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497 Griffith Rd Davie County,NC t Tax Parcel Report Tuesday, January 24, 2017 I I i l r� ,fr i 49 7 r J II rf' 11 I � rjr rf GRIFFITH RD J I ...................._..._..... ............_............................................._...._.. ._ _ .:, ` _ ..............................503..._.........._......._-... ........................................................_._.._....__.. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: B70000005401 Township: Farmington NCPIN Number: 5863883485 Municipality: Account Number: 8302177 Census Tract: 37059-802 Listed Owner 1: STOETZEL JOHN F Voting Precinct: FARMINGTON Mailing Address 1: 497 GRIFFITH ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: 2.000 AC GRIFFITH RD Fire Response District: FARMINGTON Assessed Acreage: 2.00 Elementary School Zone: PINEBROOK Deed Date: 5/2013 Middle School Zone: NORTH DAVIE Deed Book/Page: 009250309 Soil Types: WeB,RnC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: O A�KIl All data Is provided as Is without warranty or guarantee of any kind 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 SOU pf NC or arising out of the use or Inability to use the GIS data provided by this website. r. • DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002579 Tax PIN/EH#: 5863-88-7408 Billed To: Stacey Lavery Subdivision Info: 9 7 Reference Name: Location/Address: Griffith Road-27006 Proposed Facility: Residence Property Size: see map ATC Number: 3358 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD>OF FIVE YEARS. Environmental Health Specialist's Signature: ,�yam!/ Date: —21- CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. 1R �e-� 16 a , �� -„D Septic System Inst d By: � l�i� 17 Environmental Health Specialist's Signature: �Gx%�C Date: DCHD 05/99(Revised) ' DAVIE COUNTY HEALTH DEPARTMENT ' y Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002579 Tax PIN/EH#: 5863-88-7408 Billed To: Stacey Lavery Subdivision Info: Reference Name: Location/Address: Griffith Road-27006 Proposed Facility: Residence Property Size: see map ATC Number: 3358 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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(mi compliance with Article 11 of G.S.Chapter 130A, Wastewater Systems,Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type // #People #Bedrooms #Baths S Dishwasher: : Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing:Oo*" Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow(GPD) Site: New e Repair❑ System Specifications: Tank Size d,70GAL. Pump Tank GAL. Trench Width (L Rock Depth .1-2 Linear Ft.;��' � Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS) IF 6 "BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)75118760.**** Environmental Health Specialist's Signature: Date: ,) DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002579 Tax PIN/EH#: 5863-88-7408 Billed To: Stacey Lavery Subdivision Info: Reference Name: Location/Address: Griffith Road-27006 Proposed Facility: Residence Property Size: see map ATC Number: 3358 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. / Residential Specification: Building Type & #People_. #Bedrooms _ #Baths J Dishwasher:2101, Garbage Disposal: ❑ Washing Machine Basement w/Plumbing-j!r Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow(GPD)... Site: NevyrE100,Repair❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width ,-��'Rock Depth Z.V Linear Ft. Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISERS)IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m. or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** e� Environmental Health Specialist's Signature: Date: p�`�� O DCHD 05/99(Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT U �S Davie County Health Department Q Envifonmental HeathSection P.O. Box 848/210 Hospital Street JAN ) Mocksville, NC 27028 4 2�0� (336)751-8760 . �VONM�TA ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE >� INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instruction . 1. Name to be Billed q LAUe Contact Person QQ �Q Mailing Address 49�1 1 t' ' Home Phone 1-1 (Oj' City/State/ZIP AA_ y Fi-V lu t C z 706 Business Phone 81-7 q' 2. Name on Permit/ATC if Different than Above Mph /Gtn�M P rYM�.1 St'�. Mailing Address SR,.Q City/State/Zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC Both 4. system to service: .House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 1 S. If Residence: # People # Bedrooms # Bathrooms 3 /Z VDishxasher Cl Garbage Disposal 1,K/Washing Machine (Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City YJ Well ❑ Community 8 Do you anticipate additions or expansions of the facility this system is intended to serve? ]Yes ❑No If yes,what type? >C'_) Iyv, M- ti cr ,D OD ***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. Property Dimensions: •ate WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # � B �g 0 -40 1 ho 00 2 Ddu w w r Property Address: Road Name 6 e'1��fJL _b) li.( 4 9= - 1,DW e_S Fdb 7` ` r City/Zip lLU.4aeP Wr, rdrip- PJ- 40 5GLul l T Z=J�b C 5(0 If in a Subdivision provide information,as follows: �^ Name: Section: Block: Lot: Date Property Flagged: _/-/s--03 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. I,also,understand that I am responsible for all charges incurred from this application. 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 to conduct all testing procedures as necessary to determine the site sui ility. DATE l nt 0 3 SIGNATURE Ll THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Q e( Date(s): /- cam Client Notification Date: EHS: —' Account No. c-;)-�� J Revised DCHD(07/99) Invoice No. i 7408) B700000054 5863887408 (418) 0 GRIFFITH ROAD to 498 979) - 402_ 4858) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002579 Tax PIN/EH#: 58637,88-7408 Billed To: Stacey Lavery Subdivision Info: 2 fie Reference Name: Location/Address: Griffith Road-27006 Proposed Facility: Residence' Property Size: see map Date Evaluated: /:2eys Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position .L Slope% HORIZON I DEPTH ry + Texture group4, Consistence Structure Mineralogy HORIZON II DEPTH >` ' Texture groupC Consistence Structure 41 Mineralogyi 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: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: ,Ale X v / *LEGIND 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 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 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 05/99(Revised) ■■■■■■■■■■■■■t\�■■■■■■■■■■■■■�l■■llilt■■■i9ilt■■t■■■■■■■■■■■t■■■■t■t■■■■ ■■■■■t■■■■■■■t■aa■■■■■■■■t■■rlU�.�l�jttnr�it■■■tt■■■■t■t■■■■■•■■■■■■t■ ■■■■■■■■■■■■■■■■■►\■■■■■■■II DIY■■■I:/■ilii■■■■■■■■■■■■■���/■■■■■■■■■■■■■ ■■■■t■■■■■■■■■■■■■■■■■\C��■■■■■■■■t■■■■■/Cit/■t■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■pct■■■■■■■■■■■■■■■■■■■■■■■t■■■■te■■■■■■■■■■■■■■■■t■■ MENNENMENNENiiwiiiiiii: _:iiii: MMEMMEMENNENMENNEN ■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■■■■■■■■■■■■pie■■■■■■■■■t■■■■■t■■■■tt■ NEESE ■■■■■■■■tt■■■■■■tt■■■�,■■■■■■■■■■t■■■■■■■■pit■■■■tt■■■■■■t■■■■■■■■■■ ■■■■■■■■■■■■■■■t■■■■■pit■■■■■■■■■�■■■■■■t�■tt■■■■■■t■■■■■■■tt■■■■■ ■■■■■t■■■t■■t■tattttt■■tt■■tttttt■�:�=====tt■■tttt■tt■■■■ttt■■■■t■ ■■■ttt■t■■■■■t■t■■■■t■t■■■tt■■r�■�i■■■■t■■t■■■■■■■■t■t■■■■■■■tt■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■t■■■■■tt■■■t■tt■■■t■ttt■■t■tttt■tt■tt■t■ttet■tttt■■■t■■ ■■t■t■t■■■t■■■■tt■■■■■t■■■■■■t■■■■■■t■t■■■t■t■■tett■t■■■t■■t■■tt■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■tt■■t■■■t■ttt■t■tt■t■■■tt■■■■■■■■■■■■■tt■t■■■■ttttt■tt■t■■ ■■■ttt■■■■t■■■■■tt■t■■■■■tt■■■■t■■■■■t■t■■■■tt■■■t■t■■■■■■■■■■te■■