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384 Cornwallis Drive Lot 14 Davie County, NC Tax Parcel Report Wednesday, October 12, 201 f 1 S 5 I 5 376 -- n = ' 384 it II 393 i 4.�. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E5020A0014 Township: Farmington NCPIN Number: 5841058221 Municipality: Account Number: 82521891 Census Tract: 37059-802 Listed Owner 1: GOODSON BENJAMIN H Voting Precinct: FARMINGTON Mailing Address 1: 384 CORNWALLIS DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 14 PUDDING RIDGE Fire Response District: FARMINGTON Assessed Acreage: 1.01 Elementary School Zone: PINEBROOK Deed Date: 12/2003 Middle School Zone: NORTH DAVIE Deed Book/Page: 005270200 Soil Types: GnB2,GnC2,MaB Plat Book: 0006 Flood Zone: Plat Page: 090 Watershed Overlay: DAVIE COUNTY Building Value: 333370.00 Outbuilding&Extra 8010.00 Freatures Value: Land Value: 57000.00 Total Market Value: 398380.00 Total Assessed Value: 398380.00 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 of action due to C'pUN�� NC or 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 Mocksville,NC 27028 (336)751-8760 Account #: 989900323 Tax PIN/EH#: 5841-05-8221 Billed To: Voglees Construction, Inc. Subdivision Info: Pudding Ridge Lot#14 Reference Name: Location/Address: Corwallis Drive-27028 Proposed Facility: Residence Property Size: SEE MAP ATC Number: 2614 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,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: � G Date: 'Id 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.Cha er 130A,Section.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY teglas a gu antee that the yste9 8i11 function satisfactorily for any given period of time. `L /dp i, o �m j61D /OP ADD o 0 Septic System Installed By: Environmental Health Specialist's Signature: A Date:/ DCHD 05/99(Revised) 'DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section i ► P.O.Boa 848/210 Hospital Street ' Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMITi Account #: 989900323 Tax PIN/EH#: 5841-05-8221 Billed To: Vogler's Construction, Inc. Subdivision Info: Pudding Ridge Lot#14 Reference Name: Location/Address: Corvallis Drive-27028 Proposed Facility: Residence Property Size: SEE MAP **NE* liisgmprov8ement/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 #People #Bedrooms !� #Baths-,?, Dishwasher: P? Garbage Disposal: 0- Washing Machine: 'r Basement w/Plumbing:a Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply _ Design Wastewater Flow(GPD)— 6� Site: New❑ Repair❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width Rock Depth/kL Depth/ Linear F ' Other: / Ir r Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF 6"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 4897- r.lo-1 39p. f installation. Telephone#is(336)751-8760.**** -fv �er�n P Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC �� Davie County Health Department OCT 1 U Environments/Health 5e9 on 8 ZQ�� P.O. Box 848/210 Hospital Street ENVIROIV41ENTAL Mocksville, NC 27028 DAVIECOUNTYAtTH (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROV'�11DED. Refer to the INF'ORJMATION BULLETIN for instructions. 1. Name to be Billed VN /''� Contact Person // k 7� -e� Mailing Address Home Phone City/state/ZIP L✓ '^Business Phone 2. Name on Permit/ATC if Differ than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation mprovement Permit/ATC ❑ Both 4. System to service: JR House 11 Mobile Home ❑ Business ❑ .Industry ❑ Other S. If Residence: # People -9c # Bedrooms # Bathrooms .LL=shwasher CU bags Disposal �-ming Machine ir' ement/Plumbing 0 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: P-16o-un ty/City ❑ Well ❑ Community s. Do you anticipate additions or expansions of the facility this system is intended to serve? Q-Yes ❑No If yes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: / �/ WRITE DIRECTIONS(from Mocks Ile) ROPERTY: Tax Office PIN: # - . _ ZZ Property Address: Road Na e r r- ! We;ty/zi °T r If in a Subdi ' 'on provide information,as follow : ( -�S V 4:� ` Name: 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 Coun He Ith 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 SIGNATURE A/Yt!:!�� 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). Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. Z gra Revised DCHD(07/99) Invoice No. PUDDING RIDGE RD \ z O \ o 13 � O N N t!j U /1) N ) LIl LOCATION MAP g' SITE 5.09„� 0d,� -15 1%0475-17 07 1 � 1 � % ` ------ - -----� II t I 0)` 0 m $GARAGE$ Z� d Ln 0 PRO ED '(p 6. o s� SITE PLAN ONLY ? Q�' "��9 SEAL THIS WAS MAPPED FROM A DEED OR L-2890 15 RECORD PLAT AND NOT FROM A SURVEY::: BY M E. CJS /CHARS\N Z� co O� 0) 40 0 40 80 120 G g/ON o GRAPHIC SCALE - FEET w co FOR VOGLER'S CONSTRUCTION, INC. SCALE TOWNSHIP COUNTY I STATE DATE,s 1" = 40' FARMINGTON DAVIE I N. C. 10-17-00 LOT 14 PUDDING RIDGE SUBDIVISION P.B. 6 PG. 90 HOWARD SURVEYING JOB NO. JOHN RICHARD HOWARD PLS 0099 P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 r DAVIE COUNTY HEALTH DEPARTMENT 41 Environmental Health Section Soil/Site Evaluation �y NAME DATE EVALUATED ADDRESS PROPERTY SIZEC-- PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t is Texture group Consistence i Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE !� / ZZ SITE CLASSIFICATION: 14S EVALUATED BY: I" LONG-TERM ACCEPTANCE R E: OTHER(S) PRESENT: REMARKS: 'e 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 flay 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-Finn 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 iC-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 watef 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(01-901 DAVIE COUNTY HEALTH DEPARTMENT /S Environmental Health Section Soil/Site Evaluation NAME G,i`f�C'P DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope Z HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH r Texture groupC Consistence Structure Mineralogyl.' HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATEI SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RAT OTHER(S) PRESENT: REMARKS: 42 ,� - LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Footslope 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 flay 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 3C-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(01-901