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164 Laird Rd Davie County,NC- � Tax Parcel Report p d Tuesday, October 4,2016 ' �, , f �: ,� , 4248�y 148 � � O rr� � r a� J r 16 4 I � i 1 178 �` , , �_�, ' _ � I -- -- � ----- 1 S 6� -— ------------ -- --� WARNING: THIS IS NOT A SURVEY ___ _ __ _ �__:__._ __ . . _._ _.a ._ ... _.__ . ., _ : ._ _: _ - .. _._-- __ _._- --- ___�. _----- - -,.._ . _ ._ .. : Parcel Information . Parcei Number: E700000023 Township: Farmington NCPIN Number: 5861267423 Municipality: Account Number: 70872000 Census Tract: 37059-803 Llsted Owner 1: STEELE TERRY ALDCANDER Voting Precinct: SMITH GROVE Mailing Address 1: 164 LAIRD ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 1 LOT LAIRD RD LOTS 6-8 Fire Response District: SMITH GROVE Assessed Acreage: 0.97 Elementary School Zone: PINEBROOK Deed Date: 8/1986 Middle School Zone: NORTH DAVIE Deed Book/Page: 001320733 Soii Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Vatue: 70980.00 Outbuilding 8�Extra 0.00 Freatures Value: Land Value: 25770.00 Total Market Value: 96750.00 Totai Assessed Value: 96750.00 9�.m.IF All data is pmv(ded as b wkhout warraMy or puarantee of any idnd either expreued or Implled Includiny but not Ilmked to the Davie County� Implied warraMies of inerchanhbility w fltness for a particulu use.All users W Davle Count�s GIS website shall hold harmless the CouMy of Davle,North Carolin;lts ageMs,consultaMs,w�actas or employees Trom any md a9 clalms or uuaes W action due to �p�N.� NC or arlsl�out ot the use or inabliiry ro uu the GIS data pmvlded by this we6sita -,-x+.'--.r�. , .. .. : .- �,:,, �!•l i �. i �' i ' i_�s�.� �7... 'S.K�'�;� ?,�,d-T��.ir.5}f-a.r'e^z�_, 7. Y.r i!�k��` .AM:`S.:.FJ+,.rt' -,;��. �-.;''.' ° , a'� 'vYwti�y:?w� ly � a`�t r rt�-:, r� c..•. h i' •,��:.{. .. -�. y��d Au�oxi2ATioN rro: O 6 O 7 , DAVIE COUNTY HEALTH DEPARTMENT : ��� Enviropmental Health Section PROPERTY INFORMATION Perinittee,s� � � � , P.O.Box 848 . -Name: �P ,I�� e�� Mocksville,NC 27028 Subdivision Name: l / Phone#:704-634-8760 � ` Directions to property:��i�d �C' Section: Lot: AUTHORIZATION FOR p/ / WASTEWATER Tax Office PIN:# �t7 b�_' aS /�I -�� SYSTEM CONSTRUCTION' RoadName: �a-/ti-���•Zlp; �'�OD�p **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts.This Fotm/Authorization Number should be presented to the Davie County Building Inspections O�ce 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 6C.�etiy,�. �G.�C�'' �i�J, IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH ECIALIST DATE ISSUED - � „�. . �� F �•` '.�'t ��.�{,,. ,�r-,,.; ...NR,--� .� .��, �.:,. ::> 1�t«�`�+,:ra},.f� 's „„i` r{ sa��w �4 r, • `iµ, a „ L• ..�.e =�,-,.��: i rti \ � " ,3,. �{o ' .,.: � 1.F'1��t�� ."' r' ? f ». . . ,. .. ' / : . � . . . . . , .. r -�, � DAVIE COUNTY HEALTH DEPART1yIE�iT � �;'�-,�*``—.�" �a: � .-���z . :' ` ; IMPROVEMENT AND OPERATION PERMITS PROPER INFORMATION :.-. -Pe�mitf '�:� � � . � Name: �� r_��,�� .S'„�'�,�.�� � - Subdivision Name: , �Directions to property: .���fi�'�Y ��""� Section: Lot: Il14PROVEMENT - x; PERNIIT Tax Office PIN:# ����_ �`;�r _ r..,,", . ,� � , Road Name:�e=�/ti...�..-� 1�+�-�••Zip; ,_��%'�c **NOTE**This Improvement Pernut DO�S NOT authorize the construction or installation of a sepdc tanlc system or any wastewater system.An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/'mstalla6on of a system or the issuance of a building pernut. -�°"' (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) �,} _"" ; ; ,,.,,. , ***NOTICE***TfII.S PERMIT LS SUBJECT TO REVOCAITON IF SITE �L�r 7..;�i�_ ` �,�'�,,�f�� � PLANS OR Tf�INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH ECIALIST DATE ISSUED ` SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING Tf�SYSTEM. RESIDENITAL SPECIFICATION:BUII.DING TYPE�� #BEDROOMS�_#BATHS�_#OCCUPANTS_�GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFTCATTON: FACILTI'Y TYPE #PEOPLE #PEOPLE/SHIFf #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY� DESIGN WASTEWATER FLOW(GPD) NEW SITE �''� REPAIR STfE SYSTEM SPECIFICATIONS: TANK SIZ�_GAL. PUMP TANK GAL. TRENCH WIDTH.PL„ ROCK DEPTH /c� rLINEAR Ff f..� OTf�R REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT : • �........-...,.� �w � � - **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 Tf�DAY OF INSTALLATION.TELEPHONE#IS(704)634-8�60. OPERATION PERMIT ` ,, SYSTEM INSTALI,$D BY: � Qt�JtV./� W h - 'rn. N o r+h� - �,►E� �50' , 'E��`' �' d ,, �°'�2 _� �1b� .. . AUTHORIZATION NO.O�b� OPERATION PERMIT BY: ��^"'""""' DATE: —1 � `� �� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TF�SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WTfH 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 Tf�SYSTEM WILL FUNCTION SATISFAGTORILY FOR ANY GIVEN PERIOD OF TIME. • DCHD OS/96(Revised) \ ` F . ♦ • ` + APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERM �'� � ��/J� Davie County Health Department u ` ' Environmental Health Section P.O.Box 848 �E� 2 ���6 Mocksville,NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. .� • D 1. Name to be Billed 'e � e G ��' Contact Person p Mailing Address I S� 1�S� 11 Home Phone � � 1--1�fV��S� 3 v City/State/Zip I 1Ci1 ��n G'e-. I 1 L �wl_n Business Phone � �U �� I � ^��v � 2. Name on PermiUATC if Different than Above Mailing Address City/State/Zip 3. Application For: 0 Site Evaluation ❑ Improvement Permit&ATC �(. Both • . . 4. System to Serve: �House � Mobile Home ❑ Business ❑ Industry 0 Other . 5. If Residence: # People � # Bedrooms # Bathrooms � �Dishwasher ❑ Garbage Disposal l�Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing �� i ` 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 ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes No� If yes,what type? -_. PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE� SUBMITTED WITH THIS APPLICATION. Property Dimensions: �� � WRITE DIRECTIONS(from 7 �3 � Mocksville)TO.PROPERTY: Tax Office PIN: # � - .�� - � G �� n , � J � Property Address: Road Name �a I I�,U� � � [ . O 1 � 1 City/Zip �var,�� a�o � , . , I If in Subdivision provide information,as follows: 1 - 1 Name: � I ___ � 1�.6Y►�, Section: Lot #: � � ' 1.�.. � �� This is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter# ',.�g 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 � �e�l� S� • and owned by ����-� � �� � � ► to conduct all testing procedures� as necessary to determ�e the site suitability. 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' . . � . _-_ _ --_ - _ _ _ -- _ - _ _. - ._ --- v a � ' � .- DAVIE COUNTY HEALTH DEPARTMENT r' ' � Environmental Health Section sECTioN LOT SoiUSite Evaluation APPLICANT'S NAME �7��'C � DATE EVALUATED__/v� "'��`'�� PROPOSED FACILITY � 1� PROPERTY SIZE �%"� SUBDIVISION ROAD NAME ��2�-- ��— - Water Supply: On-Site Well Community Public � Evaluation By: Auger Boring (/ Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition ,L ,L Slo e% HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH y -�-/' i- Texture rou Consistence Structure /G S /U Mineralo • � HORIZON III DEPTH Texture rou � Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE i � � � SITE CLASSIFICATION: EVALUATION BY: r �` LONG-TERM ACCEPTANCE RATE: � OTHER(S)PRESENT: REMARKS: LEGEND Landscane Position R-Ridge S-Shoulder L-Lineaz 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 tructure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloav 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-gaUday/ft2 DCHD(O1-90) � ■�■�■��■■■��■■■■�■■�■■���■■��■���■■�■■�■■■■■■�����■■�■■�■■■r��■��■ ■■■�����■��■■■■�■■���■���■■�■■�■�■���■■■■■■■�����������■■■�������■ ■�■���■■■��■��■■■■����■��������■ ■�e��������■����������■■����■��■ ■■■���■■�����■■■■■■��■■��������■�i■������■���■����■�����■■■������■ 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