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110 Stone Meadows Lane Lot 1 . . , : , . . . . Pd ' DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street II��l�l Mocksvi(le,NC 27028 . (336)753-6780/Fax#(336)753-1680 . OPERATION PERMIT ,qccnu�t #: 990005433 �'ax Pi�€.�EH#: 5841-08-7890 BiIlc�Tc�; A-P Construction Co., inc. Su�ac�ivi�iUtt l�tf�: ��p S-{�b��1,1�.C�.OWS �(l 1�e�er�r�ce Rl�me: Mike Gardner LocalianiAddr�ss: Puddrng-Ridge-Raad-27028 �'ro�t���;c9 F��;ility: Residential Pro�er�.y Six�: � 2.358 Acres a�TC Numb�r: 5051 �� � **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. - ' System Type: l P S.T.Manufacturer�(��iuQ�r�'�� lla�� Tank Size/�ba Pump Tank Size ��b��. . System Installed By: � S E.H.Specialist: �� UV� �� �/��,D(� �r�u4 .I-,�!-; -s����'y�- : �Gv ln � C'l�an��r �s=�� � �— � . � � � � �o, , , �, � � � � ��� �� � . . �, . �� � � 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 Accau�t #: 990005433 �'�x F'IN/EH#: 5841-08-7890 8illcd To: A-P Construction Co., Inc. Su�idivi�ian lnfa: Refer�E�ce Na��e: Mike Gardner LocaiioniAddr��s: Pudding Ridge Road-27028 Proposei� F��:i[ity: Residential Pco��r�y Size: �58 Acres � Site T e: ONew ❑Repair ❑Ex ansion t�T� Nurrtber: 5051 , YP P **NOTE**This Authorization to Construct(ATC)MiJST 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 Speci�cations: #Bedrooms�#Bathrooms�J #People 2 Basement� Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size �.3�o Type of Water Supply: �C;ounty/City ❑Well ❑Community Well - System Specilications: Design Wastewater Flow(GPD) oty� Tank Size r,�GAL.Pump Tank ��a GAL. �r 7 �` /� 2 � Trench Width�[r Max.Trench Depth� Rock Depth� Linear Ft.�� Site Modifications/Conditions/Other: As stated in 15A ��AC 18A.1969 , � y a st, � us� Contact the Davie Coun Environmental Health Section for tinal inspection of this system between 8c30—9:30a.m.on the da of installation. Tele hone# 336 751- 7 0. � -r G.u.c�.� -a�� a�� � � � SP���o�- ��o� ( � << � �- � � • ,�,� � y r,��" t .v- � l � � � 7 - � � � � 1 � 2.�a� � � 5� �c'.:e:q � ' S'M'� � � 2r � • r�� � �J �-�►'�c 5 �. I ) �3 x 3 , � <w,�, ��o � Environmen 1 Health Specialist V / Date: � — �1!"�� ' DCHD 11/0 (Revised) � . _ _._ :'a ,, , ;�} , , � . ,�.' , : -.. ... . , , , _ ,\� _ , � DAVIE COUNTY ENVIRONMENTAI�HEALTH P.O.Box 848/210 Hospital Street ' Mocksville,NC 27028 - ' (336)753-67.80/Fax#(336)753-1680 �! Acc�►u�t #: 990005433 "��x P1NiEH#: 5841-08-7890 Bi!!c�To: A-�'L��n�Q�o-n c�N��R WASTEWATER���5�'EM CQ�N�STRUCTION t� Re�er�r�ce Rlar��e: Mike Gardner - Loc�i�oniAd�r��s: Pudding Ridge Road-27028 f'ropase� F��:ility: Residential �'cop�r#y S�iz�: 2.358 Acres " ATC Nurnber: 5051 . .,�. . Site Type: C�New ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MLJST 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_�,#Bathrooms�#People � Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats . Square Footage(or Dimensions of Facility) � Lot Size '�� `� Type of Water Supply: C�lCounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD) �� Tank Size I/o��AL.Pump Tank��AL. i� �� � �. Trench Width � � Max.Trench Depth � �o Rock Depth�� Linear Ft.t�� As stated in 15A NCA� 18A.1969,5� Site Modifications/Conditions/Other: arrPnt�ri Cv�t�������T���� �,�s� Contact the Davie County Environmental HeaIth Section-for final inspection of this system between 8:30—9:30a.m.on the da of installation. Tele hone# 336 751-8760. 0 Yl--�P � �c�. p�C� q,�t,�2. . . �.[��' � �y� � Oc� K3 �� �—'' . . � Q �h l D/� x3 � ' . � �3 t0�s:� • ��►°``� i/�!P k 3 5�^�� j D� r.� J / � �� , � P� - �d`� �,� �, �o� � �� � f fr6 � � � ��� � , �� y - � - w ` �. '�� _"""3"``j F� :* `.��.�r � �'~' � t'j-r"f 4 A rYi � 'if �Q1 i�l � i F. .'.r..,,�,��� . —~-`�------�.__� 4 �, �N� , - . , . . . � pvOG� �rr, hJDDPVG R D^ '� '�-�---- .�.�. ` . ` �= }���.� ;�. �---- - - - �E RO- =��;._t:.:�:�,___• ' .1= � �= � ;�-,__ -- �-`_�___`_: � � r. �/ �. 4�3 __"---+ �r�,,.%' �. 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I a [. , 1 , � F} :• � �'+.�e��t.-��e.�a a..f.r.._...ur ._.�...�.,._. ....W........ .o. ..._.... .a:�.l....,:.......-.�.r,..... . . _. -,..� . r...>..,.-.�,............._.._...._......,._ ......»..._....._.._.,_..�s1�>a..»..�...-.s....�.r.�A.s.�+a::4r f f ^ V (� All daW is provlded as is without warranty o�ufraTfee D�a�y1RFiA Aitll�r e1t�F6s36d�Y If�ItEd IhtI�101f�g�Tdt limited to the implied O�'ext� ���� �� warranties of inerchantability or fiNess for a particular use.All usera of Davie County's GIS website shall hoid harmless tha Counry o} ��(� Davie,NORh Carolina,ib agenb,consulpnb,contraetors or employees from any and all ctatme or eausee of action due to or arising out oi Pri nted:J u I 29 2013 � Ne use or inability to use the GIS data provided by this website. + Appraisal Card Page 1 of 1 .� , � DAVIE COUNTY NC 7 29 2013 12.33:26 CM ARDNER MICHAEL W GARDNER IOYCE M Retum/Appeal Notes: ES-000-00-00401 130 STONE MEADOWS LN � � � UNIQ ID 6230 2531483 , ID N0:5843087890 � COUNTY TAX(100),FIRE TAX(100) fARD NO.1 of 1 � eval Year:2013 Tax Year:2013 LOT 1 GARDNER S/D 2.358AC 2.030 AC SRC=Inspection s raised b 19 on 03/08/2030 03003 CEDAR CREEK TW-03 C- EX- AT- LAST ACfION 20130617 n CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE � oundation-3 E� B�E StandaM 0.0300 . p ontinuous Foo[in 5.0 US 0 Area UA RATE RCN EYB AYB REDENCE TO MARKET m ub Floor System-2 F lab on Grade-Residential/Commerclal 6.0 DI 01 3 118 103 72.10 2760 01 01 %GOOD 97.0 EPR.BUILDING VALUE-CARD 220 78 � Merior Walls-21 iYVE:Single Family Residentlal Single Family Residential EPR.OB/XF VALUE-GRD 5,04 � ace Brick 34.0 MARKET LAND VALUE-CARD 43,52 = STORIES:1-1.0 Story OTAL MARKET VAW E-CARD 269,34 � ooFlng Structure-03 r. able 8.0 � ooFlng Cover-03 � OTAL APPRAISED VALUE-GRD 269,34 � halt or Com ositlon Shin le 3.0 OTAL APPRAISED VAIUE-PARCEL269,34 nterior wall Constructlon-5 . walt Sheetrock 20A �' � OTAL PRESENT USE VALUE- � nterlor Floor Cover-12 � PARCEL ardwood 10.0 � OTAL VALUE DEFERRED-PARCEL ntedor Floor Cover-14 �sT � us�� OTAL TAXABLE VAWE-PARCEL 269,34 a et 0.0 i���*'% ir ;�;R.; ir eatlng Fuel-04 . � e az� � PRIOR IedNc � �1.0 BUILDING VALUE 233,00 eating Type-SO BXF VAIUE eat Pum q.0 ND VALUE 43,52 ir ConditioNng Type-03 ' � PRESENT USE VALUE entral �4.0 DEFERRED VALUE Bedrooms/Bathrooms/Half-Bathrooms OTAL VALUE 276 52 /2/1 12.00 � droom5 �� AS-2NS-OlL-O �� �� ' "�.�c.R+�" VERMIT throoms 3� CODE DATE NOTE NUMBER AMOUNT a AS-2 FUS-0 LL-0 ._ at s � Ha�f-Bathrooms ROUT:WTRSHD: ro BAS-1 FUS-0 LL-0 SALES DATA ' m S�0 FUS-0 LL-0 �� (E�'. 31 �. r"�R'� ;�� RECORD ATE EE SA 5T o OTAL POINT VALUE 307.00 BOO PAG M R TYPE PRICE o BUILDING AD7USTMENTS 0734 039 10 00 WD Q V 7300 0 ise 3 Size 0.910 x� 0816 910 1 Ol WD E V � ha e Desl 4 FACTOR4 1.050 S � • s� 0634 344 11 00 WD C V o u t�•oRr s � . uall 3 AVG 1.000 � i�� � z o OTAL AD]USTMENT FACTOR 0.96 OTAL QUAIITY INDEX 30 NEATED AREA 2,360 Click on image to enlarge Nores � 10-NEW SFD SUBAREA UNIT ORIG% ANN DEP % OB/XF DEP TYPE GS AREA % RVL CS ODE DESCRIPTIO LT H N VRICE COND LDG L B AYB EVB RATE V COND VALU BAS 2 36 10 17015 10 ON PAVING 2 8 1 60 3.5 011 011 5 9 504 GD 682 04 2213 OTAL OB XF VALUE 5 04 OP 35 03 894 � ST 8 04 230 US 59 OS 2127 FIREPLACE 4-2 S[ory Single/1 Story Z 80 _ . Double UBAREA 4,06 27,60 OTALS UILDING DIMENSIONS BAS=W20W46537E1053E13N4NSE3055E15N36Area:2,360.0;FOP=N12W17512E1�Area:204.0;FGD=W22533E22N31Area:682.0;FOP�E30N5W3055Are a:350.0•UU5=E42N13W38N13W4511513Area:590.0•UST=WBS10E8NIOArea:80.0•TotalArea:4 066.0 � NDINFORMATION TIiER ADJUSTMENTS TOTAL IGHEST AND USE IOGAL FRON DEPTH/ LND COND ND NOTES OA LAND UNIT WND UNT TOTAL AD]USTED LAND LAND EST USE CODE ZONINCa TAGE EVT SIZE MOD FAR RF AC LC TO OT TYPE PRICE UNITS TYP AD)ST 'UNIT PRICE VALUE NOTES URAL AC 0120 348 0 1.7390 4 1.3700 +30+12+10+OS+00 PW 9 000.0 2.03 AC 2.38 21 438.0 4351 OTAL MARKET LAND DATA 2.03 43 52 OTAL CRESENT USE DATA http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parce1=E50000000401 7/29/2013 �. . � . `t . . f ' .. . ' _ �L� SITE EVALUATION/IMPROVEMENT PERMIT & ATC �; � �, � Davie County Environmental Health ' •r 2 '���� P.O.Box 848/210 Hospital Street ` � 2 �� , ��,e • Mocksville,NC 27028 i,,� 'y.�� ��� (336)753-6780/Fax(3 )753-1680 � ��p��`�nE����yyT1 Ap licat on k��.�i valuation/Improvement Permit Attthorization To Construct(ATC) ❑ Both Ty e of Ap ' ion: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility �� *�*IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORI�IATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION LL �� K-' Name to be Billed it/��-.n�.�yT�:rG�"�� (.-�� .�✓�• Contact Person ��l;�y �� �{(,�XJ�.':.'��r' Bilking Address �jC�� S��{lo /1/���c��� /5 U Home Phone_�j�,•- :=�'�j- '�S r� City/State/ZIP_�,�,;�i,';,i���•z.,,, /1/_L", Z�Z�'S— Business Phone 3 3�,-- ����j �-- ;j Zv ,� Name on Permit/ATC if Different than Above ' � �il/�� Mailing Address �T City/State/Zip PROPERTY INFORMATION *Date House/Facilit Corners Fla ed .2 23 �� NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan OPlat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name��;,�c G ����ce ��tl�.�'E�.' Phone Number 3�(A-y�-�l�l� Owner's Address City/State/Zip Property Address City Lot Size �.;3 Tax PIN# ,� � Subdivision Name(if applicable) Secti/on/Lot#, Directions To Site• � � �,� ` � -- /:�-,�.t i 3'�6s� c� T :.t c���.✓e K;�`:c{�` •�i � c�c: l��i . .� r� 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 v2�10 Are there any easements or right-of-ways on the site? �es No Is the site subject to approval by another public agency? Yes ✓No � ' Will wastewater other than domestic sewage be generated? Yes ;�No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms �L #Bathrooms c�1� Garden Tub/Whirlpool C�es ❑No Basement: ❑Yes C1�'1Qo Basement Plumbing: ❑Yes L�3Qo IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of FacilityBusiness 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: L7C;onventional ❑Accepted ❑Innovative ❑Alternative �Other Water Supply Type: Q'County/City Water ❑ New Well ❑Existing Well Q Co}nmunity Well Do you anticipate additions or expansions of the facility this sysfem is intended to serve? ❑ Yes C�o 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 n�rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and loc i and fl� ' staki he house/facility location,proposed well location and the location of any other amenities. Site Revisit Charge P rty ow�ier's or owner's legal repr^sentative signature � Date(s): � �'ZL " ��'/�-� Client Notification Date: Date EHS: Sign given ❑Yes ❑No Account# �c� Revised 11/06 Invoice# ��� �� . . � � . . � . N 85°29'12"E 100.00' R� S 84°20'26"E 247.8' .\� — e Road , Pudding R�dg . , � _ R/W , , �. . �� �, o � � � O � � Mike & Jo ce Gardner � � ;� v N � � �.��Z � N Lot # 1 ��� W � o �p w ��, �, � h��,�nS � N , � � �, ,�' N � Part of j � � � � Tax Lot 4.01 � _ z . � Tax Map E- 5 , N . M . o � � .._.-�.�_ ._"--_-"• 2.358 Acres +/- � ± ,__-------- . � ....�- ------� ; ; , :_.__. : :____.____. : : � Inciusive of area � -�� � ���-����----' � i � c . � c� i n S.R. 1435 R/UV Ho�se ori�eWa,, -� `�--------__.- �, s . � � . -;�—�.. o 0 : ,'• -a r 75.00' cB , , . •, •-----------�--� � Scale : 1" = 40' � � a� . . o 0 0 � ^ � N 84°59'39"W 359.55' ' r � ��: .� � . � � � ' q/z�,fa� :� ,: . .. . - ��� - '�~ =� �--�'' '� E EV�LUATION/IMPROVEMENT PERMIT & ATC ,b��� �; vie County Environmental Health n �1� �,��� � .O.Box 848/210 Hospital Street V"�� t� �� � � � o � Mocksville NC 27028 � � ., � �G, . , . /� � � a q ; �p,�.j� �751=8760/Fax(336)751-8786 Ul t c``t,McN��N y , . / Applicati'` For: �i,��C%'a` 'on/Improvement Permit ❑ Authorization To Construct(ATC) [�Both , Type of A lication: ew System ❑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 r Name to be Billed� ► �ti Contact Person i,r.� Billing Address 6 l, Home Phone 36 7?� �DO City/State/ZIP �,.v��/�,�, ,JC� d 7�t17 Business Phone ,�(o ( —�� 7 L�► Name on PermidATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged � �''�Ol 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 lat.) Owner's Name .�� �� � �J� Phone Num er q 'u�c� ��--G Owner's Address �{ ' ` Ci /State/Zi 0�4S�i •�'"d- tY P �?s2 � Property Address [.� � ,��`��,�r� � � City �,�Lksui' � .C , Lot Size �A-c��— Ta P # S�U /a�'l 7 Fl`3� �I`� I � ��� Subdivision Name(if applicable) Section/Lot# / Directions To Site: � st Kr �-ii ,./ L lt�% �� ��-o�el �C ' — � S, " l�. �''" se -- L�n,r/' �Z S,a� ►�•r��- f the ans er to any o the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes �To Does the site`contain jurisdictional wetlands? ❑Yes [�io Are there any easements or right-of-ways on the site? ❑Yes�No Is the site subject to approval by another public agency? ❑Yes ��io Will wastewater other than domestic sewage be generated? ❑Yes o i IF RESIDENCE FILL OUT THE BOX BELOW � ; #People '� ! �tf � #Bedrooms ��1�2)J�C�#Bathrooms�� arden Tub/Whirlpool Yes ❑No � , Basement: ❑Yes No Basement Plum i� es �o � • IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of FacilityBusiness� 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 systemrequested:. �Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:T�lCounty/City Water . ❑New Well �Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes f .No , 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 if4he 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 Deparhnent 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 loc�tioa and the location of any other amenities. � . Site Revisit Charge operty owner' r owner'�leg representative signature Date(s): Client Notification Date: Date EHS: _ L �� i Sign given ❑Yes C�No Account# _ �h Revised 11/06 � Invoice# � rdX cac �z,.roX �a� � �. n/f Trrr►oth�r Ea�or�' Heirs: . 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Soil/Site Evaluation APPLICANT INFORMATION I'ROPERTY INFORMATION ', Account #:'990004415 Tax PIN/EH#: 5841-08-7890.01,� �� /_ /,,,J� �. �� /�/ � Tv �r�� � Billed To: Tim Gardner Mike Gardner Subdivision Info: (i/?� ,�eference Name: Location/Address: Pudding Ridge Ro d-27028 ;�' P,roposed Facility: Residence Property Size: 5 Acres Date Evaluated: � F: ' �� �� Water Supply: . On-Site Well Community Public � � , � �� . �- �y, � . . � , � . °-' Evaluation By: Auger Boring � Pit +/' � � ' ut � �.a FACTORS 1 2 �� 3 4 5 6 �:; 7 Landsca e position� ► L ° Slope% , � HORIZOI�i I DE H : <:� 8 ,� -�1. � _-. *' � � (D O- 1.� - Texture grou C �, � Consistence � �. ' ` -� , , ; � Structure ' ` Mineralo � HORIZON II DEPTH � - ^ � �3� Texture rou � .Consistence � , r. . Structure /V� " Mineralo . ^ /Yv �,+�, ti �� ,, . HORIZON III DEPTH - ?j .-�` Z, - -S'L .. : Texture rou $ C� ( �' �, � Consistence � $ f",�_ ; �'y- Structure NL Mineralo � �►,J . HORIZON IV DEPTH $ .- �., . h • . Texture rou �' � Consistence . � Structure . • `� - Mineralo . SOIL WETNESS Z- � Z7 ` "- RESTRICTIVE HORIZON O-f ,F -rr'-i3 SAPROLITE — . � '� � - ; S s CLASSIFICATION � 'V � LONG-TERM ACCEPTANCE RATE O,Z, � . � SITE CI;ASSIFICATION: � EVALUATION B . , . . LONG TERM ACCEP.TANCE RATE: �.r� OTHER(S)PRESENT: _�� ,�(�-/�Ll.'S��� ,� REMARKS• � �i u'�� ���, LEGEND � i, n" scape 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` � , � � , S-Sand LS-Loamy sand SL-Sandy loam ,: L-Loam SI-Silt � t� , SICL-Silty clay loam SIL-Silty loam CL-Clay loam � SCL-Sandy clay loam �,F� . S,C-Sandy clay . SIC-Silty clay C-Clay., - - corrsis�NCE - ^ � � .. . . I. ..'. '.. , . - . �. :.� .. . ' . . _t.. � ' .. ` . -���� VFR-Very friable FR'-Friable - �FI-Firrri, VFI-ye `ry 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 - ' . .. - . � ,• . . 'f' _ Structure. - . � ' � , . ... . . . ,,. . w.....� __ SC-Single grain M-Massive -rCR-Crumb'�' ' GR-Granular" ABK=Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic� A Mineralo�v , 1:1,2:1,Mixed lY�t€� Horizon depth-In inches Depth of f II-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-gaUday/ft2 DCHD OS/OS(Revised) . � � / _.� �i� ■■�o■����■��■■_�.���������■■��■��■�■�ee�■■��■��■������i���i■��■����■■ ■■■■����■s�:����e����■■■��s��■■■ ■��■a■■���■■e����s�i■■�i■�■�■��■■■ ■e������.�����o������������s�e���ii��s���������������u���i���������■ ■■■��������e■��o������■�����■■■■■�e�■�o���o�.■�����■�i��■i��■■■��■■■ ■■■����■�������■■���■��s�■■�������■■�■����■���t������n���i������■��■ 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Page 1 of 1 I�� � Davie County, NC - GIS/Mapping System o��..��.t� � ti '� �Cli�k Here To Start Ouer QUick �ea�rch:�Caun#y ID c �.. �+ �- �frr� � � �� �Sctiue L�a�rer. �t�se,�Fa� ��'S ��is _o '� �r, �'t� �� � �' :s'' � M r�RCELS t`.M:�p Tips Av�il�ble) h8�� L���rs j t�esult� � _._ _�,,� _. .,..�_ -- -------__.. � _ _. ..... , _ .. .._ .__ � � [re : � � . �a� �, � : R , � ;s �, .. ,. ,. . t� . ; ia�'�a(�ia'�6eii�hi�e � .. . � ip�.����� �� � � � � � � � '�,��3"�i�)�:,� ( 7 r ,�r� , I 1 — - - � � r+ � i Cy� — I � i - -----�—�L I f i . �� �yr� __��y� � 1— ,r� r`� � i � �-- '' _' . r�.rr�° —,-- . ..! r — _-" " rr t r --__ - � �__ �= 1 ��,.� _ � � ��- � - _ � ' � �� � � - F � � �, �. - �4x - � __ i � , '�� - �� � � � � � I ` �� - � � � ' �� ---��� E�,� � � ' t � , , ..` _ - ' , __ ,. �-- — ,, �� --- �����- ~---_� �� � �t, I, � I.. ;.-r,��. i , ,.. '� � ,.�� � ��I����.�#� � �����,<� ,_: http://maps.co.davie.nc.us/GoMaps/map/mapframe.cfm?CFID=4129&CFTOKEN=616408... 8/15/2007 �, - � '' � � ' " Davie County Environmental Health � P.O.Box'848/210 Hospital Street � Mocksville,NC 27028 (336)751-8760/Faz(336)751-8786 IMPROVEMENT PERMIT Account #: 990004415 Tax PIN/EH#: 5841-08-7890,1d'1,c�1 Billed To: Tim Gardner M ke Ga_,rdner Subdivision Info: Address: 6063 Willowmere Creek Location/Address: Pudding Ridge Road-27028 City: Winston-Salem 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. , Pemut Type: ew ❑Repair ❑Expansion Permit Valid for:,,B'S�Years ❑No Expiration Residential Specifications: #Bedrooms � #Bathrooms�#People � Basement� Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): U'W Type of Water Supply:�ounty/City ❑Well �Community Well Site Modifications/Permit Conditions: S stem T e LTAR Initial � Y L p, � Re air � 1� Site�lan Z.'�� 25' ���.-N'` � I�' I �o� . � ._�r,, . , ���� 1 W l'1'►o.L � ��JG 1 � u' � , � ���� � Z , . . � t�- ` � � � � . . Environmental Health Specialist ---Hate i.p.11-06 ! 1 � �'�IQ� . ---- _..,._ , . , ' , • ' � Tax Lof`52, Tax Map D-5 " � � � � . - ' n/f.Tmofhy Eaton Heirs , , �-' � DB 35 O PG 33 � I N 85°29'12"E S 84°20'26"E 1 100.00' ��R F�d 247.80' _ !`+ _ 1 �"� ... _ � 1/r��� - � 1 � l&1/4" £!P �''.�'� PK-Nail Set �dirL Rid,qe .Road � 8ent/Fnd , g . ,4g".�MP'' ' 28.02' i-.i-i " �► ,; — ---�— -� �S'.R. 1435 . ' ., ___.- — ,o�X ,o.SE , � - , � � , ,o� N , � PUbCIC.R�W. 20'+ ' Povement �� !- Approzimate Locction of r,.� i i . � . i Brarch/Wet Weother Qitch N � � � I � � � 1 � � _��� " � z Lo f 1 �,� w ' ' ' � . rn 4 � � I 1 N N v 3' � I �S� 1�2,� EtR gI� v r.� Pdrt of �ax Lot 4.01 0 � � ; i i ' ` p��y� K f3ent/Fnd �--° � , T a x M a p E-5 0 � � i � o S R�o� 5°'� � V rv 2.358 Acres +/- � � ' � o� � 6 � v I n c{u s i v e o f a r e a � i e��` S r*i within S.R. 1435 R/W � i �. - ���,e� N � t . 11 i i �o ��� , �.e �$�• Tax Lof 3 � � � , � Tax Map E-5 o IRs 359.56' rRs i�,� ' PB n/f Mark A. Dellinger I . /� RB 556 � PG 27 w � N 85°00'14"W ��i � � .p, `" �c�� z `. � w � . � N Lot 2 . � ;�; ' ) T� o -� � c,, � ,o i Tc w Part of Tax Lot 4.01 ►� o �Q, n/ � � o , Tax Map E-5 o rv � � � & on r� 2.644 �cres +/- � � i , I � R� '�5 Tax Lot 2 � � ; I • Tax Mop E-5 1/2„ EIR re<i Existing i i , n/f Homer A. Jones �nd S s�o ne 60' Access & Utili Easement ` ond wife 4,g4B„ 1/2„ EIR tY � � I Elizabeth H. Jones 899 E' Bent/Fnd Reference PB 8 � PG 325 RB 599 � P� 938 Reference PB 9 � PG 211 � i � , _ '' ' � 10'. �N 07°17'49"E � � � 100.02' i i F 374.56' � �Z� Z F ' 1/2" E!R Fnd N 82°13'O6"W ' b b Contro/ Corner �/2" FlR Fnd � � m `- Control Corner � �10.0 \ , 465•�� l�I l..�g�) Existing (Reference PB 9 � AG 211 rn}� , so.o9• ��ga� � '-�P Permanent Sewage System Eosament ,� "J' � �'�e �'"e j" - -----. _ � , N ' Fnd E-2 ----__ _ NMP � , 2 � ��� � � �. �� � � _ . \ , , Tax Lot,4.02 Tax"Map E-5 � , . n/f debra L.,lakey , \ & JiO:C. Brown ' � RB.,634-0 PG'344 eview Offtcer of Davie County, \ to which this certf�catton y requirements for recording. \ � � ���•'� . . � � � �e `+. - � 1 � 7! P II�, j!�1 .ir :�t ^ �. .��,, . l0 1 � �V� �� .� � � �.w�.,��� .,,��....�..�. ,.,_ a..�.� �A� h�f' MM�n Y� r�w N � �u.�� �.�, »�- :.,:,� � � �,�� �.,� •� 1 ��`"�`t .�.chs. 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C_ . tm o �zo 2a s6o ea+ncr� ,,,,,�,�,Stone Lond Surveying Company� _ �`u eow rtrnrn tb. r ce.Rs w�w iw a.�.ns w�a • CRAPHIc sCNF-FEcr �W n.••�d�l.Q__�'��//L �N.an-sd.n.RG Sno7 , l�s�� � „�i.�.I,xm�r..n..n� .ww. n+oo r • M.J. . . , . � , . . . . ., ... � . . , � � Tax Lot 52, Tox Map D-5 � n/f Tmothy Eaton Neirs T�o Line 5 04 49'29"W DB 35 � PG 33 3o.1s• N 85°29'12"E S 84°20'26"E Tie �rne 247.80' N 84°20'26"W 100.OD' 1/2,� �IR F�d � 237.38' � — ----- — — ---��.. _. _ .,,,..,,.,_, 1&1/4" E1P (_„ � �"'�r � PK—Nail Set 6ent/Fnd , 48" ��P�� 28A2' �—NMP -� i — ----��. ... ,.,�.,.� � ', �~ � ��•x���SE \ � i 10' x 70' SE p N � � � �� Approximate Locotion of � � � Tie Line N� � � i N 03°46'09"E-J Branch/Wet Weather 6itch � � � 30.23' - Lof � �� w " ' I Z a �, a „ ) W � N N � j � I � R�V� Q rv Part of Tax Lot 4.01 0-� � � i i ' . i. � � Tax Map E-5 o c° " � � I N iv 2.358 Acres +/— � � i � • v v inclusive of area � � Existing � r*i w i t h i n S.R. 1 4 3 5 R/W � i � �0' Wateriine � � Easement � � � Reference: �' IRS 359.56' lRs ' � ' PB 9 � PG 211 � i�'a o N 85°00'14"W ��� I �, '_ ��o'� � I • � ��i m � � Lof 2 N 'm� Tax Lot 4 . o � o w ,�� �o i I Tax Map E-5 �, �! � Part of Tox Lot 4.01 w o �a, I n/f Debra L Lakey ( � � o Tax Map E—5 o nW, ' � I & J i l l C. B ro v a n o : ' ' � ` RB 634 � PG 344 , r,j 2.644 Acres +�— . � i i t � � � . � i i �E i R T�G� E xis tin9 i � � � S 6j 4 ne t/2" E!R 60' Access & Utility Easement � $s,�B�F Bent/Fnd Re ference P B 8 � P G 3 2 5 ; � I Reference PB 9 � PG 211 � i I � , , Existing { ' � 10' Water Line � �N 07°17'49"E ' � Easement � 10Q.02' i ; Reference: . ' � 374.56' � ��� Z PB � PG /2" EIR Fnd N 82°13'06��Vy b � Control Comer f---_. �/2" EIR Fnd � � ---------_ +� �i Existin ReferenCe pg 9 Contro! Corner m i I t-�o.�2� ���•9$' t 9 � � PG 211 so.os� Permanent Sewo e g � �� c�,f� � r���ne NMP 9 ystem Easement� -- �--- NMP i ; •-N 82°i 3'O6"W ' �_2 _"_-- ------ 246.09' Tota( � t• ~ ��� , I -_� � � � i • � t,�� � �: \ (�: I TaX Lot 4.oz ��` � - � Tax Map E-5 ` ' n/f Debro L. Lakey � �• � ' & Jill C. Brown � � ' . RB 634 � PG 344 �� � �� _ \ I I ` `? � \ ' 1 \ ' \ __ I �— �