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109 East Ridge Court Lot 3 Davie County,NC Tax Parcel Report Tuesday,December 20, 2016 145 362 333 355 61'- 131 1529 361 191 117 1519— 10 9 209 1509 " 134 217 1501 Gti 't 210"'%---' 225 lky 118 1� 1493 108 WARNING: THIS IS NOT A SURVEY Parcel.Information Parcel Number: E8116D0003 Township: Shady Grove NCPIN Number: 5881039909 Municipality: Account Number: 82528908 Census Tract: 37059-803 Listed Owner 1: ROGERS JEFFREY BRIAN Voting Precinct: EAST SHADY GROVE Mailing Address 1: 109 EAST RIDGE CIRCLE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 3 EASTRIDGE Fire Response District: ADVANCE Assessed Acreage: 1.00 Elementary School Zone: SHADY GROVE Deed Date: 11/2007 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 007360242 Soil Types: GnB2 Plat Book: 0006 Flood Zone: Plat Page: 099 Watershed Overlay: DAVIE COUNTY Outbuilding&Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data Is provided as Is without warranty or guarantee of any ldnd 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 County's GIS webafte 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 101 NC or arising out of the use or Inability to use the GIS data provided by this website. 'P4' r(^s Y'•W t"...t "+} ' n"F+,b ,, ;.(" ,� s z,'�.'S;,t a}1,.,-i:,; .: •" cf"..':'�f 4; ,F AUTN I �TTON rho:i � � '� Q DAVIE OUNTY HEALTH DEPARTMENT ; l C Environmental Health Section PROPERTY INFORMATION �erttlitt ,s, / ,,�Q� P.O.Box 848 Name: Jf �x •. Mocksville,NC 27028 Subdivision Name: - Phone# 336-751-8760 / Direc[ions to property: Section: / Lot: AUTHORIZATION FOR r /' WASTEWATER Tax Office PIN:#� gj � SYSTEM CONSTRUCTION n Road Name: 7� �.�itip: **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.This Fonn/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pen-nits.. (In compliance with Article 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION r1' :! ") ' Y l ;��3� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPE IALIST DATE ISSUED 16 1101:: • DAVIE OUNTY HEALTRANPARTMENT EMENT AND OPERATION PERMITS PROPERTY INFORMATION r / �i.''V mr': .. t�C��C'...'.• Subdivision Name: .Diredtions to property: Section: l Lot: IMPROVEMENT PERMIT . Tax Office PIN:#6,yef -. /11 r> F Road NameftGr'�-"Llk' **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 I l.of G.S.Chapter,130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) , ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE t ! . , r`,: Jf , •;� PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTHP9CIALIST : DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE _ INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS-3-1" #BATHS�. r#OCCUPANTS N//VGARBAGE DISPOSA1�Y or No COMMERCIAL SnPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE n r TYPE WATER SUPPLY ( e DESIGN WASTEWATER FLOW(GPD) /O C� NEW SITES REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZ, "GAL. PUMP TANK � GAL. TRENCH WIDTH ROCK DEPTH LINEAR,FT.�Od OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY 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 INS CATION. EPHONE#1S (336)751-8760. OPERATION PERMIT r - SYSTEM INS LE Y Vk , D AUTHORIZATION NO. OPERATION PERMIT BY: DATE: **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 05/96(Revised) APPLICATION FOR SITE EVAUJATION/IMPROVEMENT PERMIT&A FU a Davie County Health Department EnvironmentaiHeaith Section 20 P.O. Boa 848/210 Hospital Street Mocksville, NC 27028 E14VIRQitbIENTAI (336)751-8760 P ***n-dPORTANT*** THIS APPLICATION CANNOT 8E PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN fo�ryl instructions. ` 1. Name to be Billed �� - ' / �{?iY ��r�Y Contact Person Mailing Address % f Home Phone City/state/ZIP � Ac...9 Business Phone 2. Name on Permit/ATC if Different than Above /�,� /fU �1 ?failing Address :h�yo " / City/State/Zip 3. Application For: ❑ Site Evaluation -l__�'Improvement Permit/ATC ❑ Both a. system to service: 'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. IIf Residence: - J# People 11 i & # Bedrooms # Bathrooms 2 W Dishvasher <Learbage Disposal Dashing Machine ❑ Basement/Plumbing 4.ement/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: 4;?��County/City 0 Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ayes � 1 No If yes,what type? � **IMFO TANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBb1ITTED by the client with THIS APPLICATION. Property Dimensions: j fGs ,<f�' lam.D43jyff/6 �ME DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # Property Address: Road Name,,FA!M�. /9r �/�� , �� -0 S City/Zip If in a Subdivision provide information,as follows: Name: � }� 1[L/ E Section: Block: Lot: 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 Davie County Health Department to enter upon above described property located in Davie County and owned by�'6J r 5 1� ' to conduct all testing procedures as necessary to determine the site suitability. DATE,0 T SIGNATURE 016M� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: IZZ t VV ' a`e 'i—A Account No. Revised DCHD(07/98) Invoice No. �1—�--- I , I • ht r. a •I • i �Cl � 2•�,.�1' 0 . .l I i 116.01' ' I r r I r V I W . saw 01 ri J rn 1 lo •1 � .r ,IX I116.45' r 116 4d' 23 W .►� EASTRIDCE COURT t 2,106-10-0' --— I 1;t pii 'may 123.00' I r 1 I 1 �` ur 1 V r• n J ,, 1•r N ,06 1 � r► � t APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI -� . w Davie County Health Department D IE DUE Environmental Health Section P.O. Box 848 JUN 2 01997 Mocksville, NC 27028 (704) 634-8760 t ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �kl+tq Jal-y-r i oe- Contact Person ��'-i�J 1 Mailing Address 2-205- e w 6a r-eA `f2d [oq Home Phone (C1 16 2�2 - ��0 City/State/Zip G YCt✓ >loorp) NC 2.7`t 10 Business Phone Z - 5-81 q 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: 'Site Evaluation "'1 C �L Improvement Permit&ATC [ ]Both 4. System to Serve: N House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other 5. If Residence: #People #Bedrooms_ #Bathrooms Re 5 Dishwasher JK]Garbage Disposal KWashing Machine XBasement/Plumbing [ ]Basement/No Plumbing 6. If Business/Other: Specify type #People #Sinks #Commodes - #Showers #Urinals #Water Coolers If Foodservice:#Seats Estimated Water Usage(gallons per day) 7. Type of water supply:X County/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes KNo If yes,what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT***AJEtX1WOF THE PROPERTY MUST BE [' SUBMITTED WITH APPLICATION. Property Dimensions: I •`/�X 3 q4•�J X f V0,01 X 30344VRITE DIRECTIONS(from ksville)TO PROPERTY: Tax Office PIN: # $�_-3- 99�9 --1-- L) C) Property Address: Road Name 5�-i(�a • COLA-r- -- � E� �x (� R��- Sol 5atk+ti City/Zip A( n , �- ; rM o-kc n o- - teA- . C�n4c) �A rdc r If in Subdivision provide information,as follows: i'C- ,% l-'C7�1 D rtb�� S M 1�>�.5 -kt�r n Name: ' ��tri GCQ 1 o Y1-EO G Section: Lot#: 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 Repr1e__sentative of the Davie County Health Department to enter upon above described property located in Davie County and owned by 1611 �*0-�"� T20 -ox'V 1 to c nduct all to ng procedures as necessary to determine the site suitability. DATE AQ`(8- `1:J SIGNATURE Revised DCHD(06-96) THIS AREA MAY $E USED FOR DRAIVING JOUR y� tj- June 18, 1997 To Whom It May Concern: If possible the rear of the lot will be used for a swimming pool in the near future. Please perform the perc test according to this information(testing along the side of the house closest to the road or the front of the house). Sincerely, Keith Saltrick i f DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section 0 3 R 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name _ O W e Date ] -2 y g Address P Q Lot Size C R FACTORS ARE 1 AREG) AREA 3 AREA 4 1) Topography/Landscape Position S S PS (::Pb PS PS U U U 2) Soil Texture (12-36 in.) Sandy, S S Loamy, Clayey, (note 2:1 Clay) PS PS PS U U U 3) Soil Structure (12-36 in.) S S Clayey SoilsPS i�) PS PS U U 4) Soil Depth (inches) S S S p PS PS PS U U 5) Soil Drainage: Internal S S S pg PS PS PS U U External S S FS PS PS PS U U U U 6) Restrictive Horizons 7) Available Space S S S S S PS PS U U U U 8) Other (Specify) S S S S PS PS PS PS U U U U 9) Site Classification QS U—UNSUITABLE S—SUITABLE &Provisionally Suitable UI Recommendations/Comments: l-� S- - - \ ''`b\ C'S�.Z� Q 07 Described by Title Date - SITE DIAGRAM �S XI DCHD(6.82) � � y cy— J1 bu �______