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109 Essex Farm Road Lot 1Davie County. NC Tax Parcel Report Tuesday, December 20, 2016 j 104 117----- 4 ✓Q X ------------ U) co LU CORNA �R RD CORNATZER RD RABBIT FARM -M 9hm�,18All data is previded as Is withcu isarmnty or guarantee of any kind ether expressed or implied Including but not limited to Me Davie County, Implledmi.m. es ofinerchamabilhy sr Dtnessfor a particular use. Ali users of Davie County's GIS isebate shall hold harmless the County of Davie, Nadi Carolina, IM agerft consultants, wrMcasrs or ernployeas hum any and all claims or causes of action due to cDON�; NC or arising out cribs use or inability to use the p5 data provided by tris wehsha WARNING: TMS IS NOT A SURVEY Information .i Parcel Number. F8030A0001 Township: Shady Grove NCPIN Number. 5870538296 Municipality: Account Number: 8301868 Census Tract: 37059-803 - Listed Owner 1: RS PARKER HOMES LLC Voting Precinct: EAST SHADY GROVE Mailing Address 1: 502 HICKORY RIDGE DRIVE Planning Jurisdiction: Davie County City: GREENSBORO Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27409 Voluntary Ag. District: No Legal Description: LOT 1 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE Deed Date: 102016 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010310184 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 289 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9hm�,18All data is previded as Is withcu isarmnty or guarantee of any kind ether expressed or implied Including but not limited to Me Davie County, Implledmi.m. es ofinerchamabilhy sr Dtnessfor a particular use. Ali users of Davie County's GIS isebate shall hold harmless the County of Davie, Nadi Carolina, IM agerft consultants, wrMcasrs or ernployeas hum any and all claims or causes of action due to cDON�; NC or arising out cribs use or inability to use the p5 data provided by tris wehsha Il, S * a L" I FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health _ P.O. Box 848/210 Hospital Street Mocksville, NC 27028 - (336)751-8760/Fax(336)751-8786 Appli i Lob to Evalua mprovement Permit 0 Authorization To Construct(ATC) O Both ,�1(if it m�t[on: Sy teff ❑Repaum Existing System OExpansionMtodffication of Existing System or Facility P. V\E * ORTiLVT"'THIS APP LICA TION CANNOTBE PROCESSED UNLESS AL Luo THE REQUIRED INFORMATION IS PAOVOJED. Refer [a the INFORMATION BULLETIN for instructions. ,4'W 73 Name to be Billed .DSC Ac V6ceindi+T �'wt, iw1c. Contact Person 7= - AY Bw7c 4;Z - Billing Address ?•o . Rx 3,/0 - Home Phone _ City/State/ZIP ZAL. .,.r.4r ",,c- 270-1 it Business Phone 7S/- 730o a Name on Permit/ATC if Different than Above - PROPERTY INFORMATION *Date House/Facili Comers FI ed NOTE: A survey plat or site plan must accompany this application. Included: 0 Site Plan lat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat) - Owner's Name ,OSa cQe, 1AC. - Phone Number 7S/-73� Property Address' r City Lot Size .. Tax PIN# If the answer many of the following Questionstis'yes-, supporting documentano99 must be attached. 2p1 - Are there any existing wastewater systems on the site? OYes Does the site contain jurisdictional wetlands? DYes ONo - Are there any easements or right-of-ways on the site? ales 0N o Is the site subject to approval by another public agency? Dyes ONy We Will wastewater other than domestic sewage be generated? OYes i �i #People #Bedrooms 4 #Bathrooms . Garden Tub/Whirlpool OYes ONo Basement: OYes ONo Basement Plumbine: OYes ONo 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: KConventional DAccepted Olnnovative DAltemative DOther Water Supply Type: (3 County/City Water D New Well Misting Well D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? O Yes If yes, what type? ONo This is to certify that the information provided on this application is true and correct to the best of my knowledge. 1 understand that any pennit(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 odes. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating an ghrg or staking the home/facili location, proposed well location and the location of any other amenities. - Site Revisit Charge Piopertr r oro er's legal represents e Date(s): % Client Notification Date: Dale / EHS: Sign given OYes ONo - Account / �✓ Revised 11/06 - Invoice # r j 'ustee 1.8 I 0 0 0 O 30100 Sq.Ft. 0.691 Ac.+/ - S 88=0" E 30098 Sq.Ft. 0.691 Ac.+/ - S 82'-28'-00E 0.00 30100 Sq.Ft. 0.691 Ac.+/- S 82-28'-00" E 301.00' 30100 Sq.Ft. 0.691 Ac.+/- 82'-28'-00' E 301.00' 30106 Sq.Ft. 0.691 Ac.+/- -501.00' - 30100 Sq.Ft. 0.691 Ac.+/- 82'-2-1. 0 301.00' 30100 Sq.Ft. 0.691 Ac.+/- to O 301.0- po 30100 Sq.Ft. 0.691 Ac.+/- � rn � 301.00' CORNA7ZE 1ox7o Rsyesmt R(O sign 1616 Iln hy*GM rve Radius Chord Bearing and Distance Arc Length 1599.37' N 74'-12'-50" rn WYWAY 50' R 109.61_ S 82% / _1G 50.03' � I o I LL N 87°-35-03" O N Q- 89.08' M Cv too C 00 M M i O ^ u I 82 47°-48'-22" E 18.12' Z a � N 83'-43'-31" ), 126.31' 126.35' CORNA7ZE 1ox7o Rsyesmt R(O sign 1616 Iln hy*GM rve Radius Chord Bearing and Distance Arc Length 1599.37' N 74'-12'-50" rn ^ 304.61' 1599.37' N 80°-33'-58" W 50.03' � I o I LL N 87°-35-03" O N Q- 89.08' M M Orn O I O I M ^ C ^ 00 � Co I O M a M M N O ^ u I 82 47°-48'-22" E 18.12' Z a II N 83'-43'-31" II 126.31' 126.35' L100.00,- 35.00' a v - 100.00'- 9.65' 1 TYWAY R 0" W C1 3 50 S 82'-28-00.. E W (public) �I !- _ -126.2 _ - C t 48.79' 83.37= 50.00' W 51'-10'-24" _ w I 35.76' p S 10°-11'-55" Loi 32070 Sq.Ft. o . 35.76' iv a 0.736 Ac.+/- n M N I 30001 Sq.Ft. ^ . 1 50.00' n N 0.689 Ac.+/- ; W I o; I 2 50.00' i N Z W 57.71' I 2 N L_ i CORNA7ZE 1ox7o Rsyesmt R(O sign 1616 Iln hy*GM rve Radius Chord Bearing and Distance Arc Length 1599.37' N 74'-12'-50" W 304.15' 304.61' 1599.37' N 80°-33'-58" W 50.03' 50.03' 1599.37' N 87°-35-03" W 89.08' 89.09' 35.00' S 59°-55'-01" E 26.84' 27.55' 50.00' S 47°-48'-22" E 18.12' 18.22' 1599.37' N 83'-43'-31" W 126.31' 126.35' 35.00' N 74'-59'-02" E 26.84' 27.55' 50.00' N 80°-23'-13" E 46.87' 48.79' 50.00' S 51'-10'-24" E 35.00' 35.76' 0 50.00' S 10°-11'-55" E 35.00' 35.76' 1 50.00' S 30°-46'-33" W 35.00' 35.76' 2 50.00' S 86°-30'-33" W 57.71' 61.52' I/ ' 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: Water Supply: Evaluation By: PROPERTY INFORMATION Tax PIN/EH #: 587b b�226 6r Subdivision Info: Essex Farm Lot # 01 Location/Address: Cornatzer Rd -27006 0.689 Ac. Date Evaluated: On -Site Well —r Community Public ✓ Auger Boring Pit ./, Cut FACTORS [ p / !p 5 R, 4 5 6 7 [tion L L .I t_ QIDEPTH . oup le ruuP ce. s�IEVM� ® �� ®E®®� LUNG -TERM ACCEPTANCE RATE • I 0.)L7 f 1 6.-)L-75— 10 `a--7 `� 1 - 1 Kn 1 1 SITE CLASSIFICATION; �kt� EVALUATIONY: BY AIojt�dHS LONG-TERM ACCEPTANCE RATE: ' a7 5 OTHER(S) PRESENT: REMARKS: LEGEND - Landscape Position - R - Ridge S - Shoulder L - Liriear 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 CONSISTF,NOF. 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 :'Crum'b GR - Granular ABK - Angular blocky. SBK - Subangular blocky PL - Platy PR - Prismatic MineraloQv.. - - - 1:1, 2:I, Mixed No ec 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 05/05 rRe"vkedl Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 .(336)751-8760/ Fax (336)751=8786 IMPROVEMENT PERMIT Account #: 990004425 Tax PIN/EH #: 5870-64-2265.01 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 01 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: 0.689 acre Reference Name: Brad Coe Proposed Facility: Residence **NOTE**Thus 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. . Pem-,it Type: ew DRepair. DExpansion Permit Valid for:Years DNo Expiration Residential Specifications: '. # Bedrooms # Bathrooms_ # People_ BasementO Basement plumbingO Non -Residential Specifications: Facility Type It People_ # Seats_ rn� Square Footage(orDimensions ofFacil�ity) Design Flow(GPD): 1S D Type of Water Supply: [t2County/City D Well ❑Community Well Site Modifications/PermitConditions: As stated in 15A NCAC 18A. accepted Systems may a so be use System Type LTAR Initial e az RepairCt cc e B© Y' pt Jfir, SYs�e 03 o rS v n ej ` IDc4tA. i t eq h 3o y, 00 EnvironmentalHealth Specialist Date tl6 —15 -07