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356 Greenhill RdHEALTH DEPARTMENT RELEASE y arm Davie County Health Department N d p„rx a. yd 210 Hospital Street y - P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Robert Timm Address: 356 Greenhill Road City: Mocksville State[Zip: NC 27028 Phone #: (336) 492-2090 , For Office Use Only *CDP File Number 123898-1 13-000-00-056-04 County ID Number: Evaluated For: HDRANWIC PERMIT VALID 1 0/ 2 5/ 2 0 1 8 UNTIL: Property Owner: Robert Timm Address: 356 Greenhill Road City: Mocksville State[Zip: NC 27028 Phone #: (336) 492-2090 r Property Location & Site Information Address356 Greenhill Road Subdivision: Phase: Lot Road# Mocksville NC 27028 SINGLE FAMILY Township: *Structure: Directions # of Bedrooms: 3 # of People: Hwy 64 West, Turn Left on Greenhill Rd. at comer of McDalister Road and Greenhill Rd. on right. *Water Supply: PUBLIC Basement: R Yes a No 'Proposed Improvement: Garage Type of Business: Total sq. Footage: No. Of Employees: It is the responsibility of the owner to maintain a 5' minimum setback between the wastewater system and any partof the structure foundation, including porches, decks, and any other appurtenances. If you are unsure as to the exact location of the septic system, please have a licensed installer or inspector locate the septic system for you. The local county health department in no way implies that the proposed construction meets the required setbacks from the septic system unless otherwise noted. This release only shows that this property has an approved wastewater system that appears to have met the permitting requirements at the time it was installed. This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? OYes ONo Applicant/Legal Reps. Signature: *Date: *Issued By: 2244 - Daywalt, Andrew /� *Date of Issue: 1 0 / 2 5 / 2 0 1 3 �, Authorized State Agent: ��qa� **Site Plan/Drawing attached.* (Total Time:(HH:MM) _ _ n 1 Hniirc o n iN inijrP.0 -A NVt Davie County Health Department �3 1836 Environmental Health Section I Im+D P.O. Box 848 / 210 Hospital Street ClG® Courier # : 09-40-06 U Mocksville, NC 27028 Phone: (336) - 753 - 6780 Fax: (336) - 751- 8786 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection Name: Phone Number Z� I (Home) Mailing Address: % j�`-� �,�� t�y1 (Work) "Z -10Z*` Email Detailed Directions To Site: 14f.'I" (aLL 74 y u Property Address: Please Fill In The Following Information.About The EXISTING Facility: �• 5( t�A_Cl Name System Installed Under: �- Type Of Facility: Date System Installed (Month/Date/Year): to (— LU7 Number Of Bedrooms: 3 Number Of People: Is The Facility Currently Vacant? Yes If Yes, For How Long? Any Known Problems? YesN,..g> If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: 3Z Number Of Bedrooms: .__--""**Number of People Requested By: Date Requested: 16 (Signature) For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Paid By: Money Order #. 114 Received By: Account #: AM Invoice #: Date: //1 //,— 27,J, -- K7 XALLIS rzR R7 M M A17"IN All data is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Implied 'W— f. warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the Country of U V; Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Printed:Oct 16, 2013 �3, 00 0 - 00 - 05-(15, -C)q, r r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990003935 Billed To: Lana McCarthy Reference Name: Proposed Facility: Residence ATC Number: 4535 4446 Tax PIN/EH #: 5728-254,249- Subdivision 728-25.424&Subdivision Info: Location/Address: Green Hill Road -27028 Property Size: As stated in 15A NCAC 18AA969(5) accepted sv,tQms may also be used AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 S reatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEW CIOKISA�LI/QOR A I AOFFE YEARS. Environmental Health Specialist's Signatur ate: O& CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. 1 rW 4 Septic System Installed By: >�J G� Environmental Health Specialist's Signature: Date: V� ; DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section ,r P. O. Box 848/210 Hospital Street fd, Mocksville, NC 27028 LI -0 ��ii (336)751-8760 ��� `- -0 IMPROVEMENT/OPERATION PERMIT Account #: 990003935 Tax PIN/EH #: 5728-25-4249 Billed To: Lana McCarthy Subdivision Info: Reference Name: Location/Address: Green Hill Road -27028 Proposed Facility: Residence Property Size: ATC Number: 4535 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type Hou -SF— #People _;0- #Bedrooms #Baths 3 Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 3. �� Type Water Supply�`�T`1�Design Wastewater Flow (GPD) Site: New Repair ❑ System Specifications: Tank Size 1CX:DGAL. Pump Tank GAL. Trench Width 3(.-� Rock Depth IZ' Linear Ft.lk� •� AN nN.tod In 1.5A NCAC 18A.1969(5) Other: �1�T�1St7Ci .�s`S, accen�oc; sv ij=)ms :nay also be used ired Site Modifications/Conditions: Kot ---P -'s' F-jp-- , V: -)-P 11:5 C4 -P MPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this i" tem between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** 110' "1 1\/i i VEnvironmental Health Specialist's Signae: DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEME A--� Davie County Health Department MAR 3 1 2006 Environmental Health Section P.O. Box 848/210 Hospital Street ENYIRONNI?ITAI HEAUFi Mocksville, NC 27028 DAVIECOUNIY (336)751-8760/ Fax 336)751-8786 Application For: Site Evaluation/Improvement Permit .eAuthorization To Construct(ATC) ❑ Both ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be BilledA04.,AyContact Person Billing Address 0 Home Phone City/State/ZIP I.?ffOL)72 Business Phone Name on Permit/ATC if Different than Above Mailing Address City/Sta PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application. &tT-d#X3 600000 5-6 0 (Permit is valid for 60 months with site plan, no expirat•on with complete plat. Street Address{( )SS 10)A el jl� /I LZ� ity Tax PIN# �7;���� yg Subdivision Name /(//,4 Se_ctiin/Lot# Lot Size Directions To Site:T ie .C/ /i/i.,f A, �. /�/arls/i�Z- Date House/Facility Corners Flagged .� �/ v �o — e/Melt dirPCf /,qactAss IVM /U,u If the answer to any of the following questions is "yes", supporting documentation must be attached. -62d .-F/ZZ ys ��Y. —<44, Are there any existing wastewater systems on the site? Dyes XNo Does the site contain jurisdictional wetlands? Dyes XNo Are there any easements or right-of-ways on the site? ❑ Yes � NoS�GO- Is the site subject to approval by another public agency? ❑Yes KNo Will wastewater other than domestic sewage be generated? ❑Yes;QNo Q� IF RESIDENCE FILL OUT THE BOX BELOW 4 1 # People # Bedrooms :— # Bathrooms �o' _ Garden Tub/Whirlpool [,Yes ❑No Basement: ❑Yes XNo Basement Plumbing: ❑Yes ;A�No 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: Yconventional ❑Accepted ❑ Innovative ❑ Alternative ❑ Other Water Supply Type: X 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 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 to det. mine co lianc w' applicable laws and rules on the above described property located in Davie County and owned by 1� ��,_ Date Site Revisit Charge Date(s): Client Notification Date: EHS: Sign given Eyes ❑No Account # Revised 2/06���`� Il �5 7Zq Invoice # ���� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003935 Tax PIN/EH #: 5728-25-4249 Billed To: Lana McCarthy Subdivision Info: Reference Name:. Location/Address: Green Hill Road-270?8 Proposed Facility: Residence Property Size: Date Evaluated: Water Supply: Evaluation By: On -Site Well Community Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % Z '� HORIZON I DEPTH Texture group C- 4--A— LConsistence Consistence F, s Structure S,Sk C.k - k MineralogyS =� HORIZON II DEPTH Texture group C< Consistence Structure A$ SF -k Mineralogy HORIZON III DEPTH Texturerou S Consistence S Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION V LONG-TERM ACCEPTANCE RATE O.3 SITE CLASSIFICATION: V5 o 2; LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: OTHER(S) PRESENT: t I")�. 34Qf, Z 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 0, 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 lyotes 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) ■■■■■■■■■■■■■■■■■■■YID!■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ o 117 CN Irk 205 00 66b 04 0 �b o M O N 04 186 143 00 (0 o00 1 rl �o Q C _ N o co LO Q CD 0 0 r Cl)CD N pNj �, 1�g01 00cl �n 1 v � C, 2M- 92 (160) Ln N 179 � 196 )3 (61)) 329 116 (130) ISO (320) r ! o N LO N Or N LO, CD Ln O C !o a O 00 9LL v� � rnC"i o 0000 v C) LO C Cl) M r o �7- A• N N Q 00 (0 � CLO) 8L N N _ (0£l) (014) OOb SSL (610) � Og 00 v N Q C o a0 h C N N Ln l LLQ M C LE L a C (1 C 992 n iQ Cil 1.543 N N v 1- C N h Q _ 7 00 Q C-4 n O LL7 Cl) O 198 FLA7 61 V N C �O 00 OC) fN0 ��.Ln Q: y 8EZ EL Z O N a 6 �'' i Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 April 13, 2006 Lana McCarthy PO Box 629 Granite Quarry, NC 28072 Re: 7.19 Acre Tract/Greenhill Road Tax PIN# 5728254249 Dear Client(s): As requested, a representative from this office visited the above site April 13, 2006 to perform a site evaluation. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. 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 or the intended use change. Improvement Permit System To Serve: Wastewater Design Flow: �C_-) UPZ�, System Type: Con-v-ennttiio�nal ❑Accepted ❑Innovative System Location: ❑Alternative ❑Other Valid: Years ❑No Expiration Site Modifications/Permit Conditions: I 00C_7 C -IN, TA_,►314 ps-i.p.letter 2/06 I he certify that I am the owner of the property shown and described hereon, which located in the County of Davis that I hereby adopt this plan of subdivision with my free consent, established minimum building setback lines and dedicate all streets, alleys, walks, parks and other sites and easement to public or private use as noted. Fultherrnors, I hereby dedicate of sanitary s sewand water Jinea to the County of Davie. •�_ /. — 7 L : DATE rn LD c� a. C D] 0 NO PROVAL REQUIRED BY TK 9XVIE COUNTY PLANNING DIRECTOR Itis. weiuefMW tlr�il � �� t eaoW : JEM C HANES .eh rereset m R.H.araed aawlkl.-fahwwd by web low r pren,NpatW ,wnwNr cord th.le witerle .d D(CEPf o=rn0 Mh Is.1d..I— rhedwtlw d Ofta-kollm and Per slrlRaUelw, 1M wNa- :swt - lie or sdo dePr4nwe. e1PORTANr NOTICE: THIS CERTIFICATE DOES NOT CONSnME A PERWr OR APPROVAL OF r4DMDLRL La15 W SND SUIDWRON FOR MOILA11011 OF 4 Grady L Tutterow, certify that this plat was drown under my supervision from an actual survey mode underm'[ supsrWn dee slod description recorded in Book 15D ; Page etc.) (other);that the boundaries not surveyed are chary Indicated as drawn from Information found in PL Book =, Page R/R SPIKE IN RD. that the ratio of precision is calculated as 1: +20.000 Gf�'_ ^''. that this plat was prepared in accordance with G.S. • 47-30 osamended. Witness my original signature, registration number and seal this day of - "'• /�„ =. D., 006- _ Su A� (Seal or Stamp) Regielrotton Number " • ' •� 95.51 � ' THIS IS AN EXEMPT FAMILY SUBDiNSION u,„ e..bA•,bb,I r r S.n,.vlr Mr fr — na,Ae ...card. Firth —l- 4 L Crcdy L T.To;. III= Lord Survgar, Number L-2527 v �1 ..,Ry to one r mond the folbwkW Mdkwted by an X: _a. That this M e plot da curvy Mat mdse o subdlwwrl of b lord within on area ofa oouny r aslnldDdlb Vat has on ordllanea oatngabt- po-1. of Ww; _b. That Mb plot b =toy cony that b boated in surd a portion of o colrAir or municipality that Ie unrepukded m to an Th.this is that r.gulol- parab d lard; That _a. Tplot le at a wrvy d an exletkp poral or pomle d bred; �LIL Thal Mle pkat le of a sung of another category. such as the N_ ncarnbklatlon of e d.0 o sort—ordrsd survey, or other exception to the Men ofa wlbdM.Ion: _.. That the bfommfbn ava0able to uae surveyr le sueh Mat 1 ora unable to • a dot --nation to the beet of ry d len in Dy prwf-w o - • contained a. t rough d. above. iPLs W Survs Registration Number JESSE C. HANES D.B. 200, PG. 237 ZONED R-20 & RA RENEW OFFICER'S CERTIFICATE I, 11.1—.A IrVEYfuAt II , Ravi" officer of Davis County, Z�EW at She mop or plot to which this certlficcff n meet* all statutory requirements for recording. FFICER McALLISTER RD. IlSg' S.R. 1148 l,aol R/R SPIKE S B9'26'08' E IN RD. O 49B, y32 CONTROL CORNER .�� TRACT 1 AT: i INLCUDES S.R. 1115 & S.j 1148 /11 - ZONED R-20 n d� TRACT 2 AREA= 3.846 AC. I I I D'RONNC i5 8 �1 z JENNIFER H. STREET EX LARRY STREET I IRON D.B. 545, PG. 885 1 ZONED RA 1 . I 1 I 1 I 1 I I 1 I I I I INLCUDES S.R. 1115 R/W ZONED R-20 & RA WADE H. DYSON JR. D.B. 200, PG. 580 ZONED RA & R-20 Fled for registration at _Lo'clocke—u. 54 1{e v 37&h2005 and recorded in Plat Book �, Pogo ✓ � o . FFM f- i polo LL Ma SNDAP — DME C. Regwtor d D -de by orr�lpP B COMROL CORNER R/R SPIKE IN RD. W :o — N V W ` = ;zz=i 33.93 s oz•w'13•� NEW IRON R/R SPIKE IN RD. 25 S 02.50'13' E� 6&79 hi, A� S 03.25'12' E rV tt 95.51 � v r r 5. S 05;2. v �1 92.32 L� b S OB•28.46' E\ 48.83 11 20. EXISTING IRON N_ o � f ��Zqe Hh'Y 6q McALLISTER �RD NO SCALE VICINITY MAP --S�uedNNbnWiWO d iNd Dob Cowry. TI Oft od is *Y :.:A. fwnR/ eldMMm orW b far ow -ehw11 p,rae•. d IoW emenP frNy mereen wtllM tlIe tNN dpr- M e,rw IeM ihr bb/Web Md -! M U -d b V. rwyew of sale r veer -e or an, b ow hAww•VI for tlw- I*N, opp�wolr Ing M r.RIiW er Deb b eaoe-r Wfan arr/ wbq-A ed. r LwedYq w. w� 1 A.ar - • - _' II,e1�N Mein �„rwew .ee Ail !. e�.r.rl Nr sire 1, i A N Ore e a t 7Ei L4 e„d }, JESSE C. HANES _N1_[A_—ley? P„e Nemo D•�oo��ee-M�y► S Neer- RelwbrrNp Laf/_ end 4. Let/ . PIN Nw,r RweualeAP e. Name R•laaea•I14 L4- 1) 2 TRACTS TOTAL OF 7.7554 AC. 2) TRACT 1 HAS BEEN EVALUATED AT THIS TIME FOR A PRIVATE SEPTIC SYSTEM BEFORE A BUILDING PERMIT CAN BE ISSUED FOR TRACT 2 TRACT AN EVALUATION WILL HAVE TO BE PREFORMED FOR A SEPTIC SYSTEM 3) THIS PROPERTY IS NOT LOCATED WITHIN A FLOOD ZONED AREA 4) NO NCGS MONUMENT LOCATED WITHIN 2000 FT 5 MINIMUM SET' -BACKS: FRONT- 30 FT SIDE- 15 FT REAR- 30 FT 6) THIS PROPERTY IS LOCATED WITHIN A WS III & WS N WATERSHED PLAT MAP: JESSE C. HANES OWNER ------------------ DEVELOPER JESSE C. HANES 427 GREENHILL RD. MOCKSVILLE, N.C. 27028 (336) 492-7539 MOCKSVILLE TOWNSHIP DAVIE COUNTY, NORTH CAROLINA DATE: AUGUST -15-2006 SURVEYED BY: TUTTEROW SURVEYING COMPANY 107 NORTH SALISBURY STREET MOCKSNLLE, NC 27028 (336) 751-5616 1* - 100' 100 50 0 100 200 300 SCALE IN FEET FILE NAME COORD NAME: DRAWING NUMBER: HANES-JC HANE -CAR -72 20906-3