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173 Livengood Rd (2) Davie County,T�C Tax Parcel Report Thursday, December 15, 2016 1 � l J-GREY FOX1-Rl- -' --' <I36 ` 5 f off142 508 I' I .145 213 221 227 235 173 --�"LIVENGOOD RD - ..,. n D LIVENGOOD RD ' - t 100 120 �1 i 1 111 194•_ t � i ................................... .7..4.._............_..._.........___-__.......A...___.._...........__..........._._....,............_.......... .............:._._................................................-.........__....................1............................. ........... WARNING: THIS IS NOT A SURVEY Parcel:InfOrmati0n Parcel Number: 1700000099 Township: Fulton NCPIN-Number:--r 5778374515 Municipality: Account Number::-_, ._;1 41482000 Census Tract: 37059-804 Listed Owner 1: - JONES RONALD G` Voting Precinct: FULTON Mailing Address 1: 142 CEDAR HILL LANE Planning Jurisdiction: Davie County City: ADVANCE-. _ Zoning Class: DAVIE COUNTY R-A State: - NC Zoning Overlay: Zip Code: 27006-7009 Voluntary Ag.District: No Legal Description: 4.135 AC LIVENGOOD RD Fire Response District: FORK Assessed Acreage: 4.32 Elementary School Zone: CORNATZER Deed Date: 12/2015 _. Middle School Zone: WILLIAM ELLIS Deed Book/Page: 2015E1222 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9 sy I� 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 �OUty� NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT 3-aJ IMPROVEMENT PERMIT and OPERATION PERMIT b5,9W IMPROVEMENT'PERMIT **NOTE** This improyement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIIATION 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), NAME Q . —5Kco`4 es PROPERTY ADDRESS /�j�Pir�a , c� A7006 DATE 3-�-9 6 LOCATION - `• o � °L� - a`c� �j�� � � +� SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPBEDROOMS # OCCUPANTS GARBAGE DISPOSAL: Ye� o L COMMERCIAL SPECIFICATION: ~FACILITY TYPE , .'u C; # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes 'o LOT SIZETYPE WATER SIIPPLY--w 49p, DESItI WASTEWATER FLOW (GPD) 3 t'� NEW SITE REPAIR SITE_T SYSTEM SPECIFICATIONS: TANK SIZE/boo GAL. PLmP`pw GAL. TRENCH WIDTH ROCK DEPTH � LINEAR FT. �66 OTHER , ! 1 REQUIRED SITE MODIFICATIONS/CDNDITIONS: ***THIS PERMIT Ii SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE-CHANGE. YOUR ASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. - J J� u� t D � , OQ: IMPROVEMENT PERMIT BY **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 INSTALLATIW. TELEPHONE # IS (704)634-8760. OPERATION PERMIT SYSTEM INSTALLED BY • w F "J GyFN Ods FusIU �aa� r q AUTHORIZATION NO. O g I OPERATION PERMIT BY DATE �' f **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 10/95 1 y Ff d Davie County Health Department " 'ENVIRONMENTAL HEALTH SECTION y DK P.O. Box 665 �r�svti.�►-•5. _ 6 O. OU ' Mocksville, N.C. 27028 ' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued'in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environiental 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.*** (� 1� AUTHORIZATION NUMBER NAME l l O N A�A \-� O N S DATE "5 - Nt A t,f 0 9 1 i NAME ON IMPROVEMENT PERMIT (If different than above) c SITE LOCATION t V COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM 4 *}*MOTICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIROIKWAL HEALTH SPECIALIST . DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER nl F/ r" r. • Davie County Health Department VV Environmental Health Section JAN 1 1 1996 P. O. Box 665 Mocksville, NC 27028 1111 1. 'Application/Permit Requested By qp — Mailing Address O d o :��azk G– E Home Ph e 7 9y C. 2 706k Business Phone '54,gC t 2. Name on Permit if Different toan Above 3. Application for: ❑General Evaluation 531Septic Tank Installation Permit 4. System to Serve: D/House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # 3 ❑ Basement/Plumbing No..of People ❑❑ Basement/No Plumbing No. of Bedrooms 19//Washing Machine No. of Bathrooms ❑ Dishwasher r Dwelling Dimensions ❑ Garbage Disposal J; 6. If business, industry, place of public assembly, other: Specify type 1` i. No. of People Served 3 No. of Sinks !. No. of Commodes -- No. of Urinals No. of Lavatories 3 No. of Water Coolers 1 No. of Showers �� Water Usage Figures 7. Type of water supply: ❑ Public Private El Community 8:' Property Dimensions if 0 a-��-� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ® No If yes, what type? is i 'NOTE: Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: PROPERTY INFORMATION REQUIRED: Tax Office PIN ` Road...Name .� . 4. /J Box `# (if available) C City AVCZ ,C-Q, f 1 I i This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges F. incurred from this application. DATE S ATURE ` i s CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: R?1' I OWN the property.,57 ❑ 2. 1 DO NOT OWN the property. If you checked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 , to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(1193) f. a 1 ►•ws •• aro.r N f Y4r a0 ".Cs • / T I prf, w NO wIF[ /Crrr .• •• 283-0 J1 f Y lON[0 +4CI`!OM,i4lIR �� 1 SS. I• / ?, ,tp,fe.n'CRa Y4RNL• � l..•. aMKY z Save 16% t -L.C W 1 n ' 'ARCOM,•JONff�� ate ,Op. I.►Nn N,.11, .. ern,,,.s.,•.f,rl 1 W :_N ••/ �� , RE4.39.733 4CRE3 o ,•,,� I ^ .• M'LLI ll6 iY RIC 14710lON.•4N0'•Mylt • �/ C Olt 4N0-000 w/FC • ^ • x o 1342. f' Itu•r 1 I,u.i oA f ;1 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation 30 q NAME �L_3"'C_\\6 '14, S�N�!?� DATE EVALUATED ( �- ADDRESS S 'P, `M a PROPERTY SIZE C� PROPOSED FACIILTY oy �`� LOCATION OF SITE k IV e w Cr'o� ,\D'Acv Water Supply: On-Site Well _ Community Public Evaluation ByC �L Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position S S --S Sloe R SS' ,° ,I Sc, 1-0 9" ) HORIZON I DEPTH Texture group1. Consistence 'S 4 Structure Mineralogy '1 HORIZON II DEPTH �` 10 ' ' Texture group Consistence Structure \3 < Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S SS RESTRICTIVE HORIZON SAPROLITE —' CLASSIFICATION JVs LONG-TERM ACCEPTANCE RATE [7��. SITE CLASSIFICATION: '� EVALUATED BY: 9. LONG-TERM ACCEPTANCE RATE: _ OTHER(S) PRESENT: REMARKS: X E\44% cam_ 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 <;lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vc.-y friable FR-Friable FI-Firm VFI-Very film 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 3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloey 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(01-901 ■.....■■..■■......■■..■..■■. ......■...■....■■■■�■■■■I■■■■■■■■■■■■■ ■■.■■■■■■■■■.M.M..M�i■■■N... ■■...■■■■..■■■..■.. ■■■■ ■■■■■■MOMM■M■ ■■■■..■■■■■■■■■■■■■11■■.....■I.■.■■■■■■■■■■ ■.■ ■ ■ ■■■ ■■■■■■ ■■ ■.■■■■■■..■.■....■.11.■.■■■■■1\.■.■■.■■■■■�■■■: ■ ONO:■■■■■■H�M■ ■■■■■■■■■■■■■■■■■■■11■NEON.■.11■■■M■■■■■■■■■■■■■■■. ■■■■■■■■■■■■■■■■ ■.NOON..■■M.■..■■■.1/■■.■./..�.■ ■■.■■■Mu■■■■■■■.■■■..■■■■.■■■.■ ■■■■E■■■■■■■■■■E■M■11■.■.E■SE■ ■■■■■■■■■■■■■■■■■:::■■■■■■■■■■■■■■■■ ■...!//_■■■.■MO►:�■..■'■■...../.■■/ ■EMENE■ ■■ H■NOMMEN■...■..■■ ■.■■.►_��N■.■.' !.�i7■\It■.■...N■E■\IE■..■■■..■.N..■■M ■.■■ ■MME■N om ON ■■.■\\`:Mil■■■■■S►1i \■/.■.■■■■■■■■■M►\■■■■■■■■ ■MEMO■■ MEN■■■■I■■■■■■■SEEMMENEMOMMMMEMENO ■ ME MMMMMIMMMMMMMMMMMM ■■■.■■■■■■■■.■■.■■■M■i.■■■■■■■■■■■■■■O■�1■■ MEN 0 ■■■■N■ SOME■■■■o■■E■ENI ::s::i:i::��::::��c�::i::::::::■110=0W MIsm �: ::�■::: :ONO .■::::■ MOEN ME EmMoMmil NEEM■maummm"MOMMEM ■EE. ■ ■ mom. ■■.■■■PM NOON..►.lIl1►IUM...11111.I1i.l.....:■■■■■ORIME■E .n■■■■■■■■. ■■M■M■■.■.■■H■M\r■■//.■■\1■■M■S■■■MSH ■■ ■N.■MSS■ ■■■■.■M.■■■MM....\���..M��■...■■■ MIME ■ M■ ■u.■ ■ ■ .■..■..■.N...u.■..�■.■■■\.■I�mm:■�ME ■■ M■■■M:■■ SEE ON immommom ■■M■■■■■■■■■■■ESE■OS■■■ ��:... 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MIEN/■NEEM■N....■■■M.■...E■ Davie County Neall Department I and .orae Xealf .f1yency 210 HOSPITAL STREET i P.O.BOX 665 r MOCKSVILLE.N.C. 27028 P PHONE:(704)634-5985 L January 31, 1936 i Ronald G. & Sandra A. Jones 808 Fork-Bixby, Road Advance, NC 27006 Re: Site Evaluation Livengood Road Tax PIN: 45778-48-3059 Dear Mr. & Mrs. Jones: As requested, a representative from this office visited the aforementioned site on January 30, 1996. Based upon the information provided on the l application for site evaluation and after the evaluation was completed, the f site was found to be provisionally suitable for the installation of an on-site l sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, rtA Charles E. Little, R.S. Environmental Health Section CL/wd Enclosure(s)