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188 Carters Ridge Rd Lot 21Davie County. NC Tax Parcel Report Wednesday. November 9, 2016 9 h�Ig WARNING: THIS IS NOT A SURVEY Parcel Information 199228 u Parcel NumberJ K809OA0021 Township: i NCPIN Number: 5776496936 --- Account Number: 13678000 Census Tract: 37059-804 11 ` CARTER RANDALL KEITH Voting Precinct: FULTON Mailing Address 1: 169 it r' City: ADVANCE Zoning Class: DAVIE COUNTY R -A S-- G Zoning Overlay: --157•Q 27006-7281 Voluntary Ag. District: No Legal Description: 157', �, `i88 FORK Assessed Acreage: 1.82 Elementary School Zone: CORNATZER Deed Date: 9/1987. Middle School Zone: WILLIAM ELLIS Deed Book IPage: 145 \ PaD,PcC2 Plat Book: 0007 170 Plat Page: 065 Watershed Overlay: DAVIE COUNTY Building Value: 9 h�Ig WARNING: THIS IS NOT A SURVEY Parcel Information u Parcel NumberJ K809OA0021 Township: Fulton NCPIN Number: 5776496936 Municipality: Account Number: 13678000 Census Tract: 37059-804 Listed Owner 1: CARTER RANDALL KEITH Voting Precinct: FULTON Mailing Address 1: 308 LYDIA LANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7281 Voluntary Ag. District: No Legal Description: LOT 21 CARTERS RIDGE PHASE I Fire Response District FORK Assessed Acreage: 1.82 Elementary School Zone: CORNATZER Deed Date: 9/1987. Middle School Zone: WILLIAM ELLIS Deed Book IPage: 001390752 Soil Types: PaD,PcC2 Plat Book: 0007 Flood Zone:. Plat Page: 065 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 F etatares ldinVa ue: & Extra 0.00 Land Value: 19800.00 Total Market Value: 19800.00 Total Assessed Value: 240.00 AN data Is provided as is wbhertwerre ty or guarantee er any Idnd ebherexpres ved or Implied Induding but not limbed b the Davie County, Implledvam diesot memhsatability orglness for a patieularuse. All user of Davie Coumys GIS website shag hold harmless the County bs nty of Davie, NaCarolina, Reagents, consultants, wmndora or employees rrom any and ali claims orauses of action due to NC cp UNC or addng out of Me use or Inability to use Me GIS data provided bythls websft DAVIE COUNTY HEALTH DEPARTMENT2 ' Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900499 Tax PIN/EH #: 5771-40-2406.21 Billed To: Keith Carter Subdivision Info: Carter's Ridge Sec.1 Lot # 21 Reference Name: Keith Carter Location/Address: Seaford Road -27006 Proposed Facility: Residence Property Size: 40,000 Sq. Ft. **NOTE'*'I'fiIs�npi o?-veement/Operation Permit DOES NOT authorize the construction 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 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 H #People #Bedrooms 3 #Baths 2 Dishwasher: Or— Garbage Disposal: 0 Washing Machine: Ey� Basement w/Plumbing: ❑ Basement/No Plumbing: 13 Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size �AC Type Water SupplyA?11 Design Wastewater Flow (GPD) sZ� g�. Site: New Repair 13 System Specifications: Tank Sizee GAL. Pump Tank GAL. Trench Width_ Rock Depth e2 Linear Ft.,FGO a50 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.**** 1� Environmental Health Specialist's Signature: i 7 Date: Qs DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900499 Tax PIN/EH #: 577140-2406.21 Billed To: Keith Carter Subdivision Info: Carter's Ridge Sec.1 Lot # 21 Reference Name: Keith Carter Location/Address: Seaford Road -27006 Proposed Facility: Residence Property Size: 40,000 Sq. Ft. ATC Number: 2280 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: Date: / 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. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: 1e a� APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department pnC� �� Envir ntal Health Section - O. Box 848 1rl� Sj Mocksville,NC 702 (� S OCT 13 !Mf �r r(70)63 .8 ru 4 o � ****IMPORTANT**** Oh THIS AIPLICAToION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFOT,,N I! PROVIDE �d '4�'a, /-�� r'9 d ✓ in'' e e 1. Name to be BilledL / 7N C44![ 7FR Contact Person l Mailing Address 3e ^ `�'�!*^`� Home Phone�0�9y5'- City/State/zip /I OVA "ee' N (', 2 7 0 oL, Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address .i°r 4129' eol City/StateMp 3. Application For: P4 Site Evaluation V1 Improvement Permit & ATC [ ] Both 4. System to Serve: P4 House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 7-407 5. If Residence: # People # Bedrooms_ # Bathrooms 2 [ ] Dishwasher [ I Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/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 K Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes X No If yes, what type? PROPERTY 7017AT3ON REQUIRED: *** IMPORTANT *** A1T;AMOF THE PROPERTY MUST BE SUBMITTED WITHTjEHSAPPLICATION. Property Dimensions: A4 U (iu v Q F i WRITE DIRECTIONS (from j]t't_ocksvIDe) TO PROPERTY: Tax Office PIN: #'Jiff K—�� i'l- e; 4, ¢ ( FqSZ; Property Address: Road Name S AFu,20 /2,),Iy i %%,5 A7 4 -24t. Pi04 City/Zip 4411 .4ge iV C If in Subdivision provide information, as follows: o v Name: _t=4 A7, 'Z'5 R104j!L Section:__ Lot #: 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 Davie County Health Department to enter upon above described property located in Davie County and owned DATE���I to conduct all testing proceJuresas,necessaQ( to de)ermine the site suitability. Revised DCHD (06-96) ZIIIS AREAdblif BE USED %-Oli UR,111'INIi 1/011k 517E.1'L.-1 N: �v.�— ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_ LOT Soil/Site Evaluation APPLICANT'S NAME ���L� DATE EVALUATED /h h' 14;'r PROPOSED FACILITYPROPERTY SIZE 1 d1G 40 SUBDIVISION ROAD NAME ._ Water Supply: On -Site Well !/ Community' Public Evaluation By: Auger Boring Pit � Cut SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: OTHER(S) PRESENT: _ 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 ' 11 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 HORIZON I DEPTH Texture group Mineralogy HORIZON H DEPTH Structure Lei 14 r�����r"■sem—®® • � ��■—��■r��®oma SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: OTHER(S) PRESENT: _ 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 ' 11 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