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141 Falling Creek Drive Lot 61 ► Davie County. NC Tax Parcel Rennrt Wednesday, December 21. 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS 1S NOTA SURVEY Parcel Information H908OA0006 Township: Shady Grove 5789631031 Municipality: 82512999 Census Tract: 37059-804 EBERHEART FRANK C Voting Precinct: EAST SHADY GROVE 141 FALLINGCREEK DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006-7655 Voluntary Ag. District: LOT 6 FALLINGCREEK FARM PHASE I Fire Response District: 0.68 Elementary School Zone: 6/1999 Middle School Zone: 003060860 Soil Types: 0007 Flood Zone: 048 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: IN ADVANCE SHADY GROVE WILLIAM ELLIS Pc132,PcC2 DAVIE COUNTY 161 All data Is provided as Is without warranty or guarantee of any Idnd 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 orcauses of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. - t�y}_ d Y i*:r :'rrw-r 5i" -1 . ti-1 i r alt .. s }°+d`- • , +, �,. i l •Y'.l `:...7' $ `.i'y rr:1 t :v' 'r`t i1t � ?a +4"4t i"s''5'' 1 '"? 4• r. S �i ,. .i 'C y." �.i •;y �i'��.`,�"•t. =;+1.`4r ♦:^"�=;.„.}x/,y_ a ..F "k s; .m ;i nvkd AUXI.104AATION NO:17 01 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittees P.O. Box 848 Name: f M Mocksville, NC 27028 Subdivision Name: %�. Phone # 336-751-8760 Directions to property: !/ c '! ” % /TT ;' ff r't"� Section: ot: i AUTHORIZATION FOR .e WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# Road Name /' Z1p: lee **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be, presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatmentand Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION %% l'l�:J •.r �C f) 6°�„J /'l a' ` IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST ' DATE ISSUED s i S'�''K4itiaWth'j,. rrt?+'�''"' ,+'`".,., � r <-: ..rsj_ W'•+m`�"-0.ot"f�:r" P.W'r.;'o yinrr,.r�.o ct"'"" rN+ r , �,: :. .. ,.s p�,`:ly��',n,�w..� a^1.c,."` DAVIE UNTY HEALTH DEPARTMENT TA VRO .EMENT AND OPERATION PERMITS PROPERTY INFORMATION Subdivision Name`Name: 1 / Directions to property. ' . ".,.'f Section: ot� 'IMPROVEMENT 7 ,, PERMIT Tax Office PIN:#_8F& RoadNam /�' ` rile **NOT-E**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (Incompliance with Article I l of G.S.Chapter 1.30A,Wastewater Systems;Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF STI'E PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER - ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE r INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE _ #BEDROOMS ' #BATHS _#OCCUPANTS * 'GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT yy#SEATS INDUSTRIAL WASTE:Yes or Noj, LOT SIZE � TYPE WATER SUPPLY L > DESIGN WASTEWATER FLOW(GPD) 6� NEW SITE `V REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE_Ylc_GAL. PUMP TANKGAL. TRENCH WIDTH _ ROCK DEPTH mac+'' LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT . • **CONTACT A REPRESENTATIVE.OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00=1`.30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS;(336)751.8760. f OPERA. ON PERMIT SYSTE INS rAL ED BY: 0)1 AUTHORIZATION NO / V I OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96(Revised) '� $r \V INrORt9►TION Is PROVIDED. Refer to the INi==TION BULLETIN for instructions. 1. Maas to be Billed Castlegate Constuction Inc contact Perms Marshall Horton Mailing address P 0 Box 466 Be" Phone 940-5989 city/state/BIP Clemmons NC 27012 Easiness PhO1e 766-0800 doer an Pe—it/ATC it Different than Above Mailing address city to/Lip S. Application Fort U Site Rvalbation f�ovement Permit/ATC 0 Both t. system to service: R Boase 0 Mobile Name 11 Business 0 Industry 0 Other B. If Residence: i People 2 # Bedrooms 3 f Bathrooms B Dishwasber 11/ Iarbage Disposal g/WssbLog Naddois .O easement/Plumbing O Basement/Bo Plumbing t. if easiness/Industsp/Other: epecify two N People 0 lints #.Commodes Blowers i Urinals # water coolers It TOODSIIRviCst f Beats � �Istiaated Nater Usage tgallons per day) 7. Type of Mater supply., Id Contsty/City Il 11811 0 communittyy a. Do you anticipate additions or expansions of the tm ty this system Is Intended to serve? 0 Ya Yf No If yes, what type? aaeIMPORTAMP"s CLIENTS J=CO3lfM =K REQUMRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PIAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 17-5 x Z`fz x ) Z5 4-7- T VJRM DIRECTIONS (tram Mocksvilie) to PROPERTY: rb Property Address: Road NameiG/ city/Zip M -i.1 fi_-e . iAbl-45&6 If in a Subdivision provide information, as follows: Name•ig-C,c-iAJG�[ ASL Section: Bloch: Loth Date Property nagged: /,q This is to certify that the Information provided is correct to the but of my hnowiedga 1 understand that any permit(s) Issued hereafter are subject to suspension or revocation, it the site plans or intended use change, or if the information submitted in this application is falsified or ehsuged 1, also, axdastmrd that Iain nespoxslble for all charges Incurred frons this appUradox. 1, hereby, give consest to the Authorized Representative of the DA'.alth epartmegYl to toter upon above described property located la Davie County and owned I - to conduct all "BE p dura as naasary to determine the site /jita¢tli 4 DATE 7 g SIGN_ UIIIC , �Y, 11 THIS AREA MAY 139 USED FOR DRAWING YOUR Sit'1'E PLAN gadrde all of the following. Rdsting and proposed property tines and dimensions, structures, sdbaclu6 and septic locations). I , - 'F2 a . f of d Account No. �d Revised DCHD (07198) Invoice No. I P2 S21 PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST -BE - SUBMITTED WITH THIS APPLICATION. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT nn t Davie County Health Department 1.1 v 1 WRITE DIRECTIONS (from - Tax Office PIN: # 7 g - 63 - -S703 Mocksville) TO PROPERTY: j Property Address: Road Name �-� �R—QC.a/ �LP���d- • + Environmental Health Section ! D d j9L e� P. O. Box 848 s AUG - 6 1997 i ame: Iy ` 1 Section: Mocksville, NC 27028 1 1 (704)634-8760 ' ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED ALL THE REQUIRED INFORMATION IS PROVIDED. I Name to be Billed 1 / W �s�y ie uJ qbega� � �d. Contact Person G V IA E y 1 Mailing Address 92 y sr �� ��h b 1 O �'d �G Home Phone % 9t g 4/a g City/State/Zip a V s iN n/ is Ale, Q 710 3 Business Phone ' 9 9 �? //6-7 2. Name on Permit/ATC if Different than Above S,4 rn.e— Mailing Address City/State/Zip 3. Application For: 2- Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5 If Residence: # People # Bedrooms # Bathrooms <� ❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing _i 6. It Business/Other: Specify type r # People # Sinks ¢ '1 # Commodes # Showers # Urinals. # Water Coolers If .Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ElCounty/City " } ❑ Well ❑ Community 'r 8. ` Lu you anticipate additions or expansions of the facility this system is intended to serve? ❑ . Yes ; ❑ . No m If yes, what type? r PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST -BE - SUBMITTED WITH THIS APPLICATION. Property Dimensions: q7n , Z 7q Atte-5 1 WRITE DIRECTIONS (from - Tax Office PIN: # 7 g - 63 - -S703 Mocksville) TO PROPERTY: j Property Address: Road Name �-� �R—QC.a/ �LP���d- • 1 C e- VL 1 City/Zip AJvo i - ! D d j9L e� Ifin �ubds p�jR�?�A `rn"stn, as follows:�al Y s 1 ,t7 Od'J 1 i ame: Iy ` 1 Section: 2 / Lot #: (� 1 1 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are sut ject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible fol all charges incurred from this application. I; hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing .rocedures as necessary to determine the site suitability. DATE g "� c! SIGNATURE .I d Revised DCHD (06-96) '6--aC APPLICANT'S NAME DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPOSED FACILITY Jif SUBDIVISION ,l� -///) Water Supply Evaluation By: On -Site Well Auger Boring Community Pit L/ SECTION_Z_ LOT_ DATEEVALUATED ✓ PROPERTY SIZE ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH b Texture group 11*1G' J Consistence Structure Mineralogy.�J HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: a LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (0I-90) END Landscape Position EVALUATION BY: OTHER(S) PRESENT: 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 I FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet 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 - gal/day/ft2