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161 Essex Farm Road Lot 8Dkv n 1016 ghw18All data is provided as is wlthoutwamnry or guarantee of any kind egher eapreased or Implied Including but not limMed to the Davie County, Implied wamsntles of merchantability or fitness for a pardeularuse All users of Davie County's Gla website shall hold harmless the _ Caurdy of Davis. NorthCarolina, its agents, consultants, contractors or employeas from any and all dalms or eauses olfaction due to nDUH•t NC orarieirrgaut M the use or InalTdy to use the GIS dataprovided by NlswebehG _ WARNING: THIS IS NOT A SURVEY _._ Y -- -- - ----- - - Parcel Information.. Parcel Number: F8030A0008 Township: Shady Grove NCPIN Number: 5870539986 Municipality: Account Number. 8304863 Census Tract: 37059-803 Listed Owner 1: OYLER KENNETH W Voting Precinct: FAST SHADY GROVE Mailing Address 1: 161 ESSEX FARM ROAD 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 8 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 3/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009831026 Soil Types: Gn132 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: ghw18All data is provided as is wlthoutwamnry or guarantee of any kind egher eapreased or Implied Including but not limMed to the Davie County, Implied wamsntles of merchantability or fitness for a pardeularuse All users of Davie County's Gla website shall hold harmless the _ Caurdy of Davis. NorthCarolina, its agents, consultants, contractors or employeas from any and all dalms or eauses olfaction due to nDUH•t NC orarieirrgaut M the use or InalTdy to use the GIS dataprovided by NlswebehG _ Address/Road #: Subdivision: 161 Essex Farm Rd Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: # of People: *Water Supply: PUBuc fSiteClassifiication: Provisionally Suitable Saprolite System? QYes QNo Design Flow: 4 8 0 Soil Application Rate: 0 a 7 5 *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Phase: Lot: 8 Directions Hwy 158 to Hwy 801 tum right, got to Comatzer Rd. tum Right. then Essex Farms on right before Beauchamp Rd Minimum Trench Depth: CONSTRUCTION 4\ For office Use only Minimum Soil Cover. AUTHORIZATION a Inches *CDPFileNumber 158795-1 3 Davie County Health Department Inches Maximum Soil Cover. County ID Number F8-030-Ao-008 4 Inches *Distribution Type: 210 Hospital Street Septic Tank: Evaluated For: NEW o; •�,. P.O. Box 848 Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax: 336-753-1680 1 0/ 1 0/ a 0 1 9 Applicant: RS Parker Homes/Joy Springer Property Owner. RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Dr. Address: 502 Hickory Ridge Dr. City: Greensboro Coy: Greensboro State/Zip: NC 27409 State/Zip: NC 27409 Phone #: (336)978-7120 Phone #: (336)978-7120 Address/Road #: Subdivision: 161 Essex Farm Rd Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: # of People: *Water Supply: PUBuc fSiteClassifiication: Provisionally Suitable Saprolite System? QYes QNo Design Flow: 4 8 0 Soil Application Rate: 0 a 7 5 *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Phase: Lot: 8 Directions Hwy 158 to Hwy 801 tum right, got to Comatzer Rd. tum Right. then Essex Farms on right before Beauchamp Rd 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 *Proposed System: 250% REDUCTION 1 -Piece: QYes QNo Pump Required: ®Yes QNo 0May Be Required Nitrification Field 1 7 4 5 Sq. ft. Pump Tank: 1 0 0 0 Gallons No. Drain Lines 6 1 -Piece: QYes QNo Total Trench Length: 4 3 6 ft_ GPM—vs— ft. TDH Trench Spacing: — 9 OInches O.C. Feet O.C. DosingVolume: Gallons — Trench Width: 2Inches 3 `='Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS -1 OTS -11 Septic Tank Installer G rade Level Required: 01 011 0111 OIV Page Y CDP File Number 158795-1 County ID Number: F8 -030 -AO -008 ❑ Open Pump System Sheet KepamayslernKequlreo:evra vlvu lllvV,uurUaJFwa11au10OP42UC eaair system Trench Spacing: 'Site Classification: Provisionally Suitable Design Flow: 4 8 0 Trench Width: — -- Soil Application Rate:0 a 7 5 Aggregate Depth: inches 'System Classification/Description: Minimum Trench Depth: a 4 TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Minimum Soil Cover. 1 a 'Proposed System: 25% REDUCTION Nitrification Field No. Drain Lines 6 1 7 4 5 Sq. ft. Total Trench Length: 4 3 6 g, Maximum Trench Depth: 3 6 Olnches O! 9 ® Feet O.C. Inches 3 Feet Inches Inches Inches Maximum Soil Cover: a 4 Inches 'Distribution Type: PUMPTOGRAVITY Pump Required: ®Yes ONo OMay Be Required 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. r:a 7,1 '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. 2( This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Pennit, not to exceed five years, and maybe issued atthe sametime the Improvement Permit Issued (NCGS 130A -336(b)). If the installation has not been competed 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 orConstruction Authorization shall became 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, maintenance6 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:. 1 0 / 1 0 / a 0 1 4 _ Authorized State Agent: `�C���� Malfunction Log Oyes ®Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 AIPAIMTION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Date: a I Davie County Environmental Health P.O. Box 848/210 Hospital street RECEIVED : Mocksville,NC 27028 (336)753-6780/ Fax (336) 753.1680 Date: Application For. C Site E�v luation/Improvement Permit C�Authorization To Construct(ATC)a of r Type of Application: -New System CRepair to Existing System CExpansion/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 RS rrn Contact Person L) r— pr ger Billing Address O r -- Home Phone City/State/ZIP - C Business Phone n7 Name on Permit/ATC if Different than PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. Included: C Site Plan Rd�t(to scale) (Permit is slid fo 0 ouths w'tI site plan, no expiration with complete plat.) - Owner's Name .rj `,5 - - "Phone Number Owner's Address City/State/Zip _b� LP Th PropertyAddress - - City ? Lot Size Tax PAI# 0 SubdivisionName(ifapplicable)Se tion/L�{�' Directions To Site: i SETBACKS: FRONT: 45' SIDE: 15' REAR: 30' O SETBACK 00 u1 10' UTILITY EASEMENT `* X07.32'00 E 100.00' - - ESSEX FARM ROAD 50' R/W (PUBLIC) GRAPHIC SCALE 40 _ 0 - 20 b 80 IN FEET 1 inch = 40 & HOME DIMENSION - - NTS PRELIMINARY PLOT PLAN FOR: RSP BUILDERS LOT 8 OF ESSEX FARMS, PHASE 1 P.B. 9 PC. 289 �nmieg Engieenring, .Inc. 8518 Tdad Ddvo, NC 27235 Phone: 336.8523797 *Fax: 336-852-9766 NCBELS C-0950 DATE 09-25-14 --RET: PR0J\1831-01\dw9\ESSEWARM.dw9 - X07.30.48 -E 77.83' 22. f7' -' I SETBACK - - - - 50.00'CA iV 0 oil I l PROPOSED RESIDENCE g o o I. I - 50.00' - - PROPOSED RESIDENCE SETBACK 00 u1 10' UTILITY EASEMENT `* X07.32'00 E 100.00' - - ESSEX FARM ROAD 50' R/W (PUBLIC) GRAPHIC SCALE 40 _ 0 - 20 b 80 IN FEET 1 inch = 40 & HOME DIMENSION - - NTS PRELIMINARY PLOT PLAN FOR: RSP BUILDERS LOT 8 OF ESSEX FARMS, PHASE 1 P.B. 9 PC. 289 �nmieg Engieenring, .Inc. 8518 Tdad Ddvo, NC 27235 Phone: 336.8523797 *Fax: 336-852-9766 NCBELS C-0950 DATE 09-25-14 --RET: PR0J\1831-01\dw9\ESSEWARM.dw9 v APPLICA OR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health - a Z P.O. Box 848/110 Hospital Street - P�G: Mocksville,NC 27028 �P�N�L'l0 (336)751-8760/ Fax (336)751-8786 pl �q¢l; Site Evaluation/Improvement Permit ❑Authorization To Construct(ATC) ❑Both - ypeo pication: ONew System ORepair to Existing System DExpansion/Modification of Existing System or Facility _ *IMPORTAN7* THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVmED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION 73 Name to be Billed.65C /Jcy6coirtd.+T mat, i ac Contact Person 25AXv AWn trZ Bi ing Address 370 Home Phone City/State/ZIP .Ic- z7028 Business Phone 7S/- 73�- a Name on Permit/ATC if Different than Above - Mailing Address - City/State/Zip PROPERTY INFORMATION I *Date Home/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. Included: D Site Plan UPlat(to scale) - - (Permit is valid for 60 months with site plan, no. expiration with complete plat.) Owner's Nato SC .OrNE6oP`1ENT cdt, iet0 Phone Number 7S/ • 73� Owner's Am"; Po Bc jfa City/State/Zip Z7OZa Properly AddressT -- - -City Lot Size r Tax PIN# - 2 rp' '. Subdivision Name(ifap livable) Es - Sectiop/i,ot# Q �lOrH To Sid, C - Q ©lLN�Zfl/SS �uections 9�7L-F ht9/vHS l'An2l,u QN (` Gt.«/�'J the answer to any of the followmg �ueshonsTj�es�, suppomng documenfano99 must be a hed. Are there any existing wastewater systems on the site? OYes CINp Does the site con[ainjurisdictional wetlands? OYes Cli�o Are there any easements or rightof--ways on the site? [a%es ❑ o Is the site subject to approval by another public agency? OYes [INS Will wastewater other than domestic sewage be generated? OYes [alto IF RESIDENCE FILL OUT THE BOX BELOW - #People #Bedrooms 4 #Bathrooms Garden Tub/Whirlpool OYes ONo Basement:OYes DNo Basement Plumbing: ❑Yes 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:��HConventional DAccepted Dlnnovative OAltemative ❑Other Water Supply Type: ❑'County/City Water 'D New Well DExisting Well ❑Community Well , Do you anticipate additions or expansions of the facility this system is intended to serve? D Yes ONo If yes, what type? - This is to certify that the information provided on this application is We and correct to the best of my knowledge. I understand that any permil(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 egging or staking the house/facility location, proposed well location and the location of any other amenities. _ Site Revisit Charge - - Prope��r oro er's legal represenm re - - - - - Date(s): Client Notification Date: Date _ EHS: ., Sign given DYes ONo Account# Revised 11106 - Invoice# 301.00' Cc 0 N Y a o 30100 Sq.Ft. o WYWAY 50' R 0.691 Ac.+/- o ustee V8 7 S 82'-28'-00" o S 82'• /r -709.61= _ -7G N 307.00' ro � Q8 I 30098 Sq.Ft 3 I b 0 I eo 3 0.691 Ac.+/- 1 S 82 o ILL \ o E 307.00' © I t 00 000 Cq In o o 30100 Sq.Ft. . c 0.691 Ac.+/- o Ni S 82'-28'_00" II n * 301.00' N O fa ©I W S 82'-28'-00 E 30100 Sq.Ft. o 0 100.00' ' s 82'-28'-00' 0.691 Ac.+/- O 911, 90.J9' S 82'- 28' -00" E _o I n ON � 301.00' n 5 O = 30106 Sq.Ft. I 3 2 3 } wLL ro 0.691 Ac.+/- 0, I I o I } 82' -28' 'Cj WO'+ n +S O -Op E 307.00' 0 M ow I oW 0c n 00 I ® ^ 10 n f, 00 N O M 0 O tD 0 30100 Sq.Ft. I y I e o N o 0.691 Ac.+/- o i a I i s2 S 82 Z 301.00' o 0 0 30100 Sq.Ft. � " 100.00- 9.65' -100.00'- 0.691 Ac.+/- o N 82'-28'_00" S 82-28'-00" 0 ¢ W TYWAY 50' C� S 82--28'-00- A (Public) 307.00' -126.28'- a ® /r c _ 83.37= R o 0 30100 Sq.Ft. I w �I _ - 0.691 Ac.+/- g } S 82•-28'-00" E o W I o_ l } 89 w m 301.0p' vOi 32070 Sq.Ft. p . nN 0.736 Ac.+/- "� [ I I I N 300018 Sq.Ft. a , M N 0.689 Ac.+/- \e 30010 Sq.Ft. 901/�e 0.689 Ac.+/- � I of i N `u`s`e L6 Z 2 N `---- NI -30 -i �. elgn L eemR' 30'0 C2 JN CORA/ 10170 ATZ C6_ --- ---C3--- 4.58 aaa sl n eS ROAD SR 1616 en • hydrad 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' t 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' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004425 Tax PIN/EH #: 587t722t?5�8 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 08 Reference Name: Brad Coe Location/Address: Corn atzer Rd -270 6 Proposed Facility. Residence Property Size: 0.691 Ac. Date Evaluated: Water Supply: On -Site Well Community Public ✓ Evaluation By: Auger Boring Pit Cut FACTORS 141 /3 /)a 4 .5 6 7 Landscape position L Slope % 2 '1 2 HORIZON I DEPTH .Texture groupG G Consistence Structure S K Mineralogy S k 0 A HORIZON H DEPTH ' Texture group Consistence Structure Mineralogy HORIZON III DEPTH, Texture group Consistence Structure Mineralogy HORIZON IV DEPTH . Texture group Consistence StMcture Mineralogy - SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION al n o LONG-TERM ACCEPTANCE RATE 0 •), " V -j 6.1-7 C) a? SITECLASSIFICATION: EVALUATIONBY: 1CC� JVQftdN-J LONG-TERM ACCEPTANCE RATE: ©' a OTHER(S) PRESENT: REMARKS; LEGEND_ - Landscape Position - - - - R RidgeS Shoulder L - Linear slope I 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 SICU - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Veryfriable FR - Friable FI - Firm VFI -Very firm -` EFI -Extremely firm E 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 1:1, 2:I, Mixed iYoSes 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 (Revised) **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. Permit Type: Wllew DRepair. ❑Expansion . Permit Valid for: w4years ❑No Expiration Residential Specifications: # Bedrooms 1 -# Bathrooms_ # People_ BasementO Basement plumbing❑ - Non -Residential Specifications: Facility Type # People_ # Seats Square Footage(or Dimensions of Facc�ility) Design Flow(GPD): Sid Type of Water Supply: R ounty/City D Well D Community Well Site Modifications/PermitConditions: As stated in ISA NrAr 1811 IQRQ( 31 Silo Plan o S stemT e I. LTAR Initial CLce 91..eco77 3 Repair t eco a�S S� 1.414( 5�P �,ti�QaIYI��a S`1 5ir✓" 36/ a7 Davie County Environmental Health P.O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (33.6)751-8786 IMPROVEMENT PERMIT Account M. 990004425 Tax PIN/EH #: 5870-64-2265.08 Billed To:_ PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 08 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: 0.691 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. Permit Type: Wllew DRepair. ❑Expansion . Permit Valid for: w4years ❑No Expiration Residential Specifications: # Bedrooms 1 -# Bathrooms_ # People_ BasementO Basement plumbing❑ - Non -Residential Specifications: Facility Type # People_ # Seats Square Footage(or Dimensions of Facc�ility) Design Flow(GPD): Sid Type of Water Supply: R ounty/City D Well D Community Well Site Modifications/PermitConditions: As stated in ISA NrAr 1811 IQRQ( 31 Silo Plan o S stemT e I. LTAR Initial CLce 91..eco77 3 Repair t eco a�S S� 1.414( 5�P �,ti�QaIYI��a S`1 5ir✓" 36/ a7