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149 Spring Valley Lane Lot 8Davie Countv. NC Tax Parcel Report Wednesday. November 9. 2016 r r 1110 ; f ��`� t i _✓ 765 i ' r 1126 1072 %1085 ~ 131 I i - z 1064-l' 149 174' 198 } 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 i --,---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 t 7. lcv� —I— 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 E 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 # M d M 4 w ,4 Rpp �dira 4620 1r,Q1 htT:Hsdx.roktech.net/images/Davie2292102OB4087.jpg 6 59 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 . 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