No preview available
187 Essex Farm Road Lot 11Davie County, NC Tax Parcel Report Tuesday, December 20, 2016 4 ----------- WARNING: THIS IS NOT A SURVEY 193 Parcel Information Q D: Parcel Number: F803OA0011 Township: Shady Grove NCPIN Number: 5870640226 187 W Account Number. 82527748 Census Tract U) Listed Owner 1: W Voting Precinct: EAST SHADY GROVE 179-------- 187 ESSEX FARM ROAD Planning Jurisdiction: 107 i City: ADVANCE i t [all All dab Is provided as b wlthoutwanahhty orguarantee aany hand eiltherexpressed or implied Including butnot Unitedto the Davie County, Impliedwmran as of merchantability or Dbessfor*particularuse. Ali users of Davie County& GIS website shall hold hanimthe county of Davie, NOM Carolina, hs agents. consultants, cor sefors or enpioyaesfrnm any and ail claims urcauses of action due to NC or arising out ofthe use or lnabirtyto use the GIS data provided by this website WARNING: THIS IS NOT A SURVEY Parcel Information ; Parcel Number: F803OA0011 Township: Shady Grove NCPIN Number: 5870640226 Municipality: Account Number. 82527748 Census Tract 37059.803 Listed Owner 1: LEWIS KAMALA L Voting Precinct: EAST SHADY GROVE Mailing Address 1: 187 ESSEX FARM ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 11 ESSEX FARM PHASE 1 Fire Response District ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 6/2010 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 008300323 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 290 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all All dab Is provided as b wlthoutwanahhty orguarantee aany hand eiltherexpressed or implied Including butnot Unitedto the Davie County, Impliedwmran as of merchantability or Dbessfor*particularuse. Ali users of Davie County& GIS website shall hold hanimthe county of Davie, NOM Carolina, hs agents. consultants, cor sefors or enpioyaesfrnm any and ail claims urcauses of action due to NC or arising out ofthe use or lnabirtyto use the GIS data provided by this website DAVIE CgUNTY ENVIRONMENTAL HEALTH P., . Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Account #: 990005117 Billed To: Collins Home Builders, Inc. Reference Name: Proposed Facility: Residence Tax PIN/EH #: 5870-64-0226 Subdivision Info: Essex Farm Lot # 11 Location/Address: Essex Farm Rd -27006 Property Size: 301x100 ATC t �# H488 suance of this Operation Permit shall indicate the system described on the ATC 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 guarantee that the system will function satisfactorily for any given period of time. a+� System Type: S.T. Manufacturer 64 Tank Date y Ir{ Tank Size IWo Pump Tank Size 1066pt C7�Ip•o{'QrntP N'+ W�c'� �t} System Installed By: BB 1SatXhof— E.H.Specialist: yYlnx' ___Date: pj*+tewj jglk was 33" h�\ la.m blit lc 1q�1o.a z:lq Y %19 (p: l4• t.44 43L.1 I t � 4ucl�.h`• I �1 I, h ; v w iso - o c 9' Z kL. .86� tt �gK tN% DCHD 11/06 (Revised) ' DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax #(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005117 Tax PIN/EH #: 5870-64-0226 Billed To: Collins Home Builders, Inc. Subdivision Info: Essex Farm Lot # 11 Reference Name: Location/Address: Essex Farm Rd -27006 Proposed Facility: Residence Property Size: 301 100 ATC Number: 4882 Site Type: P1New []Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms=l # People_ Basement0 Basement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ JSquare Footage(or Dimensions of Facility) Lot Size I Type of Water Supply: P1County/City OWelll,,�❑C�ommunity Well System Specifications: Design Wastewater Flow (GPD) Tank SizeGAL. Pump Tank GAL. Trench Width Cy Max. Trench Depth 3% Rock Depth (� � Linear Ft.�" SiteModifrcations/Conditions/Other: aJ��tJ accepted Systems may apse be�se Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760 �5r P1" 640-t b e cQ�p �� �ti 3 Environmental Health DCHD 11/06 (Revised) Jul 08 08 02:50p IZZ- Davie County Environmenta 3367518786 p.2 1 TE EVALUATIONIIMPROVEMENT PERMIT & ATC avie County Environmental Health } P.O. Box 848!210 Hospital Street Mocksville, NC 27028 (336)751-87601 Fax (336)751-8786 pStio�hapro eat Permit f�Authorization To Constract(ATC) G Both SO Few'Syste Repairto Existing System JExpansion/Modification of Existing System or Facility TRIS P.PPLICATION CANNOT BE PROCESSED UNLESS ALL Ore THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Name to be Billed COJ / 7 G T11 rn Contact Person RP -t% 4, Billing Address L Home Phone40 — 20 Z g City/State/ZhP Z Business Phone — 40 Name on Permit/ATC ifDoerent than Above Sc, -m&- Mailing Address ICib4tatc/Zip NOTE: A survey plat or site plan must accompany this application. Included: J Site Plan OPlat(to scale) (Permit ii'valid for 60 months with site lan, o iration with complete plat) Owner's NatneZ Phone nmber__� s Owner'Address 2 City/State/Zyp /! Al PropertyAddress FSS Ci /9 dl/oA/l Lot Size 30/ Y- / JrO Tax PIN# 5 0— Subdivision Name(if applicable) etCP sc la2 so 1 - Section/Lot# / Directions To Site: X [ID E- - � �D / nvt Clri answer to any of the following questions is "yes", supportmg; documert`ationtrust be Are there any existing wastewater systems on the site? DYes/ - Does the site contain jurisdictional wetlands? Dyes BtGe Are there any easements or right-of-ways on the site? Dyes Is the site subject to approval byanotherpublic agency? DYesum / - Will wastewater other than domestic sewage be generated? Dyes �teo IF RESIDENCE FILL OUT THE BOX BELOW T People NeW Hoynp, # Bedrooms # Bathrooms Garden Tub/Whirlpool LRY'es DNo Basement: DYes 1 Ko . Basement Plumbing: , Dyes pmo IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of FacilityMdsiness X 144 Total Square Footage of Building # People # Sinks # Commode # Showers I# Urinals Estimated'JJater Usage (gallons per day) (Attach documentation of similar facility waver constunpdon) FOODSERVICE ONLY: # Seats Tlpesystemrequested:. onventional DAccepted ❑Innovative OAltemativa 00ther Water Supply Type:County/City Water _ New Well CExisting Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? O Yes . vro-� - If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my lmowledge. I understand t: -rat any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, Bre intended use changes, or if: the informaion 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 -uies- I understand that I am responsible for the proper identification and labeling of property lines and corners and Iccsting and flagging .' .�/��- [tel +1.�(/ ✓✓-"'cJ ___ __ _. . Property wcer' r owner's legal representative signature - - - Site Revise Charge _ Date(s): 7 Client Notification_Date: Date EIiS: Sign given ]Yes :lNo Account (5/17 Revised 11i0G - - _ _ Invoice ri _ � .0 Phases � x„-411 30/00 5; 7q I N N 5ys4ent 0 .P Pa -No y- 32 I %Z Soo e_q 0 0 00 Gr.cye w -ASK W Sefbock Rei Q 10 elm Gof'a /0 /OD. QO" L o f" /Z J F'sscx V(/� �0 " Rlkl (lou6mj � UVJ CA FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health 3 2001 P.O. Box 848/210 Hospital Street AUG 2 Mocksville, NC 27028 ,.- (336)751-8760/ Fax(336)751-8786 ry gr b°nt�' r ite Evaluati mprovement Permit O Authorization To Construct(ATC) O Both yslem ❑Repay to Existing System DExpansion/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 -1411 Name to be Billed ASC Ayecoin rAr !2%, GJC• Contact Person 7ZrfgY AY 7c, trL Billing Address Ad -Aux 3f0 Home Phone - City/State/LIP /f2geWar< rt6 27028 Business Phone 7S/- 7300 Name on Permit/ATC if Different than Above ' -. Mailing Address City/State/Zip rxvrarcr I rrvrvruvrnrrvry - - mare nuwcrracuu wmcrs ria cu NOTE: A survey plat or site plan most accompany this application. Included: O Site Plan lat(to style) (Permit is valid for 60 months with site plan, no expiration with complete plat) - - Owner's Name�OSe .02V.r6oPN<Ni cAy iPG - Phone Number 7S/-7300 Owner's AddreCity/State/Zip ern orr�.! f�G 27026 Property Addre s City Lot Size � • Tax PIN# , �� - thwrohyoHfoSllowingmat:..is'j"supporting documentatio99 mut Qbe �a hed. Are there any existing wastewater systems on the site? Dyes 11N() - Domthesitecontainjurisdictionalwetlands? Dyes DNc Are there any easements or right-of-ways on the site? 91cs; DNo Is the site subject to approval by another public agency? Dyes AN3P _ Will wastewater other than domestic sewage be generated? Dyes DNo #People - #Bedrooms #Bathrooms _ Garden Tub/Whirlpool Dyes DNo Basement:OYm UNo 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 - 73 Type system requested:��6Conventional DAccepted DInnovative DAltemative DOther Water Supply Type: a-&`onty/City Water D New Well OExisting Well D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes D 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 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 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/tacili location, proposed well location and the location of any other amenities. Site Revisit Charge - Propert r� r or o� er's legal represents- . Date(s): Client Notification Date: Date / EHS: - Sign given Dyes DNo i - - Account - Revised 11/06 - _ - - Invoice # - I DAVIE COUNTY HEALTH DEPARTMENT "Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004425 Tax PIN/EH #: 5870-64-2265.11 Billed Td: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 11 Reference Name: Brad Coe Location/Address: Cornatzer Rd -27006 Proposed Facility: • Residence Property Size:. 0.691 Ac. Date Evaluated: Water Supply: - On -Site Well Community : Public I/ - Evaluation By: Auger BoringPit i Cut FACTORS 137 /& ;L9 4 5 6 7 Landscape position '� L `Slope %a . Z . :3 HORIZON I DEPTH 3 3 0-'( - O -377 Texture, grow C C G., Consistencer .r F -rip Structure . _.:..:. 5 t 5 E It Mineralo g}c 5E HORIZON H DEPTH � 3 d -q,% Texture'group "K-4 CC ; Consistence. ? Structure 'r - S� ., `; .. Mineralogy, a. HORIZON IH DEPTH. - Texture' ou ' Consistence Structure '.:... Mineralogy HORIZON IV -DEPTH Texture group' Consistence Structure Mineralogy Y - - - SOIL WETNESS , RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION ' LONG-TERM ACCEPTANCE RATE . 7 O 17 a •27 S O Zs P 5b SSIFICATION: / U t EVALUATION BY: SITE CLA � ' LONG TERM A^CCEPTANC/E RATE: OTHER(S) PRESENT: / r ry REMARKS .� 50 t Gt '4- A 50i l �4n i�tc Lt/ r a' Cd rn4ri pct �� 2 bjt �[ !'A�2 'VQ / L 21 END Lrmdsca a Position R'-.. Ridge S - Shoulder L - Linear slope FS Foot slope N' Nose slope 0T_ CC -Concave slope CV - Convex slope T - Terrace FP - Flood plain nH = Head slope Texture ry�,3 S - Sand LS - Loamy sand - SL - Sandy loam LL Loam SI Silt ,P SICL - Silty clay loam . SIL -Silty loam CL - Clay loam SCL -tSand' cl loam' SC - Sandy clay SIC - Silty clay C - Clay S CONSISTENCE�t VFR - Very friable. FR - Friable ..' . FI - Firm VFI - Very firm . EFI Extremely firm NS Non sticky SS - Slightly sticky S Sticky - VS - Very Sticky ,NF - 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 PI: - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Nato Horizon depth In inches Depth of fill - In inchesR . 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) DCHD 05105 tRevisedl LTAR - Long-term acceptance rate - gal/day/ft2 a r „ **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization.To Construct a was 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: &lew ORepair. DExpansion Permit Valid for: 03Years DNo Expiration - Residential Specifications: # Bedrooms # Bathrooms_ # People_ Basemento Basement plumbingD Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) DesignFlow(GPD): I` DO Type of Water Supply: RCounty/City DWell DCommunityWell A3 stated in 15A NCAC 18A.1969(5) Site Modifications/PermitConditions: accepted Systems may also be use dd SystemType LTAR Initial CLC ew3eG6 ©, i`5 Repair a.ccife ted o : a r Environmental Health Specialist Late i t 4 L Davie County Environmental Health P.O. Boz 848/210 Hospital Street Mocksville, NC 27028 .(336)751-8760/ Fax (336)751-8786 IMPROVEMENT PERMIT Account #: 990004425 Tax PIN/EH #: 5870-64-2265.11 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 11 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Properly 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 was 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: &lew ORepair. DExpansion Permit Valid for: 03Years DNo Expiration - Residential Specifications: # Bedrooms # Bathrooms_ # People_ Basemento Basement plumbingD Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) DesignFlow(GPD): I` DO Type of Water Supply: RCounty/City DWell DCommunityWell A3 stated in 15A NCAC 18A.1969(5) Site Modifications/PermitConditions: accepted Systems may also be use dd SystemType LTAR Initial CLC ew3eG6 ©, i`5 Repair a.ccife ted o : a r Environmental Health Specialist Late i t 4 L