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245 Indian Hills RdDavie County, NC Tax Parcel Report b 9 5 1 Thursday, September 29, 2016 161 WARNING: THIS IS NOT A SURVEY All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. Parcel Information Parcel Number: 170000005805 Township: Shady Grove NCPIN Number: 5768994987 Municipality: Account Number: 56083870 Census Tract: 37059-804 Listed Owner 1: PENLAND ANGELA V Voting Precinct: FULTON Mailing Address 1: 245 INDIAN HILLS Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 4.137 AC COMMANCHE DR Fire Response District: FORK Assessed Acreage: 3.75 Elementary School Zone: CORNATZER Deed Date: 6/1997 Middle School Zone: WILLIAM ELLIS' Deed Book/ Page: 001950636 Soil Types: GnB2,GnC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 276570.00 Outbuilding & Extra Freatures Value: 3480.00 Land Value: 44780.00 Total Market Value: 324830.00 Total Assessed Value: 324830.00 161 Davie County, /-�County NC All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. r t y.,. ,.'- twy4 {lc ri;.::: .�, n.`4 sir r` „�d;.i{. 1 �•;`.f'ik r^ r .� 4 `!C.. �.♦ 4">., `�n , :.0 �• � r . isr_i'"VA. #r`. r_. .r' ~:`-;: {. r� p Ai3� HORIZ.�TION NO. 14 0"0. b O 9 51 DAVIE COUNTY HEALTH DEPARTMENT " -' Environmental Health Section Permittee'sPROPERTY INFORMATION } a �`j . ` P.O. Box 848 .,,..:..,;,_ �/h" Name: AV+� •�D \�Q �N w Mocksville, NC 27028 Subdivision Name: Directions to property: b� Fo v J% B I X Phone #: 704-634-8760 ...� _.. Section: Lot: AUTHORIZATION FOR WASTEWATERTax Office PIN:# - - SYSTEM CONSTRUCTION Road Nam kp: A **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance'of any Building Pernits:,This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of C.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ~°� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION / IS VALID FORA PERIOD OF FIVE YEARS. ENVIRONMENTAL, HEALTH SPECIALIST ,''+; DATE ISSUED '= 1 , h Q, .tt::- DAVIE COUNTY HEALTH DEtA#Tj4ENT \ 1 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Namecte�au Na y Subdivision Name: Directions to property:'' Section: Lot: µ IMPROVEMENT , ♦ n .a Tax Office PIN:#.` � #, I - ,,� .' - �. • •� i Road Namd4,iA%0Ajp; wf r"3y **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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. (Incompliance with Article 11 of G.S. Chapter130A, Wastewater Systems, Section :1900 Sewage Treatment Disposal Systems) ` y • ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. , RESIDENTIAL SPECIFICATION: BUILDING TYPOQ #BEDROOMS # BATHS 0-1 # OCCUPANTS �_ GARBAGE DISPOSAL. C&sr No uA COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE4. 61 TYPE WATER SUPPLY • DESIGN WASTEWATER FLOW (GPD) b NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE . —L-0—GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH I ^ LINEAR FT. 300. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: y A 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 INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT f SYSTEM INSTALLED BY: Cx` �•ayh'� � d ,4q1 C Q AUTHORIZATION NO.� � 5 ` OPERATION PERMIT BY: � DATE: � v "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) k .J "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 INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT f SYSTEM INSTALLED BY: Cx` �•ayh'� � d ,4q1 C Q AUTHORIZATION NO.� � 5 ` OPERATION PERMIT BY: � DATE: � v "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 EVALUATIONAMPROVEMENT PERMIT & ATC ` Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed 1 ), au�� � �tlep' P�� Y�'l /Q n Contact Person Mailing Address/ gq eoa ;NL.p . Home Phone City/State/Zip L °Z— nQf oci me-2�-7o�QS' Business Phone 2. Name on Permit/ATC if Different than Above Anal ? /] Mailing Address t"'. City/State/Zip 3. Application For: [Site Evaluation [ ] Improvement Permit & ATC [f�'Both 4. System to Serve: [V! House [Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms 3 # Bathrooms_ [ i�Dishwasher [Garbage Disposal r,jVashing Machine [ ] Basement/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: 16—county/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [v<Ys [ ] No If yes, what type? ca - EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AOF THE PROPERTY MUST BE SUBMITTED WITH T,�HiS APPLICATION. Property Dimensions: 4/ • /3 7 ; WRITE DIRECTIONS (from Tr TO PROPERTY: Tax Office PIN: #576fr - �'9 �9 CeT L' r /O Ann &-y A( feF-1- Property Address: Road Name /�/] i�s_y(; O/j B Frk &X A, 4o � a hp rnile- City/zip A=ce If in Subdivision provide information, as follows: -mac IC Pon, f7yjrrmr24 Name: 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 Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned to determine the site suitability. Revised DCHD (06-96) THIS AREA MAY $E USEb FOR bRAWINC7 YOUR SITE PLAN: Iron bar 19- 7WIN LAKES AV DB 9, IA7'10N, INC Da. log PG. 875 DS. 128 PG. 552 G. 366 84°03 - �Ijl (2,,3, 81k, zzZrth o. �ZZ 11) CO 0 1) co DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME �>r Qs� 3 DATE EVALUATED ✓ I � 1 J PROPOSED FACILITY PROPERTY SIZE • ,�l C 1 SUBDIVISION ROAD NAME Water Supply: On -Site Well Community, Evaluation By: C �,1,,,., Auger Boring V Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH (o" Texture group Consistence Structure C, Mineralogy HORIZON II DEPTH a Texture group(j Consistence T Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S �$ S RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION Fs LONG-TERM ACCEPTANCE RATE 1 14 1 14 SITE CLASSIFICATION: 11�zl ' , LONG-TERM ACCEPTANCE RATE: - 1A REMARKS: DCHD (0I-90) LEGEND Landscape Position EVALUATION BY: OTHER(S) PRESENT: ') 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 ■MOM■M■MM■■■■MMMMM■ ■M■M■M■■MM■M■M■MMM■ ■E■EENO■ME■EME■■■■■ ■E■E■M■NN■■ENE■■ON■ ■M■MMM■M■■MM■M■M■■■ ■■M■M■MM■■MMM■■M■■■ ■■M■■MMM■MMMM■■M■M■ ■MM■MMMM■MM■MMMM■M■ ■MM■MM■■MM■■MMM■■M■ ■E■■■E■■EE■E■ENOM■■ ■M■MMM■MMM■M■M■MM■■ ■M■M■M■MM■MMMM■M■■■ ■■M■■■MM■■M■■■■M■M■ ■■MM■■MM■MM■■■MM■M■ ■MM■■■M■MMM■■■M■MM■ ■MM■■■M■■M■■■■M■■M■ ■M■M■MMMMM■■M■M■MM■ ■E■E■M■■EE■■EEM■M■■ ■M■MMMM■M■■MMM■■■■■ ■■■E■M■ME■■EME■■S■■ ■■■MMM■M■■MMMMMM■■■ ■■■■■■■M■■M■■■■M■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■M■■■■M■■■ ■■M■■M■■■■■■■■ ■■■■■■■■■■■■■■ ■M■■MM■■■M■■■■■■■■■■■■■■ ■■■■■■■■■EM■■■■■■■■■■■■■ ■M■■M■M■■M■■■■■■■■■■■■■■ ■■■■■■■M■■■■■■ ■■■■M■■■■■■■■■■■■■■■■■■■ ■■■N■■■■■■■■■■■■■■■■■■■■ ■■■■■■M■M■■■■■ ■■■■■■■■■■■■■M■■M■ MENNEN�iiiiiii�iiiiiii ■■MM■■M■■■■MMM■■■■ ■■MMMM■■■M■■MM■M■■ ■EM■■E■■■E■NN■■N■■ ■■■■■■■■■■■M■■■MM■ ■■■■M■■■■■■■■■■■■■ ■■■E■ ■■■E■ ■EN■■ ■■■■■ OMENS ■M■■■■■■MM■■M■■■■ ■M■■■M■MMM■■■MMM■ ■■NEEM■■E■■■■M■■■ ■MOM■■■MM■M■■■■M■ ■M■M■■■■■■MMM■■■■ ■■■MM■MM■■M■N■M■■ ■■MMM■MM■■M■M■M■■ ■■M■MMM■■■M■■M■■■ ■■■NEEM■■■■■M■■■■ i NONE ■■■■ SEEM MEMO MEMO ■E■■ ■E■■ NONE ■■E■ ■ NONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■■■■e■■ ecxu■a■ ■■■■■■■ ■NEE■■NE■M■N■M■■■E■ ■MENN■M■NEEN■■■■■E■ ■■M■■MMCMEMEM■■■EM■ ■M■M■M■MMMMM■■■MM■■ ■■■■MM■MMMMM■■■MM■■ ■■■M■■■ecce■■■■■■■■ ■■■■Mi'1■M■■■■■■eee■■ ■■■ ■■ISM■■■■■■■■■■■■ ■■tl■Eli■■■11■■■■■■■■■■ ■■I lMMli'.■■■IlM■M■■■■■M■ ■■��■■E■M�1■■■■eee■■■ ■MIlMM eMMll■M■MM■■■M■ ■■■■■■ ■M■■M■ ■■■■■■ ■■■■■■ NEON NONE ■