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392 Bobbitt Rd Se Davie Monday,County, NC Tax Parcel Report y, p tember 26, 2016 --- r� B0 r ,ff f f" M r' f f` f! _-Z- 1 _I WARNING: THIS IS NOT A SURVEY on-- Parcel n Parcel Number: D60000000401 Township: Farmington NCPIN Number: 5852456468 Municipality: Account Number: 8305411 Census Tract: 37059-802 Listed Owner 1: LAWSON LUKE AARON Voting Precinct: FARMINGTON Mailing Address 1: 392 BOBBIT ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: 30 AC BOBBITT RD Fire Response District: FARMINGTON Assessed Acreage: 29.22 Elementary School Zone: PINEBROOK Deed Date: 8/2015 Middle School Zone: NORTH DAVIE Deed Book/Page: 009980831 Soil Types: ArA,IrB,EnB,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 210940.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 346970.00 Total Market Value: 557910.00 Total Assessed Value: 557910.00 l v r All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 1° F 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 nO�,p4; NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY ENVIRONMENTAL HEALTH • P.O.Box 848/210 Hospital Street _ Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990004176 Tax PIN/EH#: 5852-45-7655 Billed To: Justin Ward Subdivision Info: �3QZ a7oO,6 Reference Name: Location/Address: .426 Bobbitt Road-2628 Proposed Facility: Residence Property Size: 40acres ATC Number: 4736 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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. Q[ System Type:y ` S.T.Manufacturer vdy Tank Date Tank Size Oad Pump Tank Size] System Installed By:rJ;Zk .}Vuk .C.6L41L-,-eg5 E.H.Specialist: Vim/'epi�Dater �edvvo m 5 -7541 C of k �J II I �I gds DCHD 11/06(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Fax#(336)751•-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004176 Tax PIN/EH M 5852-45-7655 Billed To: Justin Ward Subdivision Info: Reference Name: Location/Address: �Bobbitt Road-27028 Proposed Facility: Residence Property Size: 40acres ATC Number: 4736 Site Type: GRIew ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems,Section.1900'Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. j Residential Specifications: #Bedrooms 1 #Bathrooms 3 #People 2 Basement❑ Basement plumbing Non=Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size 0?- 5 Type of Water Supply: ❑County/City 3<11 ❑Community Well System Specifications: Design Wastewater Flow(GPD) 7 gy Tank Size GAL.Pump Tank CIC&L. Trench Width Max.Trench Depth Rock Depth .�v Linear Ft. I t4 610 Site Modifications/Conditions/Other: Contact the Davie County Environmental Health Section for final inspection of this system between 8:30—9:30a.m,on the day of installation Telephone#(336)751-8760. V` 01 t.. L Ar , C4 t - � Ilk l . D scpli c \wr� boo �(Seff q0 PUG �jcA �(�� �5 cin ��`. r►'1 i n .ti►u .� �5 `�5f�G�OJ S r Environmental Health Specialist a Date: nrNTI 11 IM(Revi.gnd) F - • DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street I _ Mocksville,NC 27028 / J (336)751-8760 Fax#(336)751-8786 G1 4 ` AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004176 Tax PIN/EH #: 5852-45-7655 Billed To: Justin Ward Subdivision Info: h Reference Name: Location/Address: 426 Bobbitt Road-27028 Proposed Facility: Residence Property Size: 40acres ATC Number: 4736 Site TypexNew ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation'if site plans,plat or the intended use change. Residential Specifications: #Bedrooms 4 #Bathrooms 3 #People Z Basement❑ Basement plumbing[] Non=Residential Specifications: Facility Type #People-#Seats Square Footage(or Dimensions of Facility) Lot Size �50 MIRES Type of Water Supply:. ❑County/City,�Well ❑Community Well System Specifications: Design Wastewater Flow(GPD)geD Tank SizeI004�1 GAL.Pump Tank GAL. Trench Width3U' Max.Trench Depth1g Rock Depth le Linear Ft. C Site Modifications/Conditions/pher: 1;,-NSJ-&I L 0.� C_&JT0QQ 11<04) 1W PIWM Contact the Davie County Environm ntal Health Section for final inspection of this system between 8:30—9: a.m.on the day of installation. Telephone#(336)751-8760. 43 N `717 �----- _Tb e .. i As stated In 15A NCAC 18A.1969(5j accepted Systems may also.be. use i Environmental Health Specialis Date: DCHD 11/06(Revised) ,' `� ``�� � _ V �� � � �2 �o�� ., t �. ,-- �� ��� �; ' Davie County Environmental Health P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751,8760/Fax(336)751-8786 E"ROVEMENT PERMIT Account #: 990004176 Tax PIN/EH#: 5852-45-7655 Billed To: Justin Ward Subdivision Info: Address: 1935 Austin Place Location/Address: 426 Bobbitt Road-27028 City: Winston-Salem Property Size: 40acres Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Permit Type: 2Kew []Repair ❑Expansion Permit Valid for: Years ❑No Expiration Residential Specifications: #Bedrooms #Bathrooms 22-3 #People 2 Basement❑Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): Type of Water Supply: ❑County/City 2V411 ❑Community Well Site Modifications/Permit Conditions: -- System Type LTAR Initial a.l qt_ .2 Re air Site Plan U, N �pPa�Q 'V PSR L'Ix- - IN , TiaL I3' P Environmental Health Special St Date 1 22 DCo i.p.11-06 PAGE 01/02 07/17/?007 07:27 23339 AP ION FOR SITE EVALUATiONAMPR.OVEMENT PERMIT&ATC Davie Coatitty Entittoementi/HealtB- 1.� 201 P.a aotq.a411/21Q Att�plfai Si�eet Jul Mockiv11k,NC 27036 . (336)7S1-i1760 Fix(336)751.',8786 P.t For f vv 1tior0rnprovcment Permit IV uthorizatinn To Cemitrtxt(ATC) i I Both 1 �• ���� - Mallon: ew System t IRcpair to Existing System- i1F.xpamimvMadifiention orExisting System nr Facility •••Iuroer M7*16 TNI5 APPLICATION f:AA'NOTRI,•'PRoCL•SSFOLINLF.SS AI.LOF TFiC REQUIRED INFORMATION 1S PROViDE•D, Refer tothOWORMA ION BULUTIN for insuuctinns. APPLICANT INFORMATION Name to be Billed GoMact Person•p Billing Address _f_La/ Rome Phalle 33G. CitylStatcPl_1P � d4:,_&7j r}ry _Busiocss Phone X21. Name on Permit/ATC if Different than Above �.3 7J ' �l /0 , Mailing Address Ci /State2i PROPERTY INFORMATION. *Date Hounasc(lity Comers Fl cd e g mlq ed 94 NOTE; A survey plat or Brite plan mina accompany this application. included:i.Site Plan f 1PIat(to Buie) �LLsF1iU e (Permit is veli for 6o months with site plan.no expiration with cnmplac plat) Owner's Namc ��_ Pltone Number Omman9 Owncr c Address 3 �.i 17/ �,,� Cfty/Statcl7ap c�p"t?t.a 7 Property Addres,% City i.ot Size p fiA— Tax AIN# Subdivision Name(ifa plicahic) Scctiottrt.o14 Directions To Site: �/_�6 �^ �.,.✓ � .. If the answer to any of the following questions is*1yg•,supporting documentation must be attached. Are there any existing Wastewater aystcrm on the site? I)Yes wro Does the site contain jtuisdictional wetlands? I IYcs Ifl�, Are there try eawnenti or right-of-ways an t)te+itis? ?'Yes t>f'16o IS the site subject to approval by another public agency? I[Yes 0< Will wastewater other Win domestic sewago be enetated? HYcs plfio iF RESIDF,NCC FILL OUT ME BOX BELOW #Pcople _ #Bedrooms #Bathrooms__5 Carden Tab/Whirlpool I IYcs YWO Basement: IYes o Baccmcnl Plumbin . DYrs d 117 NON-RESIDENCE FiLL OUT THE BOX BEWW' . Type of Facility/Business Total Square Footage of Building p People N Sntke ii Commodcs tl Showers 11 Uirinala Estimated Water Usage(gallons per day) (Attach documcntntitm of similar facility water consumption) FOODSERVICE ONLY: #Scats Type system requested: I[Conventional ',Accepted 1 innovative I IAltetnative i lmhcr Water Supply lypc-.I I County/City Water 'P11e­W Well I"Existing well :i Community Well Do you anticipate additions or cx a tons of the fa i'ty this systemic intended to serve?14,Ct I 1 No If,yes,what lype7 ----y This is to aertihr thatthc informatlnn provided on this application is true and correct to the hest of my knowledge. I understand. that any permits)or ATC(s)issued herettiler are subieet to suspension or revocation if the site is altered•the intended use cltangm or if the information submitted in this application is falsified or changed. i hereby-grant right*F entry to the Authorized Rcprcscnrative of the Davie County Hcatth Ucparlvxnt to eondtrct mccuofy imspceriats 10 dctcrmine complidncc with applictblc taws and rules. I tmdtistand in responsible for the proper identification and labeling of property lines and cornets and incatin to ing the guse/facility location,proposed well location and the location of any other nmenitics. Site Revisit Chug Prnpe a •r rcprnscntativc sieneturc Date(s)._ C Ghent Notification Dare; MtC EHN: Sign given I'Yc%rlNo AecountH Revised I1/n6 Invoice g N SITE EVALUATION/IMPROVEMENT PERMIT &ATC Davie County Health Department • �pv 2 9 Environmental Health Section „ P.O. Box 848/210 Hospital Street / {� ,MENZPlN�L11i �'l RSP Co Mocksville,NC 27028 q(336)751-8760/Fax (336)751-8786 Application For: Site Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both 1_ 1-6 7 ***IMPORTANT***THIS APPLICATION CANNOT BEPROCESSED UNLESS ALL OF THE REQUIRED l INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed �,� Contact Person Billing Address_ /935 ���/ �� Lr Home Phone7g,�•r—x'999 City/State/ZIPX1Kv--&0Z- ,s9.�, T4,lc. Business Phone 785—?,600 Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A survey'plat or site plan must accompany this application. (Permit is valid for 60 months with it pan,no expiration with complete plat.) Street Addres CityTax PIN# JZ Subdivision Name /L /,b�Section/Lot# ,r//��Lot Size Directions To Site: ✓ ,� yL�t_ Date House/Facility Corners Flagged /1/"-7/o C If the answer to any of the following questions is"yes",supporting documentatio must be attached. Are there any existing wastewater systems on the site? Dyes Does the site contain jurisdictional wetlands? Dyes C�fNo Are there any easements or right-of-ways on the site? Dyes C�'�l Is the site subject to approval by another public agency? Dyes �No Will wastewater other than domestic sewage be generated? Dyes E<O IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms #Bathrooms- 3 Garden Tub/Whirlpool les ❑No Basement: ❑Yes pR o Basement Plumbing: ❑Yes 2No IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building #People #Sinks #Commodes #Showers #Urinals Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: ❑ County/City Water P New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 0'No If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections tq jetermine co lialce with applicable laws and rules on the above described property located in Davie County and owned by OZ } W e I — Site Revisit Charge Property owner's or owner's legal representative signature Date(s): Client Notification Date: Date EHS: Sign given Dyes ❑No Account# Revised 2/06 Invoice# tv vly ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ` Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION waa &6L r Z)zo l©y Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 5 6 7 Landscape position L L Sloe% Za HORIZON I DEPTH 0 - 11 (9- ILP Texture group 5ci— Gt•_ S LL Consistence SS S T7 IS Structure /-(/- Mineralogy HORIZON H DEPTH 1 'D- 2,9 1 AD- -50- Texture group LL Consistence F` ; ;V5 'VS ;dS F P, Q Structure ml< A-15k3k 1h 3 Mineralogy (� V HORIZON III DEPTH -4 Z . Texture group C4 VCO 9 S ,(C'(1_) LS G+Sa Consistence �V VS ) SS NSN Structure Ask M Mineralogy HORIZON IV DEPTH 45 Texture groupSu cl< Consistence S Structure Mineralogy SOIL WETNESS 3 RESTRICTIVE HORIZON A-Z f 10-Z SAPROLITE S — 5 .S 5 CLASSIFICATION PS Os PJ S -� LONG-TERM ACCEPTANCE RATE O•Z t7.2 EJ.Z d•2 SITE CLASSIFICATION: EVALUATION BY: 11w� 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-Very friable FR Friable FI-Firm VFI Very firm EFI-Extremely firm 3Yet 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 Il[s?tea ' 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 05105(Revised) E CJS 89'27'48' E. �� S 89'27'48' E 159,59 _ 799,99 p 3 l '" S + A I �y • ISU VL ` i I , C. , C ��: '��= -4.991 A C. Z~ r•, Z i too I \ !I p, 5v ,ro too �—�y 1% y3 �3AO { 9 519.32 o SU159. 45 {0 7_ \ 41?.S9 o i3 i so S 85-46'63r W 5 89'36' !' rS� 5 83'_W :t0 ' }' —"'"—• I 2u' uva cl a'p— DAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section - Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004176 Tax PIN/EH#: 5852-45-7655 Billed To: Justin Ward Subdivision Info: Reference Name: Location/Address: 426 Bobbitt Road-27q28 Proposed Facility: Residence Property Size: 40acres Date Evaluated: vG7 Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit t/ Cut FACTORS 1 2 3 4 5 4�i A 2 Landscape position L L L L Slo e% J LZ HORIZON I DEPTH La-10 /o - 2 0 - 11 C> -!! Texture group PA_ L c l CL Consistence SSP SSP fry Structure GI? c� Mineralogy C, S HORIZON 11 DEPTH -2O ii - - 277 iI-o Texture group C, G CiS Consistence rVSjf f--; V J Z-: V R Cp Structure f6k t 4RZ P61t Aek 113Y Mineralogy - L L MF lop HORIZON III DEPTH -2 07-- - _21 2 2'.35 Texture groupC.+ S i cl + 4 Oo GL Consistence. �► Structure A.SSqc A_ c MineralogyC11r HORIZON IV DEPTH Texture group L SR 6sc0 ¢�•k Consistence Structure Mineralogy5 SOIL WETNESS 2to4 - 1-4 -1 7-Y4 RESTRICTIVE HORIZON $t- ZS •7 +!'�3 SAPROLITE 7.- S CLASSIFICATION LONG-TERM ACCEPTANCE RATE 10.2— SITE 2 n•ZSITE CLASSIFICATION: 1 EVALUATION BY: .h'L71--c&;q(l6f4&4- 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-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm 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 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 05105(Revised) 07/17/2007 07:27 3367223339 PAGE 02/02 x rAGE OF CUSTOMER: Jos: )Vse f �+r' DATE: j� J a � 1 •L._.... �- �f.vim.: G�PY g 2-61n 1 NOW OM a bi s Phone-1-800768-8265. Fax: 1-919-876-5625 e5) I 1264 I EnB IrB (3741) (40.61A) 4655 a 00 _ I 1 IrB N 1 19,.6] 3 4.5 M I H N 5040 ArA I SR 1444 (1146) JJ (J Das, f i c Y , Y � _ r � � A 'y 1 (40.6 IA) . . .- - 4655 `- � r co jt J - ;4 ra •t ;rfl F y F nay' " y E'.B1 y r _ . SR 1444,. . P4 0- 10 SCL �o u. sc•Syl, F•vs ul vA� L P x Z(.-12, Se 1 �fsSP� 0. 2-- O P; T y Se F:vsvP '" I 34 - qq se "Stip v.2 L 97D �- �l0-3o c C, sv �4) O•Zj-SN?C Iao I k QS i 1 c 44 ott� 1 5 Ilk -36_ — � 4� .� ,e S 89.27'48' E S 89'27'48' E S 89'27'48' E r a t 304.16I P 159.59 1 799.99 you url p -- 39 + I AREA= 1 1.361- —AC. AREA= 24_991 AC. Za to Irl .` v rh N N J JI N M In N II 1 lo • • CIO 35 I PRELIMINARY I PLAT MAP: ' i NORMAN BLAKE OWNER -------------------- DEVELOPER 799,32 I � as m 417.59 oi Z '3 59.45 30 SSS•46 03r u 32 a� � -•---' 42 ea S 8J-'4 '46'03' W S@9-46'03' W L4. + c + cl 20' ove ah ve I n P d 20'puva cl 20•p—e cl 20'pove p X04• 21 7 -24 + + d 20•pavr c120'Pnvr BOBBITI RD. 1 R + + + 2a'Po�. S.R. . 1444 ++R/R zplk.cl 20'pove �R 2B�►ae CI rd rwll .-Ip ,yp i It la 19 + _ 150 75 0 ; =10 ?00 450 + '-P1 nip SCALE i N FEE ' • 1•I 17 + + - 'd p 14