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156 Stone Wood Rd Lot 12 (2) Davie County,NC - Tax Parcel Report Thursday, December 15, 2016 r r 169..__Al _ 12 6 `�,� rolv 175 tYOD 140'_ it it it 174 i 148 ,'• l { 156 164 1'1 11\ 5 170 .�4" �S f = ,...:...:..............:......_............................................................._............................................................................................................................... ....._..........:.......................:. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: ---'M4050B0012 Township: Jerusalem NCPIN Number: 5735596878 Municipality: Account Number::: 82518185 Census Tract: 37059-807 Listed Owner 1: _.: OREA GILBERTO RODRIQUEZ Voting Precinct: COOLEEMEE Mailing Address 1: 156 STONEWOOD ROAD ,i Planning Jurisdiction: Davie County City: _ ,:`,-_MOCKSVILLE_ -. Zoning Class: DAVIE COUNTY R-A State: r _ -NCZoning Overlay: DAVIE COUNTY CZOD Zip Code:-- 27028-0000 Voluntary Ag.District: No Legal Description: -._LOT 12 GLADSTONE WOODS Fire Response District: COOLEEMEE Assessed Acreage: 0.76 Elementary School Zone: COOLEEMEE Deed Dater _2/2002 Middle School Zone: SOUTH DAVIE Deed Book/Page: 004060501 Soil Types: GnB2,GnC2 Plat Book: 0007 Flood Zone: Plat Page: 073 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: DPl�, 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 �o NC or arising out of the use or Inability to use the GIS data provided by this website. ' �•�' r,,��H.Y yj!'k '['11 'J l:.`:'.,i« ,r T r A .U1 tis .tib •.' e .-. :�., >, S.' r. � :.,r -. ., �. t .. .. .. ., .../- ._,-• r. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT .**NOTE** This improyeaent 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 13OA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAMES S:; PROPERTY ADDRESS 011e LOCATION / "/� 56je Wood R4 SUBDIVISION NAME �.'/,"/�i✓J���DOGY LOT NUMBER �o�Z SEC./BLOCK NUMBER RESIDENTRL SPECIFICATION: BUILDING TYPE # BEDROOMS 3 # BATHS # OCCUPANTS GARBAGE DISPOSAL: ONo COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) _Z (d NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TAW GAL. TRENCH WIDTH , ROCK DEPTH LINEAR FT. S�dD OTHER REQUIRED SITE MODIFICATIONS/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. J` 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 44MW U AUTHORIZATION N0. OPERATION PERMIT BY DATE J �G **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN IANCE WITH ARTICLE 11 OF G.S. CHAPTER 13OA, SECTION .1900 "SEWS 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. DOHD 10/95 i c1J...may. s .+ .. 1'` ' ... I i•C ;i '� .W Davie County Health Department ENVIRONMENTAL HEALTH SECTION `.. 7 P.D. Box 665 Mocksville, N.C. 27028 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 Co my uil I g Inspections Office when applying for Building Permits.*** 16� 6 � AUTHORIZATION NUMBER DATE ..�5?�2�JN2 A 9 6 Y NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION 0 l` / COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT W 67WTER SYSTEM ***NOTICE*** THIS AUTHORIZATION F R WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ` ENVIRMEWAL HEALTH SPECIALIST DATE DCHD 10/95 :j a R APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department14 I Environmental Health Section P. O. Box 665 Mocksville, NC 27028 fid' �'�? ENTAL EALTH -7 1. Application/Permit Requested By Qn�1(0,)2)eo n J Mailing Address CQ20 ,Al 0 l?-tA M . Home Phone `7 04 'D6 q' (03R� NO, a 7o o k Business Phone to y`7 2. Name on Permit if Different than Above 3. Application for: ❑General Evaluation Septic Tank Installation Permit 4. System to Serve: ouse ❑ Mobile Home ❑ Place of Public Assembly p r 'I ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision 4ftt577� ' Section Lot �a Ci'Basement/Plumbing�"� No. of People t� ❑ Basement/No Plumbing� � 'I No. of Bedrooms CYVNashing Machine No. of Bathrooms n [;/Dishwasher I Dwelling Dimensions 1°I.1)0 h�Y�• loot, ED/Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: I�Oublic ❑ Private ❑ Community 8. Property Dimensions 4.3A MIS Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes C9-No If yes, what type? — 'NOTE: Improvements Permits shall be valid l6qmW from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERT11 IN OW ATIONREQUIRED: Directions to Property: h+ Tax Office PIN: # oafs- ct a C (APP-6,0 PROPERTYADDRESS, as follows: lko 4grR r+gttt� mJ-6 Poll Road Name: -PJ groper ons 2 Qc�o��- dri �cxkt,� ►� . City: prwk t krdeV 0 a 'm`t C-�"jSU13MIT 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. ILIV DATE SIGNATURE `. CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: &1-1'OWN theproperty. ❑ 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. • 07- 1�-q !o � � 8� DATE SIGNATURE DCHD(1193) Iq P h 0vis� ISG• _ � �'♦�o - . ��+ .� a "\ Y^wa ' • V O H l�q-p, s Pf9 R G 0 • m•A, - /P �� '��• K- �; �A t o�fh �s '�eM s /r 0,4 M ICc p �� F'd 7. F o 9• �Yt A�°�► , ,• 'rte av fee? W dS S rill� • �•�---, Jr k\�. s G •any 4160 �; .• lttvr) .h"• ,� ^ff(`I !:C at' !.�I'. ..'•''I �'� �p � �� ♦ \ V� �` i •Y JTV- im Le Mall Tot � �� r� •��( ��c I�Jntt_X l'e �. U 38p BOOK. .PAGE �- WRANTY DEED—Form WD-601 Printed and for sale by James Williams dr Co.,Inc.,Yadkiriville,N.C. 'i STATE OF NORTH CAROLINA, Davie County. THIS DEED, Made this 9 th day of March —019 94 by and bctween Bobby Mulse Thom son.. and wife, LaVerne Ann Thompson of Davie County 'r and state of North Carolina,hereinafter called Grantor,and Sandra Renee Potts (single): Jerry Clifford Lowder and wife, Eva L.Lowdero f Davie County and Sate of North Carolina,hereinafter called Grantee,whose permanent mailing address is WITNESSETH: That the Grantor,for and in consideration of the sum of Sen dollars anti OVr----------------- Dollars and other good and valuable considerations to him in hand paid by the Grantee,the receipt whereof is hereby acknowledged,has given,granted,bargained,sold •,.. and conveyed,and by these presents does give,grant,bargain,sell,convey and confum unto the Grantee,his heirs and/or successors and assigns,premises in Jerusalem Township, Davie County,North Carolina,described as follows: y BEING LOTS Twelve (12), Thirteen (13), Fourteen (14), Twenty-nine (29), Thirty (30) and Thirty one (31) of the "Wildwood Subdivision", property of John P. Spargo, a 1�.+✓. M.D., according to a map thereof prepared by A.L.Bowles, R.S. and duly recorded in Map Book Four (4) at page One (1), to which reference is hereby made for a more particular description. Subject to restrictions as set forth in DB 71 page 305,.Davie County Registry. r I . ATs;0 & x ' Zo,00ll Prepared by Wade R. Leonard,jr. The above land was conveyed to Grantor by .See Book No. ,Page TO HAVE AND TO HOLD The above described premises,with all the appurtenances thereunto belonging,or in any wise appertaining,unto the Grantee,his heirs and/or successors and assigns forever. And the Grantor covenants that he is seized of said premises in fee,and has the right to convey the same in fee simple;that said premises are free from en- cumbrances(with the exceptions above stated,if any);and that he will wa r ra n t and defend the said title to the same against the lawful claims of all persons whomsoever. When reference is made to the Grantor or Grantee,the singular shall include the plural and the masculine shall include the feminine or the neuter. IN ' ESS WHEREOF,The Grantor has hereunto set his hand and seal,the day and year fust above written. (SEAL) (SEAL) (SEAL) (SEAL) STATE OF NO RT 'CAROLINA COUNTY. I. ,a Notary Public of said County,do hereby certify that Bobby Muse Thompson and wife, LaVerne Ann Thompson Grantor,personally appeared before me this day and acknowledged the execution of the foregoing deed. Witness my hand and notarial seal,this the 9 th day of March '19. 94• My Commission Expires: —7/20/94 .P.[SEAL]' Nil 1A111 -� STATE OF NORTH CAROLINA COUNTY. �_ DAVIE COUNTY, a Notary Public of sai 0 mi i0t1 Ex 'fES 7.20 94 Grantor,personally appeared before me this day and acknowledged the execution of the foregoing deed. I Witness my hand and notarial seal,this the day of My Commission Expires: ,N.P.(SEAL) i STATE OF NORTH CAROLINA, Dari P COUNTY, The foregoing certificateN of Dnnna Strand Nntary Puhl i c of Davie County 1' h*)certified to be correct. This instrument was presented for registration this 1 1 day of March 1914 , at 4:53 AM.,P.M.,and duly recorded In the office of the Register of Deeds of Davie County, North Carolina,in Book 173 'page 121 This theIL_day of March ,A.D.,19 94 . { - l4pnry i._ Shore— By— Register horeByRegister of Deeds )GYs3GDtXX,Deputy Register of Deeds 't This Deed drawn by i I I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section dd Soil/Site Evaluation NAME �l�'S DATE EVALUATED ADDRESS PROPERTY SIZE l©OX�S)a / PROPOSED FACIILTY LOCATION OF SITE <'I/e./ Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH *r r Texture group Consistence Structureh/l <f3IC r-he 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: EVALUATED 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 Moist VFR-Vcry 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 Mineralolty 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 ■■..■■.■■■■■■■■.■■■■■■■■■■■ ■■■.■■■.■■■E.e.M■■■ Mee■ ■■eee.■Ee■■.■ ■■■■■■■■.■■■■■■■■.■■■.■■■■■■■■■..■.■■.■■■ ■.■ SIEMENS ■EM■E■ ■■ ■■■■■■■■■■e■■■■■■E.■■■■.M.eeN■■N■eee.eeeeC■■NC eMEMEMMEMMENCN■ ■.■■■■■■.■■■■■■■s■■■■■■Ns■■■■NN■ ■■N■..■..ee■■e.■.e.ee.e■ee■■eee■ ■■■■■■■■■■■■■■■■■■■■■■.■S.■S■■M■S■SS■EE■■.■■.■■ �eM.■e.■■■■MN■.■ ■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■H■■ENS■■■.■ ■■N.■ ■NS.■SN■ ■■■■■■■■■■■■■.■■■■■■■■S■■■■NS■■■■■ ■�■NSE■■.■NSN..■■■■■�■ MS■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■ ■■■ MEMEMSE ■■■■■■■H■■■■■■■■■■■■■■■./.■■...�■■■■SNN�N.■■NNSNSN■MSN■■CNN■ ■.■■.■■■■■■.....■■.■■■■■■..■■■■■ ■ ■■ ■■■■■■NE■■■■■■■.■■ ■■.■■■■■■■■■■■■.■■■■■H■M■■■■■EE■■■N■■SN..NNSC�■■SN M■■■■N■■■■N ................................................ 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