169 Merry Lnf
Davie County, NC
Tax Parcel Report Fridav, September 30, 2016
WARNING: THIS 1S NOT A SURVEY
Parcel Information
.Parcel Number:
18110A0001
Township:
Fulton
NCPIN Number:
5788156475
Municipality:
Account Number:
22407000
Census Tract:
37059-804
Listed Owner 1:
DUNN KENT DOUGLAS
Voting Precinct:
FULTON
Mailing Address 1:
169 MERRY LANE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE
COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7070
Voluntary Ag. District:
No
Legal Description:
LOT 1+ MERRYBROOK ACRES LIFE ESTATE
Fire Response District:
FORK
Assessed Acreage:
7.79
Elementary School Zone:
SHADY GROVE
Deed Date:
5/2013
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009260639
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
376800.00
Outbuilding & Extra
Freatures Value:
8230.00
Land Value:
79490.00
Total Market Value:
464520.00
Total Assessed Value:
464520.00
Davie County,
NCor
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
arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZAfiION'NO: DAVIE COUNTY HEALTH DEPARTMENT 14
' ti 1375 Environmental Health Section PROPERTY INFORMATION -=,Z9 �?
Peimtce
it's �,J � l P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760 Q K.
Directions to property:
0 z'
z'��'
Section: Lot:
AUTHORIZATIONWASTEWATER
FOR y -
WASTEWATER Tax Office PIN:#��!! ��-
SYSTEM CONSTRUCTION $'
Road Name Ij" ice -/t • Zip: �Q(a
**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.
(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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENTAL HEALTH SPEC LIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT -x1
' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION�j—
Permit 's
Name:
Directions to property: � ` r,/ % ".1
. Cdr`.
IMPROVEMENT
PERMIT
Subdivision Name:
Section: Lot: i09- Cj g
Tax Office PIN:# ri - T _'
Road Name: i{ ! ,`' • Zip:
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPEC#ALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE I -AV LI # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
t/
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) %�D NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ADOD GAL. PUMP TANK GAL. TRENCH WIDTH J'-:/1 ROCK DEPTH �9 LINEAR Ff. e3 6
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. � OPERATION PERMIT BY: ,�,G1 DATE:
"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 05/96 (Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PE
Davie County Health Department f1
Environmental Health Section 13
P. O. Box 848 ANMocksville, NC 27028
(NV96PPWW1= -,o
(336)751-8760 E.4
****IMPORTANT**** THIS APPLICATION CANNOT BE PROC
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed &d -r —b w4 V Contact Person L-!ZA ' t ) uly d
Mailing Address (Ai M R�>< ' ANF, Home Phone G s g- SIS -` o
City/State/Zip \i N' C 2`7�b W Business Phone 019 L 0 �c1
2. Name on Permit/ATC if Different than Above
Mailing Address
3. 'Application For:
4.' System to Serve:
5. If Residence:
❑ Dishwasher
• 6. If Business/Other:
1
# Commodes
If Foodservice:
U/ Site Evaluation
❑ House . ❑ Mobile Home
# People
_ City/State/Zip t I
-pant "()
❑ Improvement Permit & ATC L" i�1k�5 (s' ❑ Both
ZBusiness ❑ Industry ❑ Other
# Bedrooms
# Bathrooms
❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
Specify type -Devmt \ U,6 # People —L # Sinks
# Showers
# Seats
# Urinals I # Water Coolers
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 VNo
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PJ,,6&W THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:KD `i�5'i X q69 x 3 `l S X Lf 03
Tax Office PIN: #
Property Address: Road Name l�nCl me-9VN LA
City/Zip MAW (5- 2700 {
If in Subdivision provide information, as follows:
Name:
Section:
Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
801 S. — 3 mll-es
SOCTIi -rQpce-�;
Am> C'ornJATZ�IZ .
1Z1- bV m�z�N Lin. S
1�0o-e oY\,
IJC'we NO% 1S qp-1c 51 -Tc,
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
LKand owned by mT F K" tI ov+i to conduct all testing procedures
as necessary to determine the site suitability.
DATE '9-13-99 SIGNATURE
Revised DCHD (06-96)
YOU MAY USE THE 13ACK OF THIS FORM VOR DRAWING YOUR SITE PLAN.
Im EQ1 tMqe
a
'- �� ^ -+ • ••••� •••••• ••� oN u,..W c vu a,u�YbcN, ya Vyca Li CAMA WOVIICS U11 ulC ju C11115CD
Surveyed." Oct. 12, 1994 ( house) �►o�tr�i
Nov. 06.1995 (new line) �n,'
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559 601 ��'' \
3.133 ACRES
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Total
5.555 ACRES
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Total
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PROPERTY OF
LINDA 'C. WHITAKER
LOT NO. I MAP OF unrecorded plot of Merry Brook BLOCK NO.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME io if/ rl DATE EVALUATED (.f_1Y1f
PROPOSED FACILITY/+ /!,/.L1✓ PROPERTY SIZE
SUBDIVISION
ROAD NAME �� W
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
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
41or " a
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
SAPROLITE
CLASSIFICATION
077T /j
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: A //
OTHER(S) PRESENT:
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)
LTAR - Long-term acceptance rate - gal/day/ft2
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