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137 Plowman Ln r Davie County,NC � Tax Parcel Report � �J� Wednesday, October 5, 2016 �•194 ; I r i ,` � , �� +� � r �152 '' _ � � 1063'�, � 5y;� � �`ti � r 147 .,�� � � { �`. t� � f,� 141.,y5 . � 51�197 , , � � , - i 114 `137 ~�`��:�� �•, � --� 133 � i I —RAfNB��rJ RD � � 10E1056�60 �� , ,� � �"_'��'l� 1093 ; ���f '�, ' i 10$4 �� � � ' 1119 1137 1155_ � f--� -�--1 1_FR. . WARNING: THIS IS NOT A SURVEY {_ �_.. . . � , .,,_ , r _ . , . . .,__ _ .__. _ _ __ . ; Parcel Information ' Parcel Number. D600000050 Township: Farmington NCPIN Number. 5862029853 Municipality: Account Number: 15933000 Census Tract: 37059-802 � Listed Ovmer 1: CLINARD KATIE P Voting Precinct: FARMINGTON Mailing Address 7: 756 HEGE ROAD Planning Jurisdiction: Davie County City: LEXINGTON Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zlp Code: 27295-0000 Voluntary Ag.District: No Legal Description: 2.98 AC OFF RAINBOW RD Fire Response District: SMITH GROVE Assessed Acreage: 3.04 Elementary School 2one: PINEBROOK Deed Date: 11/2010 Mlddle Schooi Zone: NORTH DAVIE Deed Book/Page: 008420874 Soil Types: MrC2,GnB2,Ms6 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNN Building Value: 17220.00 Outbuilding 8�Extra 4500.00 Freatures Value: Land Value: 32800.00 Total Market Value: 54520.00 Total Assessed Value: 54520.00 9�,��, All data is provided as Is wfthout wertarrty or guarantee of any Idnd ekher expressed or implled Including but not IlmRed to the Davie County� Impiled wamrrtles of inerchaMablitty wMness for a particular use.All users oi Davle CouM�/a GIS webslte ahall hold hartnless the N CourAy of DaNe,North Grolina,its age�Rs,consulta�rta,comracton or employees irom any and afl dalms or causes of aetlon due to ��U N�� �`� ����ng out ot tAe use or InabiCrty to use the GIS data provided by this websita i ��,. N_�,i-�; .:�'{' F)"'-_�r •.y,'.�•�n.rv r�"2�'1i - `Oa �w.e '�:' 1.T��.:. Y_ } 'i ..-, � - . '.4 .f"' . � ",_.�� _. ,s �AUTHQRIZATION NO: ��:�� � DA.IE, :.,2 /I0� ��� Y V COUNTY HEALTH DEPARTMENT ; �f.�E���' " .� , Environmental Health Section PROPERTY INFORMATION Permitte�..s�� ` P.O.Box 848; Name:'- l'� !�l� /4� Mocksville,NC 27028 ' Subdivision Name: �_ � Phone#:;704-634-8760 Directions to property:;;,��� ��"'� ��r"o•�l.�� < �` Section: ' Lot: � -�' ,{'��f.'�r1. ,�'W STEWATER�R Tax Office PIN:#���t - -���a►�' �� ��Y `,r' �;v/d�G,• SYSTEM CONSTRUCTTON -�'°S�' ++ .•�'l� �'r�'° �..�!r�fJ>�f - Road Name:��t�l�llYY)Cc.'?'�. Zip:�t"'��� ' **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts.This Form/Authorization Number sHould be presented to the Davie County Building Inspections O�ce 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 ` , �.x,-�� 1�� .�+%`. U'�/'j''�. `. IS VALm FOR A PERIOD OF FNE YEARS. •ENVIRONMENTAL HEALTH SPECIALIST,,', DATE ISSUED � . ,. . _ , , , , , . . . .. - , , ,: , ; , .. ,,, . . . ,'> � ° ..�. � ..+�.� � ,.* 4.. ,-��, e�-... - . . � � .. , . .-„� __ , : .. .. . . F � ��'n� ��t ,•j � �ry'���/! .• , . , . ,.. ' .. � . � � . � . .. � - � . __ . `,,;. � :. .y.` �;,.�' .,.. �,f,.�h ,���. . . • ��w4,•��'i��Q-�,.. " "� ;�� � /o(� .r'r�-�,� } � r'���r� � .DAVIE COUNTY HEALTH DEPAR�MT�.T : � ,��'�"� ��� .,� l IMPROVEMENT AND OPERATION PE�iiV�'ITS '`PROPERTY INFORMATION Perniitte�s� = � F , Name:`�` �,t`� /''�L� j�,:l'��:�,t" , Subdivision Name: • .. ,.,. , . , ,;';y Directions to property: ..R''�� '�y �C"�` ��` a , ' : ` Section: J Lot: F � , ..,.' ! • • IlbIPROVEMENT � ��1- P� �,c�''�� �'�"iy� ,/�,�ko. t✓ �,'� ��,��t,- ��'��'�',�;� :� �°<,�' PERMIT Tax Office PIN:#�� � � ��, � r� '�� � , ',� �;"t.�' �i1 ,�;_„�, Road Name:��� �.f}^ �"�'�, ,., �' �1 Z�p: '�'��'� **NOTE**This Improvement Pernut DOFS NOT authorize the construction or installa6on of a septic tank system or any wastewater system.An AU'THORIZATION FOR WASTEWATER SYSTEM CONSTRUCT'ION must be obtained from this Department prior to the .• -^'` construc6on/'mstallation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Sec6on.1900 Sewage Treatment and Disposal Systems)�' ,,.,s�/' ,,� �.:�. ��,��,,. �F„�, A *ssNOTICE***THIS PERNIIT LS SUBJECT TO REVOCATION IF STI'E �s��'�::,+,�,,�. :;�',,,,f r'e�.t's+`r!:,•�'� ; ��"r' r ' ;;"� PLANS OR Tf�INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE �/� #BEDROOMS #BATHS #OCCUPANTS� �^,c�_ _� � GARBAGE DISPOSAL:Yes or No , COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No a, /T�� , .. . LOT SIZE�� TYPE WATER SUPPLY � DESIGN WASTEWATER FLOW(GPD)•�C�b NEW SITE '" REPAIR SITE , .. . SYSTEM SPECIFICATIONS: TANK SIZE��L'' GAL. PUMP TANK GAL. TRENCH WIDTH .S�l ROCK DEPTH .-;-'�ri:�LINEAR FT.� /�� " OTHER '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(704)634-8760. OPERATION PERMIT � ���.���, ` � SYSTEM INSTALLED BY:�_ {�l�t� )bd �p�� �__, �_....�..,...,_.__... � AUTHORIZATION NO. �� OPERATION PERMIT BY: DATE: v :�� � . �L� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAP'TER 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 OS/96(Revised) ,.� , . ,�,.�;y � '' , APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC • Davie County Health Department � � � � � �? Environmental Health Section L�� � P.O.Box 848 Mocksville,NC 27028 qpR 2 � �99� • (�36���� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE UNL��I�OHh1EP�TAI HERlpO ALL THE REQUIRED INFORMATION IS PRO . AVIE COUNn' 1. Name to be Billed ����r���V Contact Person Mailing Address �� / �ie/�//1�4�U�' .�� Home Phone �/lJ' /��� City/State/Zip � Business Phone �7"Q�JC�r�t� 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation , ❑ Improvement Permit&ATC �Both 4. System to Serve: ❑ House l�1' Mobile Home ❑ Business ❑ Industry � ❑ Other 5. If Residence: # People ,�_ # Bedroorr�s �_ # Bathrooms � ❑ Dishwasher ❑ Garbage Disposal C�d" Washing 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 ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �No If yes,what type? EZTHER A PLAT OR SZTE PL4N PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A�,��THE PROPERTY MUST BE f. � � 0.0 0-r- SUBMITTED WITH THIS APPLICATION. Property Dimensions: ,2 9� �e, � WRITE DIRECTIONS(from � Mocksville)TO PROPERTY: Tax Office PIN: # .S�1�0.2. - �z - �C3� �/du�moN ,Ci✓, ' i u �✓ •c�x �F Property Address: Road Name � � ,2'7a � �'o � a � City/Zip � / � ���f Q/� G7 If in Subdivision provide information,as follows: j'r7���" 1 �zz�-d� � ; 6 P/�w � Name: ,�� 0 n_C' � � i f'D �3'y Section: Lot #: � 1 1 This is to certify that the information provided is correct to the best of my knowledge.I under�tand 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 by !/''�+��Uw m�^'� �h� �C/i�'�j to conduct all testing procedures as necessary to determine the site suitability. 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' ,,�._ � �• , DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section sECTiorr LOT SoiUSite Evaluation APPLICANT'S NAME <i�(Gr � DATE EVALUATED ���l�'" PROPOSED FACILITY �� PROPERTY SIZE_� �i�' G SUBDIVISION ROAD NAME �/��f/��/ Gd � Water Supply: On-Site Well Community Public �"� Evaluation By: Auger Boring � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition ,,[� Slo e% - HORIZON I DEPTH Texture rou Consistence Structure Mineralo • HORIZON II DEPTH � "' '"` Texture rou � Consistence Structure / � Mineralo ," �� HORIZON III DEPTH .Texture rou ' Consistence Structure Mineralo HORIZON IV DEPTH Texture ou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE . SITE CLASSIFICATION:_ EVALUATION BY: ' � LONG-TERM ACCEPTANCE RATE: � OTHER(S)PRESENT: REMARKS: 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 oist 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 tructure SC-Single grain M-Massive CR-Cr�mb GR-Granulaz ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloav 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-gaUday/ft2 DCHD(O1-90) ■���■����■■■■��������■■��e■�■■�����■e���■��■��■�■■�����■��������■■ ■■■■■�■■�����■■�■■■■■���■■����■■■���■�■■�������■��■■■■��������■■�■ ■■■�■�■■���■�■�■■■�■■��■�■o���■■ ■��o�■■■���������■■■■����■■��■�■ ■■�����■�■■�������■��■■���■■�����i■■������������■■�■��■���■■■����■ ■■���■■��■■■���■����■��■�����o��������■���■��■■����■��■�■■■■■�■■�■ 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