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127 Stone Wood Rd Lot 3 Davie County,NC Tax Parcel Report Friday,December 30, 2016 O los 111 i rx 127 ' � 5 S1;11 Jr 110 ; _ ry f 139 F O^ f f V J 151 159 t � ' V x235 126 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M4050B0003 Township: Jerusalem NCPIN Number: 5736504303 Municipality: Account Number: 82531540 Census Tract: 37059-807 Listed Owner 1: FOSTER ANGELA Voting Precinct: COOLEEMEE Mailing Address 1: 127 STONE WOOD RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 3 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.72 Elementary School Zone: COOLEEMEE Deed Date: 2/2010 Middle School Zone: SOUTH DAVIE Deed Book/Page: 008180492 Soil Types: Gn62 Plat Book: 0007 Flood Zone: Plat Page: 073 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 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 Coun y's GIS website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and ail claims or causes of action due to N`''�v- or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Pd //•/ 1 • Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002040 Tax PIN/EH#: 5736-50-4303 Billed To: Schult Housing Advantage Subdivision Info: Gladstone Woods Lot#3 Reference Name: Location/Address: Stonewood Lane-27028 Pro osed Facility: Residnce Property Size: 150'x 180 ATC Number: 3008 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 WASTEW4TER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: JY Date: CERTIFICATE OF COMPLETION r **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 tak g tee that the system will function satisfactorily for any given period of time. Zo Go jU b Septic System Installed By: j Environmental Health Specialist's Signature: ll Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section r4# 11—tv-41 P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002040 Tax PIN/EH M 5736-50-4303 Billed To: Schult Housing Advantage Subdivision Info: Gladstone Woods Lot#3 Reference Name: Location/Address: Stonewood Lane-27028 Proposed Facility: Residnce Property Size: 150'x 180 ATC Number: 3008 **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 Dishwasher: Garbage Disposal: ❑ Washing Machine:21"" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow(GPD)� Site: NewerJRepair❑ System Specifications: Tank Size/Ni GAL. Pump Tank GAL. Trench Width Rock Depth 1 Linear Fts-71f1' 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.**** Environmental Health Specialist's Signature: ADate: DCHD 05/99(Revised) AAPPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC . Davie County Health Department NOv 6 501 Environmental Health Section P.O. Box 848/210 Hospital Street ENV► R"D ,��tITI�L.NEi�LTH Mocksville, NC 27028 DAVIE COUNTY (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS •ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. I 1. Name to be Billed T / A S/,✓� Contact Person .Mailing Address 1J`'Y It �j, /�,A/. Home Phone City/State/ZIP '5 we6y"Ar ,C. c2&1477 7 Business Phone 7o 51- 771-67729 Or 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. System to Service: ❑ House "o-bile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms 2- IJ Dishwasher U Garbage Disposal U Washing Machine ❑ Basement/Plumbing II 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: R- county/City ❑ Well U Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes E4-?tU— If yes,what type? ***IAfPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. � p� 4 Property Dimensions: f sfl /6V WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PILI: # 5S7 3 6 J Q y'tl 6 3 ey Property Address: Road Name c5/&4ft&bLy I,A/ • O N 4t�.s'%D.�fit /\ey City/zip Cook r"ee 492rat , d2 riles o^-) /IJu///,� RJ, If in a Subdivision provide information,as follows: W���p�ve Wd�J Dwj Name: �1, - fJe W obj-r 407— J ZL-,/ O Section: Block: Lot: _ Date Property Flagged: 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 ani 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 suitability. DATE �O-• •- SIGNATURE 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 1' Client Notification Date: EHS: Account No. Y� Revised DCHD(07/99) Invoice No3 a t -r-! -Q/ . • la!1 6 r .t-` t Mackie McDaniel r Ts l,C� 5b } F'�f zt` r fib•r 3. ¢o-1� e a_�� z" Office: (336)751-9090 Mobile: (336)940-8649 Website:www. kiemcdaniel.com ��,q,�•s/oNE �DO�$ SWICEGOOD WALL&MCDANIEL ! REALTORS® 854 Valley Road Suite 100 '. Mocksville,NC 27028 .. �r• Int// •.t• NO ./,.../f+_ a v. -•-'• •�. .. a.r•...i,: .. LLL 06 AND ALIC h�- Jszrrr/ qty -. .r. .. .. ft�}f1Vt�LG1S1� ..... :.e ,s ApyapA&RUd PQ 206 3 071.ri"Ef Cr OQ4/ �' B Q•. ... G ALL Lord TO LO DAO A ��'•: la Ab 1f��i' a�•otNr '9 � \;? L ,� • • 'r2 MAL NCM \ q•Rawd AAF LOT/ }J\� \♦ �� t r4 wVW f9 t�• z� i\\ r,�y�•Y�_ �4 �r 4�v LLrAiCt-Ac�lA� L.OT 4 - y Q4eb 00 114.+ a `4•. _ !1 ALL w",end '` , .p , .. \ •`C7/]'\ •'' Y r` :F'J t.''�t , 9gpp �C`LT%2-L ce :. •' .S•. • ��: ;t:� �i:s+r;•Syi:. ` '�:i��f7• .��r,7,r,���.:;•y,�..Xw�, rC) `I'RrT ALT- `>••.RVOFw�•a.n• ;;k `• •, •h...�•.a( ••\'.. •� ]• Y Tr •r� •. Y •"+:j:l��' ••r q • .�r..• ��jy�, ♦ J '1 ,•FyP.',�i x~,'r,•,y+�li•�.�a R-:JL'•\LOT X.. ,�,.•.•L. ,�''S4.• •'�• \ ♦.f".-n�_.�.:J:-i.,. ': ''r.: 74 Lor'3r 1 r r a�g .Lx7rJa ; :, !•F.v.!-• •y �f� "„ .�I?'co" '.1�.•`^ t•�•.. .. .��,. 'giAf�n' ♦ a •a' `7lQopr'.. •�•:;> '` Y.N. Lar 2-4 �. ._�" •fit LO'•14 9 •• �t• •S SARAH NOLLE-T' taT to � � • .T 8 � . �Y�. �ur DB.3e Po,god ? LOT 13 Lar 12 �• a LOT JL � LOT!o LOT!C P14p0 • IW 7400 . , ,� ' `N M OD•04` W 14Q0O r grQlq tD7,yL gQ1�7 t74m - '" 'a- '�—N e4•u'or w 'I - Ir•j.. ••' I DLeE SER Ir srrRLsr�+�tES � �3.5= ar,.309 IV APPLICA'T'ION FOR SITE EVALUATIONAMPROVEMENT PERMIT&AlL Davie County Health Department D Environmental Health Section P.O.Box 848 JUL - 2 hyo J Mocksville,NC 27028 (704)634-8760 *Rsrt-�+.` lff HEA!]'H ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL ALLTHE REQUIRED INFORMATION IS PROVIDED.1. Name to be Billed k4� W SCP_ ('�aC) Contact Person Mailing Address -` V o�� S� F� C� Home Phone k a City/State/Zip 'K of SA\e. L'- Business Phone Z5 -a Ll a KX-rOy 2. Name on Permit/ATC if Different than Above Mailing Address _ City/State/Zip 3. Application For: C3" Site Evaluation ❑ Improvement Permit&ATC ❑ Both 4. System to Serve: 3—House U�-Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms T� # Bathrooms `lJ liishwasher ❑ Garbage Disposal a'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other. Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage(gallons per day) 7. Type of water supply: bounty/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes Ek-No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:.SDOX '733,5.� X' %5.s,� X -9a 7 f 3 1 WRITE DIRECTIONS(from 1 MocksvlUe)TO PROPERTY: Tax office PIN: # �17 3 CO- - � - �L t-( '1 1 . Property Address: Road Name �� 1 City/Zip 1N�o c'\�5.,�,��-P C_ 1 If in Subdivision provide information,as follows: 1 o- Name: � � S t o 1 1 Section: IS t\c.R Lot #: 1 1 1 . This is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter aro 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.1,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 ce mac/ �� �� �� c "� i o conduct all testing procedures P- as necessary to determine the site suitability. DATESIGNATURE c evised DCHD(06-96) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION--,/_LOT,!- Soil/Site Evaluation APPLICANT'S NAME 6� DATE EVALUATED f PROPOSED FACILITY PROPERTY SIZE /f O SUBDIVISION Co� Zy� fa-e ROAD NAMEA-_e"1/yI Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit t./ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH 4,11 Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture Eroup Consistence _ r Structure /C S Mineralogyp 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 i SITE CLASSIFICATION: EVALUATION BY- LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: /' Pl✓1 2i1 if 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 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(01-90)