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267 Gordon Dr Lot 6 f Davie County,NC Tax Parcel Report Tuesday, January 3, 2017 183 193,1+ 203 + 215; 225 LITTLE JOI IN [)R X184 192 210 -212 220 i jr26289 ; 339 209 303 337` -.�` `r 299 1 a0 8 i s 'G(:)14 251 237 '243 r �. 1--- GQ ©-109 1 328-- - r- riff i 5y i n ii 07 i 250 ---- --- - -- .. -- -- - - ----i ----- --- —- - - - - ---- 1 -I WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D7010B0006 Township: Farmington NCPIN Number: 5862542954 Municipality: Account Number: 82514436 Census Tract: 37059-802 Listed Owner 1: STANLEY JOSEPH S Voting Precinct: SMITH GROVE Mailing Address 1: 267 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 6 GORDON HEIGHTS Fire Response District: SMITH GROVE Assessed Acreage: 1.27 Elementary School Zone: PINEBROOK Deed Date: 8/1999 Middle School Zone: NORTH DAVIE Deed Book/Page: 003110348 Soil Types: Gn132,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: E01All data is provided as 1s without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use.Ail users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,Us agents,consultants,contractors or employees from any and all claims or causes of action due to 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 #: 990000730 Tax PIN/EH#: 5862-541854 Billed To: Scott Stanley Subdivision Info: Gordon's Heights Sec.1 Lot#6 Reference Name: Scott Stanley Location/Address: Gordon Drive-27028 Proposed Facility: Residence Property Size: 107.56'x617.78' ATC Number: 2142 **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 l l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment an&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 Types OrnE #People #Bedrooms _ #Baths Dishwasher: 7N Garbage Disposal: ❑ Washing Machine:TheBasement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ � t Lot Size Type Water Supply v Design Wastewater Flow(GPD) Site: Newt Repair❑ System Specifications: Tank Size/DRD GAL. Pump Tank GAL. Trench Widt1L Rock Depth " Linear Ft.R Other: 01n a Required Site Modifications/Conditions: c� l7 © IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 11 BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:3 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.**** 6o, \ ?5� • \ 93, '7x"75'75 7'5 rI s�1cc p Environmental Health Specialist's Signature: Dates'7 9 DCHD 05/99(Revised) 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990000730 Tax PIN/EH#: 5862-54-1854 Billed To: Scott Stanley Subdivision Info: Gordon's Heights Sec.1 Lot#6 Reference Name: Scott Stanley Location/Address: Gordon Drive-27028 Proposed Facility: Residence Property Size: 107.56'x617.78' ATC Number: 2142 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 WASTEWATFLCjW4STRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: 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. F 6s, D Septic System Installed B eP :Y Y Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) rq' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC O a Davie County Health Department Environmental Health Section AUG I 0 1999 'E P.O. Box 848/210 Hospital Street Mockaville, NC 27028 (336)751-8760 0 �� ��pAVIE COUNTY ACTH ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. CCH- 1. Nasse to be Billed Y'�1� 11 `7 iC��� Contact Person ��/ Ma.+..ling Address C) ��C(s,_.�� � Home Phone �7� 7—OG n M City/state/ZIP ��p rn AS C l�( 7 O IZ_ Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: ❑ Site Evaluation vement Permit/ATC ❑ Both a. system to services 0 House IT"Mobile Home 0 Business ❑ Industry ❑ Other S. If Residence: # People # Bedrooms -3 # Bathrooms flDishwasher ❑ Garbage Disposal Wfis.hing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/others Specify type # People # sinks # Commodes # shovers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Nater supply: 2"County/City 0 Well 0 Community 8. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes ENO- If yes,what type? ***IMPORTANT***CLIENTS MAST COMPLETETHE REOUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MAST BE SUBMITTED by the client with THIS APPLICATION. � n Property Dimensions: �� ,S� 1.7 8 WRITE DIRECTIONS(from Mocksville)to ROPERTY: Tax Office PIN: Property Address: Road Name G o colo i 1 Dr, )2 4 City/zip CaQ& o; I(2' f\iL: ,La e-ml red hl k- I /LCJ If in a Subdivision provide information,as follows: 2 1 M JP_ K i a k4 ()J Name: ( !`c�dY! J i`y/lb Y41 mi Je Od lei Section: �_ Block: Lot: Date Property Flagged: 87/9/gq This is to certify that the information provided Is correct to the best of my knowledge. I understand that any permit($) 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_ Ct,-�� to conduct all testing procedures as necessary to determine the site saitabili . DATE / SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE P (Include all of the following: Exis ng and proposed property lines and dimensions, structures, setbacks, and septic locations). 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L. .. : . , � _:.:,.. ,.... �. :. � �� .;R. . .,, . , l... .. �.,. ::� . � ..;:.: . .. .r . , . .-u :- `. . � ,,. ... , ,.�4.: .a ., ,. .. ..: � .. �ir. . ;. � �.n�. , , ` .. . ,fM'd°• ��? . . .:.�-r .,. . . .a, .. .. ,.,... . . _. . - ,V..�� .: . . 3:.,, « vm. . . . „ . . . . . . . , , . . _. .�... .. _ �n. . .. �,....... .,,.. �.... , . ...�..i.: ._ �. ,....�. .. ....�....._.�,.._...o....:,r&.�b..2. ,a„�,,..�cn�a. .._�.:5".9,....E.z`�£_a�.�s.r....x..,...:�.��r:.�.i.,,...a�.;�_......a......._..saK'.�d., _a...... _ . _-�.a�:.. ._ . . . ...3.,',3.. a.,,�CGa _''# ......., �.� . . ..�' � .. _. i..�. . . . . . . . _. P" APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &ATC Davie County Health Department �� Environmental Health Section 6 /0 � ;� P.O.Box 848 /C� M� . Mocksville,NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed &AT U 41 4!1 CC)A�S M aL7icy./Contact Person A? tC/C 5 ?A.✓LL�/ Mailing Address /0 o C,f1,r Ajei a ti g- A4,gC),gz7 Home Phone City/State/Zip l,:j1_.KA1 s — S74" .Z21 _3 Business Phone C c S y 7 Z V 2. Name on Permit/ATC if Different than Above SA/79L— Mailing Address City/State/Zip 3. Application For: �4 Site Evaluation [ l Improvement Permit&ATC [ ]Both (p U %S 4. System to Serve: [ ]House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other /�JAui� f Tr i/2 ��amr 5. If Residence: #People #Bedrooms #Bathrooms [ ]Dishwasher[ ]Garbage Disposal [ 1 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?[ l Yes klY o If yes,what type? EZTIIE-R A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT**K', ITI AT OF THE PROPERTY MUST BE l A C./f c_ S ir&S SUBMITTED WITH THIS APPLICATION. Property Dimensions: �/ �WRITE DIRETIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # -061? - S-T - / .�0 ; _ ,QJ S 7/-' /SR Property Address: Road]name hurt amu.✓ 2 C dl'-) ,Z,62 le,:4 WI<,d v d city/Zip Al.C. If in Subdivision provide information,as follows: �� = Name: 57alf h,,, -2 4r.. &;-.)- &�F? Section: Z Lot#• 40 7gba�' 61 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 I?Al C4 — to conduct all testing procedures as necessary to determine the site suitability: DATE —L ?— SIGNATURE of /� Revised DCHD(06-96) THIS AREA AtAlJ 13E 11SEL) tOR 1JRAWIINCG !JOUR SITE PL,tN: AUG - 1999 E ENVIRONMENTAL HEALTH DAVIE COUNTY • A��" * DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME S DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE 4 T SUBDIVISION ROAD NAME (5D0�� �c Water Supply: On-Site Well Community Public 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 p Y r Texture group Consistence i Structure S' S Mineralogy !. y 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: O \ 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 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) � � � = s � - ' _ �� �i � • w s � � � ' $ � � � � = � � • • � � � � F � � � • s. � � � � � �� w � « s � : . 4 � O « _ • = � � � . r a _ -- 1� i e ` � i Y • : S I • � a e r • � i = � s � : ,�`e e Q � ■ p : r . � : � f . � � = v : � � � � O � • O � C • � . _ �. � � . �� � N (O N �0�-_ 3��SS,90,i0 N J �� _ _ �: .•..• s +e«vi iv ' e e •e e- t-a> ��e- « - o . • . a G O b�� � y � O ♦ �r V R f V 0 � 0 � = 0 =u�t ee �s. . __ n `see"S'�r'•s�" O� i r r j w- 9 »_�;ec.uo >�: vo� � 9 O �.�F O � O s�=- e s.. �.e.o c� .v�..�a _ w r s o v- e «•r_ea- • C Y p� O f -�ev•ewu > o o ep� u � c�-v ••. o . ..»� o � ev,� _ • �� > ►« �- e + a o« o � � ..... � «c�mo_a � ~ c u > c « ..--e. o�.o�... . t e�.s-e " �C •O A-r � b « r O � • � _ ��- r.e•a � o i s � = o + � �•._. ... �v�.� °s� C O p O p♦ r � • c «- u +�o« •_ e•� �t `9 ?7 « � ..�o� .e i � � � f `�� � •'-�••4Cr - a� E. e o- o t ; � � �� i � �� s � �F � � �� a <� ; ���� � - � ��'� � � i � �� � r � � � � E v � , � o��� Z � � � � � � � � 0 � � � � i ����§- �� � , � z , ����� E ' � � o I ��'��S g . 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