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199 In & Out LnDavie Lounty, NC Tax Parcel Report Thursday, September 29, 2016 '7 240 _•'� 239 �� 1`1 r I t 1491; 137 E 1185 £199 132 425} I , 429 1� 423 427 196 1 415 421'f'1 158 413 ,/ 1115r 132�.�K 156 t,v 9"' F WARNING: THIS IS NOT A SURVEY 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. Parcel Information Parcel Number: F800000114 Township: Shady Grove NCPIN Number: 5880381112 Municipality: Account Number: 8303091 Census Tract: 37059-803 Listed Owner 1: MYERS ELIZABETH WILLIAMS Voting Precinct: EAST SHADY GROVE Mailing Address 1: PO BOX 2047 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: 4.70 AC OFF POTTS RD Fire Response District: ADVANCE Assessed Acreage: 4.54 Elementary School Zone: SHADY GROVE Deed Date: 1/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009480789 Soil Types: PaD,PcC2,RnD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 80700.00 Outbuilding & Extra Freatures Value: 24340.00 Land Value: 45520.00 Total Market Value: 150560.00 Total Assessed Value: 150560.00 t,v 9"' F 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. u ' 1 3 971 AUTHORIATION.-NOi DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee'' -d J / %. P.O. Box 848 Name: > / ll�,G�A/YY </I/."�//D}/.'� Mocksville, NC 27028 1Subdivision Name: rPhone #: 704-634-8760 Directions to property: {��J �r'i Section: Lot: AUTHORIZATION FOR ,l WASTEWATER Tax Office PIN:# U J SYSTEM CONSTRUCTION --� Road Nam **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) Ll ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL ENVIRONMENTAL HEALTH, DATE ISSUED ray - ,' i� � S`.'=it- •i�,. •t..,t �'r::r".s y .��` t -'. �.\ tR` _ ., �, .. `�� DAVIE COUNTY HEALTH DEPARTMENT 15 NT ► ''�}~ IMPROVEMENT'AND OPERATION PERMITS PROPERTY INFORMATION P�nhittef,'s � ` �.a Name: ��rr �.' � r _�,.�` J `%,� � Subdivision Name: , Directions to property: Section: Lot: IMPROVEMENT i r f f, �j . j .r' 3/ ♦ , I .� t �'{' % PERMIT Tax Office PIN:# [ , �,' ,;` �; r': < -_ :7 , f'j �: t E` f j `r•�� Road Name:-Zh 14.L+,jZi ` �7'L^ P� **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. 4 (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 ` Y'{r , r'` ► "f ;F: i'� .r� ' 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_ # BATHS # OCCUPANTS f _ GARBAGE DISPOSAL: Yes or No . COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE , TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) tl NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ,LEGAL. 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. DCHD 05/96 (Revised) .• ^ • APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC r Davie County Health Department �a --- Environmental Health Section jg P. O. Box 848 0 Mocksville, NC 27028 APR 27 19% ((3� 1%-88706p0� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS D U NMENTAL HEALTH ALL THE REQUIRED INFORMATION IS PRO F DAVIE COUNTY r 1. Name to be Billed dow4rGl (i(J(�/!Q /� Contact Person Mailing Address P0, Box 336 Home Phone 9W /V City/State/Zip /iclhane e lU C % o Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ . Site Evaluation ❑ Improvement Permit & ATC Both 4. System to Serve: ❑ House 117 Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People .2—_ # Bedrooms 1=2 # Bathrooms ❑ Dishwasher —/ ❑ Garbage Disposal Ind Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City R(Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes N No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PJ,-YRM THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Jerty Dimensions: X 120 1 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY: Tax Office PIN: # 5S9y - __ • - ///.1 1 L/ IF Property Address: Road Name Lone 1 n_ J�,/ 1 W G'c /)7� l¢ A& City/Zip11 n _ e %d 1 1 If in Subdivision provide information, as follows: 1 / 1 O IQT' 7�tir/7 ?r� yDv�L'�ne Name: 1 1 4 en a O16zvn IWI Section: Lot #: 1 e i #17CkW 51411 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 : Iot wel K • 1J l &M S to conduct all testing procedures as necessary to determine the site suitability. r !, t DATE 41 027- 915 SIGNATUREZVO-G,.sc+� ��—. Revised DCHD (06-96) YOU MAY USE THE $ACK OF THIS FORM FOR DRAWING YOUR SITE PLAN. re J/Z 910 �q.lk ; 715-, 3JI jlTri .9 ri l'. ilk DolLblQlJ.f \ao � o v` O o �+ y �' 1 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME G��!/�� DATE EVALUATED PROPOSED FACILITY '/% / PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well L�'/ — Community ROAD NAME 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 Texture group (V— Consistence Consistence f 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: C LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) LEGEND Landscape Position EVALUATION BY: '& OTHER(S) PRESENT: 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■■ ■O■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■OOO■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■O■■■■■■■■■ ■■■■■■■ Mee■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■E■■■■■■M■■■ ■E■■■M■■■■■OO■■■ ■E■■■■O■■O■■■■■■ ■E■■■■■■■■■■■OO■ ■■■■■■■■■O■■E■■■ ■■SSSS■■■■■■■■■■ ■■■■■■■ ■■■■■■■ ■■■■■■■ ■■MEMO■ ■O■■■■■■■■■■EEM■ ■EM■E■■■■■■■EM■� ■ESS-----��■■■■■■SS■■ ■■EON■■■■■EE■■■■SM■■■ ■■S�■EM■■■��eeee■e■Mee■ ■■■■■■■■■■■■OM■■ ■E■■■■■■■■■■■■■■ ■■■■O■■OOO■■■■■■ ■■■E■■■000■e■■■■ ■■■■■■■■■■■■■■■■ ■■M■■■eee■■■■■■■ ■■■■■■■E■EOOM■■■ ■■■■■■■E■■■■■■E■ ■■■■■■■■■■■■■■E■ ■■■■■ ■O■■■ ■■■■ ■■M■ MEMO NONE ■■■ Mee■■ ■■■■■ ■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■M■■■ ■■■■■■■■■■ ■■■■■■O■■■ ■■■■■M■■■■ OOOO■■■■■■ ■■■■■E■■■■ ■■■■■■■■O■ ■SOON■■■■■ ■OM■O■■■■■ ■■■O■■■E■■ ■■■■OO■■■■ ■■■■M■■■■■ ■■■■■■■■■■ ■O■■■■■■■■ ■■M■■■EM■■ ■■■■■■■■■■ ■■■■■■MEMS ■E■■■■■M■■ ■SSS■■■■■■ ■SMS■■■■■ ■■■■O■■■■ MEMS■■■■■ ■O■E■■SO■