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398 Merrells Lake Road Lot 2
Davie Ounty, NC Tax Parcel Report Wednesday, January 11, 2017 WAKNIIN T: '11115 1S INUT A SUKVEY Parcel Information Parcel Number: J70000005903 Township: Fulton NCPIN Number: 5768633075 Municipality: Account Number: 82527362 Census Tract: 37059-804 Listed Owner 1: DUNAWAY DAVID BRADFORD Voting Precinct: FULTON Mailing Address 1: 398 MERRELLS LAKE RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 2 HAYES HILLS Fire Response District: FORK Assessed Acreage: 5.59 Elementary School Zone: CORNATZER Deed Date: 12/2006 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006910603 Soil Types: GnB2,MsC Plat Book: 0009 Flood Zone: Plat Page: 020 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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 i County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to rpCx _ NC or arising out of the use or Inability to use the GIS data provided by this website. HEALTH DEPARTMENT RELEASE Davie County Health Department rye 210 Hospital Street - P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Brad Dunaway Address: 398 Merrells Lake Rd City: Mocksville State[Zip: NC 27028 Phone #: (336) 816-1652 For Office Use Only *CDP File Number 121127 - 2 J7-000-00-059-03 County ID Number: Evaluated For: HDR/WWC PERMIT VALID 0 4/ a a/ a 0 1 8 UNTIL: Property Owner: Brad Dunaway Address: 398 Merrells Lake Rd City: Mocksville StatefZip: NC Phone #: (336) 816-1652 27028 Property Location & Site Information Address398 Merrell's lake Road Subdivision: Hayes Hills Phase: Lot 2 Road # Mocksville NC 27028 SINGLE FAMILY Township: 'Structure: Directions # of Bedrooms: 4 # of People: 4 hwy 64 E. approx. 6 miles left on Merrells Lake Road lots on Right *Water Supply: PUBLIC Basement: R Yes ❑ No Type of Business: Total sq. Footage: No_ Of Employees: 'Proposed Improvement: Swimming Pool must be at least 15' from septic tank and drainlines with pool walls. 0 I nis release In no way expresses or implies inai ine eXISUng SUDSUrrace Sewage ireaimeni ana alsposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? QYes 0No Applicant/Legal Reps. Signature:. *Issued By: 2244 - Daywalt, Andr Authorized State Agent: *Date: *Date of Issue: 0 4/ 2 2/.2 0 1 3 **Site Plan cawing attached.** C) Hand Drawing Q ImportDrawing Total Time:(HH:MM) 0 1 Hours 3 0 Minutes Davie County Health Department 4;D �6jEnvironmental Health Section 4 r'i P.O. Box 848 ,�-+ ` 210 Hospital Street Courier # : 09-40-06 O 1911 Mocksville, NC 27028 Phone: (336) - 753o -SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680 py' (Check One) Replacement Remodeling Reconnection Name: 110 U 0,10 a q Phone Number 33� D I 2 - (Home) � Mailing Address: 319 Mer S aK' (Work) P%rk&] J� k1Ci 13b 2R Email Address: du4a'waq Q L/ 4d 4- ►i GP Detailed Directions To Site: �1'QWI MOC.�U([6 — &`'i -hW}r' t ,�i-tTV Z- q6L4 '9` 10 M i I Z S- (11 i&vI ,S Ltk k L aJ n V1 10-441 1%115 Lel O� Property Address: 399 I , rl-e .S (�A�,e– Z %JC 2 -76Z -k Please Fill In The Following Information About The EXISTING Facility: J--/- 0 co `OQ-a5Ci-Q-? ,Afinn Name System Installed Under: L Type Of Facility: (JSPi Date System Installed (Month/Date/Year): a d o Number Of Bedrooms:�_Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes 8 If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: F-00 4- ! ov e. (GF Number Of Bedrooms: � Number of People Pool Size: Garage Size: Other: Requested By: an ate Requested: (Signature) For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist. Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Q Check-) Money Order #_ Paid By: Received By: Account #: 61(d 1 Invoice #: - I-.112 b4D OUNW'I 5��, �cnd� Lke Ceti UQ CIO hvm -,p izo 171 • DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Account #: 990005164 Tax PIN/EH #: 5768 -63* -3075 Billed To: Brad Dunaway Subdivision Info: Hayes Hills Lot # 2 Reference Name: Location/Address: 398 Merrells Lake Road -27028 Proposed Facility: Residence Property Size: 5.78 ATC Number: 4904 **NOTE** The issuance 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. _ el � 3 rrTank Size System Type: l l .� S.T. Manufacturer 4 -Tank Date Pump Tank Size J -,3System Installed By: nt�-ti 1t j 1 E.H. Specialist: ial�is�t-'L : G� i � /. 1 Da- ter DCHD 1 U f 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street ,A Mocksville, NC 27028 (336)751-8760 Fax # (336)751--8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005164 Tax PIN/EH #: 5768-63`-3075 Billed To: Brad Dunaway Subdivision Info: Hayes Hills Lot # 2 Reference Name: Location/Address: 398 Merrells Lake Road -27028 Proposed Facility: Residence Property Size: 5.78 ATC Number: 4904 Site Type: Aew ❑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 4_ # Peopled` _ Basement2-8asement plumbing -B' Non=Residential Specifications: Facility Type # People # Seats_ Square Footage(or Dimensions of Facility) Lot Size Type of Water Supply: Zcounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) 9�_Tank Size 1060 GAL. Pump Tank /y/# GAL. Trench Width '3 . ". Max. Trench Depth 3 (-a Rock Depth N//r Linear Ft. 60 Ll?�u � Site Modifications/Conditions/Other: 2!77c, rt.PuAiy.- S401 = `AGo Ste. uv. Ctm4ry w t- 041 UF jra) ani a - 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. Environmental Health Specialist E-�/ Date: nr9T) 11/n1 (Rfwi.m-.d) N � A N. V' N M L}v6xuvu`1 f ,Davi" .brciCl cell t# - Sr16 _ I�s� jI 3u.s -- ►yipW11/S I -A& xd _ (bYv1awa'l -sik p10', P2 APPLI % $ EVALUATION/B"ROVEhONT PERMIT & ATG \\ J 1 n is CamuV anvftuuwsfW H*;ltis \ S�Q �a� •O M ckntlei N ,M 7M e.t �Nv,�O ��;A�C�v.,;1� • (33!7151476011EYat (336)7SI-8736 Application Foto to Bvaluadot✓ItaDtovMrteat Permit R! Aulhorimion To Cocuumn(ATC) Both Type of bo: Aew 3ysteca OR%uk to EdsLWg System CP,NtmsWWModikuion o(&jmut6 System or Pac..Uty ""IMPORT -IM"" T= APPLICATION GUYNOTaE PAacEw6D 11Nt= ALL OF THE nQUML) rMRMATION 13 PROMDID. Rcfcr to do 04MVEATION DU Lic' N tot iota.W... APPLICANT WORMA7'ION Nam lobc8i'led CadJW1lt )— �ContaciPcsott e�tl►teet.lUlur / ov �CuW �ri�y Billing Ad&$tn 3 ✓ / _ Home p6ane� CiblStatr,,w 4 1Te y 19=6ess Phone 33(v -22.tu 2 Now ou PennWATC if Differem than NOTE: A eorvey Plat or rive plan must aoeoo wW this appliestioa is wcdA Site Plan avlal(to scale) (pormit it valid' r 60 Tun" With akpl.% go, espimi.r. with oe ,Vkse Plat) Uttrrmr's Mune t *Le Owner's Addrpa04F Ply Addreu f Lot Size_ ,'S` 7 ac -c3 _ Subdivision Ntune(if applicable Dirmt-w t To Site: PO4 If the answer to any of Eire fouowbv question is'j . suppw ttg doccimmis - mrst Ars that any exbWj wastewater systtetts on (k site? C Yes +lo Docs the site eonudo jwicdietiooai wettmds? GYes^ Are there any ca or dell-cf- mys on the site? DYm, Is the site sA*A to Wtovxl by a wo= Sttblc agcoml :l. Ym Will wsaeewsta other than derocak sewage be seetrumo DY - vr7(a�' l�3--301 IF RESIDENCE P" OUT TI'I8 BOX EPI.OW-,q' fk't" Pl'!:y 2 Y -or p People 0 Bedtooms 2 0 Hathroams�i Garden TubAWhidpool u ONO B000merst:,elCes LNo i3anotteetPlnmbWet IW?w ONO W NON-RESIDENCIL FII L OUT TIM 13OX BELOW Type of MacilityB,_usincss_.. `'l'vtal Square >:oot se of Buildintt # People ' _ U Sinks _ p ComeuOdes P Showers _ s Urinals _ EstimaUed Waw Uaria (Plk— per dry) _ (Attwh decantentretion of sale for facility water comumption) FOODSERVICE ONLY: A Seats Type ryott4tt K9°Cucd : �iCaAvrdtiaaal OAcoeptad Olmovative GAhetsathre aft" Water supply Tyw R,CettmYf0q water 0 New well 08sisain weU a cmnm Rity %fell Do you anticipate addition or c4nnsiews of aha facility this symm in iataoded to.erie? 7 Yea A;; -no If yes. vieat type? _ This is to cardfy that the isfornatioa provided oa Elia applimlios is revs .a d come eo the bast of w knowledge. I udowaod dal any permits) or ATC(s) insed haveshwan subject b svepauiea or r.vomdou if the site a shca d, the iukuded use chanes, or it the iof wurioo sttbmimed In this application o 6pifted or chougo4 I busby tihu right of cnuy io Use Audmind Reprasent.tive of the Davie County Hetafth Dopa m=M to conduct taeoesssrw iwg=6oas in d+eWsmite aosoplionm vsft applicable laws wA rules. I mdetstaad that I am reaponsible for the V , per ideetificatim sad Wins of ptoperty Bass and eoroets and loeatiog and flagging Or t eI 3iry lee do4 proposed rail locsnim and Else Inration of guy outer tmtstrities. •s . IM, tepreatmetive ' agnq Site Asviait t]rrge Dsk(t)' P—If— Bey Client No:ifmfi6n Dace: D.te HHS' Sign given OYes ONO Revised 11106 08-31-2008 09:00 LAB 336T66MG2 239Ud 4/W P g 1111 V-7 ,r Account # iJ Invoice# W 14 W j 13 -call to /6Sz PAM2 292289L92£ GUI 99:80 8002-i0-60 .Go,MAPS'-.Davie County NC Public Access Davie County, NC - GIS/Mapping System Page 1 of 1 Oaau Click Here To Start Over Quick Search:(County ID c " + Active Layer. Ruse Map 7rps GIs U � , PARCELS (Map Tips Available) v L._.J Map Layers ( Results http://maps.co.davie.nc.usIGoMapslmap/Index.cfm?maimnapservice=gomaps&CFID=412... 9/16/2008 PPLICATION FOR SITE EVALU'ATION/M'ROV 8MENT PERMIT & ATC D ZQ06 Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street ALHt1 " • Mocksville, NC 27028 �NVIRDAV o�yT{ (336)751-8760% Fax (336)751-8786 Application For:itc EvaluatioMtnprovement Permit authorization To Construct(ATC) 0 Both •'"1UPORTA1V7`* THIS APPLICATION C4NNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refbr to the INFORMATION BULLETIN for instructions. Name to be Billed -y _Contact Person Billing Address w Pt) S. Home Phone City/St—ate/ZIP-3d.,,.—I V Business Phone 354-OSOY Name on Permit/ATC if Different than Mailing Address YKUrr.1C1 X i1N1•UKMAIAJN NOTE: A survey 'plat or site plan must accompany this application. (Permit is valid for 60 nths with site pla no expiration with complete plat.) Strect Address v 1 1 lr c City t o: Ig Tax PIN# S' 7(o e(a 2 - Subdivision Subdivision Name / Section/Lot# Lot Size S- Ymc. a.. 2 ;J y e Directions To Site: tti ly 6y .e . 4o C a�-F cs✓t yr✓> wici( La kq [�_ _,,,.r,yc Date House/Facility Corners Flagged -J-J0-4X- -JO-4X-If If the answer to any of the following questions is "yes", suppotting documentatio rst be attached. Are there any existing wastewater systems on the site? Oyes Does the site contain jurisdictional wetlands? DYa�y 2. Are there any casements or right>of--ways on the site? Oyes Is the site subject to approval by another public agency? Oyes 014o Will wastewatcr•other than domestic sewage begenerated? ❑Yes loo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms .. .!�( _ # Bathrooms _:_ Crarden Tub/Wbirlpool &Y6 -s CNo Basement: es ONo Basement Plumbing: 11es DNo IF NON -RESIDENCE FILL. OUT THE BOX BELOW Type of FacilityBasiness Total Squarc Footage of Building it People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: 2cl-nc tional ❑Accepted Olrutovative OAltetnative OOther Water Supply Type: al ounty/CityWater 0 New Well ❑Existing Well 0 Community Well Fl Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes 'NoyW 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 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" 1 understand that /am responsible for all Charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance wit Ilea le laws and rules on the above described property located in Davic County and owned by —& -Is v^ C�ye� 1 Jbi , en � L40,6 a o Property 6bmcr'r o ter'& legal c9presetitative signature Date Sign given (iYes ONo Revised 2/06 Site Revisit Charge Date(s): Client Notification Date: EHS: Account #007 _ Invoice # RAA ITAAM ?Ar 1t,t1-11M .!luny -I AIAA AAA AAA .rtf,AL.TT 0"11 AAA91A9i1A -.4 Norih Carolir>a Cllck on tho Map toi IV, Find_Adio_in V!a.r-ceK,1A j • County/D�J700000059 • Account Number.000011958000 • PIN; 5768621630 • Legal 1:14 AC MERRELLS LAKE RD • Owner Name: BYERLY GLEN HEIRS • OwnerlAddress 1. BYERLY GLEN HEIRS • OwnerlAddress 2: • OwnerlAddrees 3: % BETTY HOCTOR • City. State Zip: WALDICK ,NJ 07483 - 0038 • Land Value: 586,950.00 • Bulld/ng Value: $0.00 YI J•Ivll'I Map W Draw select [] Census Trs City Bound County Zor Multi Syl Ey11 Fire o Flood Pane Flood Zone Q Parcels seh0ol 0161 Multi Syl ❑ Soib j] Town Zonlr ❑ Townships Multi Syi ❑ Voting Pre( Driveways Q Rall Lines ❑ street cent Q USINC Mill Multi 5yi U ® N ❑ Aerial Phot 900/Z00(� dOd VNI10M adIWHad H80 866 9££ W WIT QHA 9009/9MO rny(car • Land UnitlTypw J AC Croiks and • Dead BooklPage: 0004210495 E911 Addr( • Deed Date: 1944101131 [� Fire Depart • Sales Price. $0.00 ©Schools • Property Address: W •.�� L p l ;Draw • Counry Zoning: R-20 • Census Code: M,1' Cl, • City Cade: • Fire District: FORK This map is prep: • Flood Zone: ZONE % Inventory of real I within this jurisdi( • Flood Communiry: 370308 ooniphaa from re • Flood Panel 0100 C plats, and other; and data. Users ( • Flood Map Date: 12-17-1993 hereby notifled th 900/Z00(� dOd VNI10M adIWHad H80 866 9££ W WIT QHA 9009/9MO d J` S 86,00,00, E y 01 1336.00 159.00 100 ru % 170 m 14 ci N 88*17'07' V 843,75 LOT 2 Ila 6.46 ACRES to CD N 87.2e'59' W bl, ruLOT 5 3 ro 1-.0 15.46 ACRES + a19 -70 -NIP N 87.28'59' W ry 825-28 LOT 4 5.46 ACRES +\ 00 Lc, N 86'001001 W CA 14 LOT 5 5 46 ACRES co go N 6'QD' INSW N 86' -24) 'cr)' 2.04 ACRES +/ C) c' 336,00 MFLVIN C. 6!,ti,TNEj loco N 66'00100,, W D.B. ffO APPLICANT INFORMATION Account #: 990004007 Billed To: Rodney Bailey Reference Name: Jeff Hayes Proposed Facility: Residence Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5768-62-1630.02 Subdivision Info: (unknown) Lot #,z Location/Address: Merrells Lake Road -2 028 Property Size: Date Evaluated:_ O 81C/(�� On -Site Well Community Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % 41 Zo % HORIZON I DEPTH -' b Texture group SGS- _ Consistence Cf- -S Structure Mineralogy HORIZON II DEPTH 1�5- 3S Texture group Consistence Structure AS Mineralogy HORIZON III DEPTH LIP, 30 r Texture group G-, C Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: V-5 ©.3 LEGEND EVALUATION BY. OTHER(S) PRESENT- Landscape RESENT: L na dscape Position 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 u i'im VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Ad 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 lyotes - r 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 05105 (Revised) CCS Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Improvement Permit Jeff Hayes 228 NC HWY 801S Advance, NC 27006 Re: 5 Acre Tract / Merrells Lake Road Lot # 2— Tax Tax PIN# 5768621630 Dear Client(s): 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 or the intended use change. System To Serve:P���Wastewater Design Flow(GPD): Valid: JR5 System Type: Xonventional ❑Accepted ❑Innovative ❑Alternative ❑Other. Site Modifications/Permit Conditions: ears ❑No Expiration