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154 Greenfield Road Lot 11Davie County, NC Tax Parcel Report Monday, December 19, 2016 i 164 0 D[I I 157 — -- W 1 L_ Z Lu 1 W 54 ti , I i I 145 132 108,__, 9amyAAg dab, Is provided as Is without mnardy or guarantee of any Idnd elNereapressed or implied Including but not [Imbed to the Davie County, Impliedura w "of merehantablity orfltness form pargwlar um All users of[krde County's GIS websge shall hold harmless the County or Davia, North Carolina, lis agents, consultants, wrNactors oremployees from any and all dabas orcauses of action due to nOb N2 NC or arising out ofthe use or inabifdy to use the GIS data provided by this vmbslte WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D301OA0011 Township: Clarksville NCPIN Number: 5822146840 Municipality: Account Number: 82523220 Census Tract: 37059-801 Listed Owner 1: COOK TERESA W Voting Precinct: CLARKSVILLE Mailing Address 1: 154 GREENFIELD ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -AR -20 State: NC Zoning Overlay: Zip Code: 27028-4769 Voluntary Ag. District: No Legal Description: LOT 11 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.04 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/2004 Middle School Zone: NORTH DAVIE Deed Book IPage: 005670017 Soil Types: MnB2,MdE Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9amyAAg dab, Is provided as Is without mnardy or guarantee of any Idnd elNereapressed or implied Including but not [Imbed to the Davie County, Impliedura w "of merehantablity orfltness form pargwlar um All users of[krde County's GIS websge shall hold harmless the County or Davia, North Carolina, lis agents, consultants, wrNactors oremployees from any and all dabas orcauses of action due to nOb N2 NC or arising out ofthe use or inabifdy to use the GIS data provided by this vmbslte DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street - _ - - - - Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002706 Tax PIN/EH #: 5822-14-6840 Billed To: Jeff Hayes Subdivision Info: Dutchman Hills Lot # 11 Reference Name: Location/Address: 154 Greenfield Rd -27028. . Proposed Facility: Residence Property Size: 1 acre ATC Number: 3615 **NOTE** This 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 e �#People #Bedrooms Dishwasher: Er .Garbage Disposal: M/ /� 3�#Bc�atFhis 1 /Ztp Washing Machine: E?r Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type "My � � M �#P,eople #People/ShiB #Seats Industrial Waste: 13Lot Size �• Type Water Supply l.(-J(]Design Wastewater Flow (GPD) ASite: New Repair 3oor rt n System Specifications: Tank Size IDMGAL.,,�Pump ,Tank , GAL. Trench Width Rock Depth 12 Linear Ft. IT Other: I`7/I�Ir olof �_J Required Site Modifications/Conditions: I/J�rA(L (� ✓/ Dl✓igCEcJgT�2, F-rtA' E1 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 em between :30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** LV s W4 I I Aff�,c I .E SD K> P to e u�zS 1 �40� tam ►.�s2 I Environmental Health Signature: Date: DCHD 05/99 (Revised) l '*'ea lsa 1l/2{� 'v da&'r� 3ct5; x3�'x►z"-rornL- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002706 Tax PIN/EH #: 5822-14-6840 Billed To: Jeff Hayes Subdivision Info: Dutchman Hills Lot # 11 Reference Name: Location/Address: 154 Greenfield Rd -27028 Proposed Facility: Residence Property Size: 1 acre ATC Number: 3615 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization far 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 WASTEWA U AL FORA PERIOD OF FI ARS, Environmental Health Specialist's Signature: te: 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. %io0 x.3to' wz" -�, DIY L)Ilii �,r ►`�` v0 Oo 1 rL A rtalled � rSeptic System Tn � 1 SLS "MOTEnvironmental Health Specialist's Signatur Date: tsk DCHD 05/99 (Revised) ' �-�` 35'36 ' i 84 ' c'U' iU• r c '0 UU LOT # 10 ' 1, 084 AC, LOT #38 W �? r 0, 930 AC. 34'06• Q 33g 66 34 # 20, 500 r E 270. 3Q ( LOT # 11 1 . 049 AC, JOT #3.7 , 044 AC. N sl •r s Q8• w 1 /1 EN T r c., v �'6 42 LUT # 12 8.=• 1i ' S w �,, 0, 889 AC, o ss �� j ;r o Mi '�' r. a V \ APPLICAIIBN FOR SHED PMMAt ATC - - i� Davis cww Haan Dapmbeattt ��trt P.O. Bbx� Bocpital street y memkaaille, DO 27028 --per AZ/ - (999)731-87so . PAZ 101 is PPWIDPO. Aster to,tbe IIDD[em>•iOta BMM&Xw for instructions. be aura amass sesaas . elft/eaa/sa p(/�ao�e aba,e _ - r. bub await/air 3r b�«�• tL� abew -. t?diima addm.. ata/saa/sip - - a. Appllnat:iae cert )JAits l almatien ti 3prsoaseet reait/A= 0 Both a. smaw to s.eaa.. t BO0 m 17 Hobils Boma O Basiaeae O lathtatcr O Otber s..0 hesid ml t People a Bedrooms • eatm el"s 3 �Q.dbeae n[waeaA .�pemtiw beWrwe 0 meauemtprseima 0 ft miae/eo Rmeiaa s.'" ewainaaa/ .aka/other: Specify, two - f ran" ! mnW I Crmma, _ • mw.er. a w4ft"o twee: reolare ZP POOOSzRV a: 1 seats Zatimeted hater Daape tal pa d.mt - 7. lypm of water .apply: t7/Citi 0 well D commAty o. 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I,bevy, give eaaneat to tks Asthorhad PhYraubtl.a d the DaHe atarq Sado bwbrmpmabaedmceft" property In" is DavinOMOWaw aped by aocoedact aB testLg promdr/rm asaetamgbdebrmise tke efts saBa611t1y. - DA7E BIGNAliBB��-� Property Ilam ld dimewlom, mroamm% rrtbukf, ad 1 V 7A4,7 'Ail dweeneitim"wift BsWaas"prope" m} %1511 C��I NOTIrle) 74eA OLC Ina Tal Ion wlbC:b Call7'L 'Ana c8ckon 9leMap t•; - Map Layers . . r Zoamin r zoomoa( G Recenlea•t ial) Idemiry: Parcels - Draw l e Pts _ Y ZagmFauor.�2X r Radius5r?ahlteet)t orewaekctedtayal Boundary NOE r Cenws7laels - � - GICIBowd•des'r MOW - - ) r,Coenty.7orony . } Multi Symbol F Pacwt . 4A i. Symbol, RI i —r,T•wmzotafie J vo IT .a MultiSymbol� • .. 32 � � 'C''PanlaaPaec4lifzs sirset'yrtarNt'.K GIN Multi Symbol �• �- SE � :ustlist�y Find Adios PSwe—is j l q�4ii plcor4r ph -- Phusical ' • County ID. 03010A001I - - • Amoun/Nember.D3010A0011 • PIN:5822148840 • Legal LtOT 1t OUTCHMM HILLS • Owner Name: CANA GROUP LLC • OwtW1Addre86 l: CANA GROUP LLC e aim w1Address 21870 UNDERPASS ROAD e ').,n.n7Addnass 3: — .i:.—i.5:0ta zip: ADVANCE, NC 2-7006 a ;and Va0x. S12,000A0 ea:was Vdrve:30-00 . o A; Sod Va:de: S12,000.00 • LaddUnd/TYAD.-I JLT • Dead 86ok(Pago: 00335/0341 - • DeedDale:200010528 • Sales Price:S0.00 - • PropemyAddress 000154 000154 RD • County7onmg: R-20 • Census Cede. • City Coda: • Fire Dishict - • , Flood Zane: ZONE X • Hood Community.' 370308 • Flood Panel'. 00250 • FloddMapData: 12-17-1993 - • Sall., MdE • Township: CLARKSVILLE - s:AiMi--,"ea, -, fmj D t1mRnts? - - 1G'TAP' G___r_uxreii� 7 'l 71167'M Ubb OFF 1MAI 191 W,IbC:b W7*( 'Ann DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION' PROPERTY INFORMA Account #: 990002706 Tax PIN/EH #: '5822-14-6840 Billed To: Jeff Hayes Subdivision Info: Dutchman Hills ` Lot # 11 Reference Name: - Location/Address: Greenfield -27028 Proposed Facility: Residence Property Size: 1 acre Date Evaluated:. 7. L,dnUSUdPC PUSILIU11 Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON H 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: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 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 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 05/99 (Revised) d " APPLICATION FOR SITE EVALUATION/iMPROVEMENF PERMIT & ATCVL2c f Davie County Health Department Envfmirmenfe/HealthSeatlan P.O. Box 868/210 Hospital Street%—z Mockeville, RC 27028 (336)751-8760 ***I!B?ORTMfT*** THIS APPLICATION CANNOT BE PROCESSED UNIEBB IiLL RE REQDIRED INIMM ATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Mame to be sill" C h �-N .j - contact "Ween rArAU4 J u.iling address b�7 /y�r. ss ,CPV No" "Mme 9" city/state/sxa _ Uy- Ale o?70e16 Business shone 2. Mame on permit/ATC it Diefersnt than above _ Mailiaq Address city/state/sip . 3. Application sort 58ite Evaluation ❑ Improvement Permit/ATC ❑ Both e, system to service, P-16ouse ❑ Mobile Rome ❑ Business O Industry ❑ Other S. If Residence: / People I Bedrooms / Bathrooms D Dishwasher 13 Garbage Disposal D Washing Machina D Basement/plmA Lnq D auement/tto pl,mbing S. Ie Business/Industry/Other, apenify type / comodes I showers IP I'OODSERVICE: tl Seats / people / sinks I urinals I Nater cooler. Estimated Nater Usage (gallons per day) 7. Type of water supply: bounty/City ❑ Well e. Do you anticipate additions or expansions of the belllty this system D Intended to serve? If yea, what type? ❑ Community ❑ Yes ❑ No ***IMPORTANT*** CLIENTS MUSTCOMPLETETIIE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITIED by the client with THIS APPLICATION. Property Tax Office PIN: fl -$ is - N�SJ� Property Address: Road Name ad /� '� I i Yon/ 2A CITyrup Mod'5,/1VP-1 If Is a Subdivision provide Information,/ass follows - Name: Section: Blocks Lot: WRITE DIRECTIONS (from MocksAlle) to PROPERTY: /D/ NiVY-A T 9.4ioti /A Date Property Flagged: _7O /vet' f6c'X This Is to certify that the Information provided Is correct to the best of my knowledge. I understand that any permll(s) Issued hereafter are subject to snspesshm or revocation, If the site plane 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 applicadom 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 suitability. THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property Imes and dimensions, structures, setbacks, and septic toe Revised DCHD (07/99) following: Existing and proposed Site Revisit Charge I Client Notification Date: Account No. —/// Invoice Na 411 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ' Soil/Site Evaluation "APPLICANT INFORMATION " PROPERTY INFORMATION Account #:. 989900111 - Tax PIN/EH #: 5822-14-6855.11 Billed To: Gray Potts . : , Subdivision Info: Dutchman Hills Lot # 11 Reference Name: Gray;Potts Location/Address: Eatons Church Road -27028 � Proposed Facility: Residence Property Size:. 51 Acres Date Evaluated:, Water Supply: On -Site Well. Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3. q 5' :. 6: 7 Landscape position Slope HORIZON I DEPTH . Z Texturegroup ei C Consistence Structure Sv < Mineralogy; HORIZON II DEPTH 2tF �i 1 • Z Texture groupGi + Consistence Structure 5b Mineralogy E I HORIZON III DEPTH - SZ Texture group Consistence Structure a Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS ... . RESTRICTIVE HORIZON r SAPROLITE CLASSIFICATION j LONG-TERM ACCEPTANCE RATE `p SITE CLASSIFICATION: PS EVALUATION BY: Atl-'4'0" d LONG -.TERM ACCEPTANCE RATE: 0 .5S ' O. Y OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R Ridge -; S -Shoulder i 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 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 LM - Massive CR - Crumb GR - Granular ABK - Angular blocky - SBK - Subangular blocky PL - Platy PR - Prismatic Mineraloav 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 05/99 (Revised)