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131 Springdale Court Lot 6Davie Countv. NC t Tax Parcel Report Thursday, October 20, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARN IN C;: THIN 1J NUI A JUKV.EV Parcel Information G806OA0006 Township: Shady Grove 5880004542 Municipality: 82515626 Census Tract: 37059-804 MALLARD ROBERT A Voting Precinct: EAST SHADY GROVE 131 SPRINGDALE COURT Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY 1-1,R-20 Land Value: Total Assessed Value: NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOT 6 BENTBROOK Fire Response District: 1.06 Elementary School Zone: 9/2000 Middle School Zone: 003460959 Soil Types: 0006 Flood Zone: 112 Watershed Overlay: 195390.00 Outbuilding & Extra Freatures Value: 48000.00 Total Market Value: 246150.00 ADVANCE SHADY GROVE WILLIAM ELLIS WeC, WeB, PcB2 DAVIE COUNTY 2760.00 246150.00 No 9 P•q f�, j 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, f implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS webslte shall hold harmless the i County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to 'r NC 1 or arising out of the use or inability to use the GIS data provided by this website. i f DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001549 Billed To: Rebecca Mallard Reference Name: Proposed Facility: Residence Tax PIN/EH IF: 5800-00-4542 Subdivision Info: Bentbrook one Lot # 6 Location/Address: Springdale Court -27006 Property Size: 1 acre + *** fnbgr: 2680 N is improvement/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 0lU #People 4 #Bedrooms #Baths 3 Dishwasher: Garbage Disposal: ❑ Commercial Specification: Facility Type Washing Machine: Er- Basement w/Plumbing: Basement/No Plumbing: ❑ #People #People/Shift #Seats Industrial Waste: ❑ Lot Size I Aim,, Type Water supply& �,'i Design Wastewater Flow (GPD) L4 %Q Site: New Repair ❑ System Specifications: Tank Size 10CVGAL. Pump Tank GAL. Trench Width 5(; Rock Depth iZ Linear Ft. Other: i ��TQ. -rro►-� 'DSC � S� � IJ S�flt,t, LA Je-S Required Site Modifications/Conditions: 1 ^��► QLD �?.J ��Q K`= t �t F ► - `' 1r ID` DE F �'F. IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) 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 1:00 p.m. to 1:30 p.m. on the day of installation. deajione # is (336)751-8760.**** % Q0/ot R l�� tet_ �,12L trq * Pu1mouT 6 A P�r•�.� A� S 4GI — h1ic�3 e S %too` �11x, -, " � � —'n 11 t12 I�a� 1a00�- "TO PAA F l�\ Environmental Health Specialist's DCHD 05/99 (Revised) Dp �. P�►�.P �p R(v s�:rt.�t� t0,0�c kk(-Wo ("Q' To ' C�rJT2AC�oe - cv- %A T- L -4 0C. -t'I;►s �C-GtC� P� Q-ro 135 �b7-C�1�1�11,46 C_VNS TW o.J DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001549 Billed To: Rebecca Mallard Reference Name: Pr000sed Facilitv: Residence ATC Number: 2680 Tax PIN/EH #: 5800-00-4542 Subdivision Info: Bentbrook one Lot # 6 Location/Address: Springdale Court -27006 Property Size: 1 acre + 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 WASTE -TE CONS IS V D FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur Date: 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. 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. V 3q° 4 c) ,, a STEP pvo CIO Sr k2 ME) ToT A L pa Deco a Septic System Installed By: fo Environmental Health Specialist's Signature: D �S ' L� DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUAf1ON/lAIPROVEh1EM- PE11421y & AVC U • • Davie County Health Department Z 2 Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ENVIRONMENTAL HEALTH (336) 751-8760 DAVIE COUNTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. /� /►/Refer to the m INFORMATION BULLETIN for instructions. 1. Name to be Billed o )l'11l'C�. COO (AIC Contact Person So(&(� 2 Mailing Address � _ 1 P' r� i 2/ • Home Phone I a - 40 J2�� City/State/ZIP 1 1 1�'y)'� ��` / d Jl}�Cl Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation 4. system to Servioe: 1A House ❑ Mobile Home 5. If Residence: # People_ City/State/Zip Improvement Permit/ATC ❑ Business ❑ Industry # Bedrooms_ 0 Both ❑ Other # Bathrooms 2- 10 Dishwasher D Garbage Disposal Q Washing Machine ❑ Basement/Plumbing W 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: 1 County/City ❑ Well ❑ Community ©. Do you anticipate additions or expansions of the facility this system is intended to serve? �Ycs ❑ No If yes, what type? 1.1 ***IMPORTANT*** CLIENTS MUST COMPLETETII E REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. Property Dimensions: ,l '`i71 Cj u2s Tax Office PIN: # '31 '9030 CXD – 954 a Property Address: Road Name, i� 1��• City/Zip tb�hr l If in a Subdivision provide information, as follows: Name: �Ir h'f c')cl'tu Section: Block: Lots ALO WRITE DIRECTIONS (fryln Mocksville) to PROPERTY: rew run cin Date Property Flagged: rf-�, 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. 1, 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 by to conduct all testing procedures as necessary to determine the site su' ty. j� DATE ( �t SIGNATURE, TRIS 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). Revised DCHD (07/99) Site Revisit Charge Date(s): Client Notification Date: EHS• Account No. Invoice.No. a i A�ChAPO I hereby ter t If y 1haf 1 am the owner of the property shorn and d«eIeerlbed hereon, which Is loaatad In the subdlviislen jurisdiction of Davis County and that) I hereby adopt thljplan �b4 of subdivision rtlth n�y tree consent, establish minimun building sotgaek lines, and dedicate ell Parke& and othorlisltes and easements to public or private ue4 as noted. d DATE - Owner Owner I 4 WOLTZ 0 oe 126 PG 528 N � i CD Cf1 G� 1.6533 ACRES d► 00 ' �'� Ir i• t 1.6125 ACRES s 1.5658 ACRES 14V"/ ' - d' oe 1.6276 ACRES ( , Z C13 G� Sop 07 78~ t~Q j CI �►Y ��b• OA' / •. Nmµ, c11� � •�Q1�`'0 ice ii 7 cto� Ce cis cis cte I1.44,47 ACRES 9 1.0001 ACRES.., 4ae.,15' r. •'',Ci 'g0.�1' cis . 11 `_." -.�..�-- �..� -•.,._.., �- - ' N • 1' 1 1Qe ate"-`."'"" ' CURVE WIUS TANOEjrJp DELTA CHORD CH.00j" 0-1 20.00' I 6.70' x•59'30" 16.95' N 24.1z�a4°E bURA*: ROW. • TANGENT DELTA c-2 20.00' ¢¢.e9' .30.00'51" 1.03' N 1x•17'27"W C-�13•, '+80.00' 21.54' 39• C-3 270,00' 6Q.4J' 25'13'53•- 117.94' N 51'40'23"W C-14 -: ;►•:30.00'. 13.42' 48.1 ' C-4 530.00' 199.48' 4.12'20" 38.80' N 62.11'11"W C -1S 20:00: 9.01' 31.1 C-5 830.00' 7 .85' te•o2'o4" 147.84' N 52.03'59"W C-16 330.00' 13.39, 56 1r-6 20.00, 10'00'00'! 28,21' N 09'02'S7"W .0-17• •' 270,011' 10,31• 4911, C-7 30.00' .42' 48.11'23" 24.40' S.21'51'21"W 0 -.ie..... 20.00' 9.61' 51.11C -e 80.00' 42,00- .70' 46'30'27" 47.38' S 21.0o'53"W W--19 '• , 321.38' 61.12' 21.311 C-9 80.00' .o4' 77'21'52" 76.00' S 82.57'03"W C -2Q 30.00' 13.42' 48.10- C-10 80.00'.78' 14102'50" 25.00• N 48.20'32" W 0-21 60.00' 98.30' 117.14 C-il 80.00' 26.40' 48.02'31" 46.93' N 11'1714811W C-22. 80.00' 34.26' 59.21; C-12 00,00' 23.50' 42.55'01" 43.90• N 33'10'58"E C-23 • 60.00' 21.51 39.21 1. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 Mailing Address 2. Name on Permit if Different than Above 3. Application for. XGeneral Evaluation ❑ Septic Tank installation Permit 4. System to Serve: House5 ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ 1pdustry / ❑ Other ❑ Unknown S. If house, mobile home: Subdivision-XehT�/'o0� Section Z Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 0 Public 7. Type of water supply: ❑ Private 8. Property Dimensions _>� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: This is to certify that the information provided is correct to the best of my knowledge, and 1 understand I am responsible for all charges Incurred from this application. ✓DATE CONSEN EQB ,gjlE EVALUATION TQ U DONE QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 QWN the property. ❑ 2. 1 p0 NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. . DATE SIGNATURE DCHD (IA3) DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation NAME ADDRESS O ec-+l 0-2 PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE LOCATION OF SITEi4 Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit I/ Cut FACTORS 1 2 3 4 Landscape position L Slope Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t 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: _ /-::s EVALUATED BY: U vLI 4 LONG-TERM ACCEPTANCE ;!�" E: ` s OTHER(S) PRESENT: REMARKS: �z° ( c;2,,90 Z l%�lfA P 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 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 DCHD(01-901