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172 Myers Farm Trail (2)Davie Countv. NC Tax Parcel Renort b i- a O Friday. September 30. 2016 WAXN1.NU: THIS 1S 1VV 1' A NUKV. Y Parcel Information Parcel Number: 180000000602 Township: Fulton NCPIN Number: 5778589827 Municipality: Account Number: 50115420 Census Tract: 37059-804 Listed Owner 1: MEBEL RAFAIL Voting Precinct: FULTON Mailing Address 1: 172 MYERS FARM TRAIL Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7291 Voluntary Ag. District: No Legal Description: 21.680 AC OFF LIVENGOOD Fire Response District: FORK Assessed Acreage: 20.49 Elementary School Zone: CORNATZER Deed Date: 7/1998 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 002040121 Soil Types: PaD,PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 472980.00 Outbuilding & Extra Freatures Value: 26140.00 Land Value: 112390.00 Total Market Value: 611510.00 Total Assessed Value: 611510.00 E@1 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. 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) 4 NAME �1`%jJ/r f1 /%l�.r c� PROPER/TY ADDRESS L JG+': q /z�, % Z 7 D 6 DATE LOCATION e -1J SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 0 # BATHS 47 # OCCUPANTS GARBAGE DISPOSAL: Yes to COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)-'i6i NEW SITE L,, -REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 14,16 GAL. PUMP TANK GAL. TRENCH WIDTH ��/ � ROCK DEPTH ��.% � LINEAR FT. rM-" OTHER REQUIRED SITE M10DIFICATIONS/CONDITIONS: ***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. 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 INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY &66TOU I n AUTHORIZATION N0. OPERATION PERMIT BY S,:tw 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 10/95 Davie County Health Department) ENVIRONMENTAL HEALTH SECTION "'`"• P.O. Box 665 Mocksville, N.C. 27088 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 when applying for Building Permits.*** / NAME �I� / DATE AUTHORIZATION NUV3ER l i9�C' � � 112 0 41 1, 0 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM o Davie County Health Department, JUN 2 7 1996Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By / ewd y C- `%7ial k << Mailing Address () 8X Z y 9& / Home Phone (2/_0 9el5= (o 4/0 / Business Phone (9/O ) 76,o-071-7 2. Name on Permit if Different than Above ���� 191(3)(S�- //8( M:kt 3. Application for: L�dGeneral Evaluation 4. System to Serve: VHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision No. of People Oil No. of Bedrooms No. of Bathrooms -roo f Dwelling Dimensions (5� 8 ,X� 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 No. of Water Coolers No. of Showers Water U age Figures. 7. Type of water supply: O Public s Private 8. Property Dimensions t3Gde5 3� Ri'A -340 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Yes ❑ Basement/Plumbing ❑ Basement/No Plumbing �'WN shing Machine Dishwasher ❑ Garbage Disposal M ❑ 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. Directions to Property: Jol't 1;Y'e y Rd �0 X1., Tax Office PIN: #6-7-79-5,11482.-7 PROPERTY ADDRESS, as foILows: Road Name: Vewaood f 6A city: AArAl'ycr, a-0-a'7wb 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. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. Q' 2. I 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 karryc%snc�--klo to conduct all testing procedures as necessary to dete� said site's suitability for a ground absorption sew ge treatment and disposal system. G �,Z1-9 & DATE SIGNATURE DCHD (1193) W. M. JONES DB 123 PG 845 IRON FOUND 1� A91 - to y. 00 t� N c0 W O _ 0 •.... o 0 IRON FOUND 0 O 2 , T (0 L6 IRON PLACED t f 0 C. C. BARNES DB 75 PG 288/ N. /T. W. BARNES. DB 163 PG 819 S 83019'50"E 1406.88' z �r 26.4660 ACRES oD t J W. C. RICHARDSON DB133 PG 466 f S. W..HENSQN _ D. L. BLACK. C. C. BARNES DB 75 PG 288 / 55" TWIN POPLAR N 83.01'50~ W 0) N irk W 200.00 ser // I HOUSE a O N O N 1.3532 w 1D ACRES N z 0' f�I 776.73.1 TOTAL } A v � tD � � ( • -r - 698.08" 61.89' /i i 200 0O• 78.65' 30.533 _6 - E rJt' G _ 383'0377" / S 46.5016" W (" 1' (` AXLE FOUND 200. -F- 00' 30.53 30 595.67' N . 03'(7" W a Z 3ASEM, 22 .d 1911.63' TOTAL u-♦ SON Fo . Z 7- 0 0 W. C. RICHARDSON DB133 PG 466 f S. W..HENSQN _ D. L. BLACK. C. C. BARNES DB 75 PG 288 / 55" TWIN POPLAR IRON FOUND .s 0) N irk V- m °V (d; 1 // I HOUSE o�. 61.89' /i i ROAD 30.IC / S 46.5016" W 39.10' _ 9.37' 595.67' N 83°77'• W .d IRON FOUND DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME //L ri�Jl� DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE �y�Af/�6d?�� Water Supply: On -Site Well _ Community Evaluation By: Auger Boring Pit Public Cut FACTORS 1 2 3 4 Landscape position ,G► -41, Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy . zK 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: fi� LANG -TERM ACCEPTANCE RATE:,f REMARKS: DCHD (01-901 EVALUATED BY: _Z _ 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 3 -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 -Finn 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 MineraloL,y 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 ■���������������������■������/������� ■■ ������� �������■ e1! ��� ■����������■������■���N�����/�����n��� /������� ������■�������� ■���/������� �����������t����������//��r�u�����������u���� �� ■����������������������������/�� ■������������������������������ ■�■■�■���������������������������■■����� ���■��■ �� ���� ��� ...................................■..■.■■■..C.■...........■.■.... ............................................�..................... ........................................... ....... .......■..... ...............................■..._.■....C...■■..■ ....■........ .■.................................. .....■... ... ............. ................................�........=...5..■■ ■.■..■■■■..... ................................ ........ .■...._._.....■........ �:::::::::�:::::CC:C:�:C::C::�:::�:::::::�:.:.=::::C........ ■.■..■.. ::::::::::::::::::::::::::::::::.::::::■�'D::=i�:�'=:::�.�:'■_'■:.'�:: ................................ ........�..� C .......................... ................. .... ..........■..... ...............................�..... .......................... �/�■��������������������■��\��� ���■���N���N����■���■��������� ........................................�......�_._.............. ........................................ ...... � .............. :�::::::�C::::::::C::::::::::C::=:�C.'::_�::C=.:::::C:=:::::� .................................. .....�.... .. ��..■.. ..S•C�C ........................................ ......... ........ _ ................................�........�................. ... ����������������������i��������� ����H�/ _ ���u����n����� ■�������������� �����N������������N■������� ���� ��������� .......■.......�........................�...... . _...�......�� ��������N��v���������������������u�� ���N ���� ��/��� ...■■...■....■■.■..■...■■....■..■..■..■_. ■■■■� ■._■..■■■■■■C ■���������������������������■��■�■����n ����u� ■ �� �� �s�u� �����H��������■u�����■�������������.���! ��H�� ■/���■��������� �/����������� ��v�u����N/����N\�u�u U���u� n���/�� ■�H���������n� ����������5���� ���� ����� ■ ■ �� ������� ���'���u�Hn�nu������������n��u■�� u�■iu�C�'Cn'C�C�Cu�����'� ■■■■ ■■■■..■■■..■■..■■■■■■■■■■■■■■■■■■ ■...■■■■ ■ ■■ ■■■■■■ ■■■■■■■■■■■■■■■..■■■■■■■■■■■■■■.. ■ ■■■�■■■■■■_ ����e������������■���u� ������_� � ��� =��e�� ■���������������� ���� � ■u�� ■ _ �. ���i ����_ ������n��� ���������� ����..■�._...-.. 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