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375 Armsworthy Rd Lot, 10 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016 375 Cn Ly- Q 383 Y l 5 I ---- -----------' 151 ` WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E70000011110 Township: Farmington NCPIN Number: 5861751062 Municipality: Account Number: 82527825 Census Tract: 37059-803 Listed Owner 1: CAMPBELL LARRY L Voting Precinct: SMITH GROVE Mailing Address 1: 1904 WESTMINSTER CIRCLE APT 2 Planning Jurisdiction: Davie County City: VERO BEACH Zoning Class: DAVIE COUNTY R-20-S,R-20 State: FL Zoning Overlay: DAVIE COUNTY QD Zip Code: 32966-0000 Voluntary Ag.District: No Legal Description: LOT 10 ARMSWORTHY ACRES Fire Response District: SMITH GROVE Assessed Acreage: 0.86 Elementary School Zone: SHADY GROVE,PINEBROOK Deed Date: 3/2007 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS Deed Book/Page: 007060075 Soil Types: GnB2,GnC2 Plat Book: 0007 Flood Zone: Plat Page: 186 Watershed Overlay: DAVIE COUNTY Building Value: 149220.00 Outbuilding&Extra 2030.00 Freatures Value: Land Value: 27500.00 Total Market Value: 178750.00 Total Assessed Value: 178750.00 161 All data Is provided as Is without warranty or guarantee of any Idnd 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 Countys GIS website shall hold harmless theCounty 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 HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 989900216 Tax PIN/EH#: 5861-75-1062.10PW Billed To: Paul Willard Subdivision Info: Armsworthy Acres Lot# 10 -4/7/03 Reference Name: Location/Address: Armsworthy Road-27006 Proposed Facility: Residence Property Size: see new map ATC Number: 3645 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 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CO TRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: S —6 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. -;7-7L0,,j ►o Nom= CZ�goa T Septic System Installed By: LZ Environmental Health Specialist's Signatur DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ��✓ P.O.Boa 848/210 Hospital Street ,Z Mocksville,NC 27028 / (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900216 Tax PIN/EH#: 5861-75-1062.10PW Billed To: Paul Willard Subdivision Info: Armsworthy Acres Lot# 10 -4/7/03 Reference Name: Location/Address: Armsworthy Road-27006 Proposed Facility: Residence Property Size: see new map ATC Number: 3645 **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 77 #People #Bedrooms #Baths _ Dishwasher: e Garbage Disposal: ❑ Washing Machine-;?I"*- Basement w/Plumbing: ❑ Basement/No Plumbing:,P/ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: !ts ❑ Lot Size Type Water Supply Design Wastewater Flow(GPD) ` Site: New Repair❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width 'Rock Depth I r inear F40S Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS) IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system 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.**** Environmental.Health Specialist's Signature: Date: DCHD 05/99(Revised) / i TION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC r^ Davie County Health Department OEC 3 Envifonmenta/Health Section P.O. Box 848/210 Hospital Street ; d� Mocksville, NC 27028 r ��COUNiY (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed �RO U )� i , I p( � Contact Person "--Phu L _ Mailing Address x l/O ! Home Phone "J? r7 City/State/ZIP (n�Dl6&/?? Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address ❑ City/State Zip ,Z awl 3. Application For: Site Evaluation Impro ment Permit/ATC 4. system to service: 9-2 om�ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: ❑ Conventional ❑ conventional modified ❑ innovative 6. I� # # # If Residence: People _, Bedrooms Bathrooms E ❑ CW Z Dishwasher Garbage Disposal .-'.hing Machine ❑Basement/Plumbing J2 asement/No Plumbing 7. If Business/Industry /Other: verify type # People It Sinks # Commodes # Showers # Urinals It Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. Type of water supply: M' County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 12o 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 with THIS APPLICATION. Property Dimensions: Z Cr P_ WRITE DIRECTIONS(from Mocksvilie)to PROPERIN: Tax Office PIN: # 5e& lnnr/� /D(p A Property Address: Road Name 1 P $ � city/zip %d VaJ96e- If in a Subdivision provide information,as follows: Name: 4k&,S (,JO /— 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 am responsible for all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davic County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE /,�_ 3D - D3 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 Datc(s): Client Notification Date: EHS: Sign given Account No. Revised DCHD(05/03 Invoice No. ��L/ - t{.> - r T� V L, IJV ell L CAr t`� 9 /�-3o - a 3 �� y all LO LO I F, FN 5", ell, 345 00 10 r— 00 a 1062 342 ------------------------ I 11� 11 co T " (.0 C TOO" r N r � Tr 4 low* 1 r 1758 r r Lro 338 r y 1 I i I �a 345 10 ® 00 r r . r 2 C.0 as 1960 "T"Ik 340 Is Y' : l DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001084 Tax PIN/EH#: 5861-748864.10 Billed To: Countrytime Houses Subdivision Info: Armsworthy Acres Lot#10 Reference Name: David Black Location/Address: Baltimore Road-27006 Proposed Facility: Residence Property Size: 298'X 102' Date Evaluated: -.14 ` Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit �' Cut FACTORS 1 2 3 4 5 6 7 Landscape position �. Slope% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH �' '/ Texture group Consistence t" Structure 1L i Mineralogy 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: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: 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 M is 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 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 05/99(Revised) O U (c;A ON FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC Davie County Health Department ,I Environments/Hes/th Section r MAR 7 2003 P.O. Box 848/210 Hospital Street l ll Mocksville, NC 27028 (336)751-8760. w' ENVIRONMENTA THIS &PPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed.o,,,L W �' Q r� Contact Person�a,LL L FN r G lenAa, Mailing Address (.fib x Home Phone 133tQ 2-94 Z,S 01 City/State/ZIP (, db 1 pe m e ti »G 2 r]D[!h Business Phone Z$4 Z ej b 1 2.. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: a Evaluation ❑ Improvement Permit/ATC ❑Both 4. system to service: i�iouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms I�2 ,A'bishwasher ❑ Garbage Disposal "ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks _ # Commodes 1.7 # Showers # Urinals # Water Coolers T IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: &-County/City ❑ Well ❑ Community,.' s. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN M�U.S,TT BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: IIWRITE DIRECTIONS(from Mocksville)to PROPERTY: 8 ` Tax Office PIN: # SE, 17 J I Na 2 158 .45dS� "� ac�nr►t��C�'R�� e! Property Address: Road Name S �� d\mb S i' n T ±kL�_ e n A nn +h c l e f+ Ir 7? City/zip If in a Subdivision provide information,as follows. V 7 Name: Section: Block: Lot: Date Property Flagged: 0 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 an: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 to conduct all testing procedures as necessary to determine the site suitability. O DATE 3 1` U 3 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): ` o _ Client Notification Date: EHS: Account No. ? IT 7 9 e • ;Z/ �o Revised DCHD(07/99). Invoice N C /S-7 1 �'1c� �`�✓U 3 DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09.40-06 Mocksvilie, NC 27028 Phone #: (336)751-8760 June 8,2000 Mr.Jerry Couch 115 Potters Lane Mocksville,NC 27028 Dear Mr. Couch: This letter is to confirm our conversation on June 6,2000 regarding Lots 10, 11 and 12 in Armsworthy Acres. Based on the proposed street location, it would be beneficial in regard to septic system repair space to Cul-De-Sac the street off Baltimore Road at the creek. This would add an additional 50 feet to Lots 10, 11 and 12 that front Armsworthy Road. If you have any questions feel free to call our office at 336-751-8760. _Sincerely, Robert B.Hall,Jr., R.S. Environmental Health Specialist RBH/mp Enclosure(s) � I /ASN 20 298 - -- - -- _ 0 30199131 5F p 298 / I � II � 0 � sl cn 30098 * SF 0 — I a I ISGCCsi/ Il'Nw N 29Po c , N 192 0 ' 5F 3, C 3 In — 10 10 0 -303,3,r-'- SF 298 105 Rd .... DA'VFE C'QUYn' 'li LTH DEPARTMF.N T>h,. .. .. . ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 1777.w.. ..�..� Phone"i;# :(336)757 8760. April 1,2003 Mr.Jerry Couch 115 Potters Lane Mocksville,NC 27028 Dear Mr.Couch: This letter is in regard to lots 10, 11,and 12 in Armsworthy Acres located on Armsworthy Road in Davie County. All 3 lots are classified provisionally suitable for the installation of septic tank systems for 3 bedrooms,however,lot number 12 will require a panel reduction system and a pump. If you have questions please feel free to call this office. S' c rely Robert B.Hall,Jr.,R.S. Environmental Health Specialist RBH/df CC: Paul Willard D APP N FOR SITE EVALUATION/IMPROVEMENT PERhIlT&ATC $ 2001 Davie County Health Department Eni ironmenfa/Heaft Section `,. .0. Box 848/210 Hospital Streetxp"S&/&71/ RONM�T�H Mocksville, NC 27028 ;O �c3 EN`S ��E�pUN� (336)751-8760 IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PRO DED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed / Contact Person Q Mailing Addreas 4y Home Phone City/state/ZIP �G ! ' "� y1 LGL' /V lam: Business Phone 1' .�7 fir 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: ite Ev luation ❑ Improvement Permit/ATC ❑ Both a. System to service: Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People _ # Bedrooms � # Bathrooms ❑ Dishwasher arbage Disposalasbing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 0--County/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. Property Dimensions: E DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # Property Address: Road Name /, s1 v, City/Zip If in a Subdivision provide information,as follows: f l?/`?S wD p4 711 q—,-3 Name: Section: Block: Lot: zr Date Property 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 itse change,or if the information submitted in this application is falsified or changed. 1,also,understand that I am responsible for all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davie County flealth Department to enter upon above described property located in Davie County and owned by _ to conduct all testing procedures as necessary to determine the site suita ' DATE SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE P elude all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): �� ( ! Client Notification Date: L 7 S 7 / EHS• Account No. 0 a Revised DCHD(07/99) Invoice No. J