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1165 Williams Rd Lot 1 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 1195'_,I51197 ti ti 1167 ' 1165 1141 �} 5i� .l lti 'ti r it 5i '1 1 � l 5 5 ' ' x 1 5 i 1 S ` 1 ix 1 1180 � 5t WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 170000004902A Township: Fulton NCPIN Number: 5778177298 Municipality: Account Number: 82517142 Census Tract: 37059-804 Listed Owner 1: BOGER SHARON Voting Precinct: FULTON Mailing Address 1: %SHARON MYERS Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 1 BAILEYS RUN Fire Response District: FORK Assessed Acreage: 0.73 Elementary School Zone: CORNATZER Deed Date: 1/2016 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 010090530 Soil Types: PcB2 Plat Book: 0007 Flood Zone: Plat Page: 135 Watershed Overlay: DAVIE COUNTY Building Value: 25080.00 Outbuilding&Extra 490.00 Freatures Value: Land Value: 19940.00 Total Market Value: 45510.00 Total Assessed Value: 45510.00 All data is provided as Is without warranty or guarantee of any kind 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 website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes or action due to NCor 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.Boa 848/210 Hospital Street _�L Mocksville,NC 27028 C� (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001685 Tax PIN/EH M 5778-17-7298 Billed To: Twinbrook Builders,lnc. Subdivision Info: BAILEYS RUN Lot#1 Reference Name: Location/Address: Williams Road-27006 Proposed Facility: residence Property Size: see map **N()Ti;** Ttii b�mprovement/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 ZV& #People 4- #Bedrooms_--�' #Baths _ Dishwasher: . Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply�� Design Wastewater Flow(GPD) �� Site: New❑ Repair❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench WidthV_" Rock Depth,/ Linear Ft.M&4 Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF 6°G 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 Nnstallation. Telephone#is(336)751-8760.**** Y 01 Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990001685 Tax PIN/EH#: 5778-17-7298 Billed To: Twinbrook Builders,lnc. Subdivision Info: BAILEYS RUN Lot#1 Reference Name: Location/Address: Williams Road-27006 Proposed Facility: residence Property Size: see map ATC Number: 2787 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, ection.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWA C NS TION IS VA DO A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: y l 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. Septic System Installed By: / Environmental Health Specialist's Signature: Date: 62 DCHD 05/99(Revised) FENCATION FOR SITE EVALUATION/IMPROVEMfM PERMIT&ATC VI 15 Davie County Health Department Environmental Healfh Section O38 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 NTAL HEALTH APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed WssviiRooK �VT1��PaS .SU L. Contact Person SSACy� C.)K COa+unr2Ft- Mailing Address )a2.© Home Phone 33(0 g City/State/ZIP AQ%J Ok &Z- iy r ''1 00(,i Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. system to Service: ❑ House l�Mobile Home ❑ Business ❑ Industry ❑ Other S. If Residence: # People 13— # Bedrooms 3 # Bathrooms Z XDishwasher ❑ Garbage Disposal IyWashing 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: X County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes No If yes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. Property Dimensions: f�.- o WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # Property Address: Road Name W2tLSAm S Citvair) AOVk%Cz (\Jc If in a Subdivision provide information,as follows: Name: e2)Az%-Cy's �Vc`1 0� •��' Section: Block: Lot: J— Date Property Flagged: —/d —U 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 to conduct all testing procedures as necessary to determine the site suitability. DATE �� to O 1 SIGNATUREy THIS AREA MAY BE USED FOR DRAWING YOUR SPIE 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• Account No. l J Revised DCHD(07/99) . f Q r / Invoice No.Ot, �X 1 u q p 7 ry 4 m m cv �NNIr1G i � J N < gARBp,O pG. ?83 EID ,.., CL Li c _co ai ! -'�� 5• P p,RK cin o ��9 RY SAA 36. PG r 0 O!F AREA= 0.926 AC. 6 ® noujom S.R. laic R/1r AREA. 0.972 AC. _ SR laic Rh •� ds—o-'all a%- 00.971 AC. U, N ARBA= r 01 • -1 i = �� C7 O '� INGI/DFS SR talc R/VlCL e M �, Maet Q.S36 cc _ • 7t Ci. x r .rte moi/ , *0 16 100 a� �=i � J m M . r CE G C OMCs `^ ',APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&AT D Davie County Health Department 2000 Environments/Health Section P.O. Bos 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 -. ***XMPCRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed f er c.61 Tcls S S 1'C I contact Person ( Q G Cc S S 66 N Mailing Address �,�1 mc- roc( I S-1 - `--1� fW� Home Phone n ` `\ City/state/ZIP ��j)��C 5 V 1 l e N C a (to?., Business Phone 1 )/►` - x(.0 0 cr-- 2. Name on Permit/ATC if Different than Above mb Mailing Address City/ te(/Zip r 3. Application For: Site Evaluation ❑ I vement Permit/ATC ❑ Both 4. system to service: X House ❑ Mobile Home ❑ Bt iness : �0 Industry ❑ Other s. If Residence: # People7 b Bedrooms J # Bathrooms r 1S1 Dishwasher ❑ Garbage Disposal Washing Machine� ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: specify type # People M Sinks _ # Commodes # showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 1 County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes K No If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 1, �GS� .S ti/ WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax OL �'D c,yc�r l�r✓ x r j1�t6 r Office PIN: # � a i �3� o T\ � 5'11$_ •�.�-f13.y� : _j_, t Property Address: Road Name �1� 1 l t G Y�S U �rl� e�1 ©� Pore � City/Zip J,/CL C e. 11 Ci r6� i z " 16-N If in a Subdivision p ovide information,as follows: L- Name: ' pro e rt-c j V\ -_..-- --- Section: Block: Lot: 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 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 epartment r to enter upon above described property located in Davie County and owned by M c S ``� [2 K 1 C&S S t C to conduct all testing procedures as necessary to determine the site suitability. DATE D X6 6-'b SIGNATURE a &L 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). �p tt Site Revisit Charge flat C� C�c I"1 a c( . [— I /i Date(s): loe Con-.��e Eec� v�ct wilt he_ (( Client Notification Date: I( �Y( c��C` lea S e� g t� ►� 2 Q Cl✓a l'c C- EHS: re �o ;A� h Site . � ��h IC �d c,`. , Account No. LI Revised DCHD(07/99) Invoice No. � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_ LOT- Soil/Site Evaluation APPLICANT'S NAME 4 tlssl DATE EVALUATED PROPOSED FACILITY p,, PROPERTY SIZEysF C SUBDIVISION kJli0itS 6f✓Al K ROAD NAME /mks Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit_oCut FACTORS 1 2 3 4 5 6 7 Landscape position L L Sloe% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH d' Texture group (� G Consistence Structure Mineralogy HORIZON III DEPTH Texture aroup Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: O 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 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 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(01-90) ■■■/■■■■■■■/■■■/■■■OEM/■■■■/■■■mom■■■■■■■■■■■■■e■■■■■■■■Emmons /■■■ ■■■■■e■■■■■cc■■■■e■■eeeeececec■■e■■■■■eeee■ec■■■c■■eee■eec■■e■■■■■ ■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■nee■/■■■■■■e■■ec■ec■e■ ■■■■■e■■■e■■■/■■■■■■■■■■■■■■■■e■■■■■■■■■cce■ee■■■■■■■■■nee■■■e■■c■ ■ecccce■ecce/ecce/■ce■■cc■■■■■■cc■■■■ece■ececece■cce■cce■ece■ccec■ ■■c■■■■■■■c■■■eccecc■■■■■■e■■ee�ec■■enc■■e■■■c■■■c■■■e■ce■■■■c■■■■ ■■■■■/■■■//■/■■■■/■■■/■■■/e■■■/i ■■■e■■■e■nee■■■/■nee■■■e■■■■■■■■ ■ce■ec■ecce■■■■■■■e■■■■■■■■■■e■■�i/■■e■■ee■e■e■■/■■■■■■e■■■■■■■■■■ ■■■■■■■■■/■■■■■■■■■■■/■■■■■■■■eC//■■■e■■■■■nee■■e■■eeeeeeeeeeeeeee■ ■■c■■c■■■■c■■■■■■■■■■■eco■c■■■■t►�e■nee■e■e■eee■nee■■■e■e■■■e■■■■■■ ■■■■■■■■■■■■■■ccee■■■■■■■■■■■■■■■ecce■■■■/■■■■e■■■■■■ce■■■■■nee■■■ ■■■■■c■■■/■■■e■■■■e■■■■■■■■■■■■■�i■sec■■■■■■■c■■■■■■■■■■■■■■■/■■■■ ■■e■■c■■e■■■■/■e■/■■■■c■cce■cce■cc■■■■■■■c■■■cmc■■■■c/■■eeeecece■■ ■■c■■■■■■e■■■c■■ee■ece■■eeec■ee■■e■■ecce■e■eeec■■e■/ceeece■ece■■■■ ■■■■■■■■■■■■■■e■■■■■■■eco■■■eco■�i■■ccccce■■ec■cc■■■e■■c■ee■ee■ee■ ■/■//■■■s/■■eeccc■■eeecceeeceeeceecec■■eec■ccee■cecec■cee■cce■cec■ Uiiiiiiiiions Miiiiiiiiiii� ' EmmonsiiiiiiMENNENMENNEN ■e■■■e■■■■■■c■■e■eee■eecee■ecce■■c■■■/■■c■e■ece■eec■ee■■eecececc■■ ■■■■■e■e■■■■■/ec■/ce■■■■c■■cc■■■■e■ecce■■/■e■■■e■■■■nee■■■■■■■■■e■ ■■■■■■■■■■■■■■■■■/■■■■■■■■e■■e■■■e■ee/■■■/■■ce■■■■■■■■■enc■■■ecce■ ■■c■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■/■■■■■■nee■■/■■■■ ■■a■■e■■■/■■■/■■■■e■■■■■■■■■■■■■�■nee■■eeee■cee■■■ecce■eece■eeee■ ■■■■■■■■/■■■■■■■■/■n■■n■■/■n■/■■■■■■■■■■■■■■■■non■■■n/eon■■■■/c■e■ ■■■■■■■■■e■■■■■■■eco■■■■■■n■■en■■e■■■■■c■■■e■■■e■■■■■■■e■■■■e■e■■■ ■■nn■■n■■■n■■en■■■/■■/■■n/■■■■■■■■■■■/■■n■■■/■■■■e■/n■■■n■■■■■one■ ■■■■■■cc■■cscec■■eco■■■e■■eccee►.-�■■e■eccec■■e■cc■■■■■■■■e■■ccce■■ ■en■■eon■■■■■c■■■e■e■■■■e��e■■■e� ■■nec■■e■ceeee■e■■■e■ceece■c■c■■ ■■■n■■n■■■n■■■n■■■■■■■e■■■■■ee■■c�■■■ee■■eec■e■cc■■e■■■e■e■ecec■e■ ■■■■■■■■■■■■■■■■■■■■■■/■■■/■nee■■■■one■■■ee■nn■■■e■■■e■■eeee■/■■■■ ■■■■■■nn■■■■eco■■■■■■■■■■e■■■■■■■■■■/ee■c■■ecc■e■■■■cee■ceeceecce■ ■■■■■■■■■■■/■■■■■■■■■■nn■■n■■■■■n■■■■/nnne■nn■■■n■■nn■■n■/e■■■■n■■ ■■■/■■■■■■c■■e■■■ecc■■■■e■■■■■■■■■■■ce■■■ee■/ee■■e■■eee■eece■cee■■ ■■/nneenee■■ccecccccceceeeeccee■ ■■cee■e■■ee/■c■/c■csec■c■■ccc■c■ ■■e■■■e■■ccecc■■e■■eec■■■e■■ee■■■e■■e■■c■■■■■ec■c■■■e■■■■ee■ce■e■■ ■■■■■/n■■■■■■■■■■■e■■■■■■■■■■■■■■■■nee■■■■■■/e■e■e■■■■■■n■■■■■ce■■ ■e■■ee■c■e■■■■■■e■ecce■■e■■c■■■e■■■■cc■■■e■■■ee■ee■■■ea■■■■e■e■■c■ ■■c■■nee■■■■ce■■■■■■■■■■■■c■■eco■■■■ee■e■ec■e■■■eec■■eccc■■■ee■■e■ ■■ee■■■■eecccee■■seececees■■c■■c■■■■ce■ce■e■eceee■■■e■■■e■■■■cece■ ■■e■■■■■n/■■n■■■ce■■■■cnne■■■■■■ ■■■/n■ec■■■nne■■■ane■■e■■e■■one■ ■/■■■■c■■ecc■■c■■eecceeccecce■■e�cc■■eceecee■eeecccccccceeee■cec■ ■■■■■■c■■cec■■■■■■■■sc■■■e■■■■■■■■■■■■■nee■■■■■■■/■/■■e■■nn■ne■ne■ ■■■■■■■■■e■■nee■■■■■c■■■■eeeeecc■■■nee■■c■■■■ee■c■■e■e■■ee■ccc■ce■ ■■■■c■■■■■■■■■■■■eeece■■■■■■■■■■■■■■■es■■eeceecce■e■■e■■■e■ec■■e■■ ■■■■■/■■■■en■/■■■e■■■e■■■■■■■■■■■■■■ce■■■■■■■ec■en■nee■■c■■n■nc■■■ 16" DAME COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone #: (336)751-8760 July 12, 2000 Helen J. Cassidy 270 McClamrock Road Mocksville, NC 27028 Attention: Ms. Cassidy Re: Site Evaluations— 4 Sites Williams Road/Baileys Tax Office PIN: #5778-27-1347 Dear Client(s): As requested, a representative from this office visited the aforementioned sites on July 12,2000. Based upon the information provided on the Application(s)for Site Evaluation(s) and after evaluations were completed, sites 1 thru 4 were found to be provisionally suitable for the installation of an on-site sewage system Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked on each site. If you have any questions,please feel free to contact this office. Sincerely,Qmee%e. Robert B. Hall,Jr., R.S. Environmental Health Specialist RH/mp Enclosure(s)