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132 Landis Court Lot 34Davie County, NC Tax Parcel Report Mondav, December 19, 2016 Q h�v fF, c�uN'�o WARNING: TIHS IS NOT A SURVEY All data Isprovided as tswidua txarnnty orgusranlee of any kind ehherespressed or lmplled Including but not llmhed to the boididwnrardiesofinerchardebgityorrdnaaafor aparticular use. Agusers ofDavie Count'sGIS webstleshall hold harmlessthe County of Davie, North Carolina, He agents, consukents, enothaciors or employees from any and all dalma or muses of action due to mabirily to the GIS data by this webdta. Parcel Information Parcel Number: D301OA0034 Township: Clarksville NCPIN Number: 5822142257 Municipality: Account Number: 82530893 Census Tract: 37059-801 Listed Owner 1: DAVIS PHILLIP W Voting Precinct: CLARKSVILLE Mailing Address 1: 132 LANDIS CT Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 34 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.82 Elementary School Zone: WILLIAM R DAVIE Deed Date: 6/2009 Middle School Zone: NORTH DAVIE Deed Book I Page: 007950799 Soil Types: MnB2 Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY xtra Building Value: FOrea ares Va ue: Land Value: Total Market Value: Total Assessed Value: Q h�v fF, c�uN'�o Davie County, NC All data Isprovided as tswidua txarnnty orgusranlee of any kind ehherespressed or lmplled Including but not llmhed to the boididwnrardiesofinerchardebgityorrdnaaafor aparticular use. Agusers ofDavie Count'sGIS webstleshall hold harmlessthe County of Davie, North Carolina, He agents, consukents, enothaciors or employees from any and all dalma or muses of action due to mabirily to the GIS data by this webdta. or arising out ad the use or use provided DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street = Mocksville, NC 27028 (336)751-8760 Account #: 990001825 Billed To: Mike Hester Reference Name: Proposed Facility Residence IMPROVEMENT/OPERATION PERMIT Tax PIN/EH M Subdivision Info: Location/Address: Property Size: �� 7—r2. oy 5822-14-2257 Dutchman Hills Lot # 34 Landis Ct-27028 150' x 240' ATC Number: 3804 **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 Type #People #Bedrooms 3 #Baths 2 �� Dishwasher: Garbage Disposal: ❑ Washing Machine: El Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type /i,,,#,❑People #People/Shift #Seats Industrial Waste: Lot Size A 19Z& W417we Water Supply 6M�,, � Design Wastewater Flow (GPD) c�G( Site: New Repair ❑ �' System Specifications: Tank Size � GAL. Pump Tank _GAL. Trench Width Rock Depth ��n Linear Ft. 0J1 Other:—q �fi1ea�C�S Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 « BELOW FINISHEDGRADE. ****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 ofinstallation. Telephone # is (336)751-8760.**** t-k3� Environmental Health Specialist's Signature: DCHD 05/99 (Revised) L$ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mockwillle, NC 27028 (336)751-8760 Account #: 990001825 Tax PIN/EH #: 5822-14-2257 Billed To: Mike Hester Subdivision Info: Dutchman Hills Lot # 34 Reference Name: Location/Address: Landis Ct-27028 Proposed Facility Residence Property Size: 150'x240' ATC Number: 3804 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION M **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 5eivageTreatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT7S7qU TIONVAVDF PERIOD//OF FIV/Er YEARS. Environmental Health Specialist's Signature: Date: o �7 CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system do has been installed in compliance with Article 11 of G.S. Chapter 130A, Sc Disposal Systems," but shall in NO WAY be taken as a guarantee that the given period of time. I , I DQt J� 14a1G v\, ' 7-2-4 Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) ImprovementlOperation Permit i "Sewage Treatment and _ I function satisfactorily for any Date: a(As` 0 So'" r�C,k;, Sim ftp z'd bTOSS9L9EE j AM fit Ja4SOH 6MTW d60:b0 40 8Z unC APPLICATION P011 SITZ• EVALUATION/Ih111110 hIENT PLlilli11• Davie County Health Department ED vi�onmenta/Hen/ih Section P.O. Bole 848/210 Hospital. Street. Mockaville,.NC 27028. i (336)751-87d0 UUN l7 ***IOIPORTANT*** THIS APPLICATION CANNOT Dl PROCESSED U21LESS ALL THE REQUIRED -INFORMATION IS PROVIDED. Refer be the INFORMATION BULLETIN for instructions 1. Time to be Billed Contac L Person _ Mailing Address Zotl4/1� T�vN me Phone City/State/ZIP awl 0"nosa Phone 2. Name on Permit/LTC if .Different than Above Mailing Address e— City/Stata/Zip -r-- - 3. Application For; ite Evaluation - ❑ Improvement Permit/ATC ❑ Both 9. Spstem to Service: ,av House ❑ -Mobile Home ❑ Dusineaa ❑ Industry ❑ Otller 5. Type system requested:/1l/Conventional ❑ conventional modified ❑ innova Live - _ 6. If Residence: .S people 9 Bedrooms �. 11 Bathroom:; v _ �Vishwanher ❑Garbage DisposalWashing Machine ❑Basement/Plusbing ❑Basement/No l+lumbing 7. If Busiaoss/Industry /Other: verify type 6 People USinls - �— II Commodes 6 Showers - i( Urinals ---_-� It Wa L•or Coolaru IF FOODSERVICE: 1{ Sesta Estimated Water Usage (gallons par. day) S. Type of water supply:County/City ❑ Well - ❑ Colmnunity 9. Do you aatieipato additions or CxpallSions of the flcinty this Sys tell, Is le(elldell to sel•ve? ❑ yes OIVn if yes, }that type? ***IDIPOIfliINLx**CLIENTS AIUSTCOAII'LETETHE IU,QUIItEDI'ItOPllt'1'YINU'Olth•IA'l'10NItLQIJIiS'1-1iD BEL01Y.. Either a PLLATT-oorSIT�'E PLAN 51USTEESUMVITTEclient D by the client u•illl'I'IIIS APPLICATION. Property DimJ ensions: '7�) /�6 jC 2z kECPIONS (from hluel6ville) to Tax orrfe i'iN: iE/,/2.2� ProperlyAddress: Road Name- 0_r City/Zip llft'-'�Lfyi��Q If in a Subdivision provide inrornlalion, as folloWS: Nano: _ //!�3-�CGi /Yr /2 di/ �i �� Section:�3 b /Block: 2 Lot: j� Date llomccorllcrsllaggcd: This Is to certify that the information provided is correct to the best of Illy l(noivledgc. I understand (hat any 11crildI($) issued hereafter are subject to suspension or revocation, itthe site plans or intended use change, or if the infornlaliall subl(litted in this application is falsified or changed. 1,, also, «tlderstand that I «al responsiblefor all charges iucllrri�d.%rnnl this iyiplicdtfull. I, hereby, give consent to the Authorized Representative of the Davic County Ii.iiil Dcpar(IucMt to cuter upon above described property located in Davie County and olvncd by to conduct all testing procedures as necessary to determine (lie site suitability. I)ATl - 6 CF SIGNATURE T"IS AREA MAY BI's US1 D TOR DRAWING YOUR SITE PLAtlxi ludo 11 u the following: Lxisting and proposed properly lines and dimensions, structures, setbacks, and Septic locations). Site Revisit Charge Sign given Revitori nr l -TT) reC/n1 Client Notification Date: EIiS: Account'No. CATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC 7 �A :. Davie County Health Department ti e� Lam* EnVft=enta/Hea/thSection P.O.. Box 848/210 Hospital Street _ Mocksville, NC 27028 fNV1RONM (336) 751-8760 *** *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED NFORMATION IS PROOV/IDE/D. Refer, to thyef INFORMATION BULLETIN for instructions. 1. Name to be .gilled/+� (,/t(/,t'� //�t��`G%/��ittact'Person tiv!/'7 Mailing Address J Y dam` ��,/�/ P- /J V�� SS e Home Phone r 1107, c} p �+�/ City/State/ZIP - (�/`). /f/., �,-�'�/GC� Business Phone -� / /—d- p C/f(o 2. -Name on Permit/ATC if Different than Above - - - Mailing Address - 'City/State/Zip -- - 3. Application For:. 13 Site Evaluation - wfmprovement Permit/ATC _ - ❑ Both - 4. System to Service: ReHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other - S. Type system requested: L° 1—Conventional- ❑ conventional modified ❑ innovative 6. if Residence: # People' # Bedrooms " 3 # Bathrooms M15ishwasher ❑Garbage Disposal. hdWa'shing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7- - if Business/Industry /Other: verify type- # People - # Sinks #,Commodes - #Showers - # Urinals - _ _ #Water Coolers IF FOODSERVICE: # Seats - Estimated Water Usage (gallons per day) e. -Type of water supply: E County/City _ ❑ Well ❑ Community, 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes W -f - If yes, what type? **IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED IELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Properly Dimensions: 7d 'K.J `YG - WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: ftS Fs d `! �i� tp C� ( :) ^off G7�Zl� C/h trc--, Property Address: Road Name %/ 7 y �tC/ f s—�,/ Cwt city/zip Moe fcm Me. 1'7CJf- q 5`1 Sl1�! If in a Subdivision provide information, as follows: e C) Le fi �o �g–d ez cl Name: Gt 7–c k N1 et --i (4-f G Section: Block: at: 3 Date home corners flagged: 6/ V G 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 iacruredfi•oln ' 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 suitability. DATE w ' G C� SIGNATUT�: 7 TIIIS 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). Sign given Revised DCHD (05/03 Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. Invoice No. )� APPUCATION FOR SHE EVALUATION/IMPfiovEMENF PERMIT & ATCr '7 1 Davie County Health Department D FE 11 r Environmental Health Sectlon P.O. Box 640/210 Hospital street 2-'F 7-1 Mookoville, HC 21028 (336) 751-8760 ***IMPORRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLZSs 11LL TAE REQUIRED INIIOM ATION I8 PROVIDED. Refer to the INVOMIXTION BULLETIN for instruction@. 1. Name to be. Billed Nailing Address Centaa! passoa .Z +�♦ E1 Re/ Rome phone 99s/- 5�'�l09 city/slat./iia Ud1NGe_ /ILC°, e27Dd6 Business phone 9T��- Flc/"'F-D x. Name on persdt/ATC it Different than Above Nailing Address city/state/sip 3. Application Tor: e! Bite Evaluation ❑ Improvement permit/ATC ❑ Both e. ersten, to service, jAHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. It Residences I People a Bedrooms a Bathrooms D Dishwasher D Garbage Disposal D Washing Machine D Rasement/plumbiag D sasament/No plumbing 6. It Business/industry/others opacity type a people 6 sinks i cosaodea a sho,uss a Urinals e Water Coolers iP FOODSERVICE: I# Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: JS County/City ❑ well ❑ Community e. Do you auticipate addition or expansions of the facility this system Is Intended to serve? ❑ Yes ❑ No If yea, 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 DlmeDs165:l "-;� 9.3 �2fi5 / 1 Tax Office PIN: B _: & o0a - iU - In e5 -5—G 3 el N Property Address: RoadName_0/64/ d fAJ,,4/ 2h Cltyrzip lb txl- � H In a Subdivision provide Information, as follows: Name: VGL" hw";//f Section: BlocksLot: WRITE DIRECTIONS (from Mocksvllle) to PROPERTY: Z0/ %1/Oi'A T SA,io.ri C/ LQraper-!�i oar �� Date Property Flagged: This Is to certify that the Information provided Is correct to the best of my knowledge. I underotand 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 Gm responsible for al/ charger Incurredfrom this appilcatlom 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 ss necessary to determine the site suita(I)ity. DATE tL2rQ-,Q&? THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic loc Revised DCHD (07/99) of the following: Existing and proposed Site Revisit Charge I Client Notification Date: EHS: Account No. // Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section r. SoiVSite Evaluation. APPLICANT ]INFORMATION PROPERTY INFORMATION Account # , - :989900111 Tax PIN/EH #: 5822-14 6855.34 Billed To: ;Gray Potts _ Subdivision Info: Dutchman Hills Lot # 34 -Reference Name: Gray Potts " Location/Address: Eatons Church Road -27028 Proposed Facility: Residence Property Size:51 Acres Date Evaluated: Z) , Water Supplyr On -Site Well Community Public / Evaluation By: Auger Boring Pit - Cut FACTORS r 1 2 '3 4 .. 5, 6• 7. Landscape position t. G Slope % ?o HORIZON I DEPTH -P. 2 . Texture grouptr Consistence Structure . .... Mineralogy HORIZON II DEPTH V„- Z -2 Texture groupCt Consistence t 5 5 Structure . . 561, 'Mineralogy 1,1.4 - HORIZON III DEPTH 1 ' Texture group C t Consistence S Structure MineralogyI: HORIZON IV DEPTH ..: Z 2 Texture group_. ._ .. e. Consistence Structure Mineralogy SOIL WETNESS .... RESTRICTIVE HORIZON. SAPROLITE CLASSIFICATION S'. LONG-TERM ACCEPTANCE RATE O. n SITE CLASSIFICATION Y �' EVALUATION BY:12 LONG-TERM ACCEPTANCE RATE. 0' / 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 -Loam sand SL -.Sand 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.,, , ois , VFR - Very friable FR - Friable - : F1- Firm VFI - Very firm EFI - Extremely firm i.. 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) /90 J / 24 t ►� 50 234. 71 LOT #28 N 88° 35' 40• w d Lo 0, 742 AC, 3. M tp ' LOT S 0. 826 #34 " ,. — t 0' U 11HTY 243 C3 EASEMENT - -. Q AC, � h (� I LLJ cs QLOT g co #29 88- 29'55 I a M 0- 795 AC, 245. 57 u yz v < 221 . 38 ; LOT #33 \ N ss•04 '24• w-----.�.,.._, :n, 2 s w 1 . 069 AC. • ` 1 c, v; LOT #30 o cL, _ t.� c 0, 830 'AC, " . J 1, r O t �. OOU M