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157 Greenfield Road Lot 38Davie County, NC Tax Parcel Report Monday, December 19, 2016 169 WARNING: THIS IS NOTA SURVEY Parcel Information __ �._� Parcel Number: D301OA0038 Township: Clarksville l 164 5822142899 O O 8307168 �I 37059-801 W 01 LL 157 Z.--- -- ----- ----- to l Davie County City: AGOURA HILLS Zoning Class: DAVIE COUNTY R-20 C7 `. CA 154 t I Zip Code: IL Voluntary Ag. District: [all All data is provided as is witherd w rty or guarantee of any Idnd eSheresressed orlmplied Including but nut limited to the Davie County, hnplled va"andes of mercturdablihy"Ones(or a particularuse. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Ns agents, amrsuharda, contractors or employees from any and all darts orcauses of action due to NC or arising out of Me use or Inability to use Me GlS data provided by this website WARNING: THIS IS NOTA SURVEY Parcel Information __ �._� Parcel Number: D301OA0038 Township: Clarksville NCPIN Number: 5822142899 Municipality: Account Number. 8307168 Census Tract: 37059-801 Listed Owner 1: AMH NC PROPERTIES LP Voting Precinct: CLARKSVILLE Mailing Address 1: 30601 AGOURA ROAD SUITE 200 Planning Jurisdiction: Davie County City: AGOURA HILLS Zoning Class: DAVIE COUNTY R-20 State: CA Zoning Overlay: Zip Code: 91301 Voluntary Ag. District: No Legal Description: LOT 38 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.92 Elementary School Zone: WILLIAM R DAVIE Deed Date: - 11/2016 Middle School Zone: NORTH DAVIE Deed Book/Page: 010350120 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: [all All data is provided as is witherd w rty or guarantee of any Idnd eSheresressed orlmplied Including but nut limited to the Davie County, hnplled va"andes of mercturdablihy"Ones(or a particularuse. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Ns agents, amrsuharda, contractors or employees from any and all darts orcauses of action due to NC or arising out of Me use or Inability to use Me GlS data provided by this website Account #: 990001248 DAVIE COUNTY HEALTH DEPARTMENT Pt,/ Environmental Health Section P. O. Boa 848/210 Hospital Street Moclrsville, NC 27028 (336)751-8760 Billed To: Mike Hester Building Co. Reference Name: Tax PIN/EH #: 5822-14-2899 Subdivision Info: Dutchman Hills Lot # 38 Location/Address: Greenfield Drive -27028 Proposed Facility Residence Property Size: 200x 210 ATC Number: 3765 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 WASTEW/ATEx rnlN NIS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: /] Date: 3 D 1!J CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on hnprovementlOperation 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 guart at the system will function satisfactorily for any given period of time. Hcos�f, T1.%0 4�-bwn, L4 -LS Septic System Installed By: l4t2kkA.&. ,1 Environmental Health Specialist's Signature DCHD 05/99 (Revised) HI Date- 2" L.czak7e— < DAVIE COUNTY HEALTH DEPARTMENT -' Environmental Health Section < _ P. O. Boa 848/210 Hospital Street MocksviHe, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001248 Tax PIN/EH M 5822-14-2899 Billed To: Mike Hester Building Co. Subdivision Info: Dutchman Hills Lot # 38 Reference Name: Location/Address: Greenfield Drive -27028 Proposed Facility Residence Property Size: 200x 210 ATC Number: 3765 **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). THLS 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 } It>1J #People #Bedrooms 3 #Baths 2 Dishwasher: G3" Garbage Disposal: ❑ Washing Machine: IR/ Basement w/Plumbing: V' Basement/No Plumbing: ❑ Commercial Specification: Facility Type �1 � #,People #People/Shift #Seats Industrial Waste: ❑ Lot Size d q3��� Type Water SupplyL.tXh�ITi Design Wastewater Flow (GPD) (`' Site: New Me Repair ❑, n System Specifications: Tank Size IWDGAL. Pump Tank GAL. Trench Width3c. Rock Depth tZ•, Linear Fti2t o! Required Site Modifications/Conditions: Wt 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. Telephone # is (336)751-8760.**** &,e:� 4k Environmental Heal h SpecialiDate: k04, DCHD 05/99 (Revised) 2 CATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department I D Environmental Health Section APR P.O. Box 848/210 Hospital„Street 1 2 % 2004Mocksville,-NC 27028 11 ,(336)751-,8760 *'*'*' --=001 1'A�fJ1CP11"* THI APPLICATION CANNOT BE PROCESSED UNLESS ALL IS P,RROV DED. Refer the INFORMATION BULLETIN for THE REQUIRED - instructions. �to ” Q ttle-+C-Uontact I lQ �1 �(� tj��•�1 1. Name to be Billed I 1 Person �.J��/L� t3C4 r / l2�G'�/ Mailing Address S 1 q d C : / /e �zG i� « - Some Phone 3 3 6- ) % f 6 � / 7 (' City/State/ZIP tti �' ), �. �. % [ G C'r Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address.�..- City/State/Zip 3. Application For: -I Evaluationmprovement Permit/ATC - ❑ Both Ia 4. System to Service: allH��ousee ❑ Mobile Home ❑iii B��,usiness [3 Industry ' 13 Other 5.. Type system requested: Io`Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedroo�omss # Bathrooms CZ WeIliehwasher ❑Garbage Disposal I[dWaehing Machine Pfasement/Plumbing ❑Basement/No Plumbing 7. IfBusiness/Industry /Other: verify type # People # Sinks - -# Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: #��Seaat�ts Estimated Water Usage (gallons per day) S. Type of water supply: VJ2ounty/City ❑ Well ❑ Community 9. -Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. t 1 6/ Property Dimensions: c�GG d_t __ ._____ Ir WRITE DIRECTIONS (from Mocksville) to %PROPERTJY: Tax Office PIN: # ` �92 ^� tf • S % % �� F�"� f YJySd(�(erh LAYIP Property Address: Road Name o s� �J (U tf 4) ® e K esti ,1, S C)�' City/zip M o'Ifs'c, l a-)c,aY I Q c9h 14j,54 Inad Xe 1 If in a Subdivision pro/vide information, as follows: ©t l �t ee-t t< <d %rol' f Name: DcATc 4 Mc'1 4,rt /; - p m'1 0 i4l fdtIf'-:Z Section: Block: ` Lot: D Date home corners flagged: 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 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 suitability. DATE — 7 �% cl SIGNAT� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (InAude all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Sign given Revised DCHD (05/03 Date(s): Client Notification Date: EHS: Account No. Invoice No. :/ APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC rIF 7Davie County Health Department Environmental Health Section ���R.O. Box 868/210 Hospital Street RFP Z^� % nJ n1e�� � etc C Mocksville, RC 27026 I tE y (336) 751-8760 ***IMPORTANT*** TRIS APPLICATION CANNOT BE PROCESSED UNLESS hM TRS REQUIRED INFORMATION I8 PROVIDED. Re,l�er�.to the INFORMATION BULLETIN for instructions. 1. Nave to be Killed CPs9-u _1Q s Contact "coon ar Nailing address b'�L'.r srrs �� some Mums 9Q9�J Fr Wailing eitristate/zIp "Ilee- Ale [lIlode Business phone 2. Naar on perdt/Arc if Different than above Nailing address City/state/Kip x. Application For: L9 Hite Evaluation O Improvement Permit/ATC ❑ Both e. system to eom.loa, WHouse ❑ Mobile Rome ❑ Business ❑ Industry ❑ other S. It Residence: 1 People 1 Bedrooms 1 Bathrooms O Dishwasher O Garbage Disposal O Mashing Machine a saseaent/plusbiag D sasement/Mo plumbing; a. If Business/Industry/Other, specify type 1 people a Sinks / Commodes 1 showers 1 Urinals 1 Water Coolers IF IWDBERVICZ: / Seats Estimated Hater Usage tgallons per days 7. Type of water supply: IS County/city ❑ Well ❑ Community e. Do you anticipate additions or expansions of the deilily this system Is Intended to serve? ❑ Yes O No If yes, what type? *'*IMPORTANT'** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the efieut with THIS APPLICATION_ Property DimensiemZs'_fF/. d %S 1K12i�5 Tax Office PIN: a_SSAa-X- Properly Address: Road Name (W/ 4 6dorl/ h Citylzip Mo g//iL� ?1 e,47ae If In a Subdivision provide Information, as follows: / Name �f Sections Block: Lot• 2e/ WRITE DIRECTIONS (from Mocksvllle) to PROPERTY: /o/ N&AJ, T £.L dot, Date Property Flagged: This Is to certify that the information provided Is correct to the beet 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 Is falsified or changed I, also, understand that 1 am responsible for all charges lncarredfrom 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 au testing procedures as necessary to determine the elle suitability. DATE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic loc �l9 �I Revised DCH) (07199) l� Of the following: Existing and proposed Site Revolt Charge Notification Date: EHS• 1 Accouat No. Invoice No. i'�.i . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section 'Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account' #: 989900111 - Tax PIN/EH #: 5822-14-6855.38 Billed To: Gray Potts Subdivision Info: Dutchman Hills Lot #38 Reference Name: Gray PottsLocation/Address: Eatons Church Road -,27Q28 Proposed Facility: Residence. Property Size: 51 Acres Date Evaluated: J Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit: Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Sloe %, 7A HORIZON I DEPTH Texture groupC C Consistence Structure ... _ . Mineralogyt HORIZON IT DEPTH' Texture groupC-} Consistence S Structure Mineralogy1: HORIZON III DEPTH - 2- -2g Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence • Structure Mineralogy SOIL WETNESS ; RESTRICTIVE HORIZON . SAPROLITE CLASSIFICATION Q LONG-TERM ACCEPTANCE (RATE SITE CLASSIFICATION: f J l �..11 EVALUATION BY: N LT►%­vG AV -e LONG-TERM ACCEPTANCE RATE: �• D' �t OTHER(S) PRESENT: I n (J REMARKS: 'LS' 1 iI - I UI�I .UG�n1 W 1 1 L ��QLWU f Z 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 - Floodplain 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 C - SC -Sandy clay SIC - Silty clay ClayCONSISTENCE 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 05199 (Revised)