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4080 Hwy 158 (2) OPERATION PERMIT or rce se nt y Davie County Health Department *CDP File Number 195363-1 210 Hospital Street 5861-05.68e2.. P.O. Box 848 County ID Numtr, . -���- Mocksville NC 27028 Evaluated For. NEW Phone:336-753-6780 Fax:336-753-1680 Township: Applicant: Jeffrey T Gregory Property owner. Jeffrey T Gregory Address: 215 Brier Creek Rd Address: 215 Brier Creek Rd City: Advance City: Advance State2ip: NC 27006 State/Zip: NC 27006 Phone#: (336)978-5245 Phone#: (336)978-5245 Property Location & Site Information Address/Road#: Subdivision: Phase: Lot: 2 Hwy 158 Advance NC 27006 Directions Structure: SINGLE FAMILY Hwy 158 at Howardtown Circle #of Bedrooms: 2 #of People: "Water Supply: PUBLIC *IP Issued by. 2140-Nations,Robert 'System Classification/Description: TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *CA issued by: 2140.Nations,Robed SaproliteSystem? 0Yes 6@ No Design Flow: a 4 0 Distribution Type: GRAVITY-SERIAL Pump Required? QYes (J)No Soil Application Rate: 0 - a 7 5 *Pre Treatment: Drain field Nit ification Field 8 7 3 S4•ft. *System Type: INFILTRATOR QUICK 4 STANDARD No. Drain Lines a Installer: Jamie Barnes Total Trench Length: a 1 8 Certification#: Trench Spacing: _ 9 Inches O.C. Feet O.C. *EH S: 2140-Nation,Robert Trench Width: _ 3 ()Inches Feet Date: 0 3 / a 9 / a 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 6 _ Inches Minimum Soil Cover. a 4Inches ApprovalStatus� s Maximum Trench Depth: 3 6 ® ApprovedC]£DlsapproYed Inches �a Maximum Soil Cover. 2 4 Inches 195363 - 1_ � 586105-6892 CDP File Number County ID Number: Septic Tank Manufacturer. Shaof Lat. STB: 760 Long: Installer Jamie tames Gallons: 1000 Date: 1 1 / 1 1 / x 0 1 5 Certification#: *EHS: 2140-Natkons,Robed *Filter Brand: POLYLOK PL-122 With Pipe Adapter Date: 0 . 3 / a 9 / a 0 1 6 ST Marker. ❑ Yes El Na - ��Approval Itatus Reinforced Tank: ❑ Yes ® No 1 PieceTank: El Q No ❑ Appravedtsapproired Pump Tank Manufacturer. Installer. PT: Certification#: Gallons: *EHS: Date: / Date: Riser Seated ❑ Yes ❑ No Riser Height:"❑ Yes El No {Min.6 in.} �Appmval Status r Reinforced Tank: ❑ Yes ❑ No ❑ Approved Cl ©isappioved 1 Piece Tank: ❑__YeS ❑ _No Supply line Pipe Size: inch diameter Installer: Pipe Length: feet Certification n: *Schedule: *EHS: Pressure Rated ❑ Yes ❑ No Date., Approved fittings ❑ Yes ❑ No Approvals#etas ��Q Approved❑,�}tspproue �� Pump e Pump Type: installer: Dosing Volume: — Gal Certification#: Draw Down: Inches *EHS: *Chain: Date: Valves Accessible ❑ Yes ❑ No Flow Adjustment Valve ❑ Yes ❑ No Check-valve ❑ Yes ❑ No Approvals#anus PVC unions ❑ Yes ❑ No ® Approved❑VDtsapprovecl Vent Hole ❑ Yes ❑ No Anti-siphon Hole ❑ Yes 0 No CDP Fite Number 195363- 1 County ID Number: 5861.05-6892 V Electric Equipment N�EMA4X or Equivalent 0 Yes ❑ No Installer. Box 12 inches Above Grade ❑ Yes ❑ NO Certification#: Box Adj.To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No 'EHS: Pump Manually Operable ❑ Yes ❑ No *Activation Method: Date: Approval Status , Alarm Audible El Yes ❑ No p Approved❑ Disapproved Alarm Visible ❑ Yes ❑ No 2140-Nations,Robert 'Operation Permit completed by: Authorized State Agent: Date of Issue: 0 / a 9 / 1 5 Owner/Applicant Signature: This system has been installed in compliance with applicable NC General Statutes:Article 11, Chapter 130A, Rules for Sewage Treatment and Disposal,15A NCAC 18A .1900 et. Seq.,and as conditions of the Improvement Permit and Construction Authorization.This property is served by a TYPE 11 A. sewage septic system. Rule .1961 requires that a Type TYPE 11 k septic system meet the following criteria: Minimum System Review ByThe Local Health Department: WA Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator.NIA Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract with a public management entitywith a certified operator or a private certified operator for the life of the septic system. Rule .1961 requires that Type VI septic systems designed fora hometbusiness owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2)(e)requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit for a system required to be maintained by public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements formaintenance and operation, responsibilities of the owner and systems operator,provisions that the contract shall be in effect for as long as the system is in use,and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Permit that subsequent owners of the systems execute such a contract. d Hand Drawing OlmportDrawing **Site Plan/Drawing attached." °'' OPERATION PERMIT 195363 - 1 Davie County Health Department CDP File Number: 210 Hospital Street 5861-05-68I P.O.Box M County File Number: 92 Mocksville NC 27028 Date: I / O Inch Drawing Drawing Type: Operation Permit Scale: OBIock ON/A I I I I II id— I f _ r{ i 'A e For Office Use Only CONSTRUCTION AUTHORIZATION "CDP File Number '195363-1 °=• Davie County Health Department County ID Number, 210 Hospital Street Evaluated For. NEW 848 Box P.O.� P•.:,...• 'Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax:336-753-1680 0 7 / a a / a 0 a 0 Applicant: Jeffrey T Gregory Property Owner: Jeffrey T Grebry Address: 215 Brier Creek Rd Address: 215 Brier Creek Rd Cily: Advance City: Advance State2ip: NC 27006 State2ip: NC 27006 Phone#: (336)978-5245 1,,Phone#: (336)978-5245 Property Location & Site Information Address/Road #: Subdivision: Phase: Lot: 2 Hwy 158 Advance NC 27006 Directions Structure: SINGLE FAMILY Hwy 158 at Howardtown Circle #of Bedrooms: 2 #of People: "Water Supply: PUBLIC System Specifications Minimum Trench Depth: a 4 rDesigan ification: Provisionally Suitable Inches Minimum Soil Cover. System? OYes @No 1 a Inches w: a 4 0 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 - a 7 5 Maximum Soil Cover: a 4 Inches 'System Classification/Description: *Distribution Type: GRAVITY-PARALLEL(eq.d-box) TYPE II A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 1 0 0 0 _ Gallons *Proposed System: 25%REDUCTION 1-Piece: OYes @No Pump Required: OYes @No OMay Be Required Nitrification Field 8 7 3 Sq.ft. Pump Tank: Gallons No.Drain Lines 4 1-Piece:OYes ONo Total Trench Length: a 1 $ ftGPM—vs— ft. TDH Trench Spacing: Inches O.C. 9 . @Feet O.C. Dosing Volume: _ Gallons Trench Width: Inches 3 _ @Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS-1 OTS-11 Septic Tank lnstallerGrade Level Required: 0) OII O UI OIV t Dona 1 of Q � 5861-0"892 CDP File Number 195363- 1 Coun ID Number % ❑ Open Pump System Sheet Repair System Required:®Yes ONO ONO, but has Available Space rDesign System Trench Spacing: @Feet Inches 0. . ification: Provisionally Suitable — 9 O.C. Trench Width: Inches w: a 4 0 1 — - 3 Feet Soil Application Rate: 0 - a 7 5 Aggregate Depth: inches Minimum Trench Depth: a 4 *System Classification/Description: Inches TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480,GPD OR LESS) Minimum Soil Cover. 1 a Inches 'Proposed System: 25%REDUCTION Maximum Trench Depth: 3 6 Inches a 4 Inches Nitrification Field $ 7 3 Sq.ft. Maximum Soil Cover. No. Drain Lines 3 *Distribution Type: GRAVITY-PARALLEL(eq.d-box) Total Trench Length: a 1 8 ft. Pump Required: Oyes @No (' May Be Required Pre Treatment: ONSF OTS-1 OTS-II "Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. "Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Authorization for Wastewater system Construction shall be valid for a person equal to the period of validity of the Improvement Permit,not to exceed five years,and maybe issued at the sane the Improvement Permit issued(NCGS 130A-336(b)j if the installation has not been completed during the period of validity of the Construction Permit,the information submitted lin the application fora permit or Construction Authorization is found to have been incorrect+falsified or changed,or the site Is altered,the permit or Construction Authorization shall become invalid,and maybe suspended or revoked(.1937(g)).The person owning or controlling the system shall be responsible forassuring compliance with the laws,rules,and permit conditions regarding system location,Installation,operation,maintenance,monitoring,reporting and repair Applicant/Legal Reps.Signature Required? Oyes ONO Applicant/Legal Reps.Signature: Date: 2140-Nations,Robert 0 7 a s 1 a 0 1 5 Issued By., Date of Issue: - Authorized State Agent: Malfunction Log OYes @Hand Drawing Olmport Drawing **Site Pian/Drawing attached.** Page 2 of 3 CONSTRUCTION AUTHORIZATION Davie County Health Department CDP File Number: 210 Hospital Street County File Number: 5861-05-6892 P.O.Box 848 Mocksville NC 27028 Date: 0 7 / a a / a 0 1 5 Q Inch Drawing Drawing Type: .Construction Authorization Scale: , , QBiock O N/A y co 9 _ IIS _ V %'L 010' W -------_ _J- - CONSTRUCTION AUTHORIZATION ' Davie County Health Department �! 210 Hospital Street CDP File Number: J.0.Box 848 5861.05.6892 I�� (" 1,�4" Mocksville NC 27028 County File Number; . Date: .07 / 22 / 2015 Click below to import an image from an external location: Drawing Type:Construction Authorization /Z 34 Lill I-- moo ' d �- yU 4,Y-,t L I �U • IMPROVEMENT PERMIT For OfficeUseonly • 'CDP File Number 195363-1 ..¢"�, Davie County Health Department e County ID Number.5861.05-6892 210 Hospital Street P.O. Box 848 Evaluated For: NEW Mocksville NC 27028 Township: Phone:336-753-6780 Fax:336-753-1680 PERMIT VALID UNTIL 7/22/2020 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Jeffrey T Gregory Property owner: Jeffrey T Grefory Address: 215 Brier Creek Rd Address: 215 Brier Creek Rd City: Advance City: Advance StatefZip: NC 27006 StatefZip: NC 27006 Phone#: (336)978-5245 Phone#: (336)978-5245 Property Location & Site Information Address/Road#: Subdivision: Phase: Lot: 2 Hwy 158 Advance NC 27006 Directions Structure: SINGLE FAMILY Hwy 158 at Howardtown Circle #of Bedrooms: 2 #of People: "Water Supply: PUBLIC System Specifications nitial S stem "Site Classification: Provisionally Suitable Minimum Trench Depth: 2 4 Inches SaproliteSystem? OYes ONo Maximum Trench Depth: 3 6 Inches Design Flow: 2 4 0 Septic Tank: 1 0 0 0 Gallons Soil Application Rate: 0 2 7 5 1-Piece: OYes @No Pump Required: OYes QNo OMay Be Required 'System Classification/Description: TYPE II A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR Pump Tank: Gallons LESS) 'Proposed System: 25%REDUCTION 1-Piece: OYes ONo Repair System Required:pYes ONo ONO, but has Available Space Repair System "Site Classification: Provisionally suitable Minimum Trench Depth: a 4 Inches Soil Application Rate: 6 - 2 7 5 Maximum Trench Depth: 3 6 Inches7 "System Classification/Description: Pump Required: OYes @No O Maybe Required TYPE II A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) z* 7 posed System: 25%REDUCTION Page 1 of 3 CDP!rile Number 195363- 1 County ID Number. 5861-05-8892 *Site Modifications ❑ Open Fin Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. i *Permit Conditions The issuance of this permit by the Health Department in noway guarantees the issuance of otherpermits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. Site Plan The Improvement Permit shall be valid for 5 years from date of Issue with a site plan(means a drawing not necessarily drawn to O :its that showstheexisting and proposed property lines with dimensions,the location of the facility'and appurtenances,the site forthe proposed Wastewater system,and the location of water supplies and surfacewaters). Plat The Improvement Permit shall be%arid without expiration with plat(means a property surveyed prepared by a registered land surveyor,drawn to a scale of one inch equals no morethan 60 fee;that includes:the specific location of the proposed facility O and appurtenances,the site for the proposed Wastewater system,and the location of water supplies and surface waters.Plat also means,for subdivision lots approved by the local planning authority and recorded with the county register of deeds,a copy of the recorded subdivisions plat that is accompanied by a site plan that Is drawn to state). The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of the system to satisfy the conditions,the rules,or this article:This permit is subject to revocation if the site pian,plat,or Intended use changes(NCGS 130A335(f)).The person owning orcontroiling the system shall be responsible forassuring compliance with the laws,rules,and permit conditions regarding system location,installation,operation,maintenance,monitoring, reporting,and repair(.1 Appiicant(Legal Reps.Signature Required? OYes ONO Applicant/Legal Reps.Signature: Date: *Issued By: 2140-Nations,Robert Date of Issue: td ? 2 a 2 0 1 5 OValid without Expiration? Authorized State gent: OCreate GA? @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT Davie County Health Department CDP File Number: 195363 - 1 - 210 Hospital Street 5861-05-6892 P.O.Box 848 County File Number: Mocksville IVC 27028 Date: Q Inch Drawing Drawing Type: Improvement Permit Scale: QQN/A 1 - Block J AL I i I —I LAb {-I- 10 I-wjf-LL- L I IMPROVEMENT PERMIT Davie County Health Department 210 Hospital street CDP File Number: •195363 - 1 P.O.Box 848 5861-05-6892 Mocksville NC 27028 County File Number: Date: O7 / aa / 2015 Click below to Import an Image from an external location:Drawing Type Improvement Permit 1 i f ` -z 7.2 i Fly, 7 - J APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&AT^QJVp1 Davie County Environmental Health P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax(336)753-1680 Application For: ❑Site Evaluation/Improvement Permit ❑Authorization To Construct(ATC) XBoth Type of Application: (New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT***THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION /'� Name to be Billed G G Contact Person �— G/ L Billing Address W/ Home Phone 3145, 5;7s?�,u v- City/State/ZIP G/�� �iC. �!/�t,L Business Phone mr-A. 49Y• CrV92 Name on Pemtit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. Included:N Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name TvcJ,/ 4�5gkL f Phone NumbeJ-76'17P•5'Z Owner's Address R/-S— ity/State/Zip Z 7W6 Property Address City Aelue-4 4,— Lot Size /. 24F9 C 446 Tax PIN# Subdivision Name(if applicable) Section/Lot# .Z Directions To Site: C g$oor-lt— If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes JJNo Does the site contain jurisdictional wetlands? ❑Yes XNo Are there any easements or right-of-ways on the site? SI'Yes❑No Is the site subject to approval by another public agency? ❑Yes.MNo Will wastewater other than domestic sewage be generated? ❑Yes 4No IF RESIDENCE FILL OUT THE BOX BELOW #People -2- _ #Bedrooms _Z_ #Bathrooms.2*S' GardenTub/Whirlpool❑Yes Wo Basement: ❑Yes FXNo Basement Plumbing: ❑Yes ;rNo 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: XConventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:Y County/City Water ❑New Well ❑Existing Well ❑Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?C Yes KNo 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 rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locatin an fl ging o-rpaking the houlpdacility location,proposed well location and the location of any other amenities. Pr r s or owner's legal represe rve nature Site Revisit Charge Date(s): 7— — / Client Notification Date: Date EHS: Sign given ❑Yes❑No Account# �� Revised 11106 Invoice# R DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site-Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Jeffery T. Gregory Hwy 158 336 978-5245 1.399 Acres 336 998-9999 / ID# 5861056892 Water Supply: On-Site Well Community I Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position I Slope% I HORIZON I DEPTH — I Texture group ' Consistence .J j Structure Mineralogy I - HORIZON II DEPTH --4 I Texture groupI Consistence < C j Structure A co fe I Mineralogy HORIZON III DEPTH I Texture groupI Consistence I Structure I Mineralogyj HORIZON IV DEPTH I Texture groupI Consistence Structure MineralogyI SOIL WETNESS i RESTRICTIVE HORIZON SAPROLITE I CLASSIFICATION IrI LONG-TERM ACCEPTANCE RATE n —' I SITE CLASSIFICATION: f 5 EVALUATION BY: I&WA�©v' LONG-TERM ACCEPTANCE RATE: ` OTHER(S)PRESE 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 lope 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 CONSIST +1V . , Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely f 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 bloc ky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1,2:1,Mixed dotes .. 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 wichroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-eal/dav/ft2 r►run ncmc CERTIFlCATE OF OVM�iERSHIP AND DEDICATION I hereby cartify that i am the own� of the property d�scr�eci hareon. which is lacat�c! in the subdivision juriadiction of Davie County and that I hsreby adopt this subdivision plan with my fr�e cons+nt, �stabiis#� min�num builciing s�tback lin�s and dedica#e dl streets (roads), aFlaya, waNcs, pa�ics and oth�r site� and easements to public or private use as noted. ��� � � ��-y Date '' • ,3-3 •t�► . Ricky G. Da Dote � / � �Q � / � i- ----- NO P NING DEPARTI� APPROWIL REQUIRED. P CTOR / / �� 1 �� �.� �� ti� ��� � / � � � _w6� ��� � 3/4' / / Review Officer's Certificate STATE OF' NORTH CAROLINA C DAVIE �, Rsview Officer of Davie County, c�rtify thot the mop or plat to which this certification ia af�ixed mnets all statutory requiremsnts for r�c q. � � � � Revi� Ofiicer oat� _ 3 � � IrCGS 1/onume �t � � i �';.�.� / d•g%6�� E: 1,S70�t�1.�2' r�?i � � �` llAp 1 !i3 / ,� �� ��� co�.a cria �e �na 5 3��oG l F� /'� / 62 �(�G O.��ii42540 � , � -� � \ i� \ � i � / d �aG�/ / \ � � 3/ 1 "EIP N: 81 `.07�.06' E: 1,5�Q.731.57' /� � ?��� i / 5 � l `� `�� Y� !� ,�`�, i � "� �� � � �` n�i� O / � � \ � \ �.r g � \ �, � � \ � � `;`� U ,��'�' � i' Sig� � / � � �. �`�'� � n �.1 �J ��i 1 Ci �J �" \ �`'�°�� ' ` � , " �,�, i � n ' � � � a � � � ..-� 9 R;/W) � ` \ � � i �I \ ,, � —= � � � � �� \ � �s � � �i � �� ' � \� �- � � �i � , � � i � \6 .� � � , DAVIE COUNTY RE�ISTER OF DEEDS PLAT REGISTRATION FILED FOR RE ISTRATION AT I��.3 0'CLOCk I_M. THIS, THE ��_ DAY OF�J S'�„ 2014 AND RECORDED IN PLAT BOOK l� PAG — Co�___J,��. M. BREfJT SHOAF, REGISTER OF DEEDS FILING FEE PAID.��.40 - BY: � � , �_ _ � � ' ___+_. _. �. � .....�F ����......�. __. . � � � � qi- / ,� \ �� � � / / \ ^ � \� �� �� � 6 �� � 3d � � � � \ O � ci\ � � i � ' � \ \ � I �\ \ � i � I .�50 Acr�s ��� `� ��' S'� ���'� \�� � ` (Includ�n ) 3/4'�EIP� � �, � \ �� NOTES: I. PIN:5861056892 2. Deed R,eference: DB I 89 PG 4 I 6 �. �onea: ri-ts (P>o i�i F) 4. Zoning setbx{cs ti-B: Front = 30' 5idc = I O' R,�ar = 20' 3. Zoned: R 20 (Lots 2� 3) 4. Zornng setbacks R-20: Front = 30' S�de = I 5' Rear = 30' 5. Total Wumber of Lots: 3 7otal Area: 4. I 9 Acres LEGEND EIP ERS IRS PT EP EG R/W PI N WM 1A/V FIi RCP PlAD NCGS NTS X- -o- zt � g .� '� � . i � o s�, . �,. � Ti ��� 1,d�a �'� �! \� Q' /�,a`� , \ \ �' �• � -.:���\\ � � \�_ _ "� p ,�.:-�"� `� � \ f�r �!\ � �. \ � \ �i '" __. � �, � ,� � � � \ � �, F" \ � �, �---- ------- � Za s�� � . t c� � : e1S.i40.03' ' � I �: �,s�o.��a.�e' �� � � F�CISTING IRON PiPE IXISTING RAtLROAD SPIKE #�5 REB/�R SET POfNT NOT FOUND OR 5ET EDGE OF PAVEMENT EDGE OF GRAVEL R1GHT-OF-WAY PARCEL IDENIIFICATION NUMBER WATER METER WATER VALVE FI RE tiYDRANY REINFORCED CONCRETE PIPE NORTFi AMfRICAN DATUM NORTti CAROLINA GEODETIC SURVEY NOT TO SCALE FENCE ove�� uTiu�r uT►�rrY Pot� �IGFiT POLE ( � � \ z I 4� - � \ �g�� � � 3 N � � � �I� \ � � v �I� - N 3 �I� 1 t�KxS Yotw�►# �T'E1M�t'�" IN: �i,i27.43' E 1.3iQ.S30.13' I�iAD 1 l�.i ce�,.d c.�d 1 F°� o.s��4aa (.uther Wai�ne �n.�e naphie A, �rye PIN; 586115Q879 t�3109 pG 165 3�' � /�i ss�\ �i . o � , �, � � \ � � ' I .3�8 AcrEs �� i � � � � > \s � \ •, ��6 � . ��� � \ �-------------------- --------------� 30' Setback I---- -_ ' — - . -- ____ Har►y G. Knder Arvata M, Krider te pIN: 5861059536 t7f� 152 pG 391 178 I22 pG 58 - . ` � . ` \ .' � � � � 1.5'EIP OWNERs: Jef�rey 7odd Gregory ~ Ricky G. Dav�s T � � o f s a � a � s °s � Q 0 � ►�++,",y 1� � � SITE . ,,:...� � � _, VICINITY MAP NTS I, ,leffrsy C. AHen, c�rtify that this plat was drawn under my sup«-�risir�n from an actual survey made si n u�d•r my sup�rvision (dMd dRacription r�corded in Book 1SSi, pogs 416); that the boundari�c not wrveyed afe clscu�ly �ndicat�d as cira� from irtformation found in Book �5 - pcsQeN4T�Q; that the ratio of precis'wn as cc�lcutat�d is 1:10,000+; tha# this plat was prepored in acccudancg with G_S. 47-30 as anended; that regardinq G.S. 47-3f3(fx11)a., this wrwey crsot�s a subdivision of land within tfi� cxsa of a ca�nty or municipdity that has an orciinonee that rs�ulctea porc�ls of ta�d. That the qobd Posrt�oning Syst�rn (GPS) survey and the foNowing informatEon was used to perform the "Class A" GPS survey. RTK N�twork proc�dure on 01/07/14; NAD83 Datum / Epoeh 2011 / GEOID09; Ch�cksd Publiah�ei MCGS I�tenum�nt "TERRACE'; Positio�al accuracy < 0.10 ; US Survey Faet Ca�nbin�d Grid Foctar 0.9999t408 IA�itnsss my origind siqnature, rs�istratwn �umber a�d sed this 3rd day of February, 2014. PROFESSIONAL ``������uu�����,� L-3810 ,�` ,� Cq/,� '•, .�� � �• ,, `.�`� :. oF � s s,oy...y•. ' �. � SEAL �� � '= ' �-� 3�1 � = ; c,'•..� y�'.�,� � : � '�,� �'� SUR`�'-' ��v�`• .•� �. ,,�����';�:Y •C: • �`���, '����ii�nn���� 50' - � —r - — • — - — — - — Subdivision Plat for Todd Gregory & Rick �avis Highway 158 and Howardtown Circle Farmington Township — Davie County NORTH CAROLINA 25' 0 50' 100' 150' sc��E o�r� ,►oe # o��,wn 1"=50' 03/03/14 0487 JCA/MCF �� i�.7 LAND SURVEYING Allen Geomatics. P.C. (C-3191) PO Box 89, /ldvance, NC 27006 (336) 7e2-3796 W W W.AI�Af'1GOOf1'14tIC8.COf71