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373 Cherry Hill Rd Davie County,NC Tax Parcel Report ��1 Monday, September 26, 2016 rt 23 7J \ 26 271 293 � 6 295� 141 ✓' 369 ti "X\-3 371 1 L-- ---~3 3 2 ^973 ++ i� 445 ---- WARNING: THIS IS NOT A SURVEY _...�: � ,l ParceInformation M ..a._ce _.. Parcel Number: M60000004401 Township: Jerusalem NCPIN Number: 5756617539 Municipality: Account Number: 11826000 Census Tract: 37059-807 Listed Owner 1: BURTON TERRY R Voting Precinct: JERUSALEM Mailing Address 1: 373 CHERRYHILL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 30.276 AC CHERRY HILL RD Fire Response District: JERUSALEM Assessed Acreage: 30.30 Elementary School Zone: COOLEEMEE Deed Date: 1/1900 Middle School Zone: SOUTH DAVIE Deed Book/Page: 001240420 Soil Types: PaD,PcB2,PcC2,RnD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 389480.00 Outbuilding&ExtraFreatures Value: 42020.00 Land Value: 214530.00 Total Market Value: 646030.00 Total Assessed Value: 488290.00 161 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 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 Sti(;�t — Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 ^t Co. OPERATION PERMIT Account #: 990002367 Tax PIN/EH#: 5756-61-7539 Billed To: Terry Burton Subdivision Info:u 31a Z (� Reference Name: Terry Burton LocationiAddress 'Cherry Hill Road-27028 Proposed Facility: Residence. Property Size: 1 acre w ATC Number: 5076 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article I I 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. System Type: S.T.Manufacturer Tank Date Tank Size (� V Pump Tank Size System Installed By: Nl Qa .H.Specialist: ;06 Date: i� G� d L �l • ... ��A I WM � to 8c)t5 DCHD 11/06(Revised) 6�. Cool7 a A PPS 2 i6 gpl lj ' f 1 ` DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680( AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990002367 Tax PIN/EH#: 5756-61-7539 Billed To: Terry Burton Subdivision Info: Reference Name: Terry Burton LocationiAddress: Cherry Hill Road-27028 Proposed Facility: Residence Property Size: 1 a re ATC Number. 5076 Site Type: ew ❑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 #Bathrooms #People Basement❑ Basement plumbing[] Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size� � Type of Water Supply: PCbunty/City ❑Well ❑C,,o�m)munity Well System Specifications: Design Wastewater Flow(GPD) {� Tank Size�gqL.Pump Tank GAL. •c Trench Width Max.Trench Depth 3 G „Rock Depth )aLinear Ft. ,�6 t 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 1 1-8760. Q LA �T`r iooX.3 � fob r3 Environmental Health Specialiste, c;%!� Date: l� DCHD 11/06(Revised) Davie CountyEnvironmental Health P.O.Box 848/210 Hospital Strut — Mocksville,NC 27028 (336)753-6780/Fax(336)753-1680 IMPROVEMENT PERMIT Account #: 990002367 Tax PIN/EH#: 5756-61-7539 Billed To: Terry Burton Subdivision Info: Address: 373 Cherry Hill Road Location/Address: Cherry Hill Road-27028 City: Mocksville Property Size: 1 acre r Reference Name: Terry Burton 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 pla s,plat or the intended use change. PermitType: ew ❑Repair ❑Expansion Permit Valid for: C�75 Years ❑No Expiration Residential Specifications: #Bedrooms #Bathrooms 2#People Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People . #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD):_0 Type of Water Supply: ounty/City O Well ❑Community Well Site Modifications/Permit Conditions: As stated in 15A NCAC 18A.1969151 secepted .SyStO1115 may a150 tie ►,Sed System Type LTAR Initial C Q _ 7 lepair Site Plan \J CA T • Y ,Or.Ue_wAOL t -�t� 1%d 41C Environmental Health Specialist i.p.1.1-06 • APPLICATION FOR SITE EVALUATION/IMPROVEMEN Eqq RMIT & ATC Davie County Environmental Health l APR 14 2010 P.O.Box 848/210 Hospital Street I I. Mocksville,NC 27028 L — (336)753-6780/Fax(336)753-1680 ENVIMNIVE ITAL HMA M QAlIE COUNTY Application For: E4-Site Evalugtion/Improvement Permit D-Authorization To Construct(ATC) 'Both Type of Application: 9lTew System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility *�*IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION n / _ Name " t�,:�' t v>..1 Contact Person �� ✓'�G Address l��"lc:_.� ( t,.w"( XJ Home Phone ":j I P / City/State/ZIP 1 11(-L,,,..I✓ c )�_cC, Z--7i,,Z4, Business Phone 3 1`t-74:1/1 Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name S,6vk' Phone Number Owner's Address City/State/Zip Property Address City Lot Size Tax PIN#S75*6-6/+7tS4 Subdivision Name(if applicable) Section/Lot# 9 Directions To Site:_ 1 ��5 'fes -►z U}S (�v.J.)i-- u•'�+ Lf ;�1"u >E'1 +} �cY% �% it1� 4�:� Iic�1,Z it�, C:=/L,:.yi)11 OL 1,6-1 ba 71=16 If the answer to hny of the following questions is"Yes",supporting documentation must be attached: Are there any existing wastewater systems on the site? - Yes YNo Does the site contain jurisdictional wetlands? _Yes KNo Are there any easements or right-of-ways on the site? _Yes -7e-No Is the site subject to approval by another public agency? _Yes k.No Will wastewater other than domestic sewage be generated? Yes `x;No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms 2.. #Bathrooms Garden Tub/Whirlpool ❑Yes ❑No Basement: ❑Yes ❑No Basement Plumbing: ❑Yes ❑No IF NON-RESIDENCE FILL OUT THE BOX BELOW Type.ofFacilityBusiness 63M' HWE Total Square Footage of Building Mce,CI #People # Sinks 3 #Commodes 2 _ # Showers i #Urinals i2 Estimated Water Usage.(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: AlConventional ❑Accepted ❑Innovative []Alternative ❑Other Water Supply Type: County/City Water ❑New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes XNo 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 hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and Ie -T and ��stand at I am responsible for the proper identification and labeling of property lines and corners and los and fI in t mg t e e facility location,proposed well location and the location of any other amenities. Site Revisit Charge Property o ner's or owner's legal representative signature / I Date(s): Client Notification Date: Date EHS: Sign given ❑Yes ❑NoAccount# 2-T4 7 Revised 11/06 .Invoice# 7Ztv_.fao/ GoMaps GIS Page 1 of 6 s J� J27� J 371 4 37-3j � r i i r f 3'113 f .- f lug ;428 4,17,j `43-2 �t t r \ - Oo181tt rcr J` \ http://maps.co.davie.nc.us/GoMaps/map/map.cfm?CFID=4129&CFTOKEN=61640881 4/14/2010 , r 1 - ' DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002367 Tax PIN/EH#: 5756-61-7539 Billed To: Terry Burton Subdivision Info: Reference Name: Terry Burton Location/Address: Cherry Hill Road-27028 Proposed Facility: Residence Property Size: 1 acre Date Evaluated: —�d Water Supply: On-Site Well Community Public V Evaluation By: Auger Boring ./ Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH Texture groupG G Consistence Structure 542- Mineralogy Mineralo HORIZON II DEPTH Texture group 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 s LONG-TERM ACCEPTANCE RATE 7 0- X77 SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: � OTHER(S)PRESENT: . REMARKS: LEGEND LandscapePosition 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 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) TTAR -Lnnv-tr.rm arrPntnnrP rate-anlhinv/ft) TNrrrrl nc1nc