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132 In & Out LnDavie County, NC tI Tax Parcel Report Thursday, September 29, 2016 161 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 N`' or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY ... __,._n... _ .. ,.;„ ... ...__ _.,...,...Parcel°Information,.,..,....... ,.. , ., ...,,., .,,. .... .... .... .......w ..,, ,........ ,. , Parcel Number: F80000011010 Township: Shady Grove NCPIN Number: 5880274622 Municipality: Account Number: 21360000 Census Tract: 37059-803 Listed Owner 1: DOBY CHARLES E JR Voting Precinct: EAST SHADY GROVE Mailing Address 1: 1582 RUSSELL CREEK RD Planning Jurisdiction: Davie County City: STUART Zoning Class: DAVIE COUNTY R -A State: VA Zoning Overlay: Zip Code: 24171-3759 Voluntary Ag. District: No Legal Description: TRACT 1 DOBY C 1.249 AC Fire Response District: ADVANCE Assessed Acreage: 1.21 Elementary School Zone: SHADY GROVE Deed Date: 6/1987 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001380199 Soil Types: PcB2,PcC2 Plat Book: 0009 Flood Zone: Plat Page: 235 Watershed Overlay: DAVIE COUNTY Building Value: 34370.00 Outbuilding & Extra Freatures Value: 5060.00 Land Value: 21780.00 Total Market Value: 61210.00 Total Assessed Value: 61210.00 161 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 N`' or arising out of the use or Inability to use the GIS data provided by this website. 4,.. .� Y`0 ... ►.its, v.x x .s=r Y"ity W' istt ;' .a ,g.—rwlk i�.e T'r . s. r - - .�. .: .- ,; I., �., �AUTHo'RIZATION No: 125'9 DAVIE COUNTY HEALTH DEPARTMENT PROPERTY INFORMATION Environmental Health Section r ' Pern}tttie's ' ': P.O. Box 848 Name: /� + r Mocksville, NC 27028 Subdivision Name: !fi J� Phone #: 704=634-8760 Directions to property: ✓ ,J` D%iS Section: Lot: AUTHORIZATION FOR _ WASTEWATER Tax Office PIN:# _. SYSTEM CONSTRUCTION Road Name i t �s i P: **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 CountyBuilding Inspections Office when applying for Building Permits. . (In compliance with Article 11 of G.S. Chapter 130A,- Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ,� G',t .",. ('s� !' /+��'-% • " IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIAT IST DATE ISSUED i lrfJ f �� �, •a ,Y+'vt/k, ;,: °'.'' � .µ.��1`.Y, . y g. F yr ._.p 7:a, _. , . . ,_ ` / _ /�� r, 4 1259 DAVIE COUriTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATIONIPF�." TS PROPERTY INFORMATION Name:�1. ` Subdivision Name: Directions to property: - , d' ,' f r` ` . % Section: Lot: , IMPROVEMENT � J PERMIT Tax Office PIN:#Tr _ - 7j f Road Name I p: Are e� **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) w� ` -)'!,•' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER i ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE. # BEDROOMS 1,? # BATHS :? # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE .f TYPE WATER SUPPLY /P// DESIGN WASTEWATER FLOW (GPD) d NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE�&ad GAL. PUMP TANK GAL. TRENCH WIDTH ��,ROCK DEPTH/LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **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 (704) 634-8760. OPERATION PERMIT � SYSTEM INSTALLED BY: !i AUTHORIZATION NO. )VKI OPERATION PERMIT BY: �/� DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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) APPLICATION FOR SITE EVALUATIONAMPROVEMENT P Davie County Health Department Environmental Health Section ti! •.n i'' P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS 1 THE REQUIRED INFORMATION IS PROVIDED. Y Name to be Billed >° J Contact Person Mailing Address Home Phone 9 / 2 "Z. City/State/Zip4;42Z Q Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC mem 4. System to Serve: [ ] House 4/rMobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms � # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [p]'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 V44ell [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes k+No If yes, what type? t%;. EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***vpp1'r OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 31y " ] ate- WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #� 1, It yall� - T. (-FT 6&AO 'i o its Property Address: Road Dame 4 vo 0 tr • IRA City/Zip if 2t7 Lt} -N 'usT - "past- cRK-0 P, ►rus If in Subdivision provide information, as follows: Name: GFc�i o [hl 'i�,'S 'Res: cQtti ct� 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 DATE 3-.S'gP' Revised DCHD (06-96) toA' yg uct alhtestingAocSores as necessary to determine the site suitability. THIS AREA MAY BE USED FOR bRAWINC� YOUR SITE PLAN: , �'� A-�- - ZA� aw� SALLIE MAE HARTMAN BAILEY D8 113, PG 264 PB 5, PG 17 I 1 S B9 ° 2B' 47 �' E --- 222.95 R ' r" N ION ROD y' . : •, . ..y ',*70N ROD FOUND r + r- r FOUND F �• /__- ` n .f/ N " P4 "' % �- ./ '~I WELL y r t 191: M :I ONE 9TH p 09' p I lae' U) Z a 12' h 0 t_ m d [C Z 01 In AREA 2. GG r4lR • 0 � Q D. 00, it' ROAD I -+-- 400' TO POTTS ROAD SR1676 0 n n IRON ROD FOUND B 5B' -`/1184017,00"l VESTAL J. POTTS DB 121, PG 662 DB 119, PG 447 "1, CERTIFY THAT ON I91_ WE SURVEYED THE PROPERTY SHOWN ON THIS PLAT: r MA p FOR CHARLES E. D06Y - G WEN C. -SCALE- •TOWNSHIP- -COUNTY- -STATE- -OATE- 1 " --50' SHADY GROVE AVIE N. C. 6-8 - 97 CHARLES E. CRAWFORD JR. - LINDA — D8 121, PG 106 SURVEYED: FRANCIS. B. GREENE SURVEYING AND MAPPING CO. P.O. BOX 001 MOCKSVILLE, N.C. 2702011 Boa NO. MAPPED: ww��rw ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME LIA PROPOSED FACILITY -�&z SUBDIVISION Water Supply: Evaluation By: On -Site Well` L/ Community Auger Boring (/�Pit DATE EVALUATED 1--?/ 3'<4Vd PROPERTY SIZE 14 (? ROAD NAME _7:W " Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r D r Texture group Consistence / Structure /c cid 7 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: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: 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 oiA 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 Mineralog 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■Nee■■■■■■■■■■■■■■■■■■■■■■■■M■ NONE ■■■N■■c■■■c■■■■■■■■■■■■■■■■■■DODO■■■e■ NOME ■■■■■■■■■NOON■■■■■■■■■Nee■■■■■c■■■■Eco ■■■■■■■NOON■■■■c■■■■■■■c■■■■■cc■■■■Nc■ ■■■■■■■■■■■e■■■■■■Nee■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■Nee■■■■■■■■■■■■�ee■■ ■Nee■■■■■■■■■■■■eee■■■■ccN■■■■■■■■■■■■ ■MM■■■■■■■■■■■■■■■■■E■■■ccN■■■■■Nee■■■ ■■e■■■■■■■■■■■■■■■■■■■■Nee■■■■■cc■■■■■ ■■■■e■■■■■■■■■■■■■■■c■■c■■■■■N■■ NOON ■■■■■c■NOON■■■■e■■■■■■■■e■■e■■■■■■■■■■ ■■■■■■eN■■■■■■■■■■■r.,�■■Nae■■■■■■■■■■■■ ■e■eee■■■■■■■■■■■■■.■■■■■■■c■■■■■■■cc■ ■■■■■■■■■c■■c■M■eM■Mecc■■■■■■■■■ NOON ■■a■■■■■■■■■■■■e■■■e■■■■■Nee■■■■�e■■■ ■■eee■■■■■■■■■■■■■■■N■NN■■■■■■e■e■■■■■ NOONeee■■■■■■■■■■■ccM■N■■■■■■■■■■■■■■■ ■■es■s■■■■■■N■N■■■■■■O■MO■e■■■■■ ■■M■ ■ecce■■■■■■■■■■■■■■■■■■■■eee■e■■■■■■■■ ■■■■■■■■■■■Sec■■■■■■cN■■�t■■e■N■■■■■■■■ MEMMEMmommool MEMEME NOME ■■■■■■■■■■■eee■■■■■■■■■ei�■■e■■■e■■Ncc■ ■■■■■Nee■■■■■■■■■■■■■■■■��■■■■■■■eee■■■ ■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■N■■■ MONS■■ ■■NN■■ ■■NNE■ ■■E■AM ■EM■ON ■MNwc• ■■Moes ■eM■M■ ■■■N■■ ■■■N■■ MONS■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■N■■eee■■ecce■■■■■■■■■ ■eee■eee■Nee■Nee■■■■eee■ Nee■Nee■■ecce■■■■■■Nee■■ ■■■■Nee■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■Nee■■■■c■■■c■ Nee■eee■■ccN■■■■c■cec■■■ ■■■■e■■■Nee■■■■■ce■■e■■■ ■■■■■■■■■■■■■■■■■■■Nee■■ ■eee■■■c■■■■■■eee■■■■■■■ NOON■■■■e■■■■■eee■■■■■■■ ■■ee■■e■■■■ecce■■■■■■c■■ ■■■EOM■■■■■■■e■■■■■■■■c■ ■■■■■■■M■■c■■Nee■■■■■■e■ Nee■■■M■■■■■M■■■■■■■■■■■ Nee■■■■■■■■■■■■■■■Mee■■■ NOON■■■M■■■■■■■■■■■■■■■■ NOON■■■e■■■■■■■■Ne■■e■■■ ■■■e■■■i�■■■■■■■Nee■■■■e■ ■■■M■■Nuc■■■c■■■■■N■■■■■ NOON■■■n■■■■■■■e■ee■■■■■ ■■■■■■■�i■■■Nee■■■■■■■c■■ ■■■■■MN■■■■■■ ■■■■eee■■■■■■ ■■■■■■■■■■■M■ MEMO■■■■■N■■■ ■■■■■■■■■■■■■ ■■■eee■■eee■■ ■■■NM■■■■MMN■ ■■■■N■■■■■M■■ ■MON■■■■■■■■■ N■■■■■N■■■ ■■■■■■■■■■ ■■■■■N■■■■