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153 Shore Ln (2)Davie County, NC F -- Tax Parcel Report l D a3 Monday, October 3, 2016 EelAlldataisprovided 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 NCor arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: B100000007 Township: Clarksville NCPIN Number: 5803394724 Municipality: Account Number: 65804000 Census Tract: 37059-801 Listed Owner 1: SHORE LEE M Voting Precinct: CLARKSVILLE Mailing Address 1: 2691 LIBERTY CHURCH ROAD Planning Jurisdiction: Davie County City: YADKINVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27055-0000 Voluntary Ag. District: No Legal Description: 13.470AC LIBERTY CH RD Fire Response District: LONE HICKORY Assessed Acreage: 13.45 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/1981 Middle School Zone: NORTH DAVIE Deed Book / Page: 001130649 Soil Types: MnC2,MnB2,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 111300.00 Outbuilding & Extra Freatures Value: 16560.00 Land Value: 76310.00 Total Market Value: 204170.00 Total Assessed Value: 204170.00 EelAlldataisprovided 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 NCor arising out of the use or Inability to use the GIS data provided by this website. AUTi QRIZATION NO: 10 DAVIE COUNTY HEALTH DEPARTMENT ---�" Environmental Health Section PROPERTY INFORMATION Permitte" P.O. Box 848 Name: _ r Mocksville NC 27028 Subdivision Name: Directions to property: A/I 6i ) Phone #: 704-634-8760 Cr Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#%�1��1� (�'' -''�' .tbel Ei ` ip: � � i Road Name: � i **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) ENVIRONMENTAL HEALTH [ALIST DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. 2 ick w - 4 •" DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perm tee's ' \-j- Name: -�s Name: - -�- a'�.� -� �,•,�,« Directions to property: Subdivision Name: Section: ' Lot: IMPROVEMENT PERMIT Tax Office PIN: Road Name: P �:s **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 %7' # BEDROOMS yam_ # BATHS # OCCUPANTS ,) GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT _ # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE f-"7-� ff�e TYPE WATER SUPPLY Alli DESIGN WASTEWATER FLOW (GPD) / d NEW SITE Z/ REPAIR SITE �l SYSTEM SPECIFICATIONS: TANK SIZE ZAP? GAL. PUMP TANK GAL. TRENCH WIDTH -- � /� ROCK DEPTH �f `r { / LINEAR REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ELJ "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 N YSTE INSTALLED BY: k Fear AUTHORIZATION NO. OPERATION PERMIT BY� DATE: y "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS 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 ANY V.' t , -<-l Davie County Health Department 'z, ,U l ! d 4 �,,, Environmental Health Section Ile, IQ ,�Z P.O. Box 848 P �v �!'" �� Mocksville, NC 27028 (704) 634-8760 a ****IMPORTANT**** ,THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed VeA J L'� Contact PersonLA57 �� Mailing Address 7 f' ,G��-"�"F CA -RD Home Phone c?�, Old-) City/State/Zip , /l �.0 . 7� �5 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [ ite Evaluation 4. System to Serve 5. If Residence: City/State/Zip [ ] Improvement Permit & ATC [ Both [Mouse [ ] Mobile Home [ ] Business [ ] Industry [ ] Other # People # Bedrooms_ # Bathrooms .z 1 [ ishwasher [ ] Garbage Disposal [ mashing Machine [-t19-asement/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 [q -Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ -TNo If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** XV�OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: # J� LOO 3 - -600 Property Address: Road Name City/Zip 0-1 If in Subdivision provide information, as follows: Name: ; Section: Lot #: 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 Repres tative of the Davie County Health Department to enter upon above described property located in Davie County and owned by %y%. .�4A"Z-- t�j conduct all testing procedures as necessary to determine the site suitability. DATE—9 " t -i " 9 7 SIGNATURE yLer-�? N • i& Revised DCHD (06-96) THIS AREA MAY BE USED T01Z WaWINC7 JOUR SITE PLAN: - File No, 00009 .::::::::.::.:::.:.::.:..;........................................................ :..:. ::..::::.:.::::::..:::::::.:..:.:::::..�.T :.P. . . S: `A Shore, Jody N. Liberty Church Rd.) i;i'� YA,0Ir'ii✓✓/Gltcaunty Davie state NC Zip Code 27028= Union National Bank 114 16 oilr 305m 1% 586.75 �� E t . 17-42 A t" J1 ti (I) (4.14 A)`20.E:8'� s-9 Atlo , 4 1 a s . - •8 C:• 1 ' .r. f Vi I l" �•* ��. • 1 „It , � J, i+ !fit 5.38 i• . MY it / k'r�t;`•'•�ir;���tl f •1 ,�! f` w `C)15G ~' Q !r. S • �'l �, �..a I 0 c..l:'J.� N =" 6!2 65.202 167, i•' i1 6% JoPfl`r h, t. l' , ; : , � ii�•,W yyTTy a , . Op 4 '• � D( ��,,, • �7.+t ;,i,,'��7'f� 11 � LY• •'�•• ^ . , I ''i. t•r ►r. `.. tk , '�b ��� ��.'/�`;�..# , + __-.�! ' 1, t. f • ,. f rr' 0. `� tt i'.. yl�' •' 1� �f„' ..I .r. �,S:j `fir K'''.:, , !"G V.1.7 Ac! r, '•,�` r�ay71,y,}•.�/• iQ� V?/ r/�. • . .r'•�'•� �jf l V�1: .4 To♦, � �, y. 7 •: �. �i�p� � J 1 � ti'�„� • 3• V 7 l MI l^ �p- r'i. �. .'V +i • r+'�i i ;�.•I " to �• �} �1, '. �,. , ,•. , /( ylib y�' .p. � , r - Q' �6�' ,iii ,;C!• i'.',I. 1 1. ', �T, •� • ' �• ; Yr ,,'nv � iM• o, t '• T _ !� /•,. �• �/. {I�� QTY • r.r'- t J _ Qi� f" 1 '40. �.�r.r `'•'i, ! �frl'J` r: r .3.28 ti9.a +f• t:ll ? :i.+'� :.c.tr'P:a M. r L Ac T I os4 (3-01 AC ' �V 't� '•' :.i '� 10 G 3. 35. 2 6 i� 9 f � rr-•+•�� M t 1 h '' � ' 1 � � � . �... a ... i. h� r DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME,�-� DATE EVALUATED PROPOSED FACILITY /" �/�/�'e- PROPERTY SIZEc�2 ,/ SUBDIVISION ROAD NAME li_ Water Supply: On -Site Well ✓ Community Evaluation By: Auger Boring / Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % 2 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t p r Texture groupCi 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: es LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) LEGEND Landscape Position EVALUATION BY:.�� OTHER(S) PRESENT: 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 ■■MEMS■■ ■■e■■■■■ NONSENSE ■E■■■■■■ ■■■E■■E■ ■■O■■■■■ ■E■■■■■■ ■E■■■■E■ ■■■E■■■■ ■■■■■E■■ ■E■■■■■■ ■E■■E■■■ ■E■■■■■■ NONSENSE ■■■■■■S■ ■■■■E■■■ ■MUMS■■■ ■■■■NEE■ ■■■■EM■■ ■■M■■■■■ ■E■■ME■■ ■■SEE■■■ ■■■m■■u ■E■■M■ ■■■mono■ ■n■■moo■ ■SES■■E■ ■■■■■m■■ ■E■E■ME■ ■ME■M■■■ ■M■■MEM■ ■m■omm■■ ■E■E■ME■ Som■■■■■ ■MME■M■■ ■E■■MME■ ■■■■EEE■ ■OMEN ■■■N■ ■■NE■ ■E■E■ ■■EM■ ■■■■■ ■■ME■ ■■M■■ ■■EM■ ■■■■■ ■■■M■ ■■■M■ ■■ME■ ■■■ MEMO ■■M■ ■■■ ■■■ mom ENE ENE ■■■ ■E■ ■o■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■EOM■■■■■■■■Em■emm■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ESM■■■ SSSS■■■■Me■■■■■■■■■■■■■■■■■■■ ■■■■■See■■■■■■■■■■■■■■■E■SSSS ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEN�MEMMEM�MEMEME�MEMNON MEMO NONE