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204 Livengood RdDavie Countv. NC Tax Parcel Report 6161 Friday. Sentember 30, 2016 Building Value: 205075.00 Outbuilding & Extra Freatures Value: Land Value: 39000.00 Total Market Value: Total Assessed Value: 262325.00 Fulton 37059-804 FULTON Davie County DAVIE COUNTY R -A No FORK CORNATZER WILLIAM ELLIS PcB2,PcC2,GaD DAVIE COUNTY 18250.00 262325.00 WAK1V11V1i: 1111,N IN 1VUI A JUKVL' Y 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: 180000001801 Township: NCPIN Number: 5778462479 Municipality: Account Number: 77226750 Census Tract: Listed Owner 1: WEBB RONALD JASON Voting Precinct: Mailing Address 1: 204 LIVENGOOD ROAD Planning Jurisdiction: City: ADVANCE Zoning Class: State: NC Zoning Overlay: Zip Code: 27006-7010 Voluntary Ag. District: Legal Description: 2 AC LIVENGOOD RD Fire Response District: Assessed Acreage: 1.99 Elementary School Zone: Deed Date: 8/1996 Middle School Zone: Deed Book / Page: 001190585 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 205075.00 Outbuilding & Extra Freatures Value: Land Value: 39000.00 Total Market Value: Total Assessed Value: 262325.00 Fulton 37059-804 FULTON Davie County DAVIE COUNTY R -A No FORK CORNATZER WILLIAM ELLIS PcB2,PcC2,GaD DAVIE COUNTY 18250.00 262325.00 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. "-'i(O DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ven NAME f�lOr� ��lf' PROPERTY ADDRESS Jl LOCATIONAcs' SUBDIVISION NAME LOT NUMBER X70 'e_)i a©CC-l_�d.�. SEC./BLOCK NUMBER DATE r_V / �l RESIDENTAL SPECIFICATION: BUILDING TYPE _4V-44-1 # BEDROOMS # BATHS # OCCUPANTS j�Z GARBAGE DISPOSAL: Yes to COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE_ TYPE WATER SUPPLY i, DESIGN WASTEWATER FLOW (GPD)_ NEW SITE I,- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEIP 6 GAL. PUMP TANK OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: GAL. TRENCH WIDTH ,.� ROCK DEPTH ,� LINEAR FT. _22,;5 ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. E= IMPROVEMENT PERMIT BY / **CONTACT A REPRESENTATIVE OF THE rV 8:30-9:30 A.M. OR 1:00-1:30 P.M.N OPERATION PERMIT HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN OF INSTALLATION. TELEPHONE # IS (704) 634-8760. SYSTEM INSTALLED BY \vy cine_ AUTHORIZATION NO. T OPERATION PERMIT BY C�� DATE 4 **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. HD 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTIO4--( P.O. Box 665 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 Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office whenapplyingfor Building /Permits..*** J£�ff)l,LICL AUT}[RIZATI`ON�NUMBER :y NAME -z NAME ON IMPROVEMENT PERMIT (If different than above)-% SITE LOCATION d r CONKHTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **WICE*** THIS AUTHORIZATIDONWASTEWATER'SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department tt �. Environmental Health Section Ji 3 f P. O. Box 665 +` Mocksville, NC 27028 1. Application/Permit Requested By 1 Sc r\1 n1 ebt7 ani! &ann Mailing Address �`l y �+ �✓ r a�� K �� Home Phone (��y� %9 " 13,;L C. 'a7066:, Business Phone /0 3y' a/Og 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation �9(Septic Tank Installation Permit 4. System to Serve:House P -6&,-c Mobile Home Neil ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People �^ No. of Bedrooms No. of Bathrooms Dwelling Dimensions y k 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Basement/No Plumbing Washing Machine �; Dishwasher ❑ Garbage Disposal 7. Type of water supply: ❑ Public Private ❑ Community O 8. Property Dimensions ar-fe 5 S& Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? Yes ❑ No If yes, what type? 3 Ltccv, ►? 'NOTE: Improvements Permits shall be valid 11 from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: y E, �o FcJ< &Y641 Ac cl 4-a Z -i V er1y'O"d kd, y th rAetj� m- Tax Office PIN: # S%7oO-'k,- ay'7Cj PROPERTY ADDRESS, as follows://� Road Name: Lk1 / e nnrf Knnrj City: /I J1 lar-) Cp SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. 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 incurred from this application. 5,27 7- iy- ?K DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: X1. I OWN the property. ❑ 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. 27- DATE SIGNATURE DCHD (1/93) z c x c r v s e� oN LSMl1IINdld 7YMDI1�qY £-56ti�� ei : ���add �id 'a-i ddw xdl Fl38W(1N �JNIMdH4 t1N1�02iV� H1MON 'AlNf10� 31nV4 �� — �ir ( �r(�[ � 'dINSNM01 NOl�fl� 3Hl NI 9N11.� '( 8E '�Jd Z6 '8'4 ) �t �H �� '( @£9 'Jd Z6 '8'0 ) 'l.la3d021d '2if OOOJN3nl� 'M'3 3Hl W02i� N3Nt11 S32i�V 000'Z 9NI3B Q� � ��7 LA M�� MOa31if11 '� J.ab'a� S6/91/�� �31d0 M11�'MO� ONAs7A8��S MO�Ll/iL A9 NMV!!O AB 43AOklddV •001 = ..� �3ld�S 883M NOSd(' •a � a00JN3A11 'SI t/NH34 ao� �,3nans �,� 5uys�ra �\ .OSZ LZ9Z-l 2f0A3A2lf1S CiNVI 432131SI93a � -- „�� �-- � _ - I � 'ANVdWO 9NI� iIf1S M 311 l AB 30S1W A3AMf1S d131.� lVfll�tl NV WO!!� NMViId 9f"Seb '� ^�Z•�5.01 N SyM dVW SIHl 'NOISIAM3df1S 4NV N011�32f10 J,W , I 2i34Nfl 1VN1 1�.�112f3� 'M021311f11 �l ACV2f9 '1 ����.�����..,,., � ,,,..�,��nl ��,�o•-.,, — — : o�.•••......., d6 '= — — — ; �;.• ,,�ans oy:;� = ^a.,, — UOJI )L� I =a°� ' , LZSZ'�I b, • ,�� . • . 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DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME x / i i ADDRESS PROPOSED FACIILTY /'y0 DATE EVALUATED o2J1c;21? PROPERTY SIZE LOCATION OF SITE �'L.��Ol�✓✓ Water Supply: On -Site Well_ Community Public t/ Evaluation By: Auger Boring L'__" Pit Cut FACTORS 1 2 3 4 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH f Texture groupC Consistence Structure t S' 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: EVALUATED BY: -- & / LONG-TERM ACCEPTANCE RATE: 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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vcry 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 ` 3C --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 (01-901 ■■������■������������������������������■ ■��������������■ ��■ ��■ ■��������������������■N��■��������/���� ■���������■■������������■ ■■�■����■��� ■�������■���������■ ■�����r�������������■��������■�■ ■�������■�■■�■������■�■���■�\�����■���������������■�����■����■■■■ ■�■�■�����■��■����■����■����������������� ■� ■■������■�\���������■ ■■�0���■■����■��■�����■������������\�■�����■�������■�■����■��■���■ ■��■�������■����������������������■���■������������■�����������■�■ ...........................................�........ ............. .......................................... ........ ............. ..........................................■........_ .■........... ■���■�■��■�������������■���■���■�N��■����������■■ ��■�■��������■ ■���■��■■■■■�������������������■ ■���������■�� ����■���■■�������� ■■����■■■�■�■��■■��������■��l�������■��■��������� ■ �������■��■��■ ■��������������■■���■■����� ■��������■����■���■ ■��� ■�����������■ ■����������������������������■���������������■ ��■���H ����■���■ ■�■��������■■������■������■��■����������■ ■■� ■ ■ ��■ �����■ ■■ ■��■■�■���■■�■����������������������■�������_ �� =����u����n�i�� ■��������■�■■���������������■�������������■����■����■�������■■���� ■���■�����■����■■���■���■�■����� ■�������������������■����������■ ■�����■■��■���■■����������������i�������N����������■�■��■��■�■�■ ■���������■������■■�����■��������■���■■����N�����������H�■�����■ ■�■■������■������������■�����■���■�■��■�■���■�■ ����■���■���■�■ ■���■������■����■�■��������■����■��■��H������■�■������������■�■�� ■��������������������������������■ ■ ■�■��� ■ ■����■��� ■ ��■�� ...........................�-,......_.....■....C.■.■■.�..■.■C..=.._■ ■��������■■■■■■�����■■■����L'1����...�������■■.������� ����■��� ���■ ■����■�n������������������r%��� ���■�Nv� ��M����������■� ��� ■��������■��������■■�■�������■■������N�� ■ ������■���������� ■������■������■�����■N������■�����N���������� ���■ ■���■�����■ ................................................ .._...�......�� ■���■���N�������������■��������������������N��� ����� �■��■� � ■����������■��������■��■�������■■�■■��■�■���■�■ ■ ■u■■■�■■ ■■■����s�������■����■������■���■■■�■�■�����■����� ���i�■�=�■����■ ■�■■���■��■��������■���■�■■����■��■����� ������ �� ■■��� ������� ■������■��■����������u���■������■��� ��u�u u������ ■�■�■��� ■�N�■�����■���■/��■����������■■ ■���H������ �N�■�� ■�����■ ■����������H�n����■��■�����■����■\��■H��iC�'Cn�n�■�i =������� ■�■■ ��������■����■�������■��■■��■�I�� ■■������ ■ �� ■�������■��■��������■■�■�������� ��A���� ■ ■ �����■����� ■��e�������■■�������■■ ���■���■�_�- - .......................'•_•-=__..■�:�. :�CC� �::�_::::_ ■�iiiiii��iiiiii��iiiii�i��iiiii�■■i�ii �i�'�u�i n�ia�� ��■���� ���■■���i��■■■���■���r�� ��■��i�i' �■�� i� ■ �� iiiiii ' ■��■■■���■■��■■■�����������_�■��■����■� � _ ���■��■�■� ■������■���������������i�N�■....■■.... � �a�■■ �����■�� ■�������■v��u������������uiiiiii�u �� ���■���■ ■■■�■■����■��n���� ������������ ■ �� ■ �� �a�� ■■ ■�����■����■�■������i���■■�■u��■�=■ }�u �■ ■�����■■ ■��■�■ ■■����u������ ■� �■��� �� ������� ......:C..............��....... ..�_..... .......................■........ ...... . ... .......................�..._... .... .�.�:... ......... ... ......... ... ... .. . ...... . ■�������� �������Nu���U ■ N■ �■ M� ��■■■�� ■����■���■��■����u���.■■�����■ N �� n��■■■� ■���■��■������■������■������■�� ■ !1 � �■u�U� �������������vN���������������� � �� ■ ■������■����■���q����������� �� N���Nu��� ��■��u� ���� ....... 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