMO■ ON M.MEM■■■ ■.■■O■■...■...■..■■.......■ M.■■■■!■M..MO.O!■■■ ■■■■ ■MOM ■■!.■!!■ ■..■■■.!.■■■■■■.■..M........0.■!!..■■../!!■!!! ■■■MMMH�■■■■MMM■■ ■■.!■!■■■■!■MME.■■M......■M■..■■.!M!■■■■ !■■ ■ C EMNON MM■ ■■■■■Eu ■E mom ■■lMM.l.■MMMM■lOOO..OOO■OOOO.■OE■■!!■lMOE■!MM■■�■�■�■ommommonommom ■■■■M■■■■■■■■ ■...■■.............0........■■.....■ ■MEM ME■OMME■■ OMEE■ ■EEM.■M■ ■.■!OlMMM■MOM■■M■■MOOMO.000MMMOOMM�MCMMM■■MM■■■H■EEO■■MCM�MM■■■�� ■.■■MM..........E■■■l.M..■....■■!■ MMM■.lMMMMNM■■=E�■M.■M! l.�MM ■ ■!■■■■...lMMMMl.!■■■■.■MlMM.■M...■■■■.M■E■■MMMMlM■ ■ MM!!■MMM =EMM ■■.00■.....M..M../.■■OOMOO■■■■.. 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