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1630 Hwy 801SDavie County, NC Tax Parcel Report / I $ �� Wednesday, September 28, 2016 Co 89� 3 ._ - ..- `._� \.,�, 393 9Qo2 co 5961 Co.N' N f.942 J� ; 1620 `. \, } 322_ 221 323 0797 1624 �t 641 meq: d',`.� \ .4781' 2646 '• .. � ° acs I 'sr 3549 s�— \ 557\ 8 \ j f' '1655 \V s �� 1 o o� � \ 3551 6561 X11644 418 197 __..... ....................................................................._.__.................._.._._....................._.._...__.___..._._..,.....__.....,......__.,_.........._......._`..............`..a._........_..-:__................... ._.._.._._........ ......_i 1:01 Davie County, NCimplied WARNING: THIS IS NOT A SURVEY causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: F800000097 Township: Shady Grove NCPIN Number: 5880042646 Municipality: Account Number: 52916000 Census Tract: 37059-803 Listed Owner 1: MYERS JIMMY LEE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 1630 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,H-B State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1 AC HWY 801 (.890 AC) Fire Response District: ADVANCE Assessed Acreage: 0.89 Elementary School Zone: SHADY GROVE Deed Date: 12/1992 Middle School Zone: WILLIAM ELLIS Deed Book f Page: 001660702 Soil Types: WeC,WeB Plat Book: 11 Flood Zone: X Plat Page: 225 Watershed Overlay: - Building Value: 96060.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 53400.00 Total Market Value: 149460.00 Total Assessed Value: 149460.00 1:01 Davie County, NCimplied All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 or arising out of the use or inability to use the GIS data provided by this website. .y -.'4 Ywr" y.w, .. z`-l.P"s'�J��.=..;..i41r .e�"Y"'.7'r...,21-;,..` b v- +Yif .•�.a. 'X i�'-k ik a ir'i'. '.9^- a'`- -, AUTHORIZATION NO: ` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's f P.O. Box 848 Name: 1 fi+. 'a t Mocksville, NC 27028 Subdivision Name: '* Phone # 336-751-8760 Directions to property: % c'r G f l)i%l" Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN: -- r Road Name: �,�=-� Zip: **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 with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTIf§PECIALIST DATE ISSUED 18; {�� 11�.l � DAVIE OUNTY HEALTH DEPARTMENT IMPRO'V'EMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's Subdivision Name: Directions -to property: Section: Lot: ' IMPROVEMENT ' PERMIT Tax Office PIN!=� Road Name: 9/.?/-== ~- Zip: r1-1.� **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*** 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 -& /-/ # BEDROOMS,? # BATHS --57 # OCCUPANTS -,?_GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE' # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE /4 TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE Lrb GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH / LINEAR FT.y r REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LA PUT C1 / �.fi.14-7 f e� �-� .. /r � i s 7 � �I G✓� rl e Ic "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 - 1:307 :30 P. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT q � (/ i SYSTEM INSTALLED BY: v AUTHORIZATION NO. / () OPERATION PERMIT BY:t •� DATI- /� "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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) _�.,...,�„�tntt•ttUUt�19t1V1 NEHMII &AIC Davie County Health Deparbnent �0- S EnWroamenfal Health Se+Won 7101M P.O. Box 848/210 Hospital Street Mocksville , NC 27028 (336)751-8760 '- 7 19% * * * IMPORT'ANT* * * THIS APPLICATION CANNOT BE PROCESSED UNLESS TIIp.`-. M___ MPXMHEALIM ly INFORMATION IS PROVIDED. Refer -to the INFORMATION BULLETIN fokAmUA Name to be Billed 1 m1ny,)e Y ei's Contact Person". - Mailing Address /G 3D AIC A'Vle I S • Boma Phone City/state/ZIP 1_ �4j{jjC C _2 22-0 Business Phone -"-' Name on Permit/ATC if Different than Above �S,qm (" Mailing Address Application For: K Site Evaluation City/state/Zip "Improvement Permit/ATC Both System to service: 0 House ❑ Mobile Home 0 Business ❑ Industry 0 other If Residence: # People 11*�— # Bedrooms 3 # Bathrooms 0 Dishwasher 0 Garbage Disposal iYttashinq Machine 0 Basement/Plumbing 0 Basement/No Plumbing If Business/industry/other: Specify type # People C w1rS.a # Commodes # showers # Urinals # Nater Coolers IF FOODSERVICE: Ii Seats Estimated hater Usage (gallons per day) Type of water supply: H County/City 0 well ❑ Community Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yes 0 No If yes, what type? ***IMPORTANT***CLIENTS AIUSTCOAMLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: L QC AA_ IVIM DIRECTIONS (from Mocksville) to PROPERTY: Tax tJmee PIN: ago Gq- `fir, ISY _t 2} S l �. A a��. �,nr vti.•.tti Property Address: Road Name City/Zip Aa tic e If in a Subdivision provide Information, as follows: Name: Section: Block: Lot: rig.. e.� Ls : c ,�, �► c1. � � A- b wt,� Date Property Flagged: l Z — 7 - 94w I \ 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 ihat I am responsible for all charges irrcarred frons 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 conductall testing procedures as necessary to determine the suitability. / itability. DATE / �� SIGNATU THIS AREA MAY BE USED FOR DRAWINC YOUR SITE PLA°. (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Ape rin,ov---r'% 0- Revised DCHD (07/98) I • du K"a _&'? 't. .. s d . �•_ fir?. Lvrj-. �_ Account No. // Invoice Nolo (144) (13) (1 �6�� 1 (2.06A) 0797 O � o - C 2646 c 64 � g 4 v This map is for PERC TEST r and BUILDING PERMIT purposes only. The Davie County Tax Administrator's Office assumes no liability for any information contained on this map (3261 (1721 COUNTY -ID: F800000097 168.40 December 07,199811:28 AM Parcel Identification Number 5880-04-2840 s DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED IO2 %6 � PROPOSED FACILITY PROPERTY SIZE ff/cl SUBDIVISION ROAD NAME �:2L Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public 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 Consistence - 3 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: N G/ LONG-TERM ACCEPTANCE RATE: �� REMARKS: Jl-;� ✓ t,,l DCHD (01-90) EVALUATION BY: moi` Yom`/ OTHER(S) PRESENT: 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 ■■■■■■■■■■■■N■Ne■■■EN■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■E■■■■■■■ ■■■■■■■■■■■■■E■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■ENE■■■■■■■■■■ ■■■O■■■■■■■■■■■■■■ ■■■■■■NE■■■■■■■■O■ ■■■E■N■■■E■N■■E■■■ ■■■■■■■■■■E■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■�-.NOON■■■ no on ■■■■■UEO■■E■U■■E■ ■■■E■ ■■■■■■ ■■o■ ■■■■■■■■■■■■■■OM2■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ NOON■■ ■■■■■■■■■■■■■■■■■■■■■■i��.rJ/5.�ifl�■■■ ■■■■■N ■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■ NOON■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ON ii ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■ ■E■■■■ ■■■■■■ ME ■■ ■ ■ ■ No ii