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178 Midway DrDavie County, NC Tax Parcel Renort ) :1l 1 Friday. September 30. 2016 WA"11NU: '1'H1S 1S NUII' A SURVEY - Parcel Information Parcel Number: K10000000502 Township: Calahaln NCPIN Number: 4797453303 Municipality: Account Number: 53832180 Census Tract: 37059-801 Listed Owner 1: NEUMANN MARY LEE M Voting Precinct: SOUTH CALAHALN Mailing Address 1: 178 MIDWAY DRIVE Planning Jurisdiction: Davie County City: STATESVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 28625-0000 Voluntary Ag. District: Legal Description: 0.154 AC MIDWAY DR Fire Response District: COUNTY LINE Assessed Acreage: 0.15 Elementary School Zone: COOLEEMEE Deed Date: 7/1985 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001270592 Soil Types: Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY No Building Value: 0.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 2890.00 Total Market Value: 2890.00 Total Assessed Value: 2890.00 Davie County, 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 161 1�T C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or the Inability to the GIS data by this l� arising out of use or use provided website. t, AU60RI ,ATION NO: 1599 DAVIE COUNTY HEALTH DEPARTMENT ,Environmental Health Section Permitfee's P.O. Box 848 PROPERTY INFORMATION Ndme:`f t e'� ✓`'.+//f""!� Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 Directions toproperty: `� fc� �r ,��'"c"{ Section: Lot: AUTHORIZATION FOR r' . WASTEWATER .�' n SYSTEM CONSTRUCTION Tax Office P N:# /' % e `^ Road Name: " Zip: **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 l l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .—, ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 'r;%^,l, .:'C�'r i %_ � ✓.lam r , " IS VALID FOR A PERIOD OF FIVE YEARS. AL HEALTA SPECIALIST DATE ISSUED , . k• , .. .. ,;.r :;E � �Y. `, .,".' c,r I' r n � ♦y� ''i tia 't` ... .. z 1. .. , DAVIE of OU iTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION fEIf�*S PROPERTY INFORMATION Perin ee s Name 9/Zig, za, AlLw4rul-01 Subdivision Name: Directions to property: �. �' , - :'� Section: Lot: IMPROVEMENT _ PERMIT Tax Office PIN#— #� wetm ,J'=' Road Name: 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) r•. "ii ' � ...tom ef'`�! i�f� �: ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE _ / # BEDROOMS -Y # BATHS 4_ # OCCUPANTS / GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE FA C TYPE WATER SUPPLY �� �� DESIGN WASTEWATER FLOW (GPD) �G^ NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE PIN) GAL. PUMP TANK GAL: TRENCH WIDTH Jl ' ROCK DEPTH Ion / LINEAR FT. fir!)/ 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 (336)751-8760. OPERATION PERMITl IOU -7Pac4-1r 1 LACAa{. SYSTEM INSTALLED BY: Z.Z33UQ �I 7S-1 =crrz-t" N Z. Roa5,5—o (Nor rayl S►ro' F2oa r AUTHORIZATION NO. ` OPERATION PERMIT BY: :3 �" �y DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA 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 03/96 (Revised) ' . s APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT CR B R t Davie County Health Department Environmental Health Section �1'r P.O. Box 848/210 Hospital Street ALIG 1 3 1998 Mocksville, NC 27028 (336) 751-8760 F1JV1RnNP!V1TA1 urwrij I ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED I INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. i 1. Name to be Billed Mailing Address 0" G42 U / I11W . Contact Person (/I,/ t(_. �`K U Home Phone City/State/ZIP Jrly(ii(.51%�i /N -Cf Z�Oz � Business Phone P , /3fs— 2. Name on Permit/ATC if Different than �e AbovT I� Mailing Address /)I (,V 3. Application For: 4ite Evaluation 4. system to service: Ih: House ❑ Mobile Home 5. If Residence: /# People City/State/Zip ❑ Improvement Permit/ATC ❑ Both ❑ Business ❑ Industry ❑ Other # Bedrooms 3 # Bathroomsy ❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/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 a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUST COAiPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 3 • Ncgtt2 Tax Office PIN: # Y797- z/ -S - 3.3-03 Q Property Address: Road Name 5t� `'J I i I O 1 *7�f w O City/Zip KO, -k!5 4. C If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: 41 (o�� : 6p'-1— 1 QZ. — & ¢— tJ . /� —C44IW � Z CA I�'l+elway C un aw�b ` Ttt*ue L � 41-- V V (0— CAA&✓C 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 De artment to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suiti ty. �. DATE S " - / 3 — � S SIGNATURE od THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: Revised DCHD (07/98) Account No. Invoice No. �� TUTTEROW SUP.VMNO CO. P.09,.F 6 'O ! 1?9 r MOC'KSVIU.r '� AI) +_. , IWTELEDY4NATIONAL NO. 183A -17X22 NIP p9 O 53 50 c Z 5 Wo n �S- NIP L E G E N D w N� N EIP= Existing iron pino JD 09 N NIP= New iron pin -Ap S 10 5g 440 -► EIP R/R = Railroad spike < 0 .1 RAN R/W = Right of way monument - 3 V' - DB + = Unmarked point in Center 4 �- 'o of rood NIP > o d. u� o AREA= 3.000 ACRES (n 18 FENCE w POSTo AREA INCLUDES S. R. 1178 R/W 0 EIP M \t 1 \ P oA ,6 N 4/ N 570 49' 57" E NIP EIP 125.44 Y r/ r. •—�—' FENCE POST DAV I E CO- TAKEN FROM ,i 'f' 1 �s9 �� EIP N 14 _ IREDELL CO- +TAX MAP K-1 y� Qom, �� 2 o / N 19 13' 24" w N 190 13' 24" W 78.60 125.00 2 N 460 37' 26" E _1 30.76 EI TUTTEROW SUP.VMNO CO. P.09,.F 6 'O ! 1?9 r MOC'KSVIU.r '� AI) +_. , IWTELEDY4NATIONAL NO. 183A -17X22 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME 1V10 rmRa/ PROPOSED FACILITY SUBDIVISION Water Supply: Evaluation By On -Site Well Community Auger Boring f/ Pit SECTION LOT, DATE EVALUATED 19' �; 2% WL PROPERTY SIZE -The ROAD NAME %I79 Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence ✓ Structure I / 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 i SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND DCHD (01-90) Landscape Position EVALUATION BY: A OTHER(S) PRESENT: 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 Mineralog 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 ■■E■ME■MMM■MN■■ ■■ME■■■■EME■E■■ ■ENE■SE■■■MME■ ■■■■EE■E■M■M■■ ■MM■■MOMMME■E■ ■■ME■■N■ENE■M■ ■■■■■■■■■■■■■■ ■O■M■■E■NENM■M■M■ ■MME■■M■■E■■■MEN■ ■M■■■E■■■■N■■■■■■ ■E■■■■■■■■■■■■■■■ ■■■■E■E■ME■■EE■ ■■M■MMM■MMMM■M■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■M■■M■■M■■■ ■MME■E■■M■■ ■■MM■■EMEN■ ■■■M■■ENM■■ ■E■EMEMEME■ ■■M■■M■■E■■■E■ ■■M■■NE■■MEM■■ ■E■■ENNE■MENN■ ■E■■M■■E■MEN■■ MEN MEN MEN ■■ so ME ■E■EM■ ■E■■E■ ■■M■O■ ■■■■■■ ■■MEMS■ ■■■■E■■ ■EMEMM■ ■■■MEM■ ■E■MME■ ■■■■■■■ �M■E■NE ■■■EME■ ■EMEME■ MONSOON ■■MME■■ ■■MEMS■ ■■■EME■ MENNE■ MEMEM■■ A■n■E■■ NMY■ME■ ■■■■M■■ ■E■■MM■ MONSOON IMMUNE ■EN■■ ■ENE■ ■■■E■ ■■N■= ■EM■ mumm■ ii■E■ ■O■■■ ■E■■■ ■■MM■ SOMME ■ENE■ ■■■N■ ■EN■■ ■■M■■ ■ ■ ■ ■ ■ ■MEN■■M■NE■ ■ENN■MENM■■ ■■■MEN■EN■■ ■E■MMM■MME■ ■EMMOMME■M■ ■EE■SEEMOS■ ■■EME■■■MM■ ■■■■■S■■■■■ ■■EN■EMEMM■ ■MEN■EMEN■■ ■EMMEMEMME■ ■■MME■M■MM■ ■■EN■■M■MM■ ■EMM■■MMEM■ ■EME■■MEMN■ ■EMM■■M■MM■ ■N■EMEN■■ EMOMMEMME ■M■■■EM■■ ■MEM■■MM■ MEMEMEMEM ■M■M■■EN■ ■OEM■■EN■ MEMMEMEME ■ENO■■NE■ ■ME■■M■M■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■