3324 Hwy 801S Davie County, NC Tax Parcel Report U 0 Friday, September 23, 201E
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_ WARNING: THIS IS NOT A SURVEY
777777
Parcel Information 77777777
Parcel Number: 180000003101 Township: Fulton
NCPIN Number: 5788145715 Municipality:
Account Number: 8301256: Census Tract: 37059-804
Listed Owner 1: SHOWALTER RYAN M Voting Precinct: FULTON
Mailing Address 1: 3324 NC HIGHWAY 801 S Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27006-7110 Voluntary Ag.District: No
Legal,Description: 1.533 AC NC HWY 801 Fire Response District: FORK
Assessed Acreage: 1.53 Elementary School Zone: SHADY GROVE,CORNATZER
Deed Date: 6/2012 -- - Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 008940609 Soil Types: PcB2,PcC2
Plat Book: 11 Flood Zone:
Plat Page: 59 Watershed Overlay: DAVIE COUNTY
Building Value: 254200.00Outbuilding&Extra 0.00
"Freatures Value:
Land Value: 24020.00 Total Market Value: 278220.00
Total Assessed Value: 278220.00
I,'V I4, 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
4
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
npUN� 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)753-6780/Fax#(336)753-1680
OPERATION PERMIT
Account #; 990005827 Tax PIN/EH#: 1800000031
Billed To: Ryan &Meredith Showalter Subdivision lnl`o:. :
Reference Name: Location/Address: NC HWY 601 S.-27006
Proposed Facility: Residence Propprty,Size: 12Acres
ATC Number: 5893
**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. :j:Qµ
System Type: 1J.-► b S.T.Manufacturer `� Tank Date a Tank Sizq-
Pump Tank Size B-`edroo/ms�s:
System Installed By: S�'.elcwl fit„, n
rtector# M q Date: f" 3 f `f
GPS Coordinate:
ind �
03 �0
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Environmental Health Specialist /!i Date:
DCHD 11/06(Revised)
• DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005827 Tax FIN/EH#: 1800000031
Billed To: Ryan &Meredith Showalter Subdivision Info:
Reference Name: x Location/Address: NC HWY 801 S.-27006
Proposed Facility: Residence Property Size: 12Acres
Site Type: New ❑Repair ❑Expansion
ATC Number: 5893
**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 5 #Bathrooms#People_,L Basement Basement plumbingX
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Lot Size �� ; Type of Water Supply: 4County/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow(GPD) Tank Size/jW,GAL.Pump Tank_�GAL. ,�j,
Trench Width Max.Trench Depth��� Rock DepthI2 "Linear Ft. (��1,41(/,1l r opa
Site Modifications/Conditions/Other:
Contact 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.
-266
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Environmental Health Specialist )nf AA Date: t b�
DCHD 11/06(Revised)
. Davie County Environmental Health
P.O.Box 848/210 Hospital Street
Mocksville NC 27028
(336)753-6780/Fax(336)753-1680 3`
IMPROVEMENT PERMIT J
Account #: 990005827 Tax PIN/EH#: 1800000031
Billed To: Ryan &Meredith Showalter Subdivision Info:
Address: 4712 Brighton Park Dr. Unit 3A Location/Address: NC HWY 801 S.-27006
City: Winston-Salem Property Size: 12Acres
Reference Name:
Propos,N&T0401MM Fffgnent 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: RtNew ❑Repair ❑Expansion Permit Valid for: 95 Years ❑No Expiration
Residential Specifications: #Bedrooms 5- #Bathrooms 3.5— #People_ Basement Basement plumbingX
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Design Flow(GPD): Co Type of Water Supply: XCounty/City ❑Well DCommunity Well
Site Modifications/Permit Conditions:
System Type LTAR
Initial 6t0V
Repair kAX4WQ W(0 11 -PSd
a 'te PI
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Environmental Health Specialist t'd Date
i.p.11-06
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC
Davie County.Environmental Health
P.O:Box 848/210 Hospital Street Fes!
Mocksville,`NC 27028 .. .. RECEIVED
• (336)753 6780/Fax(336)753-1680 MAR
1� j01�
Application For: Site Eval gn/Improvement Permit Authorization To Construct(ATC) Both
Type of Application: ew Syste Repair to Existing System Expansionimoauication ol Existaig System or Fac jl t HEALTH
***IAfPORTAW***THIS APPLICATION CANNOTBEPROCESSED UNLESS ALL OF THE REQUIRED vv
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT 1NFORMA'11ON
Name p4ah gild me red I iier Contact Person WrC t
Address h 1)_1 N Home7IZ/21 b
City/State/ZIP N M 54 1 eM, 0 Bus
r
Email_V-
Name
Name on Permit/ATC if Different than
Above DA qek
Mailing Address City/State%Lip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must accompany this application. Included: Site Plan Plat(to scale)
(Permit is valid for 60 months with site plan,no expiration with complete plat)
Owner's Nam jarie I Phone
Number 3
Owner's Address NG 14vv30 S. City/State/_rg'0000()31
Zip NVA in Lai NC, 10DIO Property
Address Y{h _ ___Q—AA-Y_ZS$ City Q N G uwp
Lot Size_ CCye S Tax PIN# Z q-
Subdivision Name(if applicable)___NSection/Lot#
• Directions To Site:
miles N
Specify Problem Oc rring:
IF RESIDENCE FILL OUT THE BOX BELOW
#People _ #Bedrooms 5 _ #Bathrooms__ arden Tu 'rlpool (Yes)' No
Basement . Vcs Nd Basement Plumbing: es No
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: Conventions Accepted Innovative Alternative Other
Water Supply T County/City Water New Well Existim Well Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? Yes
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(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
Datc(s): _
Sign given Yes No Client Notifk%0MMte:
Revised 11/06 EHS: voice
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-TtJ0e,c� 9U3D 0 OW
• ��Property owner's or owner's legal representative signature Wj& r L
Dat ?'�'
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Sign given Yes No Account#i
Revised 11/06 Invoice 4
GoMAPS - Davie County NC Public Access
WATERSHEDSTRUCTU
WATER BODIES
COUNTY BOUNDARY
STREETS
RAILROAD_CENTERLINE
�` FI}
.fr' PARCELS
C ITY_LIM ITS
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TODD JZo - COOLEE6SEE
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El DAV
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EDMOCKSVILLE
nccounties
DAVIE
I n <all other va!ues>
Monday,March 5 2012
00244St--'-
***WARNING:THIS IS NOT A SURVEY!***
This map is prepared for the inventory of real property found within this jurisdiction,and is compiled from recorded
deeds,plats,and other public records and data.Users of this map are hereby notified that the aforementioned public
primary information sources should be consulted for verification of the information contained on this map.The
County and mapping company assume no legal responsibility for the information contained on this map.
T
•DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY IN ORMATION
Account #: 990005827 Tax PIN/EH#: 1800000031
Billed To: Ryan &Meredith Showalter Subdivision Info:
Reference Name: Location/Address: NC HWY 801 S.-27006
Proposed Facility: Residence Property Size: 12Acres Date Evaluated:
Water Supply: On-Site Well A Community Public
Evaluation By: Auger Boring - Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position C
Sloe% 40e, o %
HORIZON I DEPTH C9
Texture group
Consistence
Structure
Mineralogy ;! ;
HORIZON H DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH '
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
,.-Texture group
Consistence
;t Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
3 SAPROLITE
r'EASSIFICATION IPT
:',LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: S 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
Maid
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
LYtttes
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)
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