149 Spring Valley Lane Lot 8Davie Countv. NC
Tax Parcel Report
Wednesday. November 9. 2016
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9 hvf8 - All data is provided" Is wihoutwemanty or guarantee of any ldmi either expressed or Implied lnduding but not limited to the
Davie County, Implied wnrardles of merchantability a Itness fora partiooiaruse. All users nt Gane County's GlS website shall hold hnmiess the
County a Davit, North Carolina, he agenda, consultants, contractors or employes from any and oil claim or causes a action due to
nog R NC - orarlsing out of the use orinabllityto use the GIS data provided by this website
WARNING: THIS IS NOT A SURVEY
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--,---Parcel Information- _,—
Parcel Number:
170000004306
Township:
Fulton
NCPIN Number.
5778162279
Municipality:
Account Number.
82517388
Census Tract:
37059-804
Listed Owner 1:
TRIVETTE CANDY WILLIAMS
Voting Precinct:
FULTON
Mailing Address 1:
174 SPRING VALLEY LN
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-7054
Voluntary Ag. District:
No
Legal Description:
LOT 8 CARTERS COURT
Fire Response District:
FORK
Assessed Acreage:
3.93
Elementary School Zone: CORNATZER
Deed Date:
4/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006010896
Soil Types:
WeC,PcB2,RnD
Plat Book:
0007
Flood Zone:
Plat Page:
084
Watershed Overlay:
DAVIE COUNTY
Building Value:
58240.00
Outbuildi Va uextre
FreatLand
0.00
Value:
33180.00
Total Market Value:
91420.00
Total Assessed Value:
91420.00
9 hvf8 - All data is provided" Is wihoutwemanty or guarantee of any ldmi either expressed or Implied lnduding but not limited to the
Davie County, Implied wnrardles of merchantability a Itness fora partiooiaruse. All users nt Gane County's GlS website shall hold hnmiess the
County a Davit, North Carolina, he agenda, consultants, contractors or employes from any and oil claim or causes a action due to
nog R NC - orarlsing out of the use orinabllityto use the GIS data provided by this website
Account #: 990003920
Billed To: Candy Trivette
Reference Name: Candy
ATC Number: 4381
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5778-16-2279
Subdivision Info: Carters Court Lot # 8
Location/Address: Williams Road -27006
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: /6� // Date: �/ /�- C b
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
-S)k)fV\VA
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74AK .5-2a
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental. Health Section
P. O. Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
**NOTES* ,ir,s7mprovemenUOperation Permit DOES NOT authorize the construction of aseptic 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 (in compliance with
Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type /r #People #Bedrooms 3 #Baths of
Dishwasher: F1 Garbage Disposal: ❑ Washing Machine: Z Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Co Design Wastewater Flow (GPD) '660 Site: New Zr Repair ❑
System Specifications: Tank Size A96VGAL. Pump Tank GAL. Trench Width 36 Rock Depth'/,7 Linear Ft.`?
Other: As stated In 15A NGAG 18A.
accepted Systems may also be use
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: yG/1'G / Date: 9.
DCHD 05/99 (Revised)
IMPROVEMENT/OPERATION PERMIT
Account #:
990003920
Tax PIN/EH #:
5778-16-2279
Billed To:
Candy Trivette
Subdivision Info:
Carters Court Lot # 8
Reference Name:
Candy
Location/Address:
Williams Road -27006
Proposed Facility:
House
Property Size:
4 acres
**NOTES* ,ir,s7mprovemenUOperation Permit DOES NOT authorize the construction of aseptic 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 (in compliance with
Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type /r #People #Bedrooms 3 #Baths of
Dishwasher: F1 Garbage Disposal: ❑ Washing Machine: Z Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Co Design Wastewater Flow (GPD) '660 Site: New Zr Repair ❑
System Specifications: Tank Size A96VGAL. Pump Tank GAL. Trench Width 36 Rock Depth'/,7 Linear Ft.`?
Other: As stated In 15A NGAG 18A.
accepted Systems may also be use
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: yG/1'G / Date: 9.
DCHD 05/99 (Revised)
APPLICATION FOR SITE EVALUATION/IMPROVEMI
Davie County Health:Department
Environm ental Health Section
P.O. Box 948/210 Hospital Street
Mocksville, NC 27028
(336)751-8760/ Fax (336)751-8786
Application For: O Site Evaluation/Improvement Permit O Authorization To Consm
'IMPORTANT' THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
t1rr111%.1UN1 hNr U111MAI WIN
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116
Name to be Billed YNy W , . Tr- i U Q` � Contact Person UVW r W el`�
Billing Address 335-1 UC N WN. too 'Cas -t— Home Phone �?,(o� Iqb5
City/State/ZIP �st �n�Ce , N G` Q7100 to Business
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
IaMe) 9 Mwe101a7[7u�riYti]►I
NOTE: A survey plat or site plan must accompany this application.
(Permit is valid for 60 months withsite plan, no expiration with complete plat 1
Street Address LA $ Cariecs Co�ttrk cF tlj'.�laMs P4. City . WIl t, e t J- Tax
Subdivision Name(20Lr"-iC-S ('aur-%* Section/Lot# '9 Lot Size It ik-re.S
Directions To Site: ;`'re..:. Vor r-1MXbv RO'Ed Turn Le -F+ in -6 "nirl- Qo c_f-fa r- y�ae
DrlsS %i's . t.dw.os n.% Le -FL'- Ah T"%r-t 'Road 4he la+ 1.5 nn1,s4-he I1 r(Ieu1Je
Date House/Facility Corners Flagged_ fAor" 1 l 3 i acio Lo
If the answer to any of the following questions its "yes", supporting documeritationmust be attached.
Are there any existing wastewater systems on the site?
❑Yes XNo
Does the site contain jurisdictional wetlands?
OYeOgNO
Are there any easements or right-of-ways on the site?
❑Yes XNo
Is the site subject to approval by another public agency?
[I Yes XNo
Will wastewater other than domestic sewage be generated?
❑Yes>No
IFRES
tY
# People =
Basement: ❑Yes
JT THE BOX BELOW
# Bedrooms .3 # Bathrooms ci Garden Tub/Whirlpool Yes ONo
Basement Plumbing: ❑Yes XNo NsaeiS
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:Wonventional ❑Accepted ❑Innovative OAltemative[]Other
Water Supply Type:'XCounty/City Water O New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? 11 Yes kNo
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 permit(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 understand that I am responsible for all charges incurred
from this application. I hereby grant tight of entry to the Authorized Representative of the Davie County Health Department to
conduct necessary inspections to determine compliance with applicable laws and rules on the above described property located in
Davie County and owned by Col n rl.. �0 "Vr ; a e+ie
Site Revisit Charge
Property owlas or ov is legal epresentative signature
Date(s):
4- I a — n 14 Client Notification Date:
Date EHS:.
Sign given OYes ONo Account # d
Revised 2/06 Invoice #
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Page 1 of' 1
4/12/2006
Davie County, North Carolina Spatial Data Explorer,
Parcel Data
Find Adjoining Parcels
Page 1 of 1
http://sdx.roktech.net/servlet/com.esri.esrimap.Esrimap?Name=Davie&Cmd=Clk&Lefrl... 4/12/2006
•
Land Unit/Type: :/AC
•
Deed Book Page: 00601 / 0896
•County
ID., 170000004306 _
•
Deed Date: 2005/04/07 _
•
Account Number.000082517388
•
Sales Price: $37,000.00
•
PIN., 5778162279
•
Property Address.,
..� •
Legal 110T 8 CARTERS COURT -
•
County Zoning: R -A
•
Owner Name: TRIVETTE CANDY WILLIAMS
•
Census Coda:
•
Owner/Address 1: TRIVETTE CANDY WILLIAMS
•
City Code:
•
Owner/Address 2:
•
Fire District, FORK
•
OwnerlAddress 3:3357 US HIGHWAY 64 EAST
- •
Flood Zone: ZONE X
•
City,State Zip: ADVANCE ,NC 27006 - 0000
•
Flood Community: 370308
•
Land Value: $47,160.00 -
•
Flood Panel: 0100 C
•
Building Value: $0.00
•
Flood Map Date: 12-17-1993
•
Out Building/Extra Features Value., $0.00 -
•
Soil: PcB2
•
Assessed Value: $47,160.00
•
Township: FULTON
•
Property Record Card
•
Town Zoning: -
•
Voting Precinct: FULTON
•
School District: CORNATZER .
http://sdx.roktech.net/servlet/com.esri.esrimap.Esrimap?Name=Davie&Cmd=Clk&Lefrl... 4/12/2006
' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990003920 Tax PIN/EH #: 5778-16-2279
Billed To: Candy Trivette Subdivision Info: Carters Court Lot # 8
Reference Name: Candy Location/Address: Williams Road -27006
Proposed Facility: House Property Size: 4 acres Date Evaluated:
Water Supply: On -Site Well Community �
Public l
Evaluation By: Auger Boring Pit V/ Cut
FACTORS 1 2: 3 4 5 6 7
Landsca a sition
ope
HORIZON I DEPTH
Texture group
Consistence r
Structure
Mineralogy
HORIZON H DEPTH
Texture groupr - .-
Consistence
-Structure S
Mineralogy LiY l
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 - t
SITE CLASSIFICATION: EVALUATION BY
LONG-TERM ACCEPTANCE RATE 7 OTHER(S) PRESENT
,REMARKS:'' ee!.
'iEGEND :
Landscape 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 r 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
^`-VFR Very friable ",FR- Friable,: - Finn VFI Veryfirm EFI - Extremely firm
:
' .
NS - Non sticky SS Slightly sticky S = Sncky , 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 . ;.
• I3Qtes.._
Horizon depth - In inches
Depth of fill -' In inches ,
Restrictive horizon - Thickness'and inches froni 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 chrome 2 or less .
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long -tern acceptance rate - gal/day/ft2 DCHD 05105 (Revised)
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