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169 Milo Ln Lot 2 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 �l 693 t, 699_f y4 t `lf ' 701 5 812 o� , 1 763 729 4` QG 113 sf' VS I r; 169 4 809 fy , `137 23 141.E + 845 ' '.� 855 791 865 yea WARMING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G409OA0012 Township: Mocksville NCPIN Number: 5739591414 Municipality: Account Number: 82525340 Census Tract: 37059-806 Listed Owner 1: WILLARD JOHNNY PAUL Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 791 MAIN CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,H-B State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 12 BARNHARDT ACRES Fire Response District: MOCKSVILLE Assessed Acreage: 5.07 Elementary School Zone: WILLIAM R DAVIE Deed Date: 512010 Middle School Zone: NORTH DAVIE Deed Book/Page: 008250226 Soil Types: MrC2,MrB2,ChA Plat Book: 0008 Flood Zone: Plat Page: 032 Watershed Overlay: DAVIE COUNTY Building Value: 237680.00 Outbuilding&Extra 29100.00 Freatures Value: Land Value: 30240.00 Total Market Value: 297020.00 Total Assessed Value: 297020.00 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 NC County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to CDU N�� 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 M 989900216 Tax PIN/EH M 5739-49-7376.12 Billed To: Paul Willard Subdivision Info: Barnhardt Acres Lot# 12 Reference Name: Location/Address: Main Church Road-27028 �,,/ Proposed Facility: Residence Property Size: 5 Acres 77 q m4 t v e�1.KLv ATC Number: 4564 **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 satisfactorilyfor y given period of time. v 6 System e: S.T.Manufacturer 5td- Tank Date Tank Size ys Type:�.—.. Pump Tank Size System Installed By: w ► V, ,A E.H. Specialist: �J Date: ( � b 3 a all, Z /7- /D� .�Ii�N /po�icrl�t�• l ��F L°QlrLw�.- DCHD 11/06(Revised) ,, �n+l P7"`5 6441 S►- W nIJ nth#0r-Z+ F"- I,tl�• 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 M 989900216 Tax PIN/EH M 5739-49-7376.12 Billed To: Paul Willard Subdivision Info: Barnhardt Acres Lot#12 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility: Residence Property Size: 5 Acres ATC Number: 4564 **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 1 I of G.S.Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. Residential Specification:Building Typc r #People #Bedrooms > #Baths_, Basement w/Plumbing:T Basement/No Plumbing Commercial S cation:Facility Type #People #People/Shift #Seats Lot Size.14 Water Supply Type. Wastewater Flow(GPD)' IrLo Site:NdW Repair System Specifications:Tank Siz CQ()GAL.Pump Tank—GAL.Trench Width-3.o q idth-3.o1 Trench Depth Rock Depth_l,/!�t Linear Ft.Z Other: / �/v ,Qa�t�c�'I ���Jr r `�-+�fe l WnL"J x S Required Site Modifications/Conditions: VI;P 100 (4-00.. 0 a-1., ViEd I d rrF� aw, 14 J�5 Contact t 1%;County Environmental Health Section for final inspection of this system between 0-9:30a.m.on the ay of installation. Telephone#(336)751-8760. Apex• 3�0 100 M -r Environmental Health Specialist Date: DCHD 11/06(Revised) r Davie County Environmental Health P.O.Boa 848/210 Hospital Street (e Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account M 989900216 Tax PIN/EH M 5739-49-7376.12 Billed To: Paul Willard Subdivision Info: Barnhardt Acres Lot# 12 Address: 173 Colonial Lane Location/Address: Main Church Road-27028 City: Mocksville Property Size: 5 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: Xew ❑Repair ❑Expansion Permit Valid for: Z5 Years ❑No Expiration Residential Specifications: #Bedrooms 3 #Bathrooms 2- #People Basement❑Basement plumbing❑ Non-Residential Spermcations: Facility Type _ #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): !3O Type of Water Supply: ❑County/City Nell ❑Community Well Site Modifications/Permit Conditions: c stem a LTAR Initial A0Af-L Q Zt5 Repair Site Plan pp( 1F3�-ZW Lt.J is � K 30 f &P-aa —N n � Environmental Health Speciali Date i.p.11-06 r� i F b - k V9�69•. d PF I ,R 9'996 i, ION F ITE EVALUATION/IMPROVEMENT PERMIT & ATC G 1 2006 avie County Environmental Health aE� P.O.Box 848/210 Hospital Street Mocksville,NC 27028 �l�p� ECMA TH (336)751-8760/Fax(336)751-8786 Appl iori or: ❑ Site Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) 340th Type of Application: ❑New System El Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed cP /-0; f` rA Contact Person Billing Address 123 Cn f r,)-) i a ( y U Home Phone City/State/ZIP 'f)o IN,G K.S 1 '7 0 Business Phone Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included: IV Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name c�"Q/,_,.,r�/ �r��;,-,,-)'C rd-1- Phone Number_ Owner's Address 6,27 +,;f oC City/State/Zip Property Address y')/d;n Ch City, )p C es-u.`lie- Lot Size J-d e firs Tax PIN# -:5-q-7 113!lk Subdivision Name(if applicable) Section/Lot# Directions To Site: 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 (/&No Does the site contain jurisdictional wetlands? ❑Yes tKNo Are there any easements or right-of-ways on the site? ESYes ❑No Is the site subject to approval by another public agency? ❑Yes KNo Will wastewater other than domestic sewage be generated? ❑Yes 1XNo IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms ._'3 #Bathrooms ,Z Garden Tub/Whirlpool Yes ❑No - Basement: XYes YINo Basement Plumbing: ❑Yes KNo 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: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: ❑ County/City Water X New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes OKNo 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 perniit(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 corners and locating and flagging or staking the house/facility location,proposed well location and the location of any other amenities. Site Revisit Charge Property owner's or owner's legal representative signature Date(s): Client Notification Date: Date' EHS: Sign given ❑Yes ❑No Account# 0 Revised 11/06 Invoice# S�w0- i j 9 - 5.403A ' �o 3996 ' 5.174A \ 9635 Z5.077A 6.9 5A 7976 °� 1414 4 MrC2 4651 a o - 7287 i MrC2 e ry1a \ 99 \ pla-r dK g 3al-- I CERTIf1GTE OF OYNERSHIP VICINITY MAP - - SUrveyef C"ll6caf1on fot C109Urs 1(WE)HEREBY CERRFY THAT I AN(VF ARE)THE OWNER(S)OF THE PROPERTY OESQY,BED HEREON.w IS O xa-u'uI.•Ix w.q•-••.w m. LOCAlf.O FV ME SUBOIN90N AIRISUICTION OF DANE rwyot CertIBl�D.lon f-SubdM.Ion OQ _ _u. ..Wm• e�w..fe..vylm.r••ve•4. w PCOlM1Y ANp)NAT I HEREBY'COPT MI5 SUBDIN9ON N j '� �eM,n-_- Or a w a6; x�nati1 al Tm¢r I•x w•wrvs•4 I, NY FREE CDNSENT,ESTABLISHED MINIMUM _a I�N•....r IAx e•N..• s N w uy '.w N .yNa"•y.•Irr..•rx.. y BUILDING SETBACK LINES AND DEDICATE ALL STREET$, m••yyN'.w.'w.w ee• NN.N r•px Q vve+•-s.n l' L-'ie1 ALL EY'L WAL'iS.PARKS .•••.AND DINER SITES AND _s p'N N• w xw .Iwr s.Ib.N•as. mwINMNT Q QPO EASEMENTS t0 PUBLIC OR PRIVATE USE AS NOTED• p Nr-a m..y.:r•u.[r c yrs.. N s qW`e U _ -'u'x• II..r-- "".,e w..I.r...••I-N.a N.ew a VRGN A. :`,r�..q`• N�*` O A, t� '- DATE - N�°e•wlmi.Il.r w •N.wr. 4 w I.r.+.I • I N ] Nh �ZCARO *�_W_ D-05 • �L_sNZ .. . AO FOPH s R µ wxaa ®.w.e H DATE s•••r U•x_Iw.�� NS`�StP sJ 2 USIA NCARTHIS PROPERTY IS E%ENP)IRON DANE COUNTY � ��`SUBOIN9ON RECULAlI0N5 av SECRON 154.01 2' RENEW OFFICER'$CEg1FIGTE f` ,•° •+ > NOT TO SCAL£ OF THE DANE COUNTY CODE £ J. e•SEAL Nb APPROVAL IS AEOUIRED BY THE Y TME PIAT TO I'NICH THIS[ERTFIGTION IS ATTACH M1 4_ L31&3 DANE COUNTY PLANNING DEPARTNENT - FRANKA' EETS THE STATUTAORY�R 'WENENTS FOR RECOFDWG D*°e� ��// //�/. r ! n f' e[ R'� r y N Mp M1♦ �L�nG 'q P_ 2.413 \ V/i/ L!/- RF.XEw oFi10ER� �Y A^K7-\tL� . - 1 ONN fes rNqa,dT a F c.I,- MAIN CHURCH ROAD A. I,- CL-_ 6.06_T�ru RIBBON PAVEMENT SR 1 1405 PUBLIC - .23L3B-TOIAL. __.__- 1'-Ip' - N -1''-10 E- N 54'- eCT'.vra+Ce ASneulm 174.85' 7121 ')2.]3' 125.05 t}26]' 135.00' 150.83' 9 6.06'T TA 3p •5 Aq �y� 66.89' 17300' 200.20'A. 1]1.80' CJ�•�_ o-4-Max C' t -i-CL :••••_� b U asNRIKa ' 1 er 4.+w.�4Y $ 'N wA BANnx 6r NaINAN s 1 r yl - € m OryueA 66 1 _ am q ,ri M1'S 215.003 216386 SOFL 53 - _ -- �- ' //,♦ � -- 325180 5 FL .01Ac. 226092 SyFt 5.174 1190 Ac �• - N 6•-4' .IS'E a/Nll rl aw° er' ' rD o1�arse 6.ai:ur«rixAlm..,cil /Nr- .2]53)6 S4FL 64-31 - - oM1 m 1403 Ac a[aA ----------------- wLN9 aN7re eT o 217906 Sg.FL 217867 SAfL 218855 SRfLJ 303382 SRFt.� 5.002 Ac 5.002 Ac 5.024 Ac 6.965 Ac. tiOYy 21M27 S'L 218001 Sg FL /+/ I • 'I'B.. 5003 Ae. 5.000 Ae 1.' N 52'-30'-50"E- 777.91'TOTAL - °• CaprotNeiw'AxyT Aw[s 2IT+T L . 6. - -1 S9.fl A,° 6-4-FMOEL 33 5.077 Ac .otl 'i 106) x. 8.04' I]•r 3653' 2a1,51' ' Y 1 274.2a' tE9 BB C,T a H.H. / m maw ------------ d aNu S 51'-IB'-20'W 551.08'TOTAL. a rdRo 5 52 J'-'0'W 600.83307AL -5 54.-Q W 477.]1 TOTAL 5 52'-30-50 W 353.]8 [wN[I1 - a.C9Rx[3 CONTROLLED ACCESS a rales - N "'6 9632fi11 INTERSTATE 40 °gggE 153391316 P vol 6'19. ��O fNC4GP5 30 W a _______ _-__-__.__-.__________-__._.-_-____ _____-_-_-_-.-__ 7 DUAL LANE CONCRETE RIBBON PAVEMENT - NCCS .0 SBRACE' - - - N 797600.836 - - E 1531416.566 _ OWNER: - I.W. B-bg DI.1.NR. EDWARD C. BARNHARDT A/W' LI N 65'-48-20'E 141.64' DORIS W BARNHARD7 L2 S 5'-56'-00•E 16205' - 677 MAIN CHURCH ROAD - L3 s as-2a=o-W iii2 ' MOCKSIALLE NC 27022 - - LS S 6Y-55-40'IN nazi 1 - - PHONE If 336-751-3575 - TAX MAP REF. G 4 PARCEL 3307 - - TOTAL AREA 62.89E ACRES - REFERENCE DEED D438 326 - of T wP. AIFNHA�D T A CRE5 - REFERENCE DEED DBS 59 PIC 178 - U • - MINIMUM SETBACK LINES + TO-D, srAtE DATE ]De Na FRONT= 40' - - W. Rae:,, CAara 8•w g aw DIM- Arc Leegth REAR.- 30' - IAOCKSV/LL£ DA VI£ VC 5-0J-0J S-JOIN/ SIDE = 15' C' 3766.46' N 55'-12'-30'C 146.64' 6.65' C2 3766.46' N 56=3f1'-Sd E 2510' I14S Io' EACH LOT WLL BE SERVED BY SEPARATE SEVER SYSTEM G ]766.46' N 59•-51'-50'E 415/2' 4113]' ' C4 ]766.46' N 63•-IY-30'E 36.74' 25.71 WATERSOURCE WILL BE BY PRIVATE WELLS - ALL DISTANCE HORIZONTAL GROUND MCAnQII Land Surveying, F.C. IRONS PLACED AT ALL CORNERS EXCEPT AS NOTED 1;QM° Y Y 9 - -rc r••.N cx. 858 We6t 4th Street Wln3tan-Salem,N.C.27101 -THIS PROPERTY IS SUB.ECT TO ANY EASEMENTS,AGREEMENTS OR RIGHTS _- wPH°c'4 r•e _ Phone e 336-631-9805 ' OF WAY OF RECORD IF ANY,PRIOR THE DATE CF THIS PLAT AND NHICH r'L m`=1j 14� - FOK /336-724-2125 y WERE NOT VISIBLE AT THE TIME OF MY INSPECTION. -.A+Npn-•r-rar _ 'uq Aw u...rs -pA[x'.NH. -ALL AREAS BY COORDINATES - [N•N nary -n Cww.I•Va..•.:I mx SCALE r'+2LG' TCO rDo 0 200 400 • DAVIE COUNTY HEALTH DEPARTMENT " Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 989900216 Tax PIN/EH#: 5739-49-7376.12 Billed To: Paul Willard Subdivision Info: Barnhardt Acres Lot# 12 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility: Residence Property Size: 5 Acres Date Evaluated: y Water Supply: On-Site Well / Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% 20 0 HORIZON I DEPTH '9 S 0-30 O • 31 Texture group Gt_ C-1- Consistence 1-Consistence a kllclsv [- Structure CSL <MineralogySV- HORIZON H DEPTH .31 Texture group G Consistence r 5 Structure < <- Mineralogyw HORIZON III DEPTH '3p Texture group Consistence Structure MineralogyS C HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE — -- CLASSIFICATION 5 LONG-TERM ACCEPTANCE RATE O• �7• p•3S Pc�Gl1�.,n,.P SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: PAQ< Wi ll� 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 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 - LYotes 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 05105(Revised) ■■■■■■■■■■■■■■■■■■■■i■�!'�J►�IIBJ■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■11■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■ill■■■■■■I■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEMNONMEMNON�' lMENNENMENNENMENNEN■ MEN MEM ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■