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132 Myers Farm TrailDavie Co'bnty. NC Tax Parcel Report b 1O6b Friday. September 30. 2016 WAK1 ENE: THIS 11 1VU'1' A SURVEY Parcel Information Parcel Number: 180000000601 Township: Fulton NCPIN Number: 5778681424 Municipality: Account Number: 47077770 Census Tract: 37059-804 Listed Owner 1: MARKLAND LARRY STACY Voting Precinct: FULTON Mailing Address 1: 132 MYERS FARM TRAIL Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1.353 AC OFF LIVENGOOD RD Fire Response District: FORK Assessed Acreage: 1.36 Elementary School Zone: CORNATZER Deed Date: 6/2005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006100661 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 121500.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 15410.00 Total Market Value: 136910.00 Total Assessed Value: 136910.00 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 NC or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: 0600 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Perrm ter's J . P.O. Box 848 Name: <--122 1-t4 zz .Cr ot n� ,i�Y '/'rh Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: Section: Lot: J AUTHORIZATION FOR WASTEWATER Tax Office PIN:#t - SYSTEM CONSTRUCTION F-�- Road Name: fVe',11 L�JCr, ip: .9 1/00 0 **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 4 S IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALT 'SPECIALIST + DATE ISSUED 'PerrllrttV s - _4 Directions to property: DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Subdivision Name: Section: Lot: IMPROVEMENT t r / s. � )-j- PERMIT PERMIT ` Tax Office PIN:#.�-i �� - . � � - f ���+ Road Name: I ` ? t",' :f`c;.. zip: p: � 0 **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) 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 174 # BEDROOMS "Y # BATHS -? # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No - LOT SIZE Vll -� TYPE WATER SUPPLY 44// DESIGN WASTEWATER FLOW (GPD) `�/ X U NEW SITEy� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ��O 11 GAL. PUMP TANK GAL. TRENCH WIDTH --f G , ROCK DEPTH ! ` LINEAR FT. U �) REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT 0 r "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: G2iCi1 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) t 4 sr�� J0"11 /f0►0 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health De partment Environmental Health Section P. O. Box 665 Mocksville, 1u NC 27028 i4 C f/ M a r k' an lig 1. Application/Permit `RelIquested By 1 ?- r i j Mailing Address T L:✓� 04 Home Phone 9gY-So 94 ; d., 1 i, r„ C, F WC, 2 )Off Business Phone 2. Narne on Permit if Different than Above 3. Application for: �� ❑ General Evaluation CYS 4. System to Serve: Oa House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision No. of People All, ' No. of Bedrooms No. of Bathrooms 3 i Dwelling Dimensions 3 Z k LO 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals I Tank Installation Permit 10 ❑ Place of Public/ 1Assemblllyyl�o� ❑ Unknown I— V)�� i- Sectionn Lot # f E Basement/Plumbing I No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: ❑ Public Eg/Private 8. Property Dimensions ) el 6 `` Sewage Disposal Contractor ❑Basement/No Plumbing EY/Washing Machine [Dishwasher Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 9 -No If yes, what type? ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORMATION. REQUIRED: Directions to Property: Tax Office PIN # -2-2006 ny 006, O /. y r 5775 -WJ4-2qf pdU Rd Road Name L, ✓Ati 420 o< d '�. Box # (if availablee)_ V��/1 o,�gi � �7�L�� city V This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all incurred from this application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 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. DATE SIGNATURE DCHD (1193) ,5) A ` L 1681 11661 l�O6 96 26.46 A 9827 EXED 778.01 zoo j , 1 24\ 1,261 07a 200 6o 3290 a �6 yP (19.63A) 5898 o� (68.67A) 7631 QO 00 00 ti v 1269) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME s���C //jl✓✓� ADDRESS PROPOSED FACIILTY DATE EVALUATED �%l 11Dje� PROPERTY SIZE Z ?�G LOCATION OF SITE Water Supply: On -Site Well j� _ Community Public Evaluation By: Auger Boring j Pit Cut FACTORS 1 2 3 4 Landscape position Sloe HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH �d ^ G•' Texture group C Consistence Structure a 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 SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCES ATE: REMARKS: ll1,o eltl lI _[?'5- — DCHD(01-901 OTHER(S) PRESENT: LEG 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- V+:. -y 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 - 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 October 31, 1995 Larry Stacy Markland 447 Livengood Rd. Advance, NC 2700E Re: Site Evaluation Livengood Road/1 Acre Dear Mr. Markland: As requested, a representative from this office visited the aforementioned site on October 30, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on—site sewage disposal system. If you have any questions, please fell free to contact this office. Sincerely, Rdi,ez, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure(s)