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118 Yankee LnDavie County, NC Tax ParrPl RPnnrt Wednesdav, October 12. 2016 WAK1V11V(J: 1'Hl� 1� 1VU1 A �UKVLY Parcel Information Parcel Number: M40000006601 Township: NCPIN Number: 5736405411 Municipality: Account Number: 82519740 Census Tract: Listed Owner 1: WYRICK STACEE SPILLMAN Voting Precinct: Mailing Address 1: P O BOX 738 Planning Jurisdiction: City: COOLEEMEE Zoning Class: State: NC Zoning Overlay: Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: 1.126 AC CRAWFORD RD Fire Response District: Assessed Acreage: 1.12 Elementary School Zone Deed Date: 9/2012 Middle School Zone: Deed Book / Page: 009010885 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: °P��°'�' Davie County—� f �ot,x�=� NC 0.00 Outbuilding & Extra Freatures Value: 9700.00 Total Market Value: 14200.00 Jerusalem 37059-807 COOLEEMEE Davie County DAVIE COUNTY R-A DAVIE COUNTY CZOD COOLEEMEE COOLEEMEE SOUTH DAVIE MrB2,CeB2 DAVIE COUNTY 4500.00 14200.00 No AII data is provided as is without warranty or guarantee of any kind eithcr expressed or implied Including but not limlted to the implied warrenties of inerchantability or fitness for a paRicular use. All users of Davle Countys GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and aIl clafms or causes of action due to or arising out of the use or inability to use the GIS data provided by this we6site, ,. _, . �;.':.- r ,-_, . . ... -�...- .:,�- �, .,�,. ....-�...,����� . , � -��.:. .� .. . . , AUTHORT?A�'IOIv NO: ��� �� DAVIE COUNTY HEALTH DEPARTMENT ; , ' " � Environmental Health Section Perrriittee's" _ /' l � P.O. Box 848 � / . �_1� � PROPERTY INFORMATION (p� �— 9$ Name: �r C�� ���'� ..�` ',�''/� Mocksville, NC 27028 Subdivision Name: :�:� .S� w Phone #: 704-634-8760 `� --��- " i Directions to property: ��f�l�f ��� Section: �+ Lot. ..-� AUTHORIZATION FOR �o�� q8� ENVIRONMENTAL HE,4'�TH SPECI?EY.ISI' DATE ISSUED WASTEWAT'ER Tax Office PIN:# ����='- ��� _ I t � n SYSTEM CONSTRUCTION � 1�, -�- S "�/ J�c�. �7�: ; Road Name: � j�'• t Zip: � ***NOTTCE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALm FOR A PERIOD OF FIVE YEARS. . ^�W . , � �C.� . �i,' y � r _ _ . � �.. � � ., �� � . . . � . � - . . .. . , . . .. , : . . - . � �', � � , �k �; �,:" -�y° DAVIE COUNTY HEALTH DEPARTMENT . � � �-� �` - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ��- ef —�� �. -� ! . ,��' a , Permittee s � :, ! ,� , Name: ,�'�'( c t'-��;� ,�* f �.�,,��fi��; � _ t.,y, �`' �- Directions to property: �' ��'i" � � "���� Il1�PROVEMENT PERMIT ��'�' � t 1, ' ;� !`-�'�� Subdivision Name. ,. � -= � 6 ". t ���� ;? r� ° r� • '°�t" ' : 'r'- �, �-1,,,�'' o Section: � Lo[:: r� j=�� Cl�» � �v 1 �:� >, : �! -; y�;l� ��; Tax Office PIN:# � P�"r"�' - �' �-' - 4� . r � -e , f ,:�� �r`' ! ' �! Z�,.� p; � �',�''' '"''ti� Road Name: _ �� 4% � s- � � t • Zi � � �-"y �� **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An AiTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON must be obtained from this Department prior to the const�uction/installation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) —�q ***NOTTCE*** THI.S PERMIT LS SUBJECT TO REVOCATION IF SITE �ti,f,� _�i �,Q �/��� �~c�+ f PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRON ENTAL H A • DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE INSTALLING T'I� SYSTEM. RESIDENfIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS � # BATHS .�. # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ��� ` TYPE WATER SUPPLY �- ' DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE % %�'� , ^ �i i SYSTEM SPECIFICATIONS: TANK SIZE �`�� G� GAL. PUMP TANK GAL. TRENCH WIDTH S-f' ROCK DEPTH 'c�'� LINEAR FT. �� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACf 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 AUTHORIZATION NO. f �L� OPERATION PERMIT BY: SYSTEM INSTALLED BY: �� 1 a° e�'� � .. � _�� 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 OS/96 (Revised) ' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & //�'" ,•�, � ' Davie County Health Department . ` , � Environmental Health Section � P.O. Box 848 � Mocksville, NC 27028 (704) 634-8760 � � �!��s� 1 ,,. � ,, . . ... ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSEIYI�NI:ESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed f� ��� ���,LL�a'N Contact Person ����-�'� Mailing Address �� ��38 Home Phone a g�"— °2� �� City/State/Zip l��i�� � �� � � C �� � � Business Phone �`'�' — �'�� � 2. Name on PermidATC if Different than Above Mailing Address . _ i- � � City/State/Zip 3. Application For: Site Evaluation [�mprovement Permit & ATC [] Both . 4. System to Serve: [] House (/]' Iobile Home [] Business [] Industry [ J Other '_ 5. If Residence: # People # Bedroom �# Bathrooms -2 [] Dishwasher [] Gaztlage Disposal [ ] Washing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing �� � 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers " If Foodservice: # Seats Esdmated Water Usage (gallons per day) 7. Type of water supply: [� unty/City [] Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve7 [] Yes [] No If yes, what type? r3������� PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'!1�,��t�.T OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: i WRITE DIRECTIONS (from Mocksville) TO PROPERTY � Tax Office PIN: # 5 � �J � _ �{" 0 � 4' � �P ' _ � Property Address: Road Pfiame 0� �`Z rC.w ; City/Zip D�is �l l��-� o���� i If in Subdivision provide information, �s follows: � �2 �,wv � (,� h+s ; Name: , � Section• Lot #• � i This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter aze 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 ve of t �e Davie County Health Department to enter upon above described property located in Davie County and owned by I.��C.u. C� rn ►u�. DATE �-" � '- �� Revised DCHD (06-96) all testing �cedure� a� necessary to determine the site suitability. � TliIS rtrE•A n1Ai� LiE USEb �OR blt>IIUINC 1�UULz SITE 1'L,W: � fi � �� ��-� � � y ,� ,�� � �.a ° `�'hbe „�.?�zj� °°'�•�• „,; �"K.,�,,,�y � __ � �ontl Surv�l'er, lyo. ?6?3 �w Ctr�t e O`rrnO'� i�.~����el M s D.g �� a�se � � ��1.? ����/� � �1 V^y ` � ` � �f/p,�, � ; �� I W �i, s —�,,o � l � �' � � . � • � 1� N � °' S_ � � N .� , 0 2 � � � �^j o+ a i I � J N O O 00 � U 25.36' � 160.�5' I 30' 1 30'_�, �+ p I a-y0 9�. O�1 �- �o��' C, tp� N�: �: � u' Pc �� of p I CI l � \a-B. 9?�685r � � o � � B 8r� � A��e ;o � . -� _ __o � $3p � 4 � !�' , f -�_ f � t�' � S.R. 11�5 �� �-- ` 1 � '� �,� ___ S ��9•2a�w �� � 1 � I, -----_' �� i ---, - � �_ � � � �` �___ ol � i _ , -� l ,� ��,h � � \ _ \\ ��� � � �"''�,+W�„� � °� " n � t°,�;�"'�.�°�'�a, F �► a'y,�-�o; �'"°� �b�_ e_.. �.n. 7 99 �" "'�r e.'�+ar —�8 ��`__ �z� --� "�. � �°"'°'�l� '��,�0a a,`'°"'�' ; . a���`".� � � � '~w�, � � °r„r awa�, � ..,�av `�._ , ,z_ �• ,�. �w,,,r,,� �a�� � �� y' �"w,� "°��"'",��---_ �`'► �E'�;�ar„ �wner Perr Y Qru,`, � � � 7 C� q�aE �ock CaroJina qv I s,,,��e e. , �e�ePhon� '�N� C� 2' ' 0 � `�/2�� � � � _ � • � — � -�-� +- -• DAVIE COUNTY HEALTH DEPARTMENT �� • Environmental Health Section SECTION � LOT '� � � SoiUSite Evaluation � APPLICANT'S NAME PROPOSED FACILITY /,��j! SUBDIVISION e',.�1'U � � Water Supply: Evaluation By: FACTORS Slope % HORIZON I DEPTH Texture group Consistence Structure HORIZON II DEPTH Texture group Consistence HORIZON III DEPTH Texture group Consistence Structure IV DEPTH Texture Structure On-Site Well Community Auger Boring ' Pit �i'" SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE LONG-TERM ACCEPTANCE RATE DATE EVALUATED PROPERTY SIZE ROAD NAME _ �-sy-�' �/�C' Public Cut �00000� ��i�----� ����----� ��_----� ��_�---_ ���-----_ ��-----� ��-----_ ►J��tt������� SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: r �/ REMARKS: DCHD (01-90) ...:-; � ; EVALUATION BY: 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 Moist VFR - Very friable Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely frm SS - Slightly sticky S- Sticky VS - Very Sticky 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 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 - gallday/ft2 ■■ ■���■■■■■■■■■■■■���������■��������■�������■�■■■��■■���■ ■■■�■��■����■■■■■■■■�■■■■■■■■�■■�■��■�■■■■�������■��■�■ ■�■■■��■�■������������■���■���■��■■■����■■■����■�■���■■ ■■■�■��■������������■�■■��■■■�■��■■■��■■■■■�����■■■■■■ ■■���■■■����������■■■�■���■����■ ■�����■■�������■■■■■■ ■�■�■■■■�■����������■n��■■■�������■■�■■■■■■�■��■■■■■■■ ■■■�■■■■■■■■�■■■■■■�■■■■�■�■����■■■■■����������■■■����■ ■�■�■■■■�����■�■���■■■����������■�����■■�����������■■■■ ■�■�■■�■���■�■�����■■■�■�����������■���■■■�■■■������■�■ ■�■■■��■�■�■�■���■■����■��������■������■■■�■■������■■�■ ■�■�■■■■■■■■��■■■���������■�����������■■■■�■■��■■■■���■ ■�■■■��■���■�■�■�■■■■■■■■■■■■�■■�■■■■■■■■�■��■■■■����■ ■�■■■��■�����■���■��■■■��������� ■��������■�■�■��■�■■■ ■�■�■��■���■�■�■�■■■■■■■■■■■■■I.1�■■■■��■■���■■■■■��■��■ ■■■�■�■■■■■■����■��■�■�■���■��V���������������■��������■ ■■■���■■������������■��■����■■■■���■■■■■��■■■�■■■■■■■�■ ■■���■■���■■����������������■■�■■■���■����������������■ ■■■■■�■�■■■�■■■■■■■■■■■■■■�■■■■■■�■■■■�����������■■■�■■ ■■��■■■■■■�■■■■■��■■������������������■■�■■■■■■�■■■���■ ■■■��■���■��■��������■�■�■■■■■■■ ■■■��■���������■�■�■■ ■■����■�����■����������������■�■ ■��������������■■■�■■ ■�����■�����■������■���■�■■■�■����■������■������■■■�■■■ ■■�■■■�■��\■���������■�������������������■■�■■�■■■����■ ■■■ ■■ ■■ ■��■ ■■■■ ■��■ ■��■ ■��■ ■�■■ ■■■■ ■■�■ ■■���■ ■■■��■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■����■ ■■���■ ■■�■■■ ■���■■ ■�������■ ■��■■ ■■■ ■■r��■■■■ ■�■■■���■ ■■����■■■ ■■■�■�■�■ ■ ■ ■■���■ ■■�■�■ ■■�■�e ■����■ ■�■��■ ■�■�■■ ■■■��■ ■�■��■ ■■■■�■ ■■■■■■ ■����■ ■■■�■■ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT' S NAME ` � PROPOSED FACILITY SUBDIVISION �/`�/ /U�C�i`it � Water Supply: Evaluation By: FACTORS Slope % HORIZON I DEPTH Texture group Consistence Structure HORIZON II DEPTH Consistence Structure HORIZON III DEPTH Texture group Consistence Structure HORIZON IV DEPTH Texture group Consistence Sttvcture � SECTION�� LOT � � DATE EVALUATED �!�! 9� PROPERTY SIZE / �� � ROAD NAME ��'.�- � � On-Site Well Community Public �� Auger Boring Pit � Cut 4 5 6 7 SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE LONG-TERM ACCEPTANCE RATE 1 I 2 I 3 SITE CLASSIFICATION: � LONG-TERM ACCEPTANCE RATE: ' REMARKS: DCHD (OI-90) i EVALUATION BY: 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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 Mineralogv 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