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121 Rod Court Lot 16c r , Davie County, NC Tax Parcel Report Monday, December 19, 2016 [all All data Is provided asIs withoutvnrtanty or guarantee many Idnd either expressed or Implied Including but not limited to the Davie County, Impiledvarantles or merchantability orfhnm ror a pardcularuse Ag users or Gavle County's GIS website shag hold hamtless the CountyarDaAq Nodh Caroline,gaagents,rn Rmts,eonba memployeesmmmanyandagdaimsorcausesdadlondueto NC or arising out olthe use or inabirdyto use the GIS data provided by thlawebsft - - WARNING: THIS IS NOT A SURVEY 4179 2171 Parcel Information \ Parcel Number: - Township: Clarksville NCPIN Number. 5822250066 Municipality: Account Number: 82523001 200 124 Listed Owner 1: 193 Voting Precinct: CLARKSVILLE Mailing Address 1: 181 188 Davie County City: MOCKSVILLE Zoning Class: 176 State: NC 169_ Zip Code: 121 Voluntary Ag. District: 164 Legal Description: LOT 16 DUTCHMAN HILLS of WILLIAM R. DAVIE Assessed Acreage: ` 157 -- Deed Date: 6/2004 Middle School Zone: 154 Deed Book / Page: 005580797 145 MnB2,MdE Plat Book: 0007 Flood Zone: 132 108 X105113 108 DAVIE COUNTY Building Value: r Outbuilding & Extra 111 ` 111 -156 120 -125 Total Assessed Value: 124 143 144 132 137 [all All data Is provided asIs withoutvnrtanty or guarantee many Idnd either expressed or Implied Including but not limited to the Davie County, Impiledvarantles or merchantability orfhnm ror a pardcularuse Ag users or Gavle County's GIS website shag hold hamtless the CountyarDaAq Nodh Caroline,gaagents,rn Rmts,eonba memployeesmmmanyandagdaimsorcausesdadlondueto NC or arising out olthe use or inabirdyto use the GIS data provided by thlawebsft - - WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D301OA0016 Township: Clarksville NCPIN Number. 5822250066 Municipality: Account Number: 82523001 Census Tract: 37059-801 Listed Owner 1: STARRE CHRISTOPHER JOHN Voting Precinct: CLARKSVILLE Mailing Address 1: 121 ROD COURT Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A - State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 16 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 4.19 Elementary School Zone: WILLIAM R DAVIE Deed Date: 6/2004 Middle School Zone: NORTH DAVIE Deed Book / Page: 005580797 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: [all All data Is provided asIs withoutvnrtanty or guarantee many Idnd either expressed or Implied Including but not limited to the Davie County, Impiledvarantles or merchantability orfhnm ror a pardcularuse Ag users or Gavle County's GIS website shag hold hamtless the CountyarDaAq Nodh Caroline,gaagents,rn Rmts,eonba memployeesmmmanyandagdaimsorcausesdadlondueto NC or arising out olthe use or inabirdyto use the GIS data provided by thlawebsft - - 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 #: 5822-50-0066 Billed To: Jeff Hayes Subdivision Info: Dutchman Hills Lot # 16 Reference Name: Location/Address: 121 Rod Court -27028 Proposed Facility: Residence Property Size: 4 acres ATC Number: 3616 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 Treyfinent and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER S T1 IS A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall i icate the em described on Improvement/Operation Permit has been installed in compliance with Article 11 0 .S. C pter 130 action .1900 "Sewage Treatment and R� Disposal Systems," but shall in NO WAY be en guar that wi 1 function satisfactorily for any given period of time. <-1-Mt> Uta $ MW Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) APPIIMM FOR Ont LVMMDON/WPDDWH'Nf PMW h Ate D,v%cm* HMO ospmbant B,Nranman6rtNealmaetilm . F.O. Dos 969/210-Ho&Pitid Streat _ MactswMe. DO 27028 (330751-9760 City/stat./am -Jfv>- (S/0 ��6 awlww r0�$a :. -Ru r W. WAW at aurmt then Ab. titu.s e&&ae.. earl/wwua s. appllc tiaat Pos:'Au_ta Hvalaatiaa O A&pxovuent Pasit/we O moth .&. assn. to s.s awe Ji71t0ItIM O r Mla Hoes O 8asimasa n Sadaetsy O Otbae s. • x: Beeieeace: t p•opla t Hadsaaes - 1 Hathso&as 7 —be v.wr Wn.&fav O awwwt/au alums.v _ c. te a..t.r./aerb.tgMw.: r tam. I swtle F slat. - t eewa&.. t ata..0 6 mf.eae t vet.& C.aLn 17 POOD3Gt7IQ: # meats L Ltiaatod Mates Ospe eveum. P. an) T. 22" d este& supply; qv County/car O Melt O C®itt e. Dopae udtipal&addldWaoraagwalm.dO+etW1{y ih:syrbaN4teaded brrve7 . 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DATE �/� f0 6 3 ffiGNA7'DRB TMSAREAMAYSRII FORDRA"GYODR9[FEP ul &Adele : F.6ftaadprapmed paspnylNaaddiremNm, atraaev. aNhetlls. sadat�IeNtstlw} . q r n ?f" 044 iae,ni Fav auf.CB Cnn/•C •.nh ��ws7E• spaiA Data DRp Wer �Ab norm care rte C8rlcov Bre Map te: Map Layem r Zaomfn r Z.Oat F Rec4nforMap C leaadx Parcels Zvoln Factorl;,Z C Radius5.,cb(f•et)r - - Oraw aeleckafayem BoundAty "dW r N NE r" Caysus Toots ' - - - - - - - - - _ Gtyeo�adarlex•• 34 ComrV Zeetne Multi Symbol rewnwowwx ��� � rBcH•v�Dlfldcts gg8 ddp p.7 MuIG Symbol - -. - f-'TaxlpZoning - • �7 ' ems+ - . f� :. '�S _ - �'- TP�I'p>ihfl� - ,���� " n ` z ... Multi Symbol jjiJ% � 68F2f46tPJp j-',ydpogpteclncu, 3� in RRA, 1773 r��struoturp 6656 x 3 Multi Symbols SSV SE ilstlslroa 'nlgtitenwa ' FindAdjoining arcels � 1 j'AadAiPiwt•aapny • Land UndlType: 11LT t"icnminaY/B.Rivils- • County/D: D3010A0011 - • Deed BooWPage:0033510341 - • Account Number.D3010A0011 - (-'E9fl Addilass•s '' • DeedDaur200010526 . - • PIN.•5822148840 - - - - - rIfR DepelU4ar11s • LeD. - - - • Sales Aim., $0.00 - • OwnorNam GROUP LLC .- - • PmpedyAddrosr 000154000154RD - • OnwedAddrass l: CANAGROUP LLC - - • County Zoning: R-20 - - • OwnadAddress 2: 1870 UNDERPASS ROAD - • Census Code:- - - - - • Owner/Address3: - • C*tea_ • CifySfale Tip: ADVANCE,NC 2.7008 - - •_ Fob Diabict - - - • Lard Value: 512,000.00- Tjrls map is $Maned far th • Flood Zane: ZONEX _ _ imerdorgolp;Alpmpenyft • Building Valve: 80.00 • Flood Com wW. 370308 w8h'uilhlaiwiadic6o11•aod • OulBuyglEaa Feafues VaWc 50.00 •'Tdood>aneC 0025C ppOlatce�,Badpddk0 o1 1vapubre de rvkc • Assassad Value: 512,000.00 • Flood Map Data: 12-17-1993 and data. Useraofdasmal - • Party Record Cam - n•r•sy rat0ied thatOw - i• Soil.. MdE - alemmmtnptad p4hlic pdrf • Townaclp: CLARKSVIIIE mnsOh4d {Uj \Tft2tIW Of- + 7nh77% 7(,6h U( 4MI 191 wAu:b M7'6 'AON 'APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERM & ATC rrI* Davl(i County Health Department EnvironmentalHealth Section P.0. Box 868/210 Hospital StreetMockeville, HC 27028 (336)751-8760 ***IIPORTANTe** THIS APPLICATION CANMOT Br pp=SBED UNLESS ALL THS REQUIRED IH1fORMATIOH I8 PROVIDED. Refer to the INI'ORMLTION BULLETIN for instructions. 1. Naga to be Bill.d-Cr &!d A >r !LS Content parson (I rAl- l Y9(/J Mailing Address City/state/alp 2. Naw on permit/ATC ie Diffarant than Walling Address 7-�siw Business phone Rye- d' (/o City/stat*/Zip s. Application Por: el -its Evaluation D Improvement Permit/ATC O Both e. systan to service, yk-iouse a Mobile Home a Business D Industry 0 Other 3. If Residence: s People a Bedrooms s Bathrooms a DishraHmr a Garbage Disposal D Namhing Machine D Basewnt/plumbing a Basement/::o plumbing 6. ZZ Business/Industry/other: Bpenify type e people a Sinks e Commodes 1 sharers I Urinals a Nater Coolers IF rOODSERVICS 11 Seats Estimated Water Usage (gallons per days 'I. Type 'of Nater supply: a County/City a Well 0 Community e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yes a No If yes, what type? ***1MP0RTANT"** CLIENTS MUST COMPLETETIIE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITIED by the client with THIS APPLICATION. Property c Tax Office PIN: q_�sJS�/6� Property Address: Road Name 601 ilitYoal eh Citymp-4AeeeyiLie-e-d-aw If In a Subdivision provide Information, as follows - Name: i/%e/ rG 1;71"a,, Section: Block: Lot: WRITE DIRECTIONS (from MockrAlle) to PROPERTY: l0/ me't'A T /Is.e- #0tVPe4 O/U C,Cft� Date Property Flagged: �U /mac C f SCrnCcn e i`� This is to certify that the Information provided Is correct to the best of my knowledge. I understand that soy permit(s) Issued hereafter are subject to suspension or revocation, If the site plans or intended use cbeuge, or If the Information submitted in this application Is falalfied or changed. [,also, understand that 1 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 sultal#11ty. THIS AREA MAY BE USED FOR DRAWING YOUR SrM PLAN property linea and dimensions, structures, setbacks, and septic lot Revised DCH) (07/99) of the following: Existing and proposed Site Revisit Charge Client Notification Date: Account No. Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation . APPLICANT INFORMATION PROPERTY, INFORMATION Account #: 989900111 Tax PIN/EH #: 15822-14-6855.16 .'•Billed To: -Gray Potts Subdivision Info: Dutchman Hills Lot# 16 Reference Name: Gray Potts Location/Address: Eaton Church Road -?7028 Proposed Facility: Residence Property Size: 51 Acres Date Evaluated: Water Supply: On -Site Well - Community Public Evaluation By Auger Boring Pit Cut - film FACTORS „ .1 2 g .., ¢ 5 6; ... Landscape position L Slope % - HORIZON I DEPTH Texture group5 Consistence Structure Mineralogy HORIZON II DEPTH JL- 7 —'L Texture group Consistence $ - Structure k.S Mineralogy HORIZON III DEPTH Texture group_. Consistence Structure Gi Mineralogy HORIZON IV DEPTH Texture group - _.. .. . Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION - LONG-TERM ACCEPTANCE RATEC ©.3 0,SS ' eS CFF^ SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE L ,RATE. !9.3 -©• `t>J OTHER(S) PRESENT: REMARKS: �( IL lPJ °�t9QCilC iu l:yrwt L✓d�iC -MP0 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 c Flood plain H - Head slope Texture S - Sand LS - Loam . y sand � SL -Sandy loam L -Loam SI -Silt . SICL -.Silty clay loam ! SIL - Silty loam CL'- Clayloam 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 OR - 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.B. 193, PG 48 - O .. DEPARTAI. Ow CONSTRUCTIO - - - ti n/ - - - APPROVED vi N y� - - N 805 a,a _ - 100. / �vf0���(7- WE NOIti} co m, y // Davie County BC / �'p• ' g9 that said Board this plat entitlec DUTCF o LOT #16 c�stiy • 4.142 AC. DATE CHAIRMAN, DAME O Q W a UTCHM. ti S 83.16.19, E 0 150.00 - S 83.1 D 6'!9• E a 155.0o S 83.16. 9 E ' OWNER - - - - - - - - - - Z CRAY POTTS & 1870 UNDERPASS RD. _ u n ADVANCE, N.C. 27006 Q O O O (336) 998-8409 � � d Q> to Qo o M LOT #13 0 W c� CLARKSVIL LOT #14 W Q 4 4 0. g DAVIE COUNTY, 1,136 AC. z - o LOT # 15 ' M 1,174 . AC. Q 0 0.909 AC. o "' W N� E i DATE: J hCZ M I SUF Cr) TETTTEROW .SO. iro o ( AS L'.124 SOUTH g- (( MENW q q q MocKswu z U (336) N 83.16'19- y ELD 155,00 LC RD N 83 16'19' y !20.00• 100 50 0 N 83'16.7 ,• y 30.0 q ROD COURT SCALE 3 ml �q �o ai D "ti `=, PAGE 2 FOR NOTES'..