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167 Fantasia LnDavie Countv, NC Tax Parcel Report Friday. September 30, 201 E WARNING: THIS 1S NOTA SURVEY Zvi All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the 9 A' Davie County,Implied warranties of merchantability or fitness for articular use. All users of Davie County's p ty p 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 �7 �OUry S� 1\ C or arising out of the use or Inability to use the GIS data provided by this website. Parcel Information Parcel Number: 190000000907 Township: Fulton NCPIN Number: 5788856926 Municipality: Account Number: 82532890 Census Tract: 37059-804 Listed Owner 1: BARNES CHAD ERIC Voting Precinct: FULTON Mailing Address 1: 303 FANTASIA LANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 2.0 ac Fantasia Ln Fire Response District: ADVANCE Assessed Acreage: 2.00 Elementary School Zone: SHADY GROVE Deed Date: 5/2011 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008580949 Soil Types: PaD,PcB2 Plat Book: 10 Flood Zone: Plat Page: 323 Watershed Overlay: DAVIE COUNTY Building Value: 101440.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 26000.00 Total Market Value: 127440.00 Total Assessed Value: 127440.00 Zvi All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the 9 A' Davie County,Implied warranties of merchantability or fitness for articular use. All users of Davie County's p ty p 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 �7 �OUry S� 1\ C or arising out of the use or Inability to use the GIS data provided by this website. �vXo • DAVIE COUNTY HEALTH DEPARTMENT '* IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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) NAME LOCATION SUBDIVISION NAME [�5 PROPERTY ADDRESS��/%� t • — 'Id d/ DATE LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS _ # BATHS -9 # OCCUPANTS ..I GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY A0?11 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE .S/" , SYSTEM SPECIFICATIONS: TANK SIZE IM GAL. PUMP TANK GAL. TRENCH WIDTH �ROCK DEPTHLINEAR FT.%j�� 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. IMPROVEMENT PERMIT BY/� **CONTACT A REPRESENTATIVE OF THE DAVIE C0UNTY 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 # I5 (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY rn W- iD� LLAUTHORIZATION NO. ` , v DPERATI PERMIT BY �C / DATE O�- **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 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTION ;w 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 County Building Inspections Office when applying for Building Permits.*** �� AUTHORIZATION NUFBER NAME /%40' �r',nlc'_S DATE ��5 ��` % ,e � ;� NAME ON IMPROVEMENT PERR�MIT (If different than above) SITE LOCATION y'.�1�/J7 COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM #**NOTICES THIS AUTHORIZATIDN� WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. i �ss ENVIWNMENTAL HEAN SPECIALIST DATE APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People — No. of Bedrooms No. of Bathrooms Business Phor(e % PAc,ca- U -Septic Tank Installation Permit obile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine / ishwasher Dwelling Dimensions ` ❑ 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: ❑ Publicrivate ElCommunity 8. Property Dimensions C2 AC- Of 00 CIC-"� Sewage Disposal Contractor 56ALM5 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 1;4� If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORMATION REQUIRED: Directions to Property: �k. kc/ Tk� ,DoP%s (7k. I��l Rol 9W 4� p7i/es Tax Of f i cc PIN: PROPERTY ADDRESS, as follows: Road Name: City: SUI3MIT A PLAT WITH THIS APPLICATION. Revisions effec Lve 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. �- l & - DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. FPD 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 representativplof the Davie Cog9ty Heao Department to enter upon above described property located in Davie County and owned by 7Po f GO,Q �1L5 to conduct all testing procedures as necessary to determine aisite's suitability for a ground absorption sewage treatment and disposal system. �- 91 LAO -lluoj DATE SIGNATURE DCHD (1/93) 7.0t 4 57.10 AC. 382?2 v'� 3.54Ac. 0 ?32.38 2.98.44 ni 3 672 F 278.3 7 71. 67 Mi- 1369.96 2, 6 co Q 5. 2 pc . M 8.01 00 90 25`' N 32.65Ac 10 IrQ -q g Ac M bb. 00 v U-) Lo 3.17 At, y co o - a 270 L LO 04 .73267' (}, r 9.03 N 2�.� 23.58AG 159 { . N 70.. 158.69 N W� �✓ N U 98 9 Ac • 9 623 I I C.21 A c. 1094.54 132 N W O N NJ 80.63Ac "? 1938.47 Po ur w � v O 16_ 't N 25A C. (42,79 Ac Ac.} n w _ 2 011.02 co 2TI :T5 2272a 1 s+ ` M o191.2 8 � TOTAL � 18 v,. P E EBl ES CEM. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME IA) j 1 PS DATE EVALUATED ADDRESS PROPERTY SIZEG' / PROPOSED FACIILTY—�:2 Z-1:� LOCATION OF SITE Water Supply: On -Site Well �,/ _ Community Public, Evaluation By: Auger Boring ,/ Pit Cut FACTORS 1 2 3 4 Landscape position L L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy i HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: J EVALUATED BY:/`/C?// LANG -TERM ACCEPTANCE RATE: I 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 ;lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+--. -y 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 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 (01-901 ■��■��■��/�� ■ ■ �A ■ ■��_��N��n�� ■�� ■�� ■�■�� ■�� ■ ■��■��u■�� u�� ■��H��■��■��\�� / �� ■��i�� v�� .............................�......_■........ .... �............. ■��u��/ �� . 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