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253 Nolley Rd Davie County,NC Tax Parcel Report Thursday, December 15, 2016 235 245 V/ A OV S 253 'AV 4 �t 255 ......_..._... ................_............--............_............... z.....-...-........._.....,.........................................................................................................................................................................,........................................._... =' WARNING: THIS IS NOT A SURVEY Parc - el Information Parcel Number: -.;M400000078 Township: Jerusalem NCPIN Number: 5736409021 Municipality: Account Number: --82519941 Census Tract: 37059-807 Listed Owner9: SAWS LP Voting Precinct: COOLEEMEE Mailing Address-1: PO-BOX 738 Planning Jurisdiction: Davie County City:,- ; COOLEEMEE"=- Zoning Class: DAVIE COUNTY R-A State: __. NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code:_ 27014-0000 Voluntary Ag.District: No Legal Description:`- _ LOT 19 WILDWOOD' Fire Response District: COOLEEMEE Assessed Acreage: 0.46Elementary School Zone: COOLEEMEE Deed Date: - ._ _9/2003 Middle School Zone: SOUTH DAVIE Deed Book/Page: 005120351 Soil Types: PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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 �OUp1'� NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Y / _��,-r•*tom -" .. , IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT r **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) o / NAME C ----,PROPERTY ADDRESS- '_' DATE LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION:BUILDING .,& # BEDROOMS '' # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes COMMERCIAL SPECIFICATION: FACILITY TYPE #,PEOPLE-'" -" 41PEOGLEAHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY /'6 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE r�L GAL. PUMP TANK GAL. TRENCH WIDTH _ ' ROCK DEPTH >> "LINEAR FT. &4L OTHER 1 REQUIRED SITE MODIFICATIONS/CONDITIONS: ��/ 9'! T+9/' ' �s/1)',Qi �/P /�r� r at��r.�'• t� d� �"y I!/� ***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 S STEM INSTALLED BY 11,0316,D FDSfiE�- Z�3 c9 C, CCnr�- AUTHORIZATION N0. p�j �_ OPERATION PERMIT BYIJ 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 APPLICATION FOR SITE EVALUATIONIIMPROV19MENTS PERM LS @ L5 WE J JII of r Davie County Health Department Environmental Health Section SEP 2 5 W P. O. Box 665 Mocksville, NC 27028 10LJ Pol 1. App lication/Permit Requested By Mailing Address Home Phone V �.�• �,?`�Oo2 8 Business Phone 2. Name on Permit if Different than Above 3. Application for. f ❑General Evaluation Uft/eptic Tank installation Permit ?j 4. System to Serve: ❑ House 04obile Home ❑ Place of Public Assembly I ❑ Business ❑ Industry ❑ Other ❑ Unknown i I 5. If house, mobile home: Subdivision Section Lot# ❑ Basement/Plumbing No.of People • 3 ❑ Basement/No Plumbing i No.of Bedrooms VWashing Machine j No.of Bathrooms, ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of Pegple Served No. pf Sinks No. of Commodes Flo.of urinals No.of Lavatories Np.'of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: WP'U'blic ❑ Private ❑.Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No 0 If yes,what type? 'NOTE: Improvements Permits shall be valid for a period of 5.years from date issued. Improvemqnts Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directionq to Property: _ G `JGt G�• rn 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 i re r this application. _ DATE SIGNATURE CONSENT FOR SITE EVALUATION SQ BE DONE Q[`(ABOVE DESCRIBED EROPERTY MUST CHECK ONE: l/1. 1 OWN the property. ❑ 2. I,DQ 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 abgve 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 WHD(1M - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section . Q Soil/Site Evaluation NAME T/� ��g' DATE EVALUATED ADDRESS PROPERTY SIZE �/,�� PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well _ Community Public Evaluation By: Auger Boring �/ Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH C 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 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RAT��%j•' a � OT/HER(S) PRESENT: REMARKS: r P l.!/v9I�r�1er14 Ae !'Nhtod�X loin Tl'�� 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-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 - 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 ■■■■■.■■■.■■■■■■■■■■■■.■■■■■■■■■ ■■■.■■.■.■ ■■■■■■■■■.■■■■■■■MONO ■■■■■■■■.■■..■■■■■■■■■■■■■■■■/■.■■■■.■■■■■■.COM■■■■■■■■■.■■■■■.■■■ ■■■■■■■N/■■N■■N■■■■■■o.■O■■ ./.■NON./.■ .../■.. 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O■CnCCCCCCCHCCCCCCCCCC�CCC CCCCMMCCCCCC CCCCCCCCCCC��CCCCCCUCCCC I■.■■■■.■■.■m■■■■.■SEM■■■■■■■N■�■■■.MSO■N■■■SEN■■■■■■.■■mm■■■■■■ ■■.■■ mom■m■■.■■■■■■O■■■■■eN■u■■■■■ ■ MMMMM■M■.■mEMENNEMEMENM■ ----------- 111 nn 9 Y sum �.`• i I / _ 266.70 88.90 total)9 1/ N 22, 49•IC" - 88.90 880 88.90 N i10624 as, / O O p �m O. 20 >� 21 'o °o�": EVELYN T. li 00) I�5 0,0,0,, . 1`Jigf }i 17 Zs a N o yam, 5 R�\ 1\p56° 160 o V� YI ./ lip \• 2 �.a. a NQ / u� �i 15 C L,�pro 1 L\'\ 's n 4 ti 22 1pOpO 6:; 23 0 iNm NN . W�5 24 i l� 0�P £ � I �. \ \p0O o R II m N �Yir m 25 Ao z 10 � \ \ o'ow m �NNNNad t v, r� 00 n o % 0. \ °s a BOBB, N;. THOIvIPSON o £ « f rix '0 o D.B. 71 PG. 305 28 05° 1 i LOT Ws 12 - '4 and 29 •• 31 °° EVELYN T. TUCKER 33 32 \ so`� \ DA 81 PG, 198 j klo ?k•F9 R� �s � � \8588 `�y01� \ 1 Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 "r AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of B.S. Chapter 130A, Wastewater Systems) ***This Authorization Far 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 Bu' dinP rmits.+** '4A IVAUTHORIZATION NUMBER NATYi E 1 DATE NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION( .I�D�,�� /r��9Cl " !a f%s'�" Td MM ENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM i e I **OWICEt** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95