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200 Browder Lane Lot 9Davie County.. NC I ITax Parcel Report Wednesday. October 19, 2016 Parcel Number: NCPI;: Number: Recount Number: Listed Owner 1: i uiiing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARN 1NG':'_1'H1S IS NOTA SURVE'Y I T T f' r,ar��r�ni�vrrnaiiitri G707OA0009 Township: Shady Grove 5860530365 P. unicipality: SeB,WeB,En9,RnD,MsC 82526510 Census Tract: 37059-803 ORTEGA NICOLE P Voting Precinct: WEST SHADY GROVE 200 BROWDER LANE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: DAVIE COUNTY QD 27006-0000 Voluntary Ag. District: LOT 9 BALTIMORE TRAILS Fire Response District: CORNATZER - DUL IN 14.95 Elementary School Zone: SHADY GROVE Land Value: Total Assessed Value: =112007 ry;iddle School Zone: WILLIAM ELLIS 007100179 Soil Types: SeB,WeB,En9,RnD,MsC 0009 Flood Zone: 111 Watershed Overlay: DAVIE COUNTY 255830.00 Outbuilding a Extra 37660.00 i=re«tures Value: 96310.00 Total Market Value: 389800.00 389300.00 No wv i Davie Oililtj', 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 Count y's GIS website shwa held harm!_ss the of Davie, North Carolina. Its agents, consultants, contractors or employees from any and all claims or causes of action due to NCCounty ;T, + ` or arising out of the use or inability to use the GIS data provided by this vicbsitc. 0`4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990003969 Billed To: Mauricio and Nicole Ortega Reference Name: Nicole Ortega ATC Number: 4412 Tax PIN/EH #: 5860-33-5745.09 Subdivision Info: Baltimore Trails Lot # 9 Location/Address: Baltimore Road -27006 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 .19 0 Sew tment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONS TION IS ALID F A OD OF FIVE YEARS. Environmental Health Specialist's Signa e: e: .5 !7 OF COMPLETION **NOTE** Theis oft Certifica p shal ' t has been installed n compliance wi cle 1 Disposal Systems ' but shall in NO WA t s a gu given period of t� e. O� N� Septic System Installed By: Environmental Health Specialist's DCHD 05/99 (Revised) the system described on Improvement/Operation Permit Ater 130A, Section .1900 "Sewage Treatment and ►Qtee tl,4the system will function satisfactorily for any J 3 ao PA. 4z .� z - IN67 Date: 7 :C�, DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section V� P. O. Boz 848/210 Hospital Street • Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990003969 Tax PIN/EH #: 5860-33-5745.09 Billed To: Mauricio and Nicole Ortega Subdivision Info: Baltimore Trails Lot # 9 Reference Name: Nicole Ortega Location/Address: Baltimore Road -27006 Proposed Facility: Residence Property Size: 15.77 **NO"1' * "lhis�mprovem2ent/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 THIIS� PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Typ#People ` #Bedrooms q #Baths 3 Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ 0 Commercial Specification: ': Facility Type B 0 #People #People/Shift #Seats Industrial Waste: 13Lot Size 15• (/ AC24ype Water Su ly 4 ---LL Design Wastewater Flow (GPD) 530 Site: New E( Repair ❑ l , System Specifications: Tank Size % AL. �mp Tank GAL. Trench Width 34' Rock Depth � Linear Ft. Other: AK* -o 1 EMENT/OPER TION PERMIT LAYOUT - AP ED FI (SHED GRADE. **** OTICE: Contact a representative of the stem between 8:30 a.m. to :30 a.m. or 1:00 p.m. to 1:30 p.m. on the day ��4 MPOD x 1-70, 4 OR 7- �= ijot to — 1c+0' 7M�C, 'T 17 iH Environmental Health Specialist's Signature: DCHD 05/99 (Revised) T FILTER. RISER(S) IF 6 " BELOW ealth Department for final inspection of this io .Telephone # is (336)751-8760.**** m �,• 5 W.22D!o RFMAY. 4.2006010:52AM CBT TRIAD 998 4492envhealth 336 751 Eh0_1931 P. 2 & E=VALUATION/lMPROVF_MBNC PERMIT & ATC ' ie County Health flepaitnlent vironmental Realt►i Section -Box 848/210 Hospital Street MocksviIle, NC 2'028 (33 751-8760/Fax (336)751-8786 NhhEN Applicatb p�g(id1 Unprovement Permit 0 Authorization To Coastruct(ATC) V/Soth �* fW0J?TAN7**•THISAPPLICATIONCANNOTHEPROCESSEDUNLESSALLOFTHEREQTIRM II' ORIS TION IS PROVIDED. Fier to the INPORNfATION BIILLI;M fbr instructions. APPLICANT INFORMATION Name to be Billedr `� r GStact Person/ V/W Billing Address f ] Iomc Phone City/State/ZIP VI� 7 Business ~ Name on Permit/ATC if Diiffeeent than Above Mailing Address City/s NOTE: A survey plat or site plan most accompany this application. (Permit is valid for 60 monthi with site plan, no expiration withecwnplete p1aL) Tax PIN# Subdivision Namc Directions To Site: Date Houve/Facility Corners Flap$ — If the answer to any of the following questions is "yes", supporting docummlition rust be attached. Are there any axis* wastewater systems on the site? OY.:s IWo Does the site contain jutisdicional wetlands? ❑Y'a MKO Are there acy easements or rilbt-of-ways on the site? OYus ONo Is the site subject to approval V another public agency? OWS ONO Will wastewater other dma domestic aewagc be generated? GY1 s An IF RESIDENCE FILL OUT T) 11:1 BOX BELOW # Pcople# Bed moms ii Bathr o= Garden Tuh/Whirlpool as ONo Basement ❑Yes �o Basetttent Plumbing: ❑Yes *No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business _. Total Square Foot.ge of Building,! # People # Sinks # Commode. # Showers _ # Urinals Estimated Water Usage (gallons per day) (Attach docs mentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system regaestcd: 11Conventioua OAccepted 01nnov3tive 0Alteriative COther__ Water Supply Type: ]. County/City Waler Aaw Well OExisting Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intend:d to serve? 0 Yes P(No If yes, what type? TTris is ro certifyihat theiafotrrntion tirr vidid oa th"pplicalion is true and :orrect to the best of my kgowledge. I understand that any pcmiit(s) or ATC(a) issued hereaite-are subject to suspension or revoeabon if the site is altered, the intended use changes, or if tho information submitted in this Application is falsified or ehangcd. I undersand that l am respon., able far all charges incurred front this application. I hereby grant right of entry to the Authorized lzepresentative of the Davie County Health Department to conduct necessary inspections to determine compliance y.th applica_ ble law anat d rules on the above described property located in Davie County and owned by � 1-a ri 1. N i Go1A� Site Revisit Charge roperty owner's or owner's legal representative signatwe Datc(a).; Client Notification Date: DatAtet-- � EHS: Sign given CYesONo Account# Revised 2/06 Invoice 0 DAVIE COUNTY HEALTH DEPARTMENT - Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account M 990003969 Billed To: Mauricio and Nicole Ortega Reference Name: Proposed Facility: Barn Property Size: Water Supply: Evaluation By: On -Site Well Auger Boring PROPERTY INFORMATION Tax PIN/EH #: 5860-33-5745.09B Subdivision Info: Baltimore Trails Lot # 9 Location/Address: Baltimore Road -27006 14 Acres Date Evaluated: Community Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence 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 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY- OTHER(S) PRESENT: 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 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 I M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed No s 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) 11 � moi. The Ortega's 336-595-1523 May 11 06 09_31a davie county envhealth 336 751 8786 p,I ITF EVAL,IJATIGN/IMf'ROVEMENT ))ERMIT & ATC vie Coulity Health Department D F.nviraamef ted Realth .Section P.O. Box 8481214 Hospital Street vv 1 200 MocksviHq NC 27018 336)751-87601 Fa:(336)751.8786 /i Application For: , on/{mf rov ent Permit tl1 A1elh.nza ion To Construct(A1 C) A_Ml tIFgLT It �Fi1S AP CENNOTBEYROCEZED UNLESS ALL OF TM REQUIRED INfOI(jtl/I L•D. Reier to the INFRRamKnoN RUI.ui IN row intrtuctions. Name to be Billed. l JUi ( pf���o act Person ^ l V J� 0( � � � � p� S Billing Address j�_Q _ limte Phone Ciry/StalcfZlP� f�� � _ •�z� u:/irtess Phone b�JB (�� J - !G !( _ Name onPermiUATCifDifr—itl—Ahovc Mailing Addtcsss = `CitylSta1rrLip �_____ _PROPERTY INFORMATION NOTE: A survey plat or site plan mica accompany this application (Permit is valid for 60 months with site plan, on expiration with cot Mete plat) Street inionMitten... �_CitUt# V [=Lu1 Si PiN# Subdivision Na—. -:OA Section/I,at#t-- Lut Stu G C 5 tion sTo ite:_,—yy_lUl,,..f�_._.._ rc ... Date Clouse/Fac Comas Flagged r If the answer to any affix following gnnstions is "yes". supporting doewrtetdation rust be attached. Are there any existing wastes iter systems on the site? 13Y:3 Mid- Does id -Does the site contain jumaictionat wetlands? UYcs QN6- Are there any Casements or ri stn -of -Ways on the site? OY cs GW is the site subject to approt al by another public agency? O>rits au& - Will wastewater other than dutrncstic sewage be gemratcd? Olt os Oto - IF RESIDENCE FILL OUT THE BOX BELOW # People ,. # Hedt,voms # Bathroom Gardcn Tub/Whirlpool Utes ONo l Basement: ClYes L!No Hast:ment Plumbing. r]Yes QNo - IF NON -RESIDENCE FRJL OUT THE BOX BELOW bOr l) _ Type of Facility/Business fRft VQr,0 Total Square Footage of uildingYq ()() # People - # Sinks # Comraxies I v showers _ 0 _ it urinals �__ hpr�?s Fsliimated Water Usage (gallons per day) (Attach downentation of similar facility water consumption) FOODSERVICE ONLY: # Seats _ Typesyslemrequcsted_onventional D'Accepicd Olnaovative JAII mauve Older Water Supply Type: n County/City mater %14. Well n1l.ist'me Well C Community Well Do you anticipate additions or exp,,n:.ions of the facility this system is intetded to serve? O Yes VK1_ If yes, what type? This is to certify that the inforInation provided on this application is true a:td correct to the best of irty knowledge. I understand that any permit(.) m ATC(s) issued hereafter are subject to suspension or mva,atioa if the site is altc". the intended use changes, or if L'n information subtnined m this al:p ieatioa is Glsified or changed J and'asmrtd than lam resp aariDte for alf rJrnrger ineorred from this oppliealion. 1 hereby grant right ofentry to the Authorized Repr memative of the Davie County Health Department to conduct necessity impechoas J b:rmitte compliance with aRpli�j� la. vs and rut o the aFOvo described property located in Davie County and owned by Q U Q 4 Pd Al t jc)(e 6 (1 I ty owner's or owner's legal m re ntativc signature Site Revisit Charge Client Notit"rcatioq Date: etc EHS:_ Sign given LiYesONo Aeeount# ( _ Revised 2,416 Invoice # P.l DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990003969 Billed To: Mauricio and Nicole Ortega Reference Name: Nicole Ortega Proposed Facility: Residence Property Size Water Supply: On -Site Well PROPERTY INFORMATION Tax PIN/EH #: 5860-33-5745.09 Subdivision Info: Baltimore Trails Lot # 9 Location/Address: Baltimore Road -27006 15.77 . . Date Evaluated: Community Evaluation By: Auger Boring Pit V Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence 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 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND EVALUATION BY: OTHER(S) PRESENT: 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 Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3y -et 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 LYQtes 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)