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218 Palomino Road Lot 6Davie County, NC Tax Parcel Report Thursday, January 26, 2017 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H9090A0006 Township: Shady Grove NCPIN Number: 5789841282 Municipality: Account Number: 8305673 Census Tract: 37059-804 Listed Owner 1: MORRIS SETH Voting Precinct: EAST SHADY GROVE Mailing Address 1: 315 ROSEWOOD PARK LANE Planning Jurisdiction: Davie County City: CHARLOTTE Zoning Class: DAVIE COUNTY R -A State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: NC Zoning Overlay: 28262 Voluntary Ag. District: TRACT 6 HIDDEN MEADOW Fire Response District: ADVANCE 8.74 Elementary School Zone: SHADY GROVE 10/2015 Middle School Zone: WILLIAM ELLIS 010030158 Soil Types: PaD,PcB2,PcC2,ChA 0007 Flood Zone: 238 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 1►ral OluvtirAll 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 Countys GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to SOU ly-S� NC or arising out of the use or Inability to use the GIS data provided by this websHe. ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section '' • P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002073 Billed To: Norman Building Reference Name: Proposed Facility: Residence Tax PIN/EH #: 5789-84-1282 Subdivision Info: Hidden Meadow Lot # 06 Location/Address: Palomino Road -27006 Property Size: see map ATC Number: 3298 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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 i-�Dl�c #People #Bedrooms #Baths 3 Dishwasher: u Garbage Disposal: n( Washing Machine: 5!( Basement w/Plumbing: 111"" Basement/No Plumbing: 171 Commercial Specification: Facility Type'' 11 #People #People/Shift #Seats Industrial Waste: W Lot Size �.7 Type Water Supply ELI. Design Wastewater Flow (GPD)14�V Site: New Repair 11❑ System Specifications: Tank Size I000GAL. Pump Tank GAL. Trench Width Rock Depth 12Linear Ft. �(C� Other: xt", l h�ST_AL t-1 SGS t D • C • 1�'i 1 t� . Required Site Modifications/Conditions: �n1S'CALL. O'J�n1'jb �� I� gores O u rP 1j� �tf IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISERS) 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,_IoJ:30-pin. on -the -day of installation. Telephone # is (336)751-8760.**** gP�2nx.. APMOV— I& C�AQeC;t fbRGN .3 to ►roi y gr 0 ,� ? b Environmental Health Specialist's S tures S%W , , e: --7 2- DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002073 Tax PIN/EH #: 5789-84-1282 Billed To: Norman Building Subdivision Info: Hidden Meadow Lot # 06 Reference Name: Location/Address: Palomino Road -27006 Pro osed Facility: Residence Property Size: see ma ATC Number: 3298 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 WASTEWAT ST IS VA D FOR A PERIOD OF FIVE YEARS. V Environmental Health Specialist's Signature: Date: p � 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: . Peet— -IT TION FOR SITE EVALUATION/1Ti3PROVBiENa PE11,13 3i AT !„/ ��ij� D Davie County Health Department V �(► r�r^� Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 MA, IT (336) 751-8760 pAV1t COUN?Y �'BNMfNT *IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE NTY INFORMATION IS PROVIDED. Refer to the INFOORMATION BULLETIN for instructions%. 1. Name to be Billed mh'me'D'1 �1 �'CS_ 1 1G - ��. Contact Person i� L•1 /�� 1'�rZ. �� Mailing Address Home Phone Uf 7 City/State/ZIP 11 It 2 / W (D Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip � 0'3 W — 3. Application For: -Site Evaluation ❑ Improvement Permit/ATC II Both 4. system to Service: /House ❑ Mobile Home ❑ Business ❑ Industry H Other 5. If esidence: /Garbage People # Bedrooms# Bathrooms Dishxasher IDisposal L asking Machine L Basement/Plumbing II Basement/No Plumbing 6. I£ Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usa a (gallons per day) 7. Type of water supply: ❑ County/City V Well 11 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? _ ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. ?,-722- ACU%as Property Dimensions: WRITE DIRECTIONS (from Mocksville) to PROPER Y: Tax Office PIN: # Property Address: Road Name City/Zip A ►GES 220c)(" 1 If in a Subdivision provide information, as follows: 0 �//� Name: s� P s K • ,4 ,e n, Sc� ry—��` S „� e v Section: Block: Lot: O Date Property Flagged: This is to certify that the information provided is correct to the best of my knowledge. 1 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 ant responsible fir all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Hcalth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the sites� uita�bi i (. r 2 0 DATE I � ©� SIGNATURE 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). ll MAY - 8 2002 ENVIRONMENTAL HEALTH OAVlE COUNTY Revised DCHD (07/99) Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No.,-,),, / 3 Invoice No. -2 % e I - 1►16 ,1 . M. 1 ' , I Mu I ►M M FACTORS 1 2 3 4 5 6 7 Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION , a PROPERTY INFORMATION Account #: 990002073 Tax PIN/EH #: 5789-83-2266.06 Billed To: Norman Building Subdivision Info: Peoples Ck. Farm Lot # 06 Reference Name: HORIZON II DEPTH Location/Address: Peoples Creek Rd. -27006 Proposed Facility: Residence Property Size: see map Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut Consistence :/k 55 Oy Structure S3 <95 FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % , a HORIZON I DEPTH 0-10 Texture groupL Consistence Structure k Mineralogy HORIZON II DEPTH Texture group C Consistence Structure k Mineralogy; HORIZON III DEPTH 1 '7 ' 3 Texture group t Consistence :/k 55 Oy Structure S3 <95 Mineralogy1 1 HORIZON IV DEPTH Texture group G Consistence NS r' Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: _ EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: A 11-�e REMARKS: 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 Mineralogy 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 DCHD 05/99 (Revised) i � Z �� Easement T -Iron \ S 64' 10'48" W r' \ 124.85 / �^ `1 � Cu war PKAt 704 PK o 0%'\4 CS Rip �1� 0 V PK C N?^ S 44'53'44"` E /OPO J•,'cl. /' /o6 \ 65.53' a \ TRACT 6 Centerline of Road 1 B. 722± ACRES / is Property Line. I I / / I C PK WP �� (Approx. Location on 10-28-01) ^ / 11 C/L PEOPLES CREEK nip C Solid IPF in .n Creek / 46.87' `— S 04'22' 17" yy/ 486.18' 169.44' stone n IPF @ S Stone OS' I 15'07" W m 21.6:31 ' HELEN I W. BURCHETTE I w, DB. 96, PG. 268 I 1 ins°� r h ng Co., Inc. l (we) hereby certify that l am (we ore) the owners) of -the property described hereon, which is locatedIn :the subdivision jursidiction ;of Dovie ,County ond-that l (we) hereby adopt this; subdivision plan with my " tree. consent, estoblished:,minimum building CIiRVE • 1kRAD� a setba