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158 Oakbrook Drive Lot 12 Section 2Davie County, NC Tax Parcel Report Wednesday, January 11, 2017 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 IS NOT A SURVEY Parcel Information E8100B0013 Township: Shady Grove 5871845796 Municipality: 8306061 Census Tract: 37059-803 ALEY CLINTON P Voting Precinct: EAST SHADY GROVE 147 IRISHMAN PLACE Planning Jurisdiction: Davie County ADVANCE NC 27006 LOT 12 GREENWOOD LAKES SECTION TWO 0.90 2/2016 010120375 0003 088 Zoning Class: DAVIE COUNTY R-20 Zoning Overlay: Voluntary Ag. District: No Fire Response District: ADVANCE Elementary School Zone: SHADY GROVE Middle School Zone: WILLIAM ELLIS Soil Types: GnB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: qtt� Davie County, All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited= implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold hthe C+oUp3�4 NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. IMPROVEMENT PERMIT For`officeuseonly 1 3`CDP File Number 157615,-1 Davie County Health Department 7, County'ID Number: Eb-100-130-013 210 Hospital Street Evaluated For. NEW , P.O. Box 848 . Mocksville NC 27028 Township: Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID UNTIL 9/16/2019 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Daniel C. Pounds Address: 1705 Redbird Drive City: Pleasant Garden State/Zip: NC 27313 Phone #: (336) 674-8398 'Address/Road #: 158 Oakbrook Drive Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: *Water Supply: PUBLIC ol- -- - - Property Owner: Daniel C. Pounds Address: 1705 Redbird Drive City: Pleasant Garden State2ip: NC Phone #: (336) 674-8398 27313 Subdivision: Greenwood Lakes Phase: Lot: 12 Directions 1-40 East to Exit Hwy 801 go South, left on Underpass Rd. then 3rd right is Oakbrook n: Provisionally Suitable SaproliteSystem? OYes *No Design Flow: 4 8 0 Soil Application Rate: 0 3 "System Classification/Description: TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) "Proposed System: cations Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 Inches Septic Tank: 1 0 0 0 Gallons 1 -Piece: OYes *No Pump Required: OYes @No 0May Be Required Pump Tank: Gallons 1 -Piece: Repair System Required: ®Yes ONO ONO, but has Available Space Repair System "Site Classification: Provisionally suitable Soil Application Rate: 0 3 "System Classification/Description: TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) "Proposed System: CONVENTIONAL OYes ONo Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 Inches Pump Required: OYes Q No O Maybe Required Dann 1 of Z CDP File Number 157615-11 County ID Number: Eb-100-80-013 =Site Modifications p Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 7! "Permit Conditions The issuance of this permit by the 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. Site Plan The Improvement Permit shall be valid for S years from date of Issue with a site plan (means a drawing not necessarily drawn to scale that shows the existing and proposed property lines with dimensions, the location of thefacility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surfacewaters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat. also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that Is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may Impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit Is subjectto revocation if the site plan, plat, or intended use changes (NCGS 130A.335(f)). 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: 0 9 / 1 6 / a 0 1 4; Authorized state Agent: OValid without Expiration? O Create CA? @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** pane 9 of '3 IMPROVEMENT PERMIT Davie County Health Department CDP File Number: 157615 - 1 210 Hospital Street Eb-100-BO-013 P.O. Box 848 County File Number: Mocksville NC 27028 Date: Q Inch Drawing Drawing Type: Improvement Permit Scale:. OQN/A IA ft. ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLIUANT INrUKMA110N Name Address f ?, City/State/ZIP Email 4,c Name on Perinit/ATC if Different than Above Address Contact Persoazr--nA. j Home Phone isiness Phon ( ?4 - 9U PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit is v i for 60 onths th e plan, o exp�ra on with com to lat.) Owner's Name �e�—j^mss `�eeee�5t� DpPhone Number Owner's Address City/State/Zi Property Address J �k /'paw /'iii City Lot Size Q!� ezc-r a Tax PIN#72 E78_1D6 _ cAu _ 05 Subdivision Name(if applicable) ection/Lot# i Directions To Site: 4a Gat -f- -/w 14..va Ae! m,� -!�,j+k cv-r- /44� Problem Occurring: �a e� cSece�se�l 1v\oR1tel' i^ /%A cciJ'� IF RESIDENCE FILL OUT THE BOX BELOW # People if # Bedrooms ,3 # Bathrooms a • Garden Tub/Whirlpool es ONo Basement: OYes RNo Basement Plumbing: OYes 01i o 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: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: ❑ County/City Water ❑ New Well ❑Existing Well ❑ Community Well .\ J Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? fn� This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms -_ # Bathrooms - Garden Tub/Whirlpool es ❑No Basement: ❑Yes o Basement Plumbing: ❑Yes 2<o IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Cornmodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other ................................................................................................................................................................................................................................................................................. Water Supply Type:❑ County/City Water ❑ New Well ❑Existing Well t ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ❑ No 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 permits) 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 and flagging or staking the house/facility location, proposed well location and the location of any other ameffib,es. Site Revisit Charge Property owner's or owner's legal representative signature ,8 d=1 -i4 Date 4,lomd-s w4 d r -i �@, vi N, r\J Date(s): Client Notification Date: EHS: e F a G'�e� �✓ood W �- �af �o d_ 1 APPLICANT INFORM�ATION Nwie C, DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section' Soil/ Site Evaluation PROPERTY INFORMATION 02kbtoo k A2- . i4aw good (a ke_) ,,/ J Y, W 1 1- Water Supply: On- Evaluationj 13y: Aug�r ite Well Boring Community Pit .q©A` I Public j Cut FACTORS 1 2 3 41 5 6 7 Landscape position ( L Slope % i 1 HORIZON I DEPTH a — 7 Texture group C Consistence Structure 7l C Mineralogy HORIZON 11 DEPTH k WE 16 — Texture groupG G Consistence Structure K Mineralogyi — HORIZON III DEPTH Texture group} Consistence i Structure Mineralogy HORIZON IV DEPTH I Texture groupI Consistence ! I Structure h 1 MineralogyI SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE i CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION LONG-TERM REMARKS: 5 VCE RATE: EVALUATION BY: OTHER(S) PRESENT: I LEGEND Landscape Position { R - Ridge S - Shoulder I 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 j SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Sil clay C - Clay ! CON SI4TEN !� Moist I 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 3 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) i