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170 Stone Wood Rd Lot 10 Davie County,NC Tax Parcel Report Friday,December 30, 2016 f ; f 175 STONE 4� Rp 1 f J I 1 5 ---- ' �i 5 174 r i LU r 148 15G 164 r 0 170 I I i w z 0 U 0 J WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M4050B0010 Township: Jerusalem NCPIN Number: 5735599836 Municipality: Account Number: 82514439 Census Tract: 37059-807 Listed Owner 1: SMITH RICHARD J Voting Precinct: COOLEEMEE Mailing Address 1: PO BOX 1012 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-1012 Voluntary Ag.District: No Legal Description: LOT 10 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.92 Elementary School Zone: COOLEEMEE Deed Date: 10/1999 Middle School Zone: SOUTH DAVIE Deed Book/Page: 003170659 Soil Types: GnB2,GnC2 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: 9l 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 �OUtyS� NC or arising out of the use or inability to use the GIS data provided by this website. • DAME COUNTY HEALTH DEPARTMENT j Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000787 Tax PIN/EH#: 5736-50-6147.10 Billed To: Southern Showcase Subdivision Info: Gladstone Woods Lot#10 Reference Name: Richard Smith Location/Address: Stonewood Road-27028 Proposed Facility: Residence Property Size: 0.944 Acre ATC Number: 2188 **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 I'1.�'(�W�1� #People #Bedrooms 3 #Baths -- Dishwasher: Garbage Disposal: ❑ Washing Machine: 0r- Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 0.CWAq%Q-5'ype Water Supply(260-P.-W Design Wastewater Flow(GPD) Site: New Repair❑ System Specifications: Tank Size)CIDOGAL. Pump Tank GAL. Trench Width Rock Depth Linear Ft.:;:_C� Other: ­6L-g'a's, i lt\1S;Mu, ur-jes ! �.C. Required Site Modifications/Conditions: 1-EDE ` vv i., V0ep Ick or-p IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S)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.**** 1 oo' 'n 3 :Pop, (,t ti LE. Environmental Health Specialist's Signature: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Bog 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990000787 Tax PIN/EH#: 5736-50-6147.10 Billed To: Southern Showcase Subdivision Info: Gladstone Woods Lot#10 Reference Name: Richard Smith Location/Address: Stonewood Road-27028 Proposed Facility: Residence Property Size: 0.944 Acre ATC Number: 2188 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 I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT ON IS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa e: Date: h? 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. o 1C.. 10-1,1 J\A B OJT �T 10 ��.. V N "n� Septic System Installed By: uJ —NSC-7 Environmental.Health Specialist's Signature: Date: 99 DCHD 05/99(Revised) APPUCATION FOR SITE EVAUTATION/IMPROVEMEM PERMIT&Al Davie County Health Department Environmental Health Se+cdion P.O. Box 868/210 Hospital Street SEP 2 21999 ; Mocksville, NC 27028 (336)751-8760 - ENVIRONMENTAL HEALTH pAvir mmiTy ***A�ORTAZfV** THIS APPLICATION CANNOT BZ PROCBSBND VNLESS AL INFORMATION IS PROVIDED. ReMAT Refer to the IMM ION BULLETIN for instructions. 7, 1. Nass to be Billed � L44 '/1 -a0We;Se- Contact parson � Mailing Address 1'70,4 US //wY of , �f/ Nose phone /-0040- 9(/ - 7V`r city/state/asp v L 2-70 <-- Business phone kap)Z2 s. Name on Permit/ATC if Different then above Nailing address 1-10'2 2 city/state/zip /"1 ot�s v�I1c 9. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both a. system, to service: ❑ HouseMobile Home ❑ Business ❑ Industry ❑ other 5. If Residence: # People J # Bedrooms �, � # Bathrooms XDishwasher O Garbage Disposal )(washing (Machine 0 Basement/plumbing ❑ Basesant/No plumbing 6. if Business/industry/other: spaatry type # people # sinks # Commodes # Showers # urinals # hater Coolers IF 1=SE1k\1ICE: # Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: X County/City ❑ Nell ❑ Community a. Do you anticipate additions or expansions of the facWty this system is Intended to serve? ❑Yes ❑No If yes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMHTTED by the client with THIS APPUCATION. Property Dimensions: 0,ul1 L( dc/.-s WRITE DIRECTIONS(from Mockav/iile)/to PROPERTY: Tax Office PIN: # ,-�3� -- .5—a �/V-7 l��J u f •fo 64ed!4 i e- Property Address: Road Name If,o/le v KZ City/Zip o e l� v-s If in a Subdivision provide information,as follows: J��ohG 1 Z-o� '/'o Name: Gl Am e, ���s Lit 41,:7 la Section: Bloch: 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,U the site plans or intended we change,or if the information submitted in this application is falsifled or changed. 1,also,understand that I ani responsible for all charges Incurred frons this application. 1,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 rocedures as necessary to determine the site sultabill . DATE �aZ SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property tines and dimensions, structures, setbacks, and septic locstions). Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. �o Revised DCHD(07/99) Invoice No. D 9L Nlk N 372.77 4, E iS' /I}1REC( OF N�' v01 BS ` ti d PWINWC N 44.46.46• E 28.45 C n Z O N 4460.006- E y •'moo }� {0,yl�R\ n s 24• op \ LOT rho SARAH NOLLEY .89 M • ai #2 6r. 3 J D.EI.JB PC-206 CURVE DELTA RADIU o�� S�� (0.778 AC.) 4. ISrr 4ST1CJ 2'52'44• 497 cZ . I T55'08' 497.7 ;?0, \ �s S. \ c1 02 C3 10'56'08• 497.7 pa. 4 \ a^i 09' '� C4 42'50'00• 25. CS 70'53'34' 50. LOT 3 ;. ,' o C6 4504'26• 50.0 NCGi \`^ \ # .i.. .,G, r,p 53'22'07' 50. ra (0.720 AC.) �, p ,. C8 93'19'54• 50.0 ACCESS EASEMErrt \ C 2� PY l�-4,; CIO 42'50'00• 25.p. B�•�3'4B' �'=x. \ J. r� a2 pl�.�2101 7pS Q,•"n C11 ,Q�6.2� 557.7 1.22 LOT # r \ ,sa ,J?'; 2�2 39 ..F'��,t'`� C,z ,Szo',8• 55�:�� IBJ., (0.960 AC.) J` °Sg`H ��,� 22g. N42'34• 8 #Q G. 1j2.00 134.3 ^ Vc' ps L i (0.724 AC.) &j [39600. . / N °0.42' V eJySJ f '�� a a2�1 54• S 6* J•p2r4o LOT #5 W 19900 E _`. 10' Mr1Un 1 CASEMENT (0.748 AC.) l .�` Z \ LOT #g W 6$'00 SUBDIVISION L_ LOT 22 a * (0.690 AC.) n rt L PGA / ° ; I i �'a %s 6p i y. LOT #7 l `:+ LOT (0.698 AC.) Sao # 15 21 / J^ (1.133 AC.) Lor � 2X235 ` _ 23 a T cJ LOT #a ^ N 1:;ury:r, Oro 13s.00 _ �2. C, S N >6. !/ �5- (0.730 AC. 0 76.49 49.56, ) ,n c J W ��'�,• 2qa Pv 2>35 56• f Y C4 CS LOT 24 Kr•-., 2o.00 `222 )3 r Jr-?, `6 2yb LOT # 1425. °7qC, N 99'18'04' F. n CK , 2 a. 7 5.00.. C9 195.R8 . ;. �;• ,ya (1.299 ACJ W LOT # 13 - - - � z (0.758 AC. W R I y ) , LUT # 12 o S� (0.762 AC.) W LOT LUT #g vi it J ! ' 5 AC. LOT 25 (0.7[6 #4r i (0.94 ) _ tor f _ _ 11.93, -> 1�J.�•,•) [C 1 t> - ' E vnNF 236.19 t n OT 26 i 120.00 3 .alf:Lli•nl!. Sru,rF v-� 120.99 I El i! .r 1•)9Ya' w ,:3J '` (915 4489 r09• I i:, , IS III? Ir r , 1 '• iY.`:i x 1. ' APPLIC41I0N FOR SITE EVALUATIONAMPROVEMENT PERMIT&A Q Davie County Health Department Environmental Health Section 1998 P.O.Box 848 juL — 2 Mocksville,NC 27028 (704)634-8760 ENVIRONMENTAL HEALTH DAVIE COUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL S ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Biller u t' W\C P. Q) Contact Person Mailing Address R 22 V v P<� V Ee, (� Home Phone ^3 a a City/StateMp oC S0\\\eC— c� a Business Phone 75 2. Name on Permit/ATC if Different than Above Mailing Address CCity/State/Zip3. Application For. O"/Site Evaluation ❑ Improvement Permit&ATC ❑ Both 4. System to Serve: B—House U--Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms _ # Bathrooms dishwasher ❑ Garbage Disposal U-VVashing 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: County/City ❑ Well ❑ Community 8. Do yos anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes EI—No If yes,what type? PROPERTY IaN'FORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimer Bions:MOX ?33,S0 X 9705,Q SO�i,Sd �( �l 7 1 WRITE DIRECTIONS(from 1 Mocksville)TO PROPERTY: Tax Offict-PIN: # � 7.3(� - '� � - _(,D<<-( '� 1 Property Address: Road Name Citymp We \�1 C_ 1 1 1 If in Subdivision provide information,as follows: 1 Named i Section: 15 I\c.e v Lot #: �� 1 1 1 us is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter e subject.¢o suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is alsified or changed.I,also,understand that I am responsible for all charges incurred from this application.I,hereby,give consent to e Autlorized Representat-ve of the Davie County Health Department to enter upon above described property located in Davie County d owned by e0- ad '�u �Wr—1 '� d /"I�f, 1 o conduct all testing procedures necessary to determine the site suitability. ATE oD SIGNATURE Zu evised DCHD(06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_.LOT Soil/Site Evaluation APPLICANT'S NAME J;�Xe We DATE EVALUATED 71 �/%6 PROPOSED FACILITY J PROPERTY SIZE SUBDIVISION ROAD y< � G('Bd -� ROAD NAME Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS1 2 3 4 5 6 7 Landscape position Sloe% HORIZON I DEPTH Texture aroupL Consistence Structure Mineralogy HORIZON II DEPTH (j f,i <Ief Texture group Consistence r i Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 75 LONG-TERM ACCEPTANCE RATE J SITE CLASSIFICATION: EVALUATION BY: �t �-l� LONG-TERM ACCEPTANCE RATE: T 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 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)