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104 Wyatt Drive Lot 60Davie County, NC Tax Parcel Report Tuesday, December 20,'4116 All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to n�U N� NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY r, 7777777777 Parcel Information Parcel Number:-. F8030A0060 Township: Shady Grove NCPIN Number:. 5870632930 Municipality: Account Number:--.: _ . _ 8305441 Census Tract: 37059-803 Listed Owner 1.-• -" WAUGH MARK P Voting Precinct: EAST SHADY GROVE - Mailing Address 1: = - 104 WYATT DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State::-_ NC Zoning Overlay: Zip Code: _ 27006 Voluntary Ag. District: No Legal Description: LOT 60 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Dater _ - - 9/2015 . _ Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009990457 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 289 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to n�U N� NC or arising out of the use or Inability to use the GIS data provided by this website. CONSTRUCTION For Office Use Only AUTHORIZATIONEp *CDP Fife Number 193249-1 ° Davie County Health Departure *���� ' CotJnty ID Number F8 -030 -AO -060 21.0 Hospital Street Dam Evaluated For. NEW •� ,,. P.O. Box 848 Township: Mocksvilie NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax: 336-753-1680 0 4/ a 1/ a 0 a 0 Applicant: RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Drive City: Greensboro State/Zip: NC Phone #: (336) 97$77120 Prc Address/Road #: 104 Wyatt Drive Advance NC 27006 Structure: # of Bedrooms: # of People: *Water Supply: SINGLE FAMILY 4 PUBLIC 27409 Property Owner: RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Drive City: State/Zip: Phone #: Subdivision: Essex Farms `Site Classification: Provisionally Suitable Saprolite System? OYes @No Design Flow: 4 8 0 Soil Application Rate: 0 a 5 *System Classification/Description: TYPE 111 B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 25% REDUCTION Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: Greensboro NC (336) 978-7120 Phase: 27409 Lot: 60 Directions hwy 64 East left on Cornatzer Rd. left in Essex Farm Minimum Trench Depth: a 4 Inches Minimum Soil Cover 1 a Inches Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: a 4 Inches *Distribution Type: PUMP TO GRAVITY Septic Tank: 1 0 0 0 _ Gallons 1 -Piece: OYes @No Pump Required: @Yes ONo OMay Be Required' 1 9 a 0 Sq. ft. Pump Tank: 1 0 0 0 Gallons 5 1 -Piece: QYes@No 4 8 0, ft, GPM—vs— ft. TDH inches O.C. 9 Feet'O.C. Dosing Volume:_ Gallons inches - - - - - - 3 . Feet Grease Trap: Gallons inches Pre -Treatment: ONSF OTS -1 OTS -I) Septic Tank Installer Grade, Level Required: 01 011 0I11 OIV Dona 4 MIA CDP File Number 193249 -1 it *Site Classification: Provisionally Suitable County ID Number; F8 -030 -AO -0$O Open Pump System Sheet :@Yes ONo ONo, but has Available Space Design Flow: 4 8 0 Soil Application Rate: 0 a 5 *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 25% REDUCTION Nitrification Field 1 9 a 0 Sq. ft. No. Drain Lines 5 Trench Spacing:2Inches 0. . 9 * Feet O.C. Trench Width:Inches 3 � Feet Aggregate Depth: inches Minimum Trench Depth: a 4 Inches Minimum Soil Cover. 1 a Inches Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: .2 4 Inches *Distribution Type: PUMP TO GRAVITY Total Trench Length: 4 8 0 ft. Pump Required: @Yes ONo OMay Be Required \ Pre Treatment: ONSF OTS -1 OTS -II *Site Modifications ,No grading or construction activity is allowed in areas designated for system and repairwithout approval of Health Department "Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Authorization for Wastewater System Construction shall bevalid for a person equal to the period of validity of the Improvement Permit, not to exceed five years, and maybe issued atthe sametime the Improvement Permit issued (NCGS 13OA-336(b)j If the installation has not been completed during the period of validity of the Construction Permit, the Information submitted In the application for a permit or Construction Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Constriction Authorization shall become Invalid, and maybe suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible forassuring compliance with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance; monitoring, reporting and repair (1938(b)). Applicant/Legal Reps. Signature Required? OYes ONo Applicant/Legal Reps. Signature: Date: - / / *Issued By: 2140 -Nations, Robert Date of Issue:. 0 4/ 2 1/ 2 0 1 5 c -- Authorized Stat gent: .rte.. Malfunction Log OYe$ '. @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990004425 Billed To: PSC Development Corp. Inc. Reference Name: Brad Coe Proposed Facility: Residence Property Size: PROPERTY INFORMATION Tax PIN/EH #: 5870=6 b. WO Subdivision Info: Essex Farm Lot # ILD Location/Address: Cornatzer Rd -27006 _ 0.690 Acre Date Evaluated: It 7 Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit_ Cut FACTORS 14 j lip 4 5 6 7 Landscape position Slope % HORIZON I DEPTH ©� - Texture group C G G Consistence .(' Structure 5.9 14, 5 5 'Mineralogy . HORIZON II DEPTH - Texture group Consistence( - Structure L Mineralogy HORIZON III DEPTH Texture group4 Consistence tyo Q Structure Cl Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE / CLASSIFICATION LONG-TERM ACCEPTANCE RATE •7 p a'7 0.1'I SITE CLASSIFICATION: V U LONG-TERM ACCEPTANCE RATE: a� REMARKS: EVALUATION BY: Kb Jy at tti6 OTHER(S) PRESENT: 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 Moist VFR - Very, friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 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 7 gal/day/ft2 DCHD 05/05 (Revicech CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization CDP File Number: County File Number: F"30 -AO -060 Date: 04/ai/af15 Q Inch Scale: QBiock QN/A iMPROVEMENT PERMIT lot) Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 3a6=753-67801=ax: 336-fmmo80 PERMIT VALID UNTiu 4/21/2020 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Drive CRY: Greensboro StatefZip: NC 27409 Phare #: :(336) 978_-7120 ................ Address/Road #: 104 Wyatt Drive Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: *Water Supply: PUBLIC Property Owner: RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Drive CRY: Greensboro State/Zip: NC 27409 Phone #: (336) 978-7120 Subdivision: 'Essex Farms Phase: Lot: 60 : Provisionally Suitable Saprolite System? QYes @No Design Flow: 4 8 0 Soil Application Rate: 0 a 5 u *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 25% REDUCTION Directions hwy 64 East left on Cornatzer Rd. left in Essex Farm Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 Inches Septic Tank: 1 0 0 0 Gallons 1 -Piece: QYes @No Pump Required: QYes ON 0May ,Be Required Pump Tank: 1 0 0 0 Gallons 1 -Piece: QYes QNo Repair System Required:QYes QNo ONo, but has Available Space Repalr System "Site Classification: Provisionally Suitable Soil' Application Rate - 0 a 5 '*System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 25% REDUCTION Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 inches Pump Required: QYes QNo QMaybe Required Page 1 of 3 CDP File Number 193249 - 1 County ID Number: F8 -030 -AO -060, *Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder is 'responsible for checking with appropriate governing bodies in meeting their requirements. SiteOP fan The Improvement Permit shall be wild for 5 years from dateof issue with a site plan (means a drawing not necessarily drawn to scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surtacewaters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that Includes: the specific location of the proposed facility Q and appurtenances, the site for the proposed Wastewater system. and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site pian that is drawn to scale). The Department and Local Health Department may Impose conditions on the issuance and may revoke the permits fortatlure of the system to satisfy the conditions, the rules, or this article. This permit is subject to revocation if the site pian, plat, or Intended use changes (NCGS 130A-335(1)). The person owning or controlling the system shall be responsible torassuring compliance with the laws, rules, and permit conditions regarding system location,installation, operation, maintenance, monitoring, reporting, and repair (.1838(b)� Applicant/Legal Reps. Signature Required? Oyes ONo Applicant/Legal Reps. Signature: Date: / *Issued By: 2140 -Nations, Robert Authorized State Agen Date of Issue: 0 4/ 2 1/ 2@ 1 5 OValid without Expiration? 4 Create CA? ®Hand Drawing Oimport Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksviile NC 27028 Drawing Drawing Type: Improvement Permit CDP File Number: 193249 -1 County File Number: F"30 -AO -060 Date: I 1 Q Inch Scale: OBlock QN/A ft. - .1 M APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P.O. Box 848/216 Hospital Street Mocksville, NC 27028 (336)753-6780/ Fax (336) 753-1680 Application For: Site Evaluation/Improvement Permit Authorization To Construct(ATC) ❑ Both Type of Application: kew System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed RS f Nom -e -s Contact Person J cl 6 f 1 r) clfx Billing Address D - Home Phone 33(n - , 7chi rr D 11 City/State/ZIP C Business Phone Name on Permit/ATC if Different than Above Mailing Address PROPERTY INFORMATION *Date House/Facili Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included: •Site Plan ❑Plat(to scale) (Permit is lid fo 60 months with site plan, no expiration with complete plat.) Owner's Name r 1p—s Phone Numbera3�P'g�i�• Owner's Address L City/State/Zip Oro tJC a-140 4 Property Address City c�UCLri Lot Size Tax PIN# I ,, Subdivision Nam (if a plicable) Sectio�7ot# 111 Directions To Site: ( 5 c t -t 4 0 n COtfic>ZtLC � 1)n rST-X If the answer to any of the following questions is '+yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? "Yes o Does the site contain jurisdictional wetlands? ❑Yes Are there any easements or right-of-ways on the site? ❑Yes Is the site subject to approval by another public agency? Dyes Will wastewater other than domestic sewage be generated? ❑Yes o IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms L4 # kat4rooms Garden Tub/Whirl ool es -'❑No Basement: ❑Yes o Basement Plumbine: ❑YesANo p IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested:Xonventional ❑Accepted ❑Innovative ❑Altemative ❑Other Water Supply Type: county/City Water ❑ New Well ❑Existing Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?,Q Yes 1 No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and 194ing anaagging or staking the house/facility location, proposed well location and the location of any other amenities. L Site Revisit Charge Poleiliown 'r's or owner legAl representative signature Date(s): Client Notification Date: Date EHS: Sign given ❑Yes []No Revised 11/06 Account # Invoice # R—A SETBACKS: FRONT. 45' SIDE: 15' SIDE: 25'(STREET) REAR: 30' 59 109.61' S 82.28' 00" E WYATT DRIVE 50' R/W (PUBLIC) GRAPHIC SCALE 40 0 20 40 so (INS). 1 inch = 40 ft PRELIMINARY PLOT PLAN FOR. RSP BUILDERS LOT 60 OF ESSEX FARMS, PHASE 1 P.B. 9 PG. 289 Fleming E11611FIrm"19, Inc. 8518 Tdad Drive Colfax, NC 27235 Phone: 336-852.9797. Fax: 336.852.9766 NCBELS C-0950 DATE: 04-10-2015 REF: PROJ\1831-01 \dwg\ESSUFARM-dwg (� a TION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County.Environmental Health P.O. Box 848/210 Hospital Street 260 Mocksville, NC 27028 r� PUG 2 3 (336)751-8760/ Fax (336)751-8786 1. A plica 'o r: Cy'Site E luation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both �G llypdbf"plication: System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility *IMPORTANT* * * THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed PSC />crya&*PKr'NT !2% z,- G Contact Person %cr'RRy ,847c VX Billing Address A-0 3f0 Home Phone City/State/ZIP_goersuite r►G z 7oZ 8 Business Phone 767 - 7800 Name on Permit/ATC if Different than Above Mailine Address City/State/Zip YKUYhKl Y 1Nl'UKNUMUN 'llate house/lacility lAmers ria ea NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan lat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat.) Owner's Name �A� �'Vc�GoPrfFi�i e% ir1G Phone Number 7S/ - 73-10 Owner Address 4o'&oX t-,� City/State/Zip Property Adduss City Lot Size 01 &Y17 Tax PIN# Subdivision Name(if applicable)Ess.- Fw cq Sectio p/Lot# n 1F the answer to any of the following lluestionstis "yes", supporting documentatiogg must be atIched. Are there any existing wastewater systems on the site? Dyes C39�1 Does the site contain jurisdictional wetlands? ❑Yes ❑No Are there any easements or right-of-ways on the site? ❑'fes ❑No Is the site subject to approval by another public agency? Dyes BWpl Will wastewater other than domestic sewage be generated? --Dyes C3No IF RESIDENCE. FILL OUT THE BOX BELOW # People # Bedrooms� # Bathrooms Garden Tub/Whirlpool Dyes ❑No Basement: Dyes ❑No Basement Plumbing: Dyes ❑No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building #.People W Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: {Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: Cr ounty/City Water ❑ New Well ❑Existing Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating an ging or staking the house/facility location, proposed well location and the location of any other amenities. Site Revisit Charge Prope r s or o er's legal representa re Date(s): % Client Notification Date: Date Z EHS: Sign given ❑Yes ❑No Account# Revised 11/06 Invoice # -'� 73 Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Account #: 990004425 IMPROVEMENT PERNJIPIN/EH #: 5870-64-2265.40 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # ;40 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: 0.699 acre Reference Name: Brad Coe Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Pemut Type: W4ew ❑Repair. ❑Expansioyn� Permit Valid for: M Years ❑No Expiration Residential Specifications: # Bedrooms l # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): $ Type of Water Supply: (i?6ounty/City ❑Well ❑Community Well As stated in 15A NCAC 18A.1969(5) Site Modifications/Permit Conditions.: mccepted Systems may also be UGLO System Type LTAR Initial cc e- -eco O . T Repair CLC+. e 'ot-ed (� • �'7 Environmental Health Specialist r 1 J Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Account #: 990004425 IMPROVEMENT PERNJIPIN/EH #: 5870-64-2265.40 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # ;40 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: 0.699 acre Reference Name: Brad Coe Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Pemut Type: W4ew ❑Repair. ❑Expansioyn� Permit Valid for: M Years ❑No Expiration Residential Specifications: # Bedrooms l # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): $ Type of Water Supply: (i?6ounty/City ❑Well ❑Community Well As stated in 15A NCAC 18A.1969(5) Site Modifications/Permit Conditions.: mccepted Systems may also be UGLO System Type LTAR Initial cc e- -eco O . T Repair CLC+. e 'ot-ed (� • �'7 Environmental Health Specialist r