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2013 Hwy 801SDavie County, NC I f Tax Parcel Report I1 1 b 1' Wednesday, September 28, 2016 69 4' _ _.... ti �$540 w i 190 1 1992 � a t 729 ct� 1.5B—.....� �j _LU 5640 Z N ------ _, 2C�C�0 8558---1 ,790 105 112 FC6D !b ILLRD 951 fl- -- 178 0 `--- _ W`, 8408 . - .— 2013 125 9119- (176) 1' 1 X1111 5 C1;EEK RD ;, P N 201 1 r. 4460 � - f,_. ; - 3349 N 5388 1 --- _ 569 - + 274 1 1907 N IC Davie County, NC WARNING: THIS IS NOTA SURVEY causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcef informatiori` Parcel Number: G8120B0002 Township: Shady Grove NCPIN Number: 5880208408 Municipality: Account Number: 47012000 Census Tract: 37059-804 Listed Owner 1: MARKLAND CARLETON L Voting Precinct: EAST SHADY GROVE Mailing Address 1: P O BOX 2142 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY C -S State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1 LOT HWY 801 Fire Response District: ADVANCE Assessed Acreage: 0.31 Elementary School Zone: SHADY GROVE Deed Date: 4/1994 Middle School Zone: WILLIAM ELLIS Deed Book f Page: 001740068 Soil Types: PcB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 118070.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 32000.00 Total Market Value: 150070.00 Total Assessed Value: 150070.00 IC Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 or arising out of the use or inability to use the GIS data provided by this website. -Jk . , ✓fib DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �10 i * NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a -51, /Sanitary Sewage Systems 'jX �� Permit Numbler, %'Cl Name _� f/ �L� /, � , //- ` f' � � 1 � D to ��! `1u N2 7 7 0 6 r' Location ---- as 0 AIL AW V� ?O�s Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business. 42tf< Industry No. Bedrooms -&,/f� No. Baths --/-- No. in Family —�__ Public Assembly Other Garbage Disposal YES Auto Dish Washer YES Auto Wash Ma^hine YES ❑ NO ❑ NO ❑ NO Specifications for System: Type Water Supply _ /?1 --___— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. t �-J V Improvements permit by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-6345985. Final Installation Diagram: System Installed by Certificate of Completion �� Date "The signing of this certificate shall indicate that the system described above has been installed in compliance with thg standards set -forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. 1. Appl Maili APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT,, Davie County Health Department Environmental Health Section rAU6z P. O. Box 665 Z ��9� Mocksville, NC 27028 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: ❑ House P--fusiness ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions J21 Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Sinks 3 No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: &Public ❑ Private 8. Property Dimensions 161-C.• Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? 2"ho ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property:,-,, 0 peep &d ex--%L/dx /V fft ,qua/ A- V1,014ec- 4-6 wq/T/o>195s �'C✓ . con1� ;J6 6A- kol hyo iyyl �� c e. S This is to certify that the information provided is correct to the best of my incurrpA from this applic i n. - ,,2•-q DATE I SIGNATURE I am responsible for all charges - CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: JET. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative,9f the Davie Courfty He Ith Depart nt to ente on above described property located in Davie County and owned by 2C to conduct all testing procedures as necessary to determine said site's uitability, lor a ground abso ption sewage treatment and disposal system. DATE SIGNATURE DCHD (1/93) ! DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME /�(/Jl�� DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY �S>`t'Gh l�� LOCATION OF SITE�� Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope Z --- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC- Consistence 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 RATEI I y , SITE CLASSIFICATION: EVALUATED 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 (:lay 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 -Film 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 3C -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(01-901 .................................................................. ................................ ................................ ....■...................... ................... .........MEN..OEM .............................................. ..■■.■■. ■■.EN■■.■■ ........................................�■... ■i.=■.e■m■■ ■..■■ ......■.....I.■ .....■.................................. .... . . ■■ .................................................................. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ■■■ ��\��.��■��.��M�� N��/�� ENO ■■■..■■.■.■.....■.!!11■!�.■■■...■■.■■......M.MM....■■.. ■..o.■.■■.� ■e■..■........E.n�a��■ti.e......NN■ ■.M.....M.M....uM...M. ■■■■■■■■ ■.u..■e....■.\d11irJG■..■....■...�.....■■.■■■■u■■.■■..■. ■■.■■■.■ .............�i��. . ...................................No ENE■NNE■ ....■.■..■■......■....■.■.....■..■..■..■ .■.■....No MONO N■■NNNN iiiii m NEENiiiiiMENEMMMENNEEMEN iiiiiimiiiiii i=M■ii�MMMMMM ■■..■.` .v�■■.■..M■■.■■iMM■..■■.M.■■.■■MEMM.M■NNEN ■■ ■.E■■e.■..■■.■ ■■■N..��; ■N.N...NN.NN■■NIR.MN.O..N...N. ■■...■.■. ■■■..... ■■..■■.■ .......i....■N..........►J.............�. .■.M.. .■...C..■...■. ...................................... .�■...EN ■M■E■■.■■O.■.■.■ ......................................_ _ ..... 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Mommommommomm EeENeEeNeeee ::::::: ...�iM........................■�■..■. ■■ .MM■o...■r�Nm ..................................... . . �... .... ..■....■.. ................................■.N...�iNO.�C■MENr�MMMMuMiM■M■. .. ........■...................■... ■E.NN■. ....■..■...........C:... ................................Nmmomm ■.=■■.■. ....lir■M■■■■M■.mommoun■■.■■■■■■ ..........IN■.N.N.N...N■NNNNN.NMNNNNNN.N .MNN.M.■EN■..■ NENNENE MILONNOMMONN.NN.N.■Non ■ .....�.................CMN.NNE=NEN ■N.■■■.MM M■.......■..■■..■.u.N....N ..■N.MN..N.N..■N.■N■.NN■■NN.MNNN�N............NMN................ ...................................... .......................... .................................................................. NEN■ .NN.NN.MNNN.N.N..N.■.NNMN.N�.■..N..NNNN.N..N.N■NNN.N■N.N■N.■ .............................. ................................ M Phone: (336) - 753 - 6780 Davie County Health Department Environmental Health SectiQn P.O. Box 848 Date; -PAID RECEIVED 210 Hospital Stre 1 �l Courier #: 09-40-0 eCetved b ; Date: 21 Mocksville, NC' 27028 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fax: (336) - 753-1680 Name: !Sfelrl u -A- 06060y) 0y) t ■ y F-IQI'(CI Phone Number 33(p` gyd`�p33 jpIoriE m+ ) Mailing Address: T, 0, �c-�) Q 3&0-'330-c;).5-30 L- mil (Work) c�� () . Email Address: ry nee- em i �°ss; ,, ,CGr'1 Detailed Directions To Site: L123Y 17�QY Property Address: /UC qQ1 fl � a Derv% e Please Fill In The Following Information About The EXISTING Facility: � IZD' 066.3ZO t?/ Name System Installed Under: ? S Type Of Facility Date System Installed (Month/Date/Year): /"/ Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes 0 If Yes, Explain: Please Fill In The Following Information About The NEW /W Facility: Type Of Facility: i anu � t 0 I�e �7 X Z`1 Number Of Bedrooms:_�Number of People Pool Size: - Garage Size�: / Other: 1tc t i 14 ( Y -Z. l i X cZ Requested By: /Lt�l� Cil g 4 " Date Requested: j' -off- (Signature) Approved / Disapproved For Environmental Health Office Use Only Environmental Health Specialist ��,�� Date: �"02 *The 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:$ Paid By: Received By: Account #: M50 5' Invoice #: (� Gj