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140 Stone Wood Rd Lot 14 Davie County,NC Tax Parcel Report Friday,December 30, 2016 139 1 frf 151 . 159 169--__, 235 126 ! V 7 WOOD RD 245 "'- 140- 253 40-253 148 4 156 164 555 5 � l ~2 55 170 265 71 Q� I ------2.79---------- WARNING: THIS IS NOT A SURVEY _ Parcel Information Parcel Number: M4050B0014 Township: Jerusalem NCPIN Number: 5735594900 Municipality: Account Number: 8306136 Census Tract: 37059-807 Listed Owner 1: SECRETARY OF HOUSING&URBAN DEV Voting Precinct: COOLEEMEE Mailing Address 1: SHEPHERD MALL OFFICE COMPLEX Planning Jurisdiction: Davie County City: OKLAHOMA CITY Zoning Class: DAVIE COUNTY R-A State: OK Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 73107 Voluntary Ag.District: No Legal Description: LOT 14 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 1.32 Elementary School Zone: COOLEEMEE Deed Date: 5/2016 Middle School Zone: SOUTH DAVIE Deed Book/Page: 010170460 Soil Types: GnB2,PcC2 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: 91 All 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 orfitness 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 �pbN'S4 NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT _ Environmental Health Section ' P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003147 Tax PIN/EH#: 5735-59-4900 Billed To: Fleetwood Mobile Homes Subdivision Info: Gladstone Woods Lot#14 Reference Name: Location/Address: 140 Stonewood Lane-27028 Proposed Facility: Residence Property Size: 100x300x200x **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 3 #Bedrooms #Baths Dishwasher Garbage Disposal: ❑ Washing Machin Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply /0 Design Wastewater Flow(GPD) Site: New❑ Repair❑ System Specifications: Tank Size`�OtbAL. Pump Tank GAL. Trench Width� Rock Depth j{J Linear Ft.- w Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPR VE FLUENT FILTER. RISER(S)IF 6 K BELOW FINISIIED GRADE. ****NOTICE: Contact a representative of D A 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 th da o installation. Telephone#is(336)751-8760.**** ----------------- 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 Account #: 990003147 Tax PIN/EH#: 5735-59-4900 Billed To: Fleetwood Mobile Homes Subdivision Info: Gladstone Woods Lot# 14 Reference Name: Location/Address: 140 Stonewood Lane-27028 Pro osed Facility: Residence ATC Number: 3747 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 WASTEWATE=IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: ls�� CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system d don Improvement/Operation Permit . � has been installed in compliance with Article 11 of GChapter 130 Secti n.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY be taken as 'guarantee that he s em will function satisfactorily for any given period of time. D-4 Septic System Installed By: �Gi,' SO n Environmental Health Specialist's Signature: / Date: DCHD 05/99(Revised) JD L�—k— L S . APPLICATION FOR SPIE EVAU ATIUN/10110Vl3IENT PERMIT St ATC Davie County Health Doparttnent • f✓rylrwtmenta/Hea/drSec�tian P.O. Sox 848/210 Hospital Street Moakaville, NC 27028 (336)751-8760 8 -- •a�.121PO2tTANTs*s THIS APPLICATION CANNOT bZ.PROCI:SSI:D MESS=.T=-AEQUIR}77� 11,70 MATION TS PROVIDED. Refer to the INSORMATION AULLESYN for inatructionil 1. Nam; to be 0111ad ��E �D dYY/d Contaeb Person Hailing Address 1220-✓ORdA T7/S�hEr Ramo phone -~• _ _.•- ' city/stats/21P .Sm-ro gi. ,eX d-F62-s 000lneso Man.70'�-87a_�SD 2. Ram;on Pemith&c if Different than Above Uailtng Address City/Stat;/tip 3. Application For: Q Site Evaluation .❑,impr"ainlnt Permit/ATC (Doth It. system to service: ❑ House C,Mobile Home ❑ Susinesa ❑ znduatry M Other _••___. S. Type system ragaestad, I.coawmcinaal ❑"eons;tional 1n0difiad ❑ innovative ? + �. S. If aeaidaacse !! People -- p e¢tLtpoao9 a Dathioofau , Oplahxasber ❑CArbage Disposal Al-bine Machina ❑2as;ment/Plwab1M ❑aasemwat/no Plumuta0 7. Yf aua1naal/Sndu4t7/otbart•*rify type i People 0 sinks ..... . R Commodes t Shovers i Urinals i Hater Cooluru IF FOODSERVICE: # Seats Eatilpated )later Usage (Oalloaa por day) a. Type of water eupplyt d County/City ❑ wall Q Coaoaunity f. D;YOU antioipata additiOW or lXpansietia of Ilio faelllty.U>!s Sys(Ctn h intended(0 SWWJ❑Yrs - Nu if)*es,what type! aaal4fPORTAN2a••CLIENTS AII/3TCO;VP=-THE lttiQUllt,C,a 1111OPLIM INF'Oiu►ATION It(SQUXt i-W) BELOW. rMilia•aPLAT orSITEPLAMMUSYISCSURAIMCDbythe client with MIS APPLICATION. 11rope:rty Dimcnslons:f00X 5OOX db.T X Y'n WRITE DIRECTIONS Orval Ma"Illel lu PIM111-300., Tatomccivi: u Property Address: Road ti2mc/y/0 J7-..r€0JwI} City/T.ip Ithl a Subdivlstail provide taformatio7�n,as follows: (;I-,4h3TPA"' .u1o0Us Name. Scellonl QST Block. hat: O! Date hot7le earners Ragged• �6 of Tlils is to certify shat the laformallon provided is correct to the best of my hnowicdge.I Unilmland[lint aety pennil(s) issued hereafter are subject to suspension or revocation,lithe site plans or intended USo change,or if Ilea(nfurenailou subinitted is tbts application is fiibtBed oGchaaged.I,also;understand float lam rGvpoosfble for oil dtarges incurred frum r1th appikatlon 1.heraby,give tanwnt to M2 AHM"lud$eprmcaiativc oft4c D I County l( al(h l) Tart ucnI (a enter upon above described propeilylocated'hi Davie County andamn(ed by /E�iyitWY �(� PE7QS to conduct a0 testing/ptoecdures as.necessary'to determine Glee site SURM "}... DATE 3//a STCI�IA,TIJ i TRIS AREA MAY RZ USED l OR DRAtiVJNG YOUR SITE PLAN(L(cludo ull of Mo ton lvl((g:Lshtiug and propustd property lines and dimensions,structures,sctbacico,and septic locations). SiteRcYislt Charge ClldutNatiIIcatIanDalc: /�f _ Q Sign given Atcoant Pio. !T (J Ul k Revised DCIID(05/03 lnrotco No. 44,1 l S z7 RMS TZ AafLLMdO MOSLLSC£ YV.d ZZ:LT Gam 6002/1£/£o £00/ZOOtpj -trn-J SARAH WOLLBY4-4w 4ir OR 38 PM ROO *A TH aa4 a SAL Lor 2 lbred \ tv 4c WAR eq \ 4J 4 V, ICA rY \\ LOr Jam % d Y /� W as.LOT I �« ff 4 8\ \ Lor a \` Lor a +req WEB \\ w�K ), 00 LDr6 Ljorr' w �W�atdt \ wras fg LOrla �. 1�,f�r b rr 24 416 LOr a s � ZLVri4 8� g t)a1 a 4. as 38 = LOT i! LOT lz LOT 1! LOT ro mae° TOTAL . � ,/ /7ftE 7a 7V DUIM am"p KPt--MMI-RDlW I .w c £00/coo ALMS TZ AHrUNHD 6Z609119C£ XVd £Z:11 OHM 600Z/T£/£0 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC 5 Davie County Health Department D Environmental Health Section P 0.Box 848 JUL — 2 1998 Mocksville,NC 27028 (704)634-8760 ENVIRONMENTAL OUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLES c ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed J Contact Person Mailing Address Q- U Home Phone J City/State/Zip ��` uC '. '�`\L ��L- V Business Phone 2. Name on Permit/ATC if Different than Above • Mailing Address City/State/Zip 3. Application For: 0-'site Evaluation ❑ Improvement Permit&ATC ❑ Both 4.. System to Serve: El_House El Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms T� # Bathrooms �0 Dishwasher ❑ Garbage Disposal El-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: O County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9—No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:-00A '73) `'� X 9CS7 f,1 k` y U S .l% L S 3 1 WRITE DIRECTIONS(from i Mocksville)TO PROPERTY: Tax Office PIN: # !j._ ? � �_ - `� U - ���� � I , Property Address: Road Name r 1 Cy 'tuhJ .0 city/Zip IV` .We �"'J C_ � If in Subdivision provide information,as follows: 1 Name: r o 1 1 Section: R Lot #: 1 1 1 is is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is sifted or changed.I,also,understand that I am responsible for all charges incurred from this application.I,hereby,give consent to e Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County d owned by I c.0 < ;d � lP S-tee- r F hoc , .tit-� to conduct all testing procedures necessary to determine the site suitability. ATE / �- ` '� SIGNATURE e•. evised DCHD(06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_/—LOT/ Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION �j'f ��� ROAD NAME / Water Supply: On-Site Well Community Public l/ Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position, Sloe% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group ell L Consistence i Structure C 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 n SITE CLASSIFICATION: /✓1 EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: %d �� 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)