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128 Ollie Harkey RdDavie County, NC. - ' 2601 Tax Parcel Report -2573 ol 5 Wednesday, October 5, 2016 2496 tr 2 49 3� i 1 �- 2479_-- 2 471- J 12 8 y1 144 1 pRKFY RD r J/ I WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: B20000000201 Township: Clarksville NCPIN Number: 5803596054 Municipality: NC Account Number: 31125000 Census Tract: 37059-801 Listed Owner 1: GROSE JAMES DAVID Voting Precinct: CLARKSVILLE Mailing Address 1: 128 OLLIE HARKEY ROAD Planning Jurisdiction: Davie County City: YADKINVILLE Zoning Class: DAVIE COUNTY R-A,R-20,H-B State: NC Zoning Overlay: Zip Code: 27055-6383 Voluntary Ag. District: No Legal Description: 5.30 AC OLLIE HARKEY RD Fire Response District: LONE HICKORY Assessed Acreage: 5.25 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/1986 Middle School Zone: NORTH DAVIE Deed Book / Page: 001320731 Soil Types: MnB2,MdC,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 50940.00 Outbuilding & Extra 2290.00 Freatures Value: Land Value: 36420.00 Total Market Value: 89650.00 Total Assessed Value: 89650.00 Davie County, All data is provided as is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the Implied warranties of merchantability or Illness for a particular use. All users of Davie County's GIS website shall hold harmless the /-r County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to noti NC or arising out of the use or Inability to use the GIS data provided by this webstte. tyC� :✓5 At(THORIZATION NO: Q 9 5 5 DAVIE COUNTY HEALTH DEPARTMENT �d ' b U Environmental Health Section PROPERTY INFORMATION Perniittee's P.O. Box 848 Name: To es (;r 2 OSE Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: (�U { f ? �� �^e.. Section: ""' Lot: { t AUTHORIZATION FOR WASTEWATER Tax Office PIN:#� -� - SYSTEM CONSTRUCTION Road Name: ��f 'e- Zip: 09 **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 FlNtYEARS. T...a ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 0 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION -PERMITS PROPERTY INFORMATION Permittee's­;; (� NamVyA C'—S L' fes, h (2, Subdivision Name: Directions to -property:= i f J 4 Section: Lot: IMPROVEMENT r ` PERMIT Tax Office PIN:# %i)Q Road Name: i t C-V\Af VNe.,! Zip: r' �j�,; **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 SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE +1 �\oraq BEDROOMS 15 # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes odd COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No GCS J' LOT SIZE �� �� TYPE WATER SUPPLY ) �)- DESIGN WASTEWATER FLOW (GPD) 1 �'`� NEW SITE ✓ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �'J GAL. PUMP TANK GAL. TRENCH WIDTH \ ROCK DEPTH. LINEAR FT. -3 UU REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT I I \.r 1 � �cl "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) 6348760. OPERATION PERMIT ' SYSTEM INSTALLED BY: AJ r1a N DAt& & 1 ^ 11 \� O S AUTHORIZATION NO. ©� OPERATION PERMIT BY: 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 PERM} T ' Davie County Health Department F T " ' a Environmental Health Section P.O. Box 848 ` —31997 Mocksville, NC 27028 IT (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed •Jclme_S Grose Contact Person �Olc�sL Gros Mailing Address d 0 Ca -n ReRV; S % Home Phone U�%,a`- City/State/Zip M of<SV i lie /4,46. 427o 28 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address P City/State/Zip 3. Application For: [/j Site Evaluation ()(J Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [s] Mobile Home/ `[ ] Business [ ] Industry [ ] Other 5. If Residence: # People_ # Bedrooms 5 # Bathrooms Dishwasher [ ] Garbage Disposal [V'(Vashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/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 [ti/] Well [ ] Community 8. Do you anticipate additions oyrr expansions of the facility this system is intended to serve? M Yq [ ] No If yes, what type? `^Y 30JI o -5Q.- _ k) /,S EITHER A PLAI'JOR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** 4YOF THE PROPERTY MUST BE "' y SUBMITTED WITHIrS APPLICATION.) 1 J Property Dimensions: G�CJ�S� WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: #0 3 _ _ O.S 601 NO r-� 1• � o L, l er-} y C. ko tc- R� . Property Address: Road Name 111'e- Ni r- ke- V� T'C- • O it 4 ks w c ,j 4-a 1;64y C_ k v1 r k cA City/Zip e- 4%Ar t% le --V l- onto o l l ie Nctrkey I2 d ,'Li sl - If in Subdivision provide information, as follows: he S i d< of C wrC k. Prope rb is 6't% Name: 4k2 r-- jU QLduf Q +enA of r, h; le Section: Lot #: G+," Jou J�trh oh� 00--e )Urket ;`d• 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 and owned cis by 0--M7)1q L 0 W L' V- to conduct all testing procedures as necessary to determine the site suitability. DATE '"�" l SIGNATURE / Revised DCHD (06-96) THIS AREA AtAy BE USED FOR DR,t1V NCS YOUR SITE PLAN: Ilk • a ., �'1 ,r c 4Gt y i< 150.5.7 Ac co .130.65 Ac'` S I N DAV I E R Y a Sa 4.03 4.0di 31 ZzO,.i �e w ` * 12.99 AC. o 12.95 AC. °i' S 390 M d a CT 3 2 12 2 12 4 -fl': 3 0 83T9 /00" 12 9.01 Ac. 2 4 12 �.�. ¢j m ,.�, ,• rte_ � � t 554 { a.r p 2I .0 V O2 5.3 AC. t CO3.06 2.08 —(4 24 � 532.14 Ac— s q� co 13.05'x, x 4 , — 23.11Ac iES; A: (2.80AO.)I II 13.03 1 6.25 431.26 (3.45 AC.) 429 . 13.02 ti cD Q 12 o a 3.01 0 �3 "A c . a : N •d .� 3AC. 660 _._13LO ..: M �o d ,l ° t � 4. zk 894.25 •'w,G, ��,g k -114 41 C. .a s 15:97 A C. `j 40 DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section SECTION LOT­— Soil/Site OTSoil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY • ���' SUBDIVISION DATE EVALUATED 6 - 4 r 1-7 PROPERTY SIZ��E ROAD NAME Water Supply: On -Site Well Community Public Evaluation Bytom\--- Auger Boring V Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % (is -is 19 -k 5 HORIZON I DEPTH k Texture group Is CI Consistence Structure Mineralogy HORIZON II DEPTH " 3('V Texture group Consistence F �- Structure Mineralogy'\ HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON �-- SAPROLITE —' CLASSIFICATION ,S _ LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: S LONG-TERM ACCEPTANCE RATE: 03 REMARKS: _. - 1 ` `\ DCHD (01-90) EVALUATION BY: o 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 i i ■ WOMEN ■■■■■ ■■■E■ WOMEN ■■■■■ ■■ME■ ■EM■■ OMENS ■■M■■ OM ENS ONE ■■E■■ ■■E■■ ■■N■■ ■■■■■ ■■E■■ ■EE■■ ■EM■■ ■EN■■ ■■■■■ ■E■■■ ■E■■■ ■E■E■ ■ONN■ ■EN■■ ■■■■■ INN■NNN■■■NN■■NN■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IMME MEMEME MENNEN EMMONS mommomMMEMME MENNENSEE ■■■■■■■■■\i.Cid■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Davie County Heafth Department and.Come Heafth Agency Environmenta(Health Section ' P.O. BOX 848 / 210 HOSPITAL STREET COURIER 1109-4-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-8760 James Grose 205 Cain Reavis Rd. Mocksville, HC 27028 June 6, 1997 Re: Site Evaluation/011ie Harkey Rd. Tax PIN: #5803-59-6054 Dear Client(s): As requested, a representative from this office visited the aforementioned site on June 4, 1997.`.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 feel free to contact this office. Sincerely, Charles E. Little, R.S. Environmental Health Section CL/wd Enclosure(s)