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121 Carters Ridge Road Lot 2Davie Countv, NC ' Tax Parcel Report Wednesday, November 9, 2016 WARNING: THIS IS NOT A SURVEY — - m Parcel Information ..._ Parcel Number: K809OA0002 Township: NCPIN Number: 5776396480 Municipality: Fulton Account Number: 8304357 Census Tract: 37059-804 Listed Owner 1: MUNDEN CHRISTOPHER T Voting Precinct: FULTON Mailing Address 1: 121 CARTERS RIDGE ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 2 CARTERS RIDGE PHASE I Fire Response District: FORK Assessed Acreage: 1.51 Elementary School Zone: CORNATZER Deed Date: 12/2014 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 009760524 Soil Types: PcC2,ChA Plat Book: 12 Flood Zone: Plat Page: 12 Watershed Overlay: DAVIE COUNTY Building Value: 130130.00 ldin& Extra Fretatares Va Value: 1260.00 Land Value: 14400.00 Total Market Value: 145790.00 Total Assessed Value: 145790.00 9b f8All data lsprovided aslswbhoutwerrudy, orguaninteeofenyklnd ekhereapressed orlmplled including but nallmhedtothe Davie County, Implied warrantee ofinemhantabllityorghresetora partlwterum All usenof Gable County's 611imbsheshell hold hanniessthe County ofeavle, NoM Carolina, hs agent,, consultand,, contractors oremployees frmn any and all dalms or causes ofaction due to cUUN� NC orarisng outof Gia use orinabllkyto usethe GIS date provided bythisminige. AUTHORIZATION NO: , '% % $i DAVIE COUNTY HEALTH DEPARTMENT 8 r '' Environmental Health Section PROPERTY INFORMATION Permntee �� / P.O. Box 848 n��tinn MI ICT RF ICSTIFTI by thr DmAp ('nnnw Fnv nnnmAnml N hh Qarr nnne J 1 7.% 811 DAVIE COUNTY HEALTH DEPARTMENT �o " r w e N t a� ,' . y IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perms tee' , ! '� i [Name;/.)� 3!'l / i�1..'`;,�� .:., Subdivision Name.''f; r?jr (' v� Directions to property: ��N , ,+ (+ .J f / °rte Section: Lot. IMPROVEMENT PERMIT Tax Office PIN:# R2adNanSe:%j` �dl PLip: r %(�()� **NOTE**. This Improvement Permit DOES NOT authodzetlie constriction or installation of a septic tank system or anywastewater system. IG AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fromthis Department prior.to the s - construction/mstallation 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 5ysteins) �. ***NOTICE***:THLSPERMITISSUBJECITOREVOCATIONIFSITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST ': DATE ISSUED SYSTEM CONTRACTO�ST SEE THIS PERMIT BEFORE- INS,TALL]NGTHE SYS RESIDENTIAL SPECIFICATION. BUILDING TYPE L&-- # BEDROOMS —t--'# BATHS OCCUPANTS GARBAGE DISPOSAL. Yes or No r COMMERCIAL SPECIFICATION FACILITY TYPE # PEOPLE :# PEOPLE/SHIFT # SEATS INDUSTRIAL WAS TE:yes or No LOT SIZE TYPE WATER SUPPLY l DESIGN WASnTEXWATER FLOW (GPD) " NEW SITE REPAIR, Si'I SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK�U�r/ GAL.: TRENCH WIDTH �J I ROCK DEPTH LINEAR FT o�gl% r OTHER REQUIRED SITEMODIFICATIONS/CONDITIONS: DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION k'rPermi.te-e's'; z Name Subdivision Name: Directions to property: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:k__ - �'uaJNarnl/el:/ Itrx p: **NOTE** This Improvernefit Permit DOES NOT authodze the const action or ir6fallation 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 perm1t. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ", ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE, e PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE –jitf— #BEDROOMS #BATHS 2— #OCCUPANTS —GARBAGE DISPOSAL: 14sor No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE — # PEOPLE/SHIFT — # SEATS INDUSTRIAL IT: Yes or Nq LOTSIZE_ TYPEWATERSUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE' SYSTEM SPECIFICATIONS: TANK SIZE4e!�2LGAL. PUMP TANKi9?_'P' GAL. TRENCH WIDTH Q0 ROCK DEPTH,i +e. •-. LINEAR Fr. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 611 BELOW FINISMI) GR L07 -4ONTAC'r A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM V BETWEEN 8:30 - 9:50,A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-9760. %, ', , - N l xxxxxxxxx tddbl fUX-010V OPERATION PERMIT SYSTEM INSTALLED BY: F AUTHORIZATIONNO. -J�_;7_7V 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 05P96 (Revised) h. APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC D lUJ U` Davie County Health Department 8 ? Environmental Health S;BC601r 2. P.O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 - ***nIPCRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN -for instructions. wtn E N S 1. Name to be Billed '�� Contact Person Mailing Address lU Aneyt4 64- Home Phone /�O�pC." City/state/ZIP .W �S /'A X11 v3 / Business Phone o 3P 84 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC Both 4. system to Service: mouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. If Residence: / # People # Bedrooms- 3 # Bathrooms c2— Ur /nishvasher W<rbage Disposal UKVa—ehing Machine ❑ Basement/Plumbing to�aementm- Plumbing 6. If Businesa/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply:. ❑ County/City *-Ve—il ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes A-110— If yes, what type? ***IMPORTANT***CLIENTS MUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION Property Dimensions: Tax Office PIN: #_ Property Address: Road Name(/�/�rClrf/r o�dyG/W. City/Zip Z4&04 Qa xc 2�c�6 If in a Subdivision pro/vide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: 4 -o dal ® b-rl 8e/ '5' Date Property Flagged: 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 subject 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 for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the D e County ealth epartment to enter upon above described property located in Davie County and owned by I7Ul�I� � t4antlG to conduct all testing procedures as necessary to determine the site suitability. DATE 0-0 SIGNATURE t THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Client Notification Date: EHS: Revised DCHD (07/99) Account No. 2 7 Invoice No. ��J DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION / LOT2 Soil/Site Evaluation APPLICANT'S NAME Y $t DATE EVALUATED PROPOSED FACIL]TY PROPERTY SIZE SUBDIVISION ROAD NAME Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-N) EVALUATION BY: OTHER(S) PRESENT: LEGEND; 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 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 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 Mineraloev 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 n Parcel 58 Tax Map K-7 Whom W. Seaford D.B. 99 - 814 Parcel 56.02 Tax Map K-7 Timothy R. Latham D.B. 179 - 001 Parcel 56 Tax Map K-7 George T. Grubb D.B. 58 - 004 N 05°35'20"W 67.74- N 08.52'50"W 171.91' N 28.08'40"E 207.45' N 36.22'00"W 40.6 N 58.0610"E 66.7'. N 00°25'45"W 32.7 N 47'50'25'"E 2a.9 N 10°54'45"W 79.77' N 17°50'45'W 49.51' N 46.35'25"E 38.32' Seaford Road ( 50' R/W See Deed Book 139-630) CURVE RADIUS TANGENT �geN�u Iwn a ac\W ub ^�� ^0.r ^y n�H4n (!mtl Jmvlplk^ DELTA wmM F heY 1+5, Py. Nl, °lc) IoUwr}, Ual \M 6a�r rol C-1 w°m�tl a� a4wN F4WM ac J.wn Irn. FbmMkn fa+�d h Nd 50.86' yqc � epl tln Mb d PAW^ m adc.laNC b t:+D.WD: Vel ML 16'54'10" 141 °m rrTob F avv4na� MM 1S {)-]J m m+nlW. Wnrwv ^Y dHi ^d C-2 dpetua ru.E� s.d M 35.18' ,b. 9th d Sept. ,x_1997 11'44'10" 16'44'10" C-3 360.48' IP aG Sa Seal or slump site 2623 C-4 Rw)a6NM m.w.. DS.R. 1813 Location Map n.t.s. r 100.14' Parcel 58 Tax Map K-7 Whom W. Seaford D.B. 99 - 814 Parcel 56.02 Tax Map K-7 Timothy R. Latham D.B. 179 - 001 Parcel 56 Tax Map K-7 George T. Grubb D.B. 58 - 004 N 05°35'20"W 67.74- N 08.52'50"W 171.91' N 28.08'40"E 207.45' N 36.22'00"W 40.6 N 58.0610"E 66.7'. N 00°25'45"W 32.7 N 47'50'25'"E 2a.9 N 10°54'45"W 79.77' N 17°50'45'W 49.51' N 46.35'25"E 38.32' Seaford Road ( 50' R/W See Deed Book 139-630) CURVE RADIUS TANGENT LENGTH DELTA DEGREE C-1 342.34' 50.86' 100.99' 16'54'10" 16.44'10" C-2 342.34' 35.18' 70.12' 11'44'10" 16'44'10" C-3 360.48' 85.24' 167.40' 26°36'30" 15°53'40" C-4 360.48' 50.39' 100.14' 15°55'00" 15°53'40" C-5 25.00' 11.18' 21.03' 48°11.25" 229'11'00" C-6 50.00' 55.90' 84.11' 96'22'45" 114'35'30" C-7 50.00' 28.87' 52.36' 60°00'00" 114°35'30" C-8 50.00' 28.87' 52.36' 60°00'00" 114°35'30" C-9 50.00' 28.87' 52.36' 60600'00" 114°35'30" C-10 25.00' 11.18' 21.03' 48°11'25" 229°11'00" 1-11 25.00' 11.18' 21.03' 48'11'25" 229°11'00" C-12 50.00' 28.22' 51.38' 58°52'50" 114'35'30" C-13 50.00' 37.50' 64.35' 73'44'25". 114'35'30" NeM CeMc. CpvAy. I. a Np\vy P44 d tlw CwTI aM Aab de...de M++Y +M G Rm Ce1u, NaYN b4 w^W. uygM°YS J tlw dNM d V.. lype}p 6eevnn 1114m ^'1 bd aJ d+l tl ad. 4W \F° M d +v� v D nN. wrA1rc neat I{i• cemmJ.b. aG✓7 Parcel 14 Paul Owens D.B. 69 - 507 � rt o4y,77� ,.row Parcel 19.01 Judy P. Broadway D.B. 107 - 300 S. R. 1813 CHORD CH.BEARING 100.62' N 25'11'15"E NOTE : THIS PLAT 16 SUBJECT TO 70.00' N 39°30'25"E RIGNTG OF WAY OF PECMD PRIM T. 165.90' N 32°04'15"E 99.82' N 10'48'30"E TNIA AWWY _A 1MACT TO My FACTe01 20.41' S 69'01'40"W AND ACcoAATe T1ne ICARM, NOT 1W. 74.54' N 86'52'40"W 50.00' N OB°41'20"W Ic CON"M m Na NMI ZONIAI. OEMET n 50.00' N 51°18'40"E EOOO FEET OF nnC PROPERTY. 50.00' S 68.41.20"E LEGENI 20.41' S 62.47'00"E R/W - Rlght-of-Wer 20.41' N 69°01'40"E EIP - ExhAIng Iron Pipe Iron Rebar 49.15' N 74022'20"E PIR Polntxing 60.00' S 39°19'05"E CMa Conaide Monumnm