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237 Gordon Dr Lot 1 Davie County,NC Tax Parcel Report Tuesday, January 3, 2017 46 154 162' 168 1176 ;184 192 210 -212 220 i ,140 ' 134 f! 128 j5� 289 '\ 122 45-_,� i, O 7209 i 303 129 r ---- ; 267 299 r" 118 1 243 251 1 1 107 10637 i 107 1 � 5 ,-.148fj� i 250 j I > -196 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D7010B0001 Township: Farmington NCPIN Number: 5862447757 Municipality: Account Number: 82515328 Census Tract: 37059-802 Listed Owner 1: HOLLAND BOBBY JOE Voting Precinct: SMITH GROVE Mailing Address 1: 237 GORDON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 1 GORDON HEIGHTS Fin:Response District: SMITH GROVE Assessed Acreage: 1.12 Elementary School Zone: PINEBROOK Deed Date: 6/2000 Middle School Zone: NORTH DAVIE Deed Book/Page: 003380800 Soil Types: GnB2,GnC2 Plat Book: 0007 Flood Zone: Plat Page: 085 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: F-a 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.An 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 NCor arising out of the use or Inability to use the GIS data provided by this webs@e. ' :4 r... -`:. -,r ,, a t�a .tea 3( :., . , J;y:P` �i'•,t R-' `y�' .. .(•3 . , ''+4`: -f " . , fC . `t 1�.1",,:'w: .: •..,.:'w'�' ,dit.i 1 ti,kU MRIZATION NO: 6 3 6A DAVIE COUNTY HEALTH DEPARTMEN/ �. to Environmental Health Section PROPERTY INFORMATION Permittee's P.O.Box 848 b Name: �(V11 L�: £E Mocksville,NC 27028 Subdivision Name'.%. one# 336-751-8760 Directions to property: Vi) �`'� Z� 't� '1. +� Section: Lot: r{�' ,r• AUTHORIZATION FOR �j \11" i.. ••a C ' i,L►'.1 WASTEWATER' Tax Office PIN:# SYSTEM CONSTRUCTION 4. I 1 1 Road Namer.C. L._� 1 Zip- -t-t.r **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 Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for.Building Permits. (In compliance withArticle 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ✓_. 11 ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �- L:•. 4DAE'ISSUD IS VALID FOR A PERIOD OF FIVE YEARS. �"' NVIRON Fi AL HEALTH S ECkAbST r DAVIE COUNTY HEALTH DEPARTMEN �a� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perrmttee's 3 [[�� Name.':. !(� 1 1 i .�. i:> 4.. Subdivision Name: (�/° may/ Ae 11 G Directions to,property:si "�' `� )e c, "` .. t 1 1.'+�+ t Section: Lot: IMPROVEMENT PERMIT :Tax Office PIN•# z. t..iw..:. . 1 t .5� 1:.{ Road Name•(.t.1: f ZIp. . .y t e" **NOTE**.This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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) ***NOTICE***TILS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE -:.ENVIRONMENTAL HEALTH SPECIALIST DATE ISS ED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE (�N #BEDROOMS_,Z#BATHS_ #OCCUPANTS GARBAGE DISPOSAL:Yes oQ.) ? COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE]-IV-A P WATER SUPPLYDESIGN WASTEWATER FLOW(GPD NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH IL LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS:'4.!�:rNU p►4 o�( rfkR 'I-,ljl_,S , C—OT ©C—fz IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOW FINISHED GRADE* i . SGS CoTT OFF -V I-s r/4 l�-a2tz . OLv - "�.�tAre�►�►�t e��a�fil�.. ria"�.�^-� _ kWTO **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("MX9.x (336)751-8760 ' OPERATION PERMIT v"A1� SYSTEM INSTALLED BY: j5d To t nl 4 t�.E� Co AUTHORIZATION NO.-f+c�s°" OPERATION PERMIT BY: 9 oa **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE ABOVE HAS 4BEEN 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. DCHD 05/96(Revised) ,p. - b p.f'a1c'v yr -, -. •—.a -- •-'%�- .. ' . ,,. ._ .. * .. . .,. 1 ..."..., , DAVIE COUNTY HEALTH DEPARTMENT / IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's y. r` Name: » 3 +•`• `f t r d 4 !.. -: w Subdivision Name: ° f �'. I r r r , Directions to property: t '' � �� � +' � �a} Section: Lot: f IMPROVEMENT PERMIT Tax Office PIN:# Road Name r, Zip **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) IL— ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE'CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE I` #BEDROOMS—'-';S--#BATHS 7 #OCCUPANTS _GARBAGE DISPOSAL:Yes o Not t k COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No All LOT SIZE TYPE WATER SUPPLY' DESIGN WASTEWATER FLOW(GPD),.;-C..r,C) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. - -. OTHER l REQUIRED SITE MODIFICATIONS/CONDITIONS:��`� n� i' +t- �` , ^�= +' ��� (. (T (ezlf, -�• �.-S� C..-01 ccr- M -%<7-,I % lr`;: tI,.� � � r 6-. k-,C �_I'. IMPROVEMENT PERMIT LAYOUT*APPROIVED EFFLUENT FILTER* *RISER(S) IF 691 BELOW FINISHED�`GRADE* -,j~-----� ._ t, a� "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(MMS W.x (336)751-8760 OPERATION PERMIT � SYSTEM INSTALLED BY: � of /Vol 'Q NVi� �-- �I.R.L• ( Y ALt.- 1 gra 4 %41;: AUTHORIZATION NO. 3"► OPERATION PERMIT BY: no "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE 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. DCHD 05/96(Revised) Y p , ' - Ak APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC l ( Davie County Health Department Environmental Health Section /0 `. \ \�`�' P.O. Box 848 A� Mocksville NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL /� THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed &A7 f/y fi ►t1 Cczti/5r,c7/a,/contact Person tC/C 5 74.✓LL�/ Mailing Address /0 O C-Am&oe,0 or, 104&.& Cr y,,A7 Home Phone City/State/Zip 6647D,./4 )S 7D — SL.��.s q Business Phone Ca S C3— 6, 7 2. Name on Permit/ATC if Different than Above j.4 n1 Mailing Address City/State/Zip 3. Application For: �q Site Evaluation [ ]Improvement Permit&ATC [ ]Both ?S 4. System to Serve: [ ]House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other YZ4AI42 eF,(k ri/1 G—r 5. If Residence: #People #Bedrooms #Bathrooms [ ]Dishwasher[ ]Garbage Disposal [ ]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: County/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes �o ' If yes,what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT**AWVU4T OF THE PROPERTY MUST BE l /.�-w c- 5/7- 5 o:fCoSUBMITTED WITH THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # :5-06a- - S� - / — •aO�F� �J. S Z&—fa Property Address: Road ame e,7 iJa,✓ 2 a"'1/O12�d c s� �'e'rz�_ d City/Zip ,J ?gtr ls�i/lr. Al'.C. If in Subdivision provide information,as follows: z Name: (:f;vYr ,. �5 ��'llr 117 Section: Lot#• 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 C47,2915" to conduct all testing procedures as necessary to determine the site suitability. DATE —L 7 SIGNATURE l' _�� Revised DCHD(06-96) THIS AREA MAY 13E USED FOR DRAWINC7 YOUR SITE PLAN: 4 5� � �� 4 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_,_LOT Soil/Site Evaluation APPLICANT'S NAME //i� li/x �aS DATE EVALUATED PROPOSED FACILITY//�� /7/ ,,,,// PROPERTY SIZE �!r /�' SUBDIVISION (OE3 `r.r ROAD NAME (o�,e Water Supply: On-Site Well Community Public Evaluation By: Auger Boring L Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position 4— Slope Slo e% HORIZON I DEPTH Texture group Consistence Structure Mineralogy ' HORIZON II DEPTH p* Texture group C_ Consistence 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 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION 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 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 lC 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(O1-90) �Ox IVIE;aOOW P.B. 4-134 I S 82-59,25 S 05e19'07"w 43.58' VP 14.28' _y S 87°00'05"E 181.18' 90.59' MP 90.59' 0 w N 0 V_ I S 84'55'5~09.21' 107.91' MP 101.31' - Parcel 17 Lou Jean Riddle Lakey D.B. 166-612 l l l ' p f0 W O) LO LO V4 r, '7 CO toN W N 2 \ / / a 0) �O W M W CO W COh OD /`� O O n � n z 0, 5 0 0 � to z z z z n i 3 1 .189 Acres 1 .273 Acres 1 .357 Acres 1 .126 Acres 1 .008 Acres 1 . i 1.083 to R/W 1.141 to R/W 7.211 to R/W 1.005 to R/W 0.933 to R/W I � l I M "ob Nor. `----- ---- 0 ISI f aped g3•� NIP '----- 0 o 25CV . P° rn � P 9 gd. w iP 01, Gond N 113,28. 2 µp 3 '-Ilth'dg. - "' R/R eplke found 1.3 Parcel 43 �t (p south c/I 79, 106.3 . o Saundra J011y { 300.7 7.7 D.B. 128-321 EIP DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville,NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT 91' REMODELING ❑ RECONNECTION ❑ Name: lK n'l•1 I t Phone Number: (Home) Mailing Address: IP973 :1 eV M (Work) Cley►1 h-Ov's 7-702- Detailed 70!zDetailed Directions To Site: 4 RtdIa t,00 - - 112 n;. 1R Property Address: /Y`fiY Please Fill In The Following Information About The Existing Dwelling- Name wellingName System Installed Under: ? 1-7U4'y's ? Type Of Dwelling: In Date System Installed(Month/Day/Year): iiq SCS? Number Of Bedrooms: Number Of People: Is The Dwelling Currently Vacant? Yes❑ No❑ If Yes,For How Long? Any Known Problems?Yes❑ No x If Yes,Explain: Please Fill In The Following Information About The New Dwelling. Type Of Dwelling: Number Of Bedrooms: Number Of People: ` Requested B "—" Date Requested: /0- /9'? 7 (Signature) For Envirorunental Health Office Use Only Approved ❑ Disapproved ❑ Comments: ts�L� 02-0tPAAa P;�«,,..r aI2S�Q4 - -r`�-P.��r� A,,,S b i0L-_O QROog 7'e t_0C C-MS AcRwaS W! irizc' beA►-1 Environmental Health Specialist Date *'Me signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee(extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash❑ Check❑ Money Order❑ # Amount: $ Date: Paid By: Received By: Account #: R yKl Invoice #: Z