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642 Fred Lanier Rd Lot 3 Davie County,NC . Tax Parcel Report Friday, December 30, 2016 615'%1 499 JACO FRED LANIER RD r � I `• 620 r'- l 630 642, 648 610 r '-' 658 ,4� k X 5$3� 'I , 477 588, I ' I 1 i s r '602 457 I j i 580 r 5 t 1 i 590 WARNING: THIS IS NOT A SURVEY I, Parcel Information Parcel Number: G200000083 Township: Calahaln NCPIN Number: 5719390106 Municipality: Account Number: 8302022 Census Tract: 37059-801 Listed Owner 1: LINK DONNA GOBBLE Voting Precinct: NORTH CALAHALN Mailing Address 1: 148 JOHN SNIDER ROAD Planning Jurisdiction: Davie County City: LEXINGTON Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27292 Voluntary Ag.District: No Legal Description: LOT 3 JOE GOBBLE S/D Fire Response District: CENTER Assessed Acreage: 1.09 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/2013 Middle School Zone: NORTH DAVIE Deed Book/Page: 009190115 Soil Types: MnC2 Plat Book: 0009 Flood Zone: Plat Page: 050 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9tI� All data Is provided as Is without warranty or guarantee of any Idnd 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 ��UN� NC or arising out of the use or Inability to use the GIS data provided by this websIte. DAVIE COUNTY ENVIRONMENTAL HEALTH f' P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03 Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3 Reference Name: Location/Address: Fred Lanier Road-27028 Proposed Facility:' Residence Property Size: 1 ac ATC Number: 4558 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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. '�, System Type: S.T.Manufacturer. Tank Date �' Tank Size-:g=-0 Pump Tank Size .J System Installed By: 0 b LLAa E.H. Speci e: ................ ..... .... ......... !Vo f r ^w s DCHD 11/06(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account M 990003257 Tax PIN/EH#: 5719-29-9196.03 Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3 Reference Name: Location/Address: Fred Lanier Road-27028 Proposed Facility: Residence Property Size: 1 ac ATC Number: 4558 **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. Residential Specification:Building TypeAt—Dozo #People --& #Bedrooms 3 #Baths .2 Basement w/Plumbing:T Basement/No Plumbing Commercial Specification:Facility Type #People #People/Shift #Seats Lot Size .I k Water Supply esign Wastewater Flow(GPD)3+Cite:New✓Repair System Specifications:Tank Size IM�GAL.Pump Tank—GAL.Trench Width 3-�'Trench Depth ' r^� Rock Depth_�tJ,,,A 'Linearr Ft,3Ca' Other: Required Site Modifications/Conditions: JNAMIL– � I Rte" U.-SS Contact the Davie County Environmental Health Section for final inspection of this system between 8:30–9:30a.m.on the day,of installation. Telephone#(336)751-8760. utas - ��,.., tom' Environmental Health SpecialiL 4 Date: I => DCHD 11/06(Revised) _ a APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department " Environmental Health Section Moil 4 fe P.O.Box 848/210 Hospital Street j Mocksville,NC 27028 ItLn2 0 2006 '°' (336)751-8760/Fax 6)751-8786 (� -For;--.f]-Sit aluat on/Improvement Permit Authorization To Construct(ATC) /Both ENVIRONMENTAL HEALTH LICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed �. Contact Person BillingAddress / Home Phone 1tJ 2_ - 9/ � l City/State/ZIP 2, Q 2 Business Phone 3.7E - y S-S•- 2-2- ,�L Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A survey'plat or site plan must accompany this application. (Permit is valid for 6 mon with site plan,no'expiration with co Pete pl ) / Street Address_= j "� City� d� G ax PIN# 7 j oZ g cf ) q b Subdivision Name pG o 6 6 tEQd J 1S)o>J Se do o # TS 2- Lot Size 1 A C.-- Directions To ite: 0 q /?7u / Date House/Facility Corners Flagged If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? Dyes kf Po Does the site contain jurisdictional wetlands? Dyes Rf4o Are there any easements or right-of-ways on the site? Dyes Rf4o Is the site subject to approval by another public agency? Dyes ErflTo Will wastewater-other than domestic sewage be generated? Dyes Pf o IF RESIDENCE FILL OUT THE BOX BELOW #People 3 #Bedrooms 3' #Bathrooms , Garden Tub/Whirlpool ❑Yes Leo _ Basement: Dyes RNo Basement Plumbing: ❑Yes Colo IF NON-RESIDENCE FILL OUT THE BO BELOW Type of Facility/Business �? otal Square Footage of Buildin #People # Sinks - #Commodes #Showers #Urina Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY:: #Seats Type system requested: VConventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: R County/City Water ❑New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes I;rRo If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed. 1 understand that 1 am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determinecom fiance with applicable laws and rules on the above described property located in -^ Davie County and owned by l5�ke" Site Revisit Charge Property owner's or owner's legal representative signature Date(s): Client Notification Date: Date EHS: Sign given Dyes ❑No Account# 3� Revised 2/06 'P�2G1t�T Invoice# �-lvvu+cel X03 d XL r a Ull u'' 4 ',..-... Vicinity Map 0622 5590! ._. __ a6saoo -. 8M.000 \ _ 865 000 _'x: ER ROgp r 865.00 � n 1 000 ! / 8.55. 6203 (6 5A) la ` - - 5116 _ 196- 0' lm ,- `(1.46A r 4018 \ i ; —Z�' �1 t 1 617 L-v-� 1'" LpYj Z LsJ r sas.aoo / s3s.000 t �� 'J j44 1650! - r . 3.210A si - - 4847 + / -- (35.19A) r 5543-- �/County Line / Streets StLeets Radroad PCn onds Streams Streams { � •� %Contours 5 ft , 00 0 200 400 600 Feet Printed: May 31,2006 ' C--2-� -G----- C-3—• -� Tree Lin � =Exis�inj - _ Tree Lina t + Proposed I ,/r 1 \ Proposed '' , t I \ House House Proposed i cl \ 75 House Proposed = o i1 n X a4lTH 72 HouGe ail r / X # t io r l } TH #76 X X i t rn I TH X71 TH #6$ tt , I J M I N o tis le '° t oN ; T, THCD #77 o THS 74 o TH #73 X TH #69 J —0ZLL^ I W 5 , �LAIo X p TH 70 a X X Co 141¢Ccn 1 U2 , vm O � 1 i + pi q rn r r c"O rrl m 11 4h, Ij 0 0 }a� Aerial Power Lines Aerial Power Lines 0 Tax Lot 53 .01 i ----_---------- / Aerial Power Lines Tax Map ---------- -----------_ ------------ --- --- ----+--------------- -- -2 Tree LineTree Line r I)arses C rossroads Baptist Church _. Ebright DB 107 0 PG 344 PG 816 f Lit 1 Lit 2 Lit 3 Lot 4 Lit { 1.994 Acres +/- 1.472 Acres +f- 1.117 Acres +f- 1.098 Acres +/ 1.696 Acres +f- IJ • '78'231. � 97.15 � _. 1()0.13' 101.00' 206.30' , �--�• �"� • L-7 Total - Draugnton 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03 Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3 Reference Name: Location/Address: Fred Lanier Road-2//7028 Proposed Facility: Residence Property Size: 1 ac Date Evaluated: �l��drb itIz' ou Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 4 5 6 7 Landscape position Slope% "7-4p HORIZON I DEPTH — Texture group SIC_ Consistence i SV Structure / 3 X Mineralogy HORIZON H DEPTH IL42 Texture group S;C-fi Consistence S Structure b3 Mineralogy - HORIZON III DEPTH 7t l� Zf Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS -- RESTRICTIVE HORIZON SAPROLITE t le CLASSIFICATION LONG-TERM ACCEPTANCE RATE .3 SITE CLASSIFICATION: EVALUATION BY- LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: 7 Y _ 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 TENCE MQ1St VFR Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm 33�' t 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 DCHD 05105(Revised) a p lost F"ar a "Uhl i a x 'tia`ps au9 d�25. r IP # MI1€ 1 61 Pill A "S OR" nil rA q,� xt owl= SIA 9tug W9H) au`$2S ra 4 ab kfii � � x5543 Q,7 - �Fro+ r 'C s,�,�,£d4y- rZ✓ � s civ I ��w r �. a Riot 4rwrr MMATa '3vSsp r U�` G#7.r°r"�yF fiai b� e � ,S ✓^'r �` J�3JY W S 5 9 :h Y3 b M S 3 Y ,!, y 9 �"4" S 3� � ®,xSj4 '� D, yds it "b' 0i� C� FRO,`"��� • t , DAVIE COUNTY HEALTH DEPARTMENT �r. Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03 Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3 Reference Name: Location/Address: Fred Lanier Road-27028 Proposed Facility: Residence Property Size: 1 ac Date Evaluated: / h Water Supply: On-Site Well Community / Public Evaluation By: Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH ^7 Texture group aLl Consistence Structure Mineralogy , HORIZON II DEPTH Texture groupG Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure COY— Mineralogy HORIZON IV DEPTH Texture group Consistence j Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE ' SITE CLASSIFICATION: �S EVALUATION BY: LONG-TERM ACCEPTANCE RATE: e �0 OTHER(S)PRESENT: n it REMARKS: �'1� SJ 14U L ew I t0 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 met 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) TTAD, T ...... ♦........ ...... - __.- __ i-t__.u.n yJ ► --� � ay r Line __ _ Tree Li \ - - Tre.. Lin _ Oouble-Nude ft Pro osed Proposed ! ! Mobile Home p ` 1 House House Proposed 1 ! cl \ House Proposed t X H #75 TH 72 House ! -A u X # ! m F TH ir76 X X t I TH #71 TH 68 11 m Oto cdin # \ N LL C9 I a SL TH #77. p IT' w1 74 � TH #73 W X TH #69 g �\ Am 1 CD 1 X o �i `r X 4 \ —5;LL W X p TH #70 c \\ X x w ! U: e Fc-1 Cm I O 1 O Li o ` i M46 -` r f o � V w � � rn 0 0co 0 0 0— p� Aerial Power Lines ? Aerial Power Lines 0 �—0 Tax Lot 53 01 _____ / Aeriol Power Lines i _ Tax yap G-2 '� `------------------- ---- r/f Dames Crossroads Baptist Church ---- --- ----- Tree Line - - Tree Line Ebright DB 107 ® PG 344 -. PG X16 Lvot 1 , Lit 2 Lc 3) Lot 4 Lot 5 Co 1.994 Acres +f- 1,472 Acres /- 1,117 Acr s +/- 1.098 Acres 1/- 1.696 Acres +f- ' 231.78 -- _ l 97.15' 100. 3 ?01.00' 206.30' L-7 Total Draugnion , ................................ :: . 6. 1 .........t :::ounty� e Davii"6"t..... ' ''' Ba"ItbD 'r-t' : men .............. ......*"IH I ZS'Sect con mehid: ed t r ec .....................::. ..................... .... ......:: ................ � ....*"'*�.�..*.'....:.W. : oxHostStreet.. et... ................. ...... ........................ ........................................................... .. :'..........'T- 1 P. 7....... . ................................................................................... Improvement Permit August 22,2006 Mr.Joe Gobble 911 Sheffield Road Mocksville,NC 27028 Re: Joe Gobble Division Lot#3 Tax PIN#5719-29-9196.03 Dear Mr. Gobble, This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans or the intended use change. System To Serve: AeSJdM CeWastewater Design Flow(GPD):Zu Q Valid: 05Ycars 9?<oExpiration System Type: DConventional Peccepted DInnovative DAlternative ElOther Site Modifications/Permit Conditions: Site Plan 00, E tonmental Health Specia] ate i.p.letter 7 1/Y1•1L' <.V V l\1 1 111:jllx J 111"A:IA Al\11t11J1\1 • Environmental Health Section -,: ••' P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People 3 #Bedrooms 3 #Baths CV, Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size I tAl.r{i Type Water Supply& Design Wastewater Flow(GPD) W O Site: New Repair❑ tl _ System Specifications: Tank Size�GAL. Pump Tank GAL.f Trench WidthJt0 Rock Depth N Linear Ft.���' Other: A C C ep i IZ/, f UCC lel C�(b1r1"S�S VY� Required Site Modifications/Conditions: KQgp I Ol O� SOCC' �n -b S+al.+�l�, IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S)IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m. or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** � l.cS10 min. U4� :9 w NV Environmental Health Specialist's Signature: AA A Date: Aq,2—bp DCHD 05/99(Revised) V Davie County Environmental Health P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03 Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3 Address: 911 Sheffield Road Location/Address: Fred Lanier Road-27028 City: Mocksville Property Size: 1 ac Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Permit Type: ew ❑Repair ❑Expansion Permit Valid for: ❑5 Years Z<o Expiration Residential Specifications: #Bedrooms _#Bathrooms 2 #People Basement❑Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Faci/litb Design Flow(GPD):lz Type of Water Supply: 2KUnty/City ❑Well ❑Community Well 0 Site Modifications/Permit Conditions: SgemT2e LTAR InitialU Repair Site Plan f Environmental Health Specialist Date i.p.11-06