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130 Apple Acres Rd, Lot 3 Davie County,NC Tax Parcel Report Tuesday, October 18,2016 142 1 X118 30 F 5 .-F 1 1 154 i i 108 � 1 1 APPLE ACRES RD v -------------------------- WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: C600000132 Township: Farmington NCPIN Number: 5852995948 Municipality: Account Number: 82532416 Census Tract: 37059-802 Listed Owner 1: SHORE WALTER D Voting Precinct: FARMINGTON Mailing Address 1: 130 APPLE ACRES ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 3 APPLE ACRES Fire Response District: FARMINGTON Assessed Acreage: 0.72 Elementary School Zone: PINEBROOK Deed Date: 11/2010 Middle School Zone: NORTH DAVIE Deed Book/Page: 008421022 Soil Types: PcB2 Plat Book: 0008 Flood Zone: Plat Page: 306 Watershed Overlay: DAVIE COUNTY Building Value: 212220.00 Outbuilding&Extra 18900.00 Freatures Value: Land Value: 41500.00 Total Market Value: 272620.00 Total Assessed Value: 272620.00 101 All data Is provided as Is wlthoutwarranty or guarantee of any kind eitherexpressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie Countys 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 Street Mocksville,NC 27028 (336)751-8760 Fax#(336)751=8786 OPERATION PERMIT Account #: 990004013 Tax PIN/EH#: 5852-99-5948 Billed To: Nelson Shirley, Inc. Subdivision Info: Apple Acres Lot#3 Reference Name: Location/Address: Apple Acres Road-27006 Proposed Facility: Residence Property Size: 3/4 Acres ATC Number: 4995 **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. System Type: S.T.Manufacturer � !( . Tank DateA Tank Size '!1C� Pump Tank Size System Installed By: / E.H.S ecialist ," w4 ---1� � 6 13 , d 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 #: 990004013 Tax P€NfEH#: 5852-99-5948 Billed To: Nelson Shirley, Inc. Subdivision Info: Apple Acres Lot#3 Reference Narne: Location/Address: Apple Acres Road-27006 it Proposed Facility: Residence Property Size: 3/4 Acres ATC Number: 4995 Site Type: ❑New ❑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 A #Bathrooms 2'!z#People Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size 3I A'L. Type of Water Supply: 96ounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD) 3�&Tank Size I t(MGAL.Pump Tank 419L GAL. u � Trench Width_ Max.Trench Depth Rock Depth (Z" Linear Ft. 17�0 As stated to 15A NCAC 18A.1989(5j Site Modifications/Conditions/Other: accepted Systems may—also be used ntact 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. Jn F—e pa i r p f-CCA, M _M k U Yc O 10 S n7A PRlvrw�l 7.0 i' Environental Health Specialist Date: $ 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 IMPROVEMENT PERMIT Account #: 990004013 Tax PIN/EH#: 5852-99-5948 Billed To: Nelson Shirley, Inc. Subdivision Info: Apple Acres Lot#3 Address: 142 Apple Acres Road Location/Address: Apple Acres Road-27006 City: Advance Property Size: 3/4 Acres 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: ew ❑Repair ❑Expansion Permit Valid for: 50�Years ❑No Expiration Residential Specifications: #Bedrooms_3 #Bathrooms V17,#People Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): �60 Type of Water Supply: /County/City ❑Well ❑Community Well Site Modifications/Permit Conditions: As stated in 15A NCA(; 18A.1969(5 ' accepted Syt tE1115 111ay also be- e System Type LTAR Initial Repair , 20 � Site 1 _� 1N1'TIN-I-1_ AQE� sys�M — — — — 7 IknUSE ve wc.y s _ U�•i lil-ies— J Environmental Health Specialist Date—si 31 0 i.p.11-06 } D ION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC Davie County Environmental Health P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 O f 6 2 00 (336)753-6780/Fax(336)751-8786 Applic Sitc Eva tion/Improvement Permit eAuthorization To Construct(ATC) =Both mcatmon• — ew System _Repair to Existing System :Expansion/Modification of Existing System or Facility �a°,C p,44* ORTAN7*•*THIS APPLICATION CANNOT BE PROCESSED UNLESS ALI.OF THE REQUIRED �� NFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name tobe BilledNsx Abot-Ow"A'A'e45 Contact Person �►�c�-►fir Sh't�'�p`� Billing Address 14-k- Aae 16- 1 a e_t-w pg�_ Home Phone 334-- q R 8- 101 to I City/State m !l e�t/antT L ILTd_ X 7e c71(p Business Phone 15,,L- g j g Name on Pennit/ATC if D�erent than Above t4e t Sent 5 k,f i le ' fit�- Mailin Address 11+,1, A l G City/State/Lip PROPERTY INFORMATION *Date House/Facili Comers Flagged g NOTE: A survey plat or site plan must accompany this application. Included Site Plan --Plat(to scale) (Permit is valigor 60 months with site plan,no expiration with complete plat.) Owner's Name N O S 6 nl Phone NurnberJ310 C 9 84-41 Owners Address t o 9_ AIQ I g Ad a R-1 City/State/Zip A c A,.e c :✓E. .i.70 E b Property Address .-1 4 IL caws 4 cc City -,;�` Lot Size Tact PIN#_ �Z- q'� Subdivision Name(if applicable) - Section/Lot# Directions To Site: rA et ,; J--1 46 Ae/,-v ' X--/ 1.4 J-i e�m�11 3Qw/i JA-,, cf If the answer to any of the following questions is"yes,sup�pomrt g documentation must be attached. Are there any existing wastewater systems on the site? ZYesfeNo Does the site contain jurisdictional wetlands? ZYes JjNo Are there any easements or right-of-ways on the site? ny"jFNo Is the site subject to approval by another public agency? CYes3ZNo Will wastewater other than domestic sewage begenerated? ZYes 4iNo IF RESIDENCE FILL OUT THE BOX BELOW it People #Bedrooms -'�— #Bathrooms ' ar en u hirlpool aRYes r--No Basement:ZYes 8No Basement Plumbing: CYes DNo R'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:1KConventional =Accepted _Lmovative =Alternative --Other Water Supply TypeACounty/City Water =New Well =Existing Well Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?=Yes 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(.)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 1 hereby grant tight 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 locating and flagging ors the houwfacility location,proposed well location and the location of any other amenities. Property owner's or owners legal reprbentative signature Site Revisit Charge Datc(s): 8 —3 0 r7 Client Notification Date: Date EHS: ZIA Sign given ZYes:No Account# TV/ Revised 11106 Invoice 0 b A- �. L43 PoAL ,? < 47' ? to � I � E fjgl2�q C �" - 9 4 0 O PLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC f a� 4 Davie County Health Department o'�� EnWronmentai Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 * P *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INF TION IS PROVI1DED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Contact Person GG Mailing Address f€�`f �/�i�Gci�/ n C�/ /U Home Phone City/State/ZIP �/��(�r�ic_L/� ,/!�` jwc� Business Phone 9 ,-J'I? 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: la Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: aConventional ❑ conventional modified ❑ innovative 6. If Residence: # People Z— # Bedrooms _ # Bathrooms © D3shwasher GUarbage Disposal ElWashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /other: verify type # People # Sinks # Commodes 2-- # Showers _� # Urinals efD # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. Type of water supplys I9-County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes B-No If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client witli THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: #5eS 2 9 — 3 q o'o !/�G- _ //I/ .2a2 Property Address: Road Name _A?,0 -e Lo-�t L �� oAge .7,<'< City/Zip If in a Subdivision provide information,as follows: Name: iF Section: Block: Lot: Date home corners flagged: "' This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. I,also,understand that I aur responsible for all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by .r/e= to conduct all testing procedures as necessary to determine the site suitability. DATE -�'� "`CU SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: EHS: Sign given Account No. I a Revised DCHD(05/03 Invoice No. 5� J r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001578 Tax PIN/EH#: 5852-99-3900.03 Billed To: Wayne Webb Subdivision Info: Apple Acres Lot#03 Reference Name: Location/Address: Apple Lane-27006 to Proposed Facility: Residence Property Size: see map Date Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% An 7510 HORIZON I DEPTH Texture group Consistence SS Structure Mineralogy HORIZON II DEPTH 4-35 Texture group Consistence ; Structure Mineralogy5 HORIZON III DEPTH Texture group cltsv(510 Consistence Structure t~ Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE *_ .- SITE CLASSIFICATION: ®� EVALUATION BY: LONG-TERM ACCEPTANCE RATE: ©• _0'31� 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 Wet 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 Mineralonv 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 05/99(Revised)