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145 Greenfield Road Lot 37Davie County, NC Tax Parcel Report Monday, December 19, 2016 t M 154 m 7- 01 01 i , i 145 ` v� cRF Rp WARNING: TIUS IS NOT A SURVEY - - - -- — �ParcelInformation - _ - Parcel Number: D301OA0037 Township: Clarksville NCPIN Number: 5822142794 Municipality: Account Number: 82523416 Census Tract: 37059-801 Listed Owner 1: HUNTER JULIE 0 Voting Precinct: CLARKSVILLE Mailing Address 1: 145 GREENFIELD ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 270284769 Voluntary Ag. District: No Legal Description: LOT 37 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.04 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/2004 Middle School Zone: NORTH DAVIE Deed Book/Page: 005750358 Soil Types: MnB2 Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: oa•Ip All data Is provided as Is whhoutvmm�ty or guarantee of any kind egher expressed or Implied Including but not limited to the Davie County, ImpliedvaaraniesofinerchantabilityormneaforaparticularuxAllusersofDavieCounty'sGISavebaheshallholdharmlessthe Ai Courtly of Davie, North Carolina, Us agents, eonsuhards, mntractom or employees from any and all claim or causes of action due to N f'p UH'ta C or arising out or the use or InWIty to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT _ Environmental Health Section - P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002600 Tax PIN/EH #: 5822-14-2794.WC Billed To: William Crews Subdivision Info: Dutchman Hills Lot # 37 Reference Name: Location/Address: 145 Greenfield Road -27028 Proposed Facility: Residence Property Size: see map **N O"t- fit* Th Is nprovement/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. 1' Residential Specification: Building Type 0&E #People #Bedrooms #Baths • 5 Dishwasher: Garbage Disposal;. Washing Machine: Er Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: 'Facility Type #People #People/Shift 13 Lot Industrial Waste: Lot Size 1•a'l'} � Type Water Supply CV^ITqDesign Wastewater Flow (GPD) L 1 C) Site: New 2/ Repair ❑. System Specifications: Tank Size LL4 iAL. Pump Tank Other: 7 --D, LiI �l Required Site Modifications/Conditions: _ GAL. Trench Width 31i Rock Depth 2 Linear Ft. 3So S� 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 sVem 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. Telephone # is (336)751-8760.**** /1101 36� � ur � b Health 1Specialist's Signature: DCHD 05/99 (Revised) Date: Account #: 990002600 Billed To: William Crews Reference Name: ATC Number. 3739 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: Subdivision Info: Location/Address: P 011- 5822-14-2794.WC Dutchman Hills Lot # 37 145 Greenfield Road -27028 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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatm t and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONS IS V D FOR A PERIODC-41 OFLFIVE YEARS. Environmental Health Specialist's Signature: e: `T �L y CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the has been installed in compliance with Article 11 of G.�Mte Disposal Systems," but shall in NO WAY be taken ag given period of time. : 4 1 36121aO0.% Ir�►��� 2-17 Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) described on Improvement/Operation Permit Section .1900 "Sewage Treatment and ie system will function satisfactorily for any C> 0, 930 AC, �; V •'�� o S 84-20,50 E ru 270. 39 . w I Q; - w n cz �p o I LOT #37 1 o 1, 044 AC, i z I \ 10': UTILITY \ ��•- - - CASEMENT _ 336.42 82,11'57• \ ! I 7r r,EGAT'VE ACCESS & • At.4DSCAPE FASEVE%T \ I LANDSCAPE EASf.E-Nr ^� ;c i OF BERMS / 1 HA' . IAyE 2EEr: 0R•1SSEG LOST #36 LOT +E The Davie County Planning Board hereby approves the final plat for the D [��1� '1 CATION F011 SITE EVALUATION/IMPROVEMENT PEIINI1T S XF(? APO 5 2004 Davie County Health Department Envirnninenta/Hee/t/� Section P.O. Box 848/210 Hospital Street ENVIRONMENTALHIM Mocksville, NC 27028 DAVIECOUNIV (336)751-87.60 -l96 **.*IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED U14LESS ALL TIM "REQUIRLD INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for iris L-ruc tions 1. Hasa Co be Billed-M11I 4)111IL�e((/5.Contac l•.Pcrson Mailing Address1(l,/{.pG/// 1((�P „t.N' 11ome Phone City/State/ZIP'��o jly$ d/.SRlONY, A/eJ 7,V-'S- Duainaas 'Phono Ae&� . 2. Name on Permit/ATC if Different than Above - - ... Cit/Stat/Zip Mailing Address y e - _ 3. Application For: .❑lSite Evaluation 13Improvement.Permit/ATC foLh 2 a. system to. service: House ❑ Mobile Home ❑ Business ❑,Industry ❑ Other S. Type system requested: Cr Conventional ❑ conventional modified ❑ itmovalivo 6. If Residence: People - 6 Bedrooms 3 II.BaL•hroont a . ,.es- l4 , M hasher DeSrbago Disposal thing Machine semen(/Piwnbing ❑IIs mnent/No Plumbing M 7. I£ Business/Industry /Other: verify type it Ycop c I)u^^inky __ Y Commodes IfShowers - It Urinals- It WaterCooloru IF FOODSERVICE:. #1 Seats. Estimated Water Usage (gallons per day) 8. Type ofwater supply:minty/City ❑ Well ❑Colmnuni L-y 9. .Do you anticipate additiona or expansions of the facility this System is intended to serve? ❑ Yes [-I-4tfr"" If yes, what type? ' ***IMPORTANT"*..CL1ENTSMUSTC041PLLMUTHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. ' Elther a PLAT or SITE PLAN MUSTBCSU!lbfl7TED by the client iTMITHIS APPI ICM ION Property DiniensioIns:p WRITE DIRECTIONS (Grum Mecl,swlle) I:i.I'It01 Tax Office PIN: .11,�'��-iq 0277. Property Address: Road Name 44-5 City/Zip, ll! e 7206 If in a Subdivision provide information, as follows: Natio:�� mdni N',Lbs Section: ) Block: Lot: 3-17 Date home corners Ragged: 7-S-t7 This is to certify that the information provided is correct to the best of illy knowledge. 1 understand th it ally perutiL(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, oi• if the information submitted iii (Itis •application is falsifled or changed 1, also, understand thatf riot responsible for fill cltaiVes incurr(,d frau( ' lhisapplicadott. 1, hereby, give consent to tlteAuthorized Representative of the 1):n•ie COLill ty IIe:dill Dep:irljell 1 to enter, upon above described property located in Davie County and owned by ` � &A, Lo cunducl all testing procedures as necessary to deterai#ne Me site suitabilily. SIGNATURE Tills AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include all or the following: Existing:utd proposed property lines and dimensions, structures, setbacks, and septic locations). " -Sign givenAccowltNo. �p O C Ilivotcc No. `f%/1 � Revised DCHD (05/03 , , APPLICATION FOR SITE EVALUATION/IMPROVEMENT PEBMiT & ATC D REDavie County Health Department Env/mnmental HeRIM SectYon / 4-5e .G'4It la—P-0. Boz 818/210 Hospital Street Z'�7 ,ayJ I#e`J C / �e Mock (vil e l HC 621028 ***nWCRTANT*** THIS APPLICATION CANNOT BE pp4MSSZD UNLESS ALL HE REQUIRED IN10RMATION I8 PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. HANG G be Billed contact Person J Hailing Address 7 i7 ' //1 L.o� BONG Phone 99p�>- a 9 City/BGG/ZIP /�j _Ly //dii a /1/L ?7o'06 Business Phone �5l-V �! rf d' 7416 2. Hans, on Pereit/LTC it Dieeerent than Hailing address City/BGG/Zip 3. Application Por: ate Evaluation D Improvement permit/ATC ❑Both 6. systea G service: PAH'ouse O Mobile Home D Business D Industry 0 Other a. If Residence: s People s Bedrooms a Bathrooms D Dishwasher D garbage Disposal D washing Machine D Baseaant/Plumbing D BaeeaAnt/Ne Plumbing 6. It Buaineaa/Industry/otb r, Ppealey type s people - e Pink@ e Comdex a showers 6 Urinal* / NaGs coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: E County/City 0 Well 0 community e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? D Yes 0 No If yes, what type? '** CLIENTS MUST COMPLETETIIE REQUIRED PROPERTY INFORMATION REQUESTED PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION_ Property Dimendoed: 1 rt�7 r . g 32i�5 Tax Office PIN: N Property Address: Road Name �d / 4 %itJJ 0'Z1 els City/zip w e,,j / e If In a Subdivision provide Information, as follows: Pf-7 Section: Blocks Lots cJ WRITE DIRECTIONS (from Mocksvllle) to PROPERTY: /0/ ll/ A'A T fee iec, Cti it)PP6rb�./ o/v Date Property Flagged: This is to certify Shat 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 we change, or If The Information submitted In this application h falsified or changed I, also, understand that I am responsible for all charges Incurred from thls 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 awned by to conduct aB testing procedures as necessary to determine the site suits ity. DATE �- r2 AQ —,Q&) THIS AREA MAY BE USED FOR DRAVMG YOUR SITE PLAN (Incl 0/811 of The following: Existing and proposed property lines and dimensions, Structures, setbacks, and septic locatio Revised DCHD (07/99) EHS: Site Revisit Charge Notification Date: Account No. Invoice No. ' ~ • DAVIE COUNTY HEALTH DEPARTMENT 113'7 Environmental Health Section Soil/Site Evaluation . APPLICANT INFORMATION PROPERTY INFORMATION,, Accou nt #: '989900111 Tax PIN/EH #: 5822-146855.37 Billed To::Gray Polls Subdivision Info: ,..DutchmanHills Lot#37 Reference Name:, Gray Potts Location/Address: ! Eatons Church. Road -?7028 Proposed Facility. Residence : - Property Size: 51 Acres Date Evaluated: : °S Water supply:On-Site .. . On -Sit e Well '.. .. Community 'Public Evaluation By. Auger Boring Pit J Cut FACTORS : 1 2 '3 q 5 ., . 6.. 7 Landscape position Slo % 20 HORIZON I DEPTH 12 D Texture group Consistence Structure .. _ Mineralogy HORIZON II DEPTH : . 2 ^ 2 ='JU Texture group G Consistence .. Structure. tc Mineralogy1: HORIZON IH DEPTH Texture groupG 1 Consistence Fr SS SP Structure !Zk- Mineralogy HORIZON IV DEPTH Texture group.. _. - Consistence Structure "Mineralogy SOIL WETNESS ... RESTRICTIVE HORIZON' SAPROLITE: CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: PS'�;fRo�T� EVALUATION BY: LONG-TERM ACCEPTANCE RATE f% p '�� //��) OTHER(S)) PRESENT. REMARKS: Y.ZiZ'.. VL%1 rJ CSI PL S7 r Wtl�ii� 1�"i " ZZ I J)E t fF LEGEND - Landscape Position R - Ridge - S - Shoulder L - Linear slope FS - Foot slope N -Nose slope g p Terrace Head slope P Texture sloe CV -Convex sloe T FP -Flood plain H.- 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 -. Veryfirm EFI - Extremely firm " Wet NS -Non sticky SS -Slightly sticky IS - 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 v 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)