The URL can be used to link to this page

178 Iris LnDavie County, NC Tax Parcel Report 6�J�— Thursday. September 29. 2016 WARMING: THIS IS IVUT A SURVEY Parcel Information . Parcel Number: G700000106 Township: Shady Grove NCPIN Number: 5769984169 Municipality: Account Number: 6753250 Census Tract: 37059-804 Listed Owner 1: BLACK DAVID LEE Voting Precinct: WEST SHADY GROVE Mailing Address 1: 178 IRIS LANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 5.165AC OFF FORK BIXBY RD Fire Response District: ADVANCE Assessed Acreage: 5.23 Elementary School Zone: SHADY GROVE Deed Date: 10/1984 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001240667 Soil Types: EnB,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 134780.00 Outbuilding & Extra Freatures Value: 4300.00 Land Value: 49000.00 Total Market Value: 188080.00 Total Assessed Value: 188080.00 101 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 NC or arising out of the use or Inability to use the GIS data provided by this website. t .._ y.A .wt.. y,,.. it4--a y,,y..�.' a.l V, '}i ..*. A.: ,.. - o.s• rt r .^Y -i :' �J:j .,rte_- v'i Au i8R,, *ACTION NO: DAVIE COUNTY HEALTH DEPARTMENT 160-60� 4. Environmental Health Section PROPS TY INFO�tMATION Permitte P.O. Box 848 AL'(z�R 17 -AS 5ySrim 5 n,v� 1a�1 " 1. Name: t" Mocksville; NC 27028 Subdivision Name: '~� ... TEij -of t Phone #: 704-634-8760 t 3fG Directions to property: ' b� Section: Lot: AUTHORIZATION FOR q .r *-,� • WASTEWATER Tax Office PIN:# 1, -*_ =LAIC1 SYSTEM CONSTRUCTION , , _s�� c► �- C r. ..` Road Name�si 5 Zip: 10 ri **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. (Incompliance with Article 11 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 HEALTH SPECIALIST DATE ISSUED '1 a� DAVIE COUNTY HEALTH DEPARAT MEN T IMPROVEMENT AND OPERATION P PROPERTY INFORMATION P8rrmt e?s Narrie¢" Subdivision Name: Directions to property: _ U VE Section: Lot: a+� IMPROVEMENT �_- S, PERMIT � Ct1 Tax Office PIN:# w c Road Name t : °l 5 st) Zip: **NOTE** This Improyeent 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE sem' t�� f;S` t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE 45% INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �WA*_# BEDROOMS # BATHS # OCCUPANTS 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) NEW SITE V REPAIR SITE --SYSTEM SPECIFICATIONS: TANK SIZE Lono GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR Fr. bD e OTHER REQUIRED SITE M6DIFICATIONSICONDITIONS: IMPROVEMENT PERMIT LAYOUT B "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. 1 OPERATION PERMIT SYSTEM INSTALLED BY: SAF f.Cb F14, j t` AUTHORIZATION NO. OPERATION PERMIT BY: TE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED A E HAS B ENI LED 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 PERMIT & ATC /J Davie County Health Department Environmental Health Section 1�jA,q�lzrL clof- ice" P.O. Box 848 Mocksville, NC 27028 251997 () 634-8760704 II,," U ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed IJY iV `) `J �J� _ Contact Person J! L/ L l� Mailing Address /2,1 Home PhoneQj�X ' [ City/State/Zip i �` . Business Phone (en -34 (3 11 Si 2. Name on Permit/ATC if Different than Above �-VY'IV t 1_1 0 LA4y-4e---' Mailing Address .SA M L.._ City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [moth 4. System to Serve: [ ] House [ ] Mobile Home [ ] Business [ ] Industry [ 4.06er .S1e��- POC -6 G 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] 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: [ J County/City [L+NV@l [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** ACOF THE PROPERTY MUST BE SUBMITTED WITH T tS APPLICATION. Property Dimensions: Lo X -19S- -X 3Q WRITE DIRECTIONS (from ocksville) TO PROPERTY. Tax Office PIN: #,6-16-9 -// ,,, '' Property Address: Road Name /5S SUS C_AeA City/Zip/4-j�/A C t� ij!( 2,700 -� 221e.� 2i5 -7 � ,p If in Subdivision provide. information, as follows: fitlb C J�/�(tt�l Gt�GfiL 07C� Name: ; 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 ZWi t% -60ZL,. to conduct all testi ures cessary to determine the site suitability. DATE,5 71�'- � SIGNATU Revised DCHD (06-96) THIS A1tEA AtAy BE USED j=olt DRAWINC7 JOUII SITE PLAN- S� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME O O PROPOSED FACILITY e _ SUBDIVISION DATE EVALUATED 7 -:aq- 9 PROPERTY SIZE '� 06' X ROAD NAME Water Supply: On -Site Well ✓ Community Public Evaluation By: �Cc:U Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture groupL° Consistences Structure. C P� Mineralogy�\ HORIZON II DEPTH 2 '� Texture group Consistence -�►- �� Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON oc, SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: _ R S - LONG-TERM ACCEPTANCE RATE: o� EVALUATION BY: 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) LIAR - Long-term acceptance rate - gal/day/ft2 DCHD (01-90) ■■■M■M■ ■■EME■■ ■■MME■■ ■E■■E■■ ■E■■M■■ ■M■■E■■ ■■■E■■ ■■M■M■ ■■■■■■ ■■■■■■ ■■E■■O■O■■■■■■ ■■■■■OMO■■S■■■ ■OM■■■EE■■S■■■ ■■■■■■M■■■■■■■ ■■■■■■■■ME■■■■ ■■■■■M■■ES■■■■ ■■■MMM■■■■■■■■ ■■■■■■■E■■E■■■ ■■MMS■■■■■■■■■ ■■■■■■M■■■■■■■ ■■■■■■EE■O■■■■ ■EM■■■M■■■E■■■ ■■■■■■■■■■EEE■ ■MOO■■■■■■■■■■ ■■■E■■■■E■■■■■ ■■■S■■■■M■■E■■ ■■■O■■■■■■■M■■ ■■■■■O■■O■■■■■ ■■■E■■■■E■EM■■ ■■■EEE■■■■■■■■ ■■E■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■O■O■■EE■■■ ■■ ■■N■ SEEM ■■E■ ■■E■ NONE MEMO MEMO NONE ■■MEWMEMEME■■M■ ■EM■■MEM■E■■■M■ ■■ME■■E■■M■■■E■ ■EE■■EE■■■■■EM■ ■EM■■M■■ME■EME■ ■EE■■S■■■MEMmms ■E■EES■■M■■■nam ■■■■1U1■■EO■■MR2 NOON ■■■■■m%■■ ■■■MM■■MMWWMMM■ ■■■■■■■ENA■■■■■ ■■MM■■■■UMM■■■■ ■■■■■■ENM■N■■■■ ■OO■■■■MMMMM■■■ ■EM■■■■NI■■■■■E■ ■■■■U■Il■■■■U■ MEMO ■'.■E■■ ■ ■■■EME■INUMBa■M■ ■■■MMS■�r�!!19l�\� ■MMMEMNME■INWA E ■■■ME■■■M■tl■r_m ■■■■■■■M■■REbac ■■M■■■■■■■IIMWRM ■■OEU■■■■IAMMEM NONE ■■■■11■■E■ ■OS■■■■■MMINME■■ ■■■■IN■■■■■■■■■■■ ■M■■I■■■■M■■■■■■■ ■■■■■MIM■■■■■■M■■■■ ■■■■■■M■■SS■■■■■S■ ■■■■■■■■■■■■■■■■■■ U■OO■■EE■■O■■EE■■ ■■■EEE■■■EE■■■■■ ■E■■O■■■■■O■■■■S■■ ■■■■■■M■■■■■■E■■■■ ■■■■■■■■■M■■■■■■■■ ■■M■■■■■■■■■■■■■M■ ■■E■■■■■E■■■M■ME■■ MEMO■■■■■■ ■■■■MEM■■■ ■■■MEMM■■■ ■■■■■EM■■■ ■■■EMME■■■ ■■■E■■E■■■ ■■■■■■■■■ ■■■■MMM■■ ■■■■■■M■■ ■■■■■■E■■ SOMME■EM■ ■MMEME■■■ ■■MM■■MM■ ■EM■■M■■■ ■EMEME■■■ ■■M■OE■■■ ■■■■■■■■■ ■■■■■■■■■ EE■■■■■■■ ■■■■■■■■■ ■■■■MEMO■ ■■■■M■■M■ ■■■■EO■■■ ■■■■■EE■■ ■■■SM■M■■ ■■■■■■ ■■■■■■ ■EM■■■■M■ ■■■■■■■O■ ■■■■MEMO■ ■S■■■■■■■