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112 Meadowview Road Section 1 Lot 2Davie Countv. NC Tax Parcel Report Thursday. January 26. 2017 WA"1,NU: '1Mb lb PIU1 A JUKVL' Y Parcel Information Parcel Number: J6050E0002 Township: Fulton NCPIN Number: 5757897780 Municipality: Account Number: 8303376 Census Tract: 37059-804 Listed Owner 1: DOSS ANDREW TAYLOR Voting Precinct: FULTON Mailing Address 1: 112 MEADOWVIEW RD Planning Jurisdiction: Davie County City: YADKINVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27055 Voluntary Ag. District: Legal Description: LOT 2 HICKORY HILL SECTION 1 Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 0.46 Elementary School Zone: 4/2014 Middle School Zone: 009550447 Soil Types: 0004 Flood Zone: 105 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: ►tea'. FORK CORNATZER WILLIAM ELLIS GnB2 DAVIE COUNTY F-91 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 webafte shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contactors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website a.,c-:r � �F 1R .a Yh 7 . _.> i-. ,`b�`t ;;h .f'y'. ., ,�.4 .j `C. :;C� �, � - yl, :_ •.'. ;.:.. .,i--. AUT ATION NO: DAME �OUNTY HEALTH DEPARTMENT � i Environmental Health Section PROPERTY INFORMATION Perminee's, P.O. Box 848 Name �'\I'' �- C C q �'T7Mocksville NC 27028 Subdivision Name: t �� ay Phone # 336-751-8760 Directions to property:1 gty —1 O 1 AUTHORIZATION FOR }' A—v ,� ��_ (�n`i. ��^ r. WASTEWATER t SYSTEM CONSTRUCTION i'`��.c��`i t. J►V��'f L r -.•i c:. Section: Lot: _ Tax Office PIN:# r` Road Name: ��4 at>u-)�J1 LI-AZRPP�: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pemnits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I 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 FIVE YEARS. ENVI�ROP MENTAL HEALTH SPE DATE ISSUED t jr. z+� P'C�iw;" wN '`�'+{'tf � i;"i.Yr',r'r. -«`7 k. ! ... .,. - ..ri ;rt:•-�a . ,. _ _ •... - - ....-: -71.30 t DAVIE OUNTY HEALTH DEPARTMENT �� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION w� ., ' Perim s -(.rj '' <. r,J r,T. _Subdivision Name: � � Directions to property: t i i o k 1A L -�; i Section: Lot: 17 IMPROVEMENT PERMIT.. Tax Office PIN:#? s % / s y ( f Road Name:1 gyp: **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 - { f.t` r', ; •r PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAi, HEkLTH SPECIALIST DATE ISS ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE t.. INSTALLING THE SYSTEM. _ 1 RESIDENTIAL SPECIFICATION: BUILDING TYPE -i BEDROOMS # BATHS G # OCCUPANTS. GARBAGE DISPOSAL: Yes oaND COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No I co LOT SIZE I X ��TYPE WATER SUPPLY �-Q ��7Y DESIGN WASTEWATER FLOW (GPD) � NEW SITE r REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ( Co 0 GAL. PUMP TANK GAL. TRENCH WIDTH L ROCK DEPTH 2{' LINEAR FT. 7AD OTHER 2 7--,,tSTO-16IITtc,ni �7�iCt=S REQUIRED SITE MODIFICATIONS/CONDITIONS: ` 's, oFF Nt,JSz, lC t� vFr CCP. L?,J iC IMPROVEMENT PERMIT LAYOUT r G fel 20 i -To oc3T o J too: Q* 5¢.p '70 Z f� **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 (336)751-8760. YSTI M INSTALLED BY: N7 n -e Ef ]- OPERATION PERMIT AUTHORIZATION NO. (� OPEF **THE ISSUANCE OF THIS OPERATION PE WITH ARTICLE 11 OF G.S. CHAPTER 130A, GUARANTEE THAT THE SYSTEM WILL FC DCHD 05/96 (Revised) �5 TE: 3 q9 T SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE 61I01 90 ",jKA ,ATRE,&AC4ENt AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A CIO SFACTORILY FOR ANY GIVEN PERIOD OF TIME. �� ,. -. 2n$TT'sw�'1•S� !-.. 1 f • i , p, 1 : ��'�•'yvt -:��r - -„ -: _ '.:-iS --;i-.;e �ra�.�an i. � ,;}fk..{{.�� +�'� , i r � � � ) M r fi �t � ^• 1 .�c� t-, :r'. n (�' ' f �q .4 e ,t. ,DAVI2E OUN, rY HEAd,TxaDEPAR MI NT iMPROYEMENT AND OPERATION;.PERMITS PROPERTY INFORMATION k Perrm s b n;;; SU div &Y 1.» A iot Drrec roes to property. -1 Ow �. A "1 �' Se, etron •ROVEMENT 7; rA Ig 3µ 'P fax Office PIN:# 7 r` , sr ,s a -'t°� t ERMIT } p 1 r' • ��4 t; � . � .. • �' Road Name ttf,'�-Vit'*�s,�,�� ��r� rP �. �a.,•� �..'"h� Ini muementTPemut DOES NOT authonze the'constructron or installation of a.septrc tank system or any;;wastewater system. An . '! OATI®N FOR{WASTEWATER SYSSTEIVIICONSTRUCTION must beobtained'from this Departinent'prior'to`the ..pjl'a 'fin 1 a � � � .y$ ;� ��� chon/�nstallatron�of a�syAs,,tem�grathe•issuance,of�a burldngtpet � _t', � .,�,,� - �. �' fav ' •`,; +(Incompliance witth cele 1Fl of G'�S��Chapter �1e30A WastewaterP�S°ystems �Sectiorr .19QQ Sewage Treatment and�Drsposal`Sys�tems) - ., �4 •>' ��x� ***NUT ICE*** THISPERNIIT,ISSIJB IECTT�© REVOCATION IF�SITE zPLANS.©R"THEiiINTENDED USEtCHANGE: YOUR WASBEWt1�TER Y 1 a ENVIRONME� NTAL HEALTH SPEC'IALIST,. DATE ISSUED SYSTEM��COO NTRACTOR5, ri SEE THIS�PE�RMIT BEF©RE' ,`w"i"t"' � GlT u� INST 9 OLIN SHE SYSTEM ,RESIDENTIAL SRECIFICATION `BUILDING TYPE ��>>Sc'k BEDROOMS #BATHS . L # OCCUPANTS GARBAGE•DISPOSAL: Yes o COMMERCIAL SPECIFIC-ATION-FACILITY.TYPE - # PEOPLE # PEOPLE/SHIFT # SEATSINDUSTRIAL WASTE: Yes or No w I OT.SIZE * TYsPE WATER>SUPPLY Coodly DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE. �y 1 SYSTEM"YSPECIFICAvTIONS TAN K'SIZE:� GAL. PUMP TANK, GAL.. TRENCH WIDTH ROCK DEPTH ,f�' LINEAWITT OTHER STr-11601TL,c - ,a 7oS �r. REQUIRED SITE"IvIODIFICATIONSLCONDTI'IONS: UFF ' .NUL�S , if N-� `D{ PQJ,r 1r1 ia_i} b R'k' 7 vtv Its ;�I,MPROVEMENT+P.ERMIaT LAYOUT.Pop aF 77 4,4 4pit im JK yam,, ra . 7 • • tW`'`• ,i._a` i� �(+D' Tl t**CONT�AC�T,"A'`REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR, FINAL: INSPECTION OF THIS SYSTEI"vt 4 S` BETWEEN 8;30 9:30 A.M. OR 1.00 - 1:30 P.M. ON THE DAY,OF INSTALLATION. T �1 ELEPHONE # IS 336 751 8760': , , r ; r +° ` OPERATION PERMIT j OP _ ST M INSTALLED'BY:;�� A. ,s N. f , , AUTHORIZATION NO OPEIL4TI 3 _ TE; ,, r1'.--, ,� a:a^„"&4�a,% _/�5 9 r•l X41 -- r ± **THE,ISSUANCEOF THISiOPERATIONIYE„ TTSH' ` �YIIVDICAvTE' TµTHE SYSTEM DESCRIBED A'BOVEiHAS BEEN''INSTALLED INCOMPLIANCE, ,.a axix?t^r WITH AR4TICLE l I'OFJG�S CHAPTER 130A S e O 900 �iATRE�EDiQ` AND DISPOSAL SYSTEMS", BUT SHALLdN'NO WAY'_BE'TAKEN AS'A d.:t�i `rs"i `GVARANTEE�THAT. THE SYSTEM'-•, ,WILL s O , e SFACTORILY3aFORIANY GItVEN PERIOD OF TIME UCHD 05/96°(Revised) , y APPLICATION FOR SITE EMOTION/IMPROVEMENT PERMIT & Al' t? (1 f,7 R Davie County Health Departnnent Q L5 it U Envfronmenfa/Health Section P.O. Box 848/210 Hospital Street M 8 Mocksville, NC 27028 (336) 751-8760 rehren:..�......._.._-- ***DWORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Nailing Address Contact person Zaj-fr-V �/'r-e Now Phone City/state/zIP ��o /eeffe �� dam-%iG%` Business Phone z. Name on Permit/ATC if Different than Above Mailing Address ;t't° - City/state/Zip 3. Application For: U Site Evaluation Amproviment Permit/ATC OBoth 4. system to service: House 0 //Mobile Home 0 Business 0 Industry 0 Other s. If Residence: # People �! # Bedrooms • Bathrooms Q Dishwasher 0 Garbage Disposal WWashing Machine 0 Basement/Plumbing 0 Basement/No Plumbing 6.• If Business/Industry/other: Specify type # Commodes # Showers # Urinals # People # sinks # dater Coolers IF FOODSERVICE: 11 Seats Estimated crater Usage (gallons per day) 7. Type of water supply: @ County/City 0 Well 0 Conmanity e. Do you anticipate additions or expausions of the facility this system is intended to serve! 0 Yes 9-NV- If t-N - If yes, what type' ***IMPORTANT"** CLIENTS bIUST COMPLEM THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. -�coperty Dimensions: 70 X j o r WRITE DIRECTIONS (from MockrAlle) to PROPERTY: Tax Office PIN: # _ % ' °7 D®v Y y 40 atY Y� Property Address: Road NameLL1-e &1"(f k/ Z, S Pel4'i�7-Ac� City/Zip o 7002 b mezCda'� Oi eul cv-f-,+�� i If in a Subdivision provide information, as follows: �� �� / Name: 14 ' c-b/'Y Section: l Block: Lot: �_ Date Property Flagged: 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. 1, also, understand that I am responsible for all charges incurred from this application. 1, hereby, give consent to the Authorized Representative of the Dayle 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 the site suita4pit?. !� DATE //—/9 — f5�' SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PIAN (include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). 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Box 848 D ` Mocksville, NC 27028 OCTI I 9197 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �J a� �/� s�' _t1�0�� �O✓'�5' Contact Person �_�% Mailing Address ��G� Home Phone 4 City/State/Zip 27e /4 Business Phone -7fV — 3 d� 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: Vilsite Evaluation City/State/Zip [ ] Improvement Permit & ATC / [J] Both 4. System to Serve: [✓J House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms -1 # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] 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: Vlf 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? PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***)6JEbW OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. 'Y �® WRITE DIRECTIONS (from Mocksville TO PROPERTY: Property Dimensions: 1 ) ro /J Tax Office PIN: #J�7S - - % % D �� j �� 4 *40 )4-h Property Address: Road lame IA r- �7oz� City/Zip ; If in Subdivision provide in—f�orrmation, 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 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 the site suitability. DATE SIGNATURE Oe -:� - �` Revised DCHD (06-96) THIS AREA MAY BE USED FOR bRAIVINC YOUR SITE PLAN: S4.I�, �?Q I O ,'a Q r ��,. N���:2 t \ r, Oy` L, • F o" 0 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT 2— Soil/Site Soil/Site Evaluation APPLICANT'S NAME C�iz DATE EVALUATED la Iv PROPOSED FACILITY n)s's PROPERTY SIZE A A )c Zr� SUBDIVISION 14r lco &' ROAD NAME MqAJ lz Water Supply: On -Site Well Community Evaluation By: Auger Boring _,-" Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L.. Sloe % 3 HORIZON I DEPTH (61 Texture group C C CIA, Consistence SFr5s5t, Structure k Mineralogy1 % HORIZON II DEPTH Texture group C Consistence S • 5 Structure Mineralogy 1; ' HORIZON III DEPTH Texture group Consistence i S Structure Mineralogy' HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE S — CLASSIFICATION S S LONG-TERM ACCEPTANCE RATE O• SITE CLASSIFICATION: ns EVALUATION BY:,; LONG-TERM ACCEPTANCE RATE: SFOn17' 0' '?4 ` OTHER(S) PRESENT: REMARKS: CEO C_ LAY 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 DCHD (01-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ee■■■■■■ecce■■■■■■■■■e■■■e■ecce■■■■■■■■■■ecce■■■■■■■■■■■■■■■■■■ ■■■■■■■e■■■■■ee■■■■e■■ee■■■■■e■■■tecce■ee■ee■ee■■■■e■■■e■■■■■■■■■■ ■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■�■ee■■eee■■ee■■■ee■■■■■e■■■■e■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■e■■■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■ee■■eeeeeee■■■ee■e■■■ee■■■■■■ ■■■■■■e■■■■eee■■ee■■e■eee■■e■■e■■■■eee■ee■e■■e■■■e■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■e■eee■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■t■■■■■■ ■■e■e■eee■e■ee■■■■■■e■eee■■eee■■�iiee■■■■■■■■■e■■■■■■■e■■■■■■■■■t■■ ■e■■■■■■■■■■■■■■e■■eee■■■e■■������■■■■■e�eeeeeee■■■■■■■■■■■■■■■■■■ ■e■■■e■■ee■e■ee■eee■e■eeee■e■eee■■etc■■■e■■■e■■■■■■■■■■■■■e■■■■t■■ ■■■■■s■■■■■■■■■■■■■■■■■e■■■e■■■ee■see■e■■■e■ee■■e■■■e■■■■■■■■■■■■■ MENNENiiiiii ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■eee■■■■■■■■■■e■■■■■■e■ ■■eeeeeeeeeeeeeeeee■�eeeeee■■eeeee�eeeeeeeeeeee■■eeeeeeeeee■ee■ee■ ■■■■■■■t■■■■■■■■■■a■ice■■■■■■■■■■■■►�■■■■e■■■■■■■eee■■■■■■■■■■■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■tie■■■■■t■■t■t■■■■■t■t■■■■■■t■■■■ Davie County Heafth (Department and Home Health agency Environmental Heafth Section P.O. BOX 848 / 210 HOSPITAL STREET COURIER #08-4-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-8760 October 13, 1997 Bob Cope & Son Const. P. 0. Box 1160 Cooleemee, NC 27014 Re: 2 Site Evaluations Hickory Hill/Block E/Section I Tax PIN: #5757-89-77800/Lot 2 Tax PIN: #5757-89-8772/Lot 3 Dear Client(s): As requested, a representative from this office visited the aforementioned sites on October 10, 1997. Based upon the information provided on the application(s) for site evaluation(s), and after the evaluations were cor.rpleted, the sites were found to be provisionally suitable for the installation of an on—site sewage disposal system on each site. Before any permit(s) can be issued the appropriate application(s) mu!;l; filled out and the house/mobile home locations) staked off. If you have any questions, please feel free to contact this office. • 5 i n Jeff Beaucham , R. S. Environmental Health Specialist JB/wd Enclosure(s) cc: Zoning Office