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133 Essex Farm Road Lot 4Davie County,.NC t I . + Tax Parcel Report Tuesday, December 20, 2016 139 0 2 r----`---- w 0 105 133 ,0) ;= TYLER CT Ly U) u+ 9a�tp All data Is provided as Is wNhoutwarrsrdy or guarantee of any Idnd eltherexpressed or Implied Including but not limped to the Davie County, Implied varrandes ofinerchantabNlty orftness for a particular um All users of Davie County's GIS website shall hold harmless the !+ Courdy of Davie, North Carolina, b agents, aonsuhnrts, carMuors oremployees from any and all claims or causes of action due to �o UN't4 NC or arising out of the use or Inability to use the GlS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information _ 1 Parcel Number: F803OA0004 Township: Shady Grove NCPIN Number: 5870539536 Municipality: J Account Number. 8304246 Census Tract: 37059-803 Listed Owner 1: CRONIN PAUL C Voting Precinct: EAST SHADY GROVE Mailing Address 1: 133 ESSEX FARM ROAD Planning Jurisdiction: Davie County, City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 4 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 10/2014 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009710313 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: 9a�tp All data Is provided as Is wNhoutwarrsrdy or guarantee of any Idnd eltherexpressed or Implied Including but not limped to the Davie County, Implied varrandes ofinerchantabNlty orftness for a particular um All users of Davie County's GIS website shall hold harmless the !+ Courdy of Davie, North Carolina, b agents, aonsuhnrts, carMuors oremployees from any and all claims or causes of action due to �o UN't4 NC or arising out of the use or Inability to use the GlS data provided by this website. CONSTRUCTION �- -_ AUTHORIZATION Davie County Health Department 210 Hospital Street �- P.O. Box 848 bt =J Mocksville NC 27028 Phone: 336.753-6780 Fax: 336.753-1680 Applicant: .RS Parker, LLC Address: 502 Hickory Ridge Drive City: Greensboro State/Zip: NC 27409 For Otfice Use Only "CDPFileNumber 123188-1 County ID Number: F8.030-AO.0D4 Evaluated For: NEW Township: 0 9/ 1 9/ 2 0 1 8 Property Owner. RS Parker, LLC Address: 502 Hickory Ridge Drive City: Greensboro State/Zip: NC 27409 Phone #: (336) 267-8812 \hone #: (336) 267 8812 Proaerty Location & Site Information Address/Road #: Subdivision: Essex Farms Phase: Lot: 4 133 Essex Farm Rd Advance NC 27006. Directions Structure: SINGLE FAMILY Hwy 64 East, left onto Cornatzer Rd. pass Beauchamp Rd. Subdivision on left. # of Bedrooms: 3 # of People: 'Water Supply: PUBLIC Minimum Trench Depth: 2 4 r sification: PS Inches Minimum Soil Cover. Inches System? QYes OQ Noow: 3 6 0 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 2 7 5 Maximum Soil Cover. Inches *System Classification/Description: 'Distribution Type: GRAVITY -SERIAL TYPE It A CONY SYSTEM (SINGLE-FAMILY OR 480 GPO OR LESS) Septic Tank: 1 p 0 0 Gallons 'Proposed System: 250/9 REDUCTION 1 -Piece: QYes ®No Pump Required: QYes (& No OMay Be Required Nitrification Field Sq. ft. Pump Tank: Gallons No. Drain Lines 1 -Piece: QYes ONo Total Trench Length: 3 2 8 ft GPM—vs— ft. TDH Trench Spacing:Qinches O.C. Dosing Volume: _ Gallons — Feet O.C. 9 Trench Width:OInches — Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS -1 OTS -11 Septic Tank Installer Grade Level Required: 01011 0111 OIV i/ CDP File Number 123188-1 *Site Classification: - PS Design Flow: 3 6 0 Soil Application Rate: 0 2 7 5 County ID Number: F8-030-AO.004 ❑ Open Pump System Sheet @Yes ONo ONo,but has Available S Trench Spacing: 0 Inches O: Feet O.C. Trench Width:Inches 8 Feet Aggregate Depth: inches Minimum Trench Depth: 2 4 *System Classification/Description: TYPE II A CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover Maximum Trench Depth: 3 6 *Proposed System: 250% REDUCTION Inches Inches Inches Maximum Soil Cover. Nitrification Field Inches No. Drain Lines Sq. ft. 'Distribution Type: GRAVITY -SERIAL Total Trench Length: 3 2 7 ft Pump Required: Oyes @No OMay Be Required �11 Pre Treatment: ONSF OTS -1 OTS -11 'Site Modifications 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 bylhe 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 be valid for a person equal to the period of validity of the improvement Permit, not to exceed flue years, and maybe Issued atthe sametime the Improvement Permit issued (NCGS 130A338(b)} 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 orConstructbn Authorization shall become Invalid, and may besuspendel or revoked (.1937(g)). The person owning or controlling the system shall be responsible forassurirg compliance with the laws, rues, and permit conditions regarding system location, Installation, operation, maintenance, monitoring, reporting and repair (1938(b)). - - - - - Applicant/Legal Reps. Signature Required? OYes @No Applicant/Legal Reps_ Signature, Date: 'Issued By: 2244-Daywait ,drew Date of Issue: 0 9/ 1 9/ 2 0 1 3 Authorized State Agent: Malfunction Log Oyes ®Hand swing OlmportDrawing TotalTime:(HH:MM) **Site Plan/Drawing attached.** Page 2of3 0 1 Hours 0 0 umutes S-8 - CKS; issued - new -CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization I Pana CDP File Number. 123188 -1 County File Number. F8.030 -AO -M Date: 09/ 19/2013 W W ' O Inch Scale:. OBlock ON/A APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC RECEIVED Davie County Environmental Health P.O. Box 848/210 Hospital Street Date: 1'T' Mocksville, NC 27028 ---............ —.•._' ___(336)753_6780/Fax,(336)753_1680----------.—..._. —,_- Application For: D Site Ev luation/Improvement Permit VXuthorization To Construct (ATC) D Both Type of Application: MlewSysteni ❑Repair to Existing System DExpansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOTBEPROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Name idLL Contact Person Cate Av4e man Address 502. Hki Home Phone 33(o'ZC67-AR171 City/State/ZIP z Business Phon Email EmaihieA Qirr�tt Y C11t1L'S.t Name on Permit/ATC if Different than Above Address I iMNJ WNC1a WONA LIUW419 M\ IFIG NOTE: A survey plat or site plan must accompany this application. Included: D Site Plan OPlat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat.) Owner's Name ) Phone Number Owner's Address Z i City/State/Zip Property Address City Lot Size l Tax PIN# -00-AO-000 Subdivision Name(if applicable) Section/Lot#� Directions To Site: 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 �No Does the site contain jurisdictional wetlands? _Yes -No Are there any easements or right-of-ways on the site? _Yes -No Is the site subject to approval by another public agency? _Yes !No Will wastewater other than domestic sewage be generated? —Yes . No IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms Z— # Bathrooms _ Garden Tub/Whirlpool es 1No Basement: DYes o Basement Plumbing: DYes DNo 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: Rt onventional DAccepted ❑Innovative DAltemative DOther Water Supply Type: L90County/City Water D New Well DExisting Well D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? D Yes 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 A conduct necessary inspections to determine compliance with applicable laws and rules. I underst. esp tble th roper identification and labeling of property lines and comers and locating and flagging ors us c t hoc o oposed well location and the location of any other amenities. �or.r ire Site Revisit Charge Property owner's or owner's legal representative signature Client Notification Date: Date EHS: Sign given DYes ONo Revised 11106 Account # Invoice # N07032'1 1"E 100.00' F—SEf6ACK I I I SETBACKS - FRONT: 45' SIDE: 10' REAR: 30' Tn r0 d 10' UTI TY EAS ENT S07032' 00" W 100.00' ESSEX FARM ROAD 50' R/W (PUBLIC) GRAPHIC SCALE 40 0 20 40 a0 ( R1 FEE'P 1 inch = 40 fL PRELIMINARY PLOT PLAN FOR: RSP BUILDERS LOT 4 OF ESSEX FARMS, PHASE f P.D. 9 PC. 289 Rnming EngincrAng, lar. 7000ameglePlace GreensbomNC27409 Phone: 33649.9797 , Fan: 3364624766 NCBEIS C-0950 DATE: 08-24-13 REF: PRD1\1831-01\dwg\ESSD(FARM.dwg I I I I I I 14.00' CAD C43 IO C.), ba 14.42',' o co I r c 21.25' 14.00' c O I OI y 0 0 0 a a IO PROPOSED " RESIDENCE 200' PROPOSED m 2250' • 075pg a ,v. 0 1033' a 8s v m v 35.00' s2'RESIDENCE V 17.67' 23.67 J HOME DIMENSIONS ETBACK NTS Tn r0 d 10' UTI TY EAS ENT S07032' 00" W 100.00' ESSEX FARM ROAD 50' R/W (PUBLIC) GRAPHIC SCALE 40 0 20 40 a0 ( R1 FEE'P 1 inch = 40 fL PRELIMINARY PLOT PLAN FOR: RSP BUILDERS LOT 4 OF ESSEX FARMS, PHASE f P.D. 9 PC. 289 Rnming EngincrAng, lar. 7000ameglePlace GreensbomNC27409 Phone: 33649.9797 , Fan: 3364624766 NCBEIS C-0950 DATE: 08-24-13 REF: PRD1\1831-01\dwg\ESSD(FARM.dwg �L A SITE EVALUATIONAMPROVEMENT PERMIT & ATC ((„ Davie County Environmental Health v P.O. Box 848/210 Hospital Street - r�p0� Mocksville, NC 27028 P�G `Zcn>� (336)751-8760/ Fax (33751-8786 - 4pplication For: LTS, ation/Impro emem Permit D Authorization To Construct(ATC) - D Both `ype ofAnr�N�tgeL\CNe`v ystem epair to Existing System DExpansion/Modification of Existing System or Facility Nr •" OR•rA'-kJ*'w" fhIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED Name to be Billed PSC AcyT"Px.F.+7 Cow i x. Contact Person 7o fRY J r7e,,;X Billing Address A.0.4„x 3fo Home Phone City/State/LIP ZAoG L",r .4G Z7oZa Business Phone 7S/- 73o0 a Name on Permit/ATC if Different than Above PKUPEKIY 1NFURINA7 ION -Date House/Facd Comers Fla ed NOTE: A survey plat or site plan must accompany this application. Included: 0 Site Plan lat([o scale) - (Permit is valid for 60 months with site plan, no expiration with complete plat) - Owner's Name +DSc .Dertr��vpnP.rT cge� „dc. Phone Number 7S/ - 73� Owner's Address fo 4,c hQ! - City/State/Zip Nelt'swr�r' fA= Z7oLt3 Property Addreyss City_ Are there any existing wastewater systems on the site? Dyes DNp - Doesthesitecontainjurisdictionalwetlands? Dyes ONO Are there any easements or right-of-ways on the site? Dies ❑ryryo Is the site subject to approval by another public agency? Dyes ONyy Will wastewater other than domestic sewage be generated? Dyes DNo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms z_ # Bathrooms Garden Tub/Whirlpool DYes 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:��PfConventional DAccepted Ohmovative OAltemative OOther Water Supply Type: D-C.unty/City Water D New Well DExisdng Well D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 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. I understand that my 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 agging or staking the house/facili[ location, proposed well location and the location of any other amenities. Site Revisit Charg- e Propersoro er's legal represents a Date(s): Client Notification Date:%EHS:Date Sign given Dyes ONo - Account Revised 11106. - Invoice# SITE CLASSIFICATION: L:-�� 0.b l� EVALUATION BY: of LONG-TERM ACCEPTANCE RATE: © �S 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 .3 -Terrace FP - Flood plain H - Head slope Texture S' - Sand y SL -Sand loam LS -Loam sand y 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 Moil - 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 Strnctnre - .. SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK -Subangular blocky PL - Platy PR - Prismatic Mineralog.- 1:1, 2: 1, Mixed 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 chioina 2 or less Classification S(suitable), PS(provisionally suitable), U(unsuitable)- LTAR - Long-term acceptance rate - gal/day/f12 ;^ " DCHD 05/05 (Revised) FACTORS 114 l' 1 113 4 5. 6 7 Landsca e position , . L— Slope %. HORIZON I DEPTH Texture groupG C' C Consistence P f Structure Mineralogy13 X p HORIZON H DEPTH, .:: _ 4 Texture group Consistence Structure - .Mineralogy HORIZON IH DEPTH Texture group ConsistenceStructure'' Mineralogy, HORIZON IV DEPTH Texture roti Consistence:::: :...' _ - u . -. Structure . Mineralogy- _ - SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004425 Tax PIN/EH #: 5870-6`-W . Billed To:. PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 04 Reference Name: Brad Coe Location/Address: Cornatzer Rd -2770'06 Proposed Facility; Residence Property Size: 0.691 Ac. Date Evaluated: C( Water Supply: On Well -Site Community Public Evaluation Byi Auger BoringPit / V Cut SITE CLASSIFICATION: L:-�� 0.b l� EVALUATION BY: of LONG-TERM ACCEPTANCE RATE: © �S 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 .3 -Terrace FP - Flood plain H - Head slope Texture S' - Sand y SL -Sand loam LS -Loam sand y 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 Moil - 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 Strnctnre - .. SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK -Subangular blocky PL - Platy PR - Prismatic Mineralog.- 1:1, 2: 1, Mixed 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 chioina 2 or less Classification S(suitable), PS(provisionally suitable), U(unsuitable)- LTAR - Long-term acceptance rate - gal/day/f12 ;^ " DCHD 05/05 (Revised) FACTORS 114 l' 1 113 4 5. 6 7 Landsca e position , . L— Slope %. HORIZON I DEPTH Texture groupG C' C Consistence P f Structure Mineralogy13 X p HORIZON H DEPTH, .:: _ 4 Texture group Consistence Structure - .Mineralogy HORIZON IH DEPTH Texture group ConsistenceStructure'' Mineralogy, HORIZON IV DEPTH Texture roti Consistence:::: :...' _ - u . -. Structure . Mineralogy- _ - SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION Sl• a / - ` LONG-TERM ACCEPTANCE RATE O-�7 O- a7 � SITE CLASSIFICATION: L:-�� 0.b l� EVALUATION BY: of LONG-TERM ACCEPTANCE RATE: © �S 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 .3 -Terrace FP - Flood plain H - Head slope Texture S' - Sand y SL -Sand loam LS -Loam sand y 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 Moil - 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 Strnctnre - .. SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK -Subangular blocky PL - Platy PR - Prismatic Mineralog.- 1:1, 2: 1, Mixed 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 chioina 2 or less Classification S(suitable), PS(provisionally suitable), U(unsuitable)- LTAR - Long-term acceptance rate - gal/day/f12 ;^ " DCHD 05/05 (Revised) FACTORS 114 l' 1 113 4 5. 6 7 Landsca e position , . L— Slope %. HORIZON I DEPTH Texture groupG C' C Consistence P f Structure Mineralogy13 X p HORIZON H DEPTH, .:: _ 4 Texture group Consistence Structure - .Mineralogy HORIZON IH DEPTH Texture group ConsistenceStructure'' Mineralogy, HORIZON IV DEPTH Texture roti Consistence:::: :...' _ - u . -. Structure . Mineralogy- _ - SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 307.00' CO o O N d a 0 30100 Sq.Ft. - p WYWAY 50' ustee 0.691 Ac.+/- 00' S 82F�• t8 - S 82'-28'-00" _ _0 109.61= _ /r E -7G I N 301.00' N 30098 Sq.Ft. b eo 3 e ^ 0.691 Ac.+/- o S 82-28'-00cli " _o �\ o E I ^ 1n u v. f W 301.00' ¢ ^ N p © N a0 N N M 001 N I 01 O I M1 30100 Sq.Ft. o 0.691 Ac.+/- o S 82'-28'-00"E ^n v ' N 301.00' m © I " E w s G"-2a•_oLO o 30100 Sq.Ft. o 100.00' S 82'-28'' 0 00 90.J9' 0.691 Ac.+/- 0 O 1 9�1, S 82 - 28'-00" E _O I zoCq n , 301.00' '0 00 O rn ^ 00 30106 Sq.Ft. I 3 z 3 } °D w00w 0.691 Ac.+/- I '- S 82'-28'- p0 I Q4 li+ O+ u O 00"E N N tP+ O 0 ¢ 0n ¢ 0c N. 301.00' �4 i7 n o a' 0 1 rn 1 c l �^ 800 o O� y nM M 0 30100 Sq.Ft. l ® N o 0.691 Ac.+/- o Z S 82-28'-00" 0 301.00' I� ® Of L100.00'- 00 O 30100 Sq.FL o 9.65' 0.691 Ac.+/- 00 N 82'-28- 00O / Cl S 82-28'-00" _o < 3 TYWAY 90' S' 82'-28'-00'R/W (Public) 301.00' E I - 126.28'- E83.37_ O /I- _ CR 00 30100 Sq.Ft. Li _ I 1 \ 00 0.691 Ac.+/- o } S 82'-28'_00.. E �W I 0 i o -I I e9 w 0? 301.00' n 32070 Sq.Ft. ry o^CD v M N 0.736 Ac.+/- O 30001 Sq.Ft. N I 1 1 ' 1 n 0.689 Ac.+/- N 30010 Sq.Ft. ^ I a N ° 0%8 0.689 Ac.+/- Z n Z u1 _-�-- Hr30 -i Sign L I "Mr. J0'To C2 JN CORNA7ZERIoROgp °SSR -�C6-------C3--- 4.58 a9g 1616 eft 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' i 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' I 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 10'1 1'-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' **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. PemtitType: ew DRepair. ❑Expansion Permit Valid for: 135 Years ONo Expiration Residential Specifications: # Bedrooms l # Bathrooms # People_ Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ ,1 Square Footage(or Dimensions of Facility) DesignFlow(GPD): '0© Type of Water Supply:-Weounty/City OWell ❑Community Well 18A.1969(5d Site Modifications/PemutCondifiAe stated in 15A NCACons: accepted Systems ny ic.; hm use Bile Plan L? System Type LTAR Initial 11, cr-0.% Repair 361 gavironmental Health Date Id 7 rim Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocl6ville, NC 27028 (336)751-8760/ Fax (336)751-8786 IMPROVEMENT PERMIT Account M 990004425 Tax PIN/EH #: 5870-64-2265.04 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 04 Address: PO Box 340 Location/Address: Comatzer Rd -27006 City: Mocksville Property Size: 0.69.1 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. PemtitType: ew DRepair. ❑Expansion Permit Valid for: 135 Years ONo Expiration Residential Specifications: # Bedrooms l # Bathrooms # People_ Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ ,1 Square Footage(or Dimensions of Facility) DesignFlow(GPD): '0© Type of Water Supply:-Weounty/City OWell ❑Community Well 18A.1969(5d Site Modifications/PemutCondifiAe stated in 15A NCACons: accepted Systems ny ic.; hm use Bile Plan L? System Type LTAR Initial 11, cr-0.% Repair 361 gavironmental Health Date Id 7 rim