130 Hidden Creek Drive Lot 3Davie County, NC Tax Parcel Report Thursday. January 26- 2017
WARNING: 11 1S 1S NOTA SURVEY
Parcel Information
Parcel Number:
E9150A0003
Township:
Farmington
NCPIN Number:
5871583157
Municipality:
BERMUDA RUN
Account Number:
82526280
Census Tract:
37059-803
Listed Owner 1:
BURKE MARJORIE LYNN
Voting Precinct:
HILLSDALE
Mailing Address 1:
130 HIDDEN CREEK DRIVE
Planning Jurisdiction:
BERMUDA RUN
City:
ADVANCE
Zoning Class: BERMUDA RUN, DAVIE COUNTY R-A,R-20,CR
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
NC Zoning Overlay: DAVIE COUNTY QD
27006-0000 Voluntary Ag. District: No
LOT 3 HIDDEN CREEK SECTION I Fire Response District: ADVANCE
0.89 Elementary School Zone: SHADY GROVE
Land Value:
Total Assessed Value:
4/2006 Middle School Zone: WILLIAM ELLIS
006580176 Soil Types: GnB2
0005 Flood Zone:
179 Watershed Overlay: BERMUDA RUN,DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
101
Ail 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 County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NC or arWng out of the use or Inability to use the GIS data provided by this webshe.
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Account #: 990003745
Billed To: Arena Builders
Reference Name:
Proposed Facility Residence
ATC Number: 4206
DAVIE COUNTY HEALTH DEPARTMENT f,k
Environmental Health Sectiont
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5871-58-3157.03 AB
Subdivision Info: Hidden Creek Lot # 03
Location/Address: 130 Hidden Creek Drive -27006
Property Size: see map
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: iI I( Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall ind
has been installed in compliance with icle 1 of .S
Disposal Systems," but shall in NO WA bet Lken a a
given period of time.
Septic System Installed By:
the system described on Improvement/Operation Permit
Ater 130A, Section .1900 "Sewage Treatment and
mtee that the system will function satisfactorily for any
Environmental Health Specialist's Signature : ��� Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003745 Tax PIN/EH #: 5871-58-3157.03 AB
Billed To: Arena Builders Subdivision Info: Hidden Creek Lot # 03
Reference Name: Location/Address: 130 Hidden Creek Drive -27006
Proposed Facility Residence Property Size: see map
ATC Number: 4206
**NOTE** This Improvement/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 #People #Bedrooms #Baths
Dishwasher Garbage Disposal. -X Washing Machine Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) -!� Site: New 0 Repair ❑
System Specifications: Tank Siz%GAL. Pump Tank GAL. Trench Width Rock Depth /� Linear Ft—:�
Other: As stat"
accepted SystemsNmay also be use
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LA - PPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact r esentatrve o t �e avie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p o 1 p.m. on t e day o installation. Telephone # is (336)751-8760.****
F
Environmental Health Specialist's Signature: ,� tDate: /
DCHD 05/99 (Revised)
=p,l
2:16p
davie County envhealth 336 751 87HU
Api,u,,ATlON rOlt Sf1E LVALti+VOW/1111110VEMENT PLIIMIT ZATC
Davie County Health D. partutent
EnvlronmerrfalHea/G Section
P.O. Box 840/210 Nosp:.tal Street
Mocksville, NC 27028
(336)751-876)
336-766-5063 p.1
11.1
ca.4_4 ` ,U
•+•SJJPORSANT•a* =5 RPPLICATI01i CAMor J)E PROP."%SSEO tRfS.ESS z6rr. TNS REQUIRED
INPORZINTION Is PROVIDr-1.
1Refert to the INFORdAT::ON IMLETIN for inotruationo. Pckop-
1.
%nae to be Dillod rtle0A �f�7..,�LO� R� contact Person
Nalliag nddroao �3F+S�l�n��Jtt3�4 «( W, Items Item 2bono
city/swta/zlrPLc-7tc c ._�C(C 2 'L Business Fltotte
J. M=o on rerwLt/ATC ar Dluerent than Above
nailing Address itr/state/ZSD
3. application Fort ❑ Site Evaluation Improvement Permit/RTC
e. system to servico:�ouse O Mobile Nome ❑ Burtncaa O Industry
El Other
❑ Doth
S. Type system requeatodt X--atioaai ❑ cooveatlonal .wdifled Q Inaovativa Maccepred
6. I1 nodideneo: I Peopl.i _�_ I Dodro Sea_ u Dathroomo 2'�
�la>,vasreer �.o[Laee D.op5aal OM.al,ln9 tSaehlaa ❑:�taeoont/Plua6l+lg Opaaesent/No }ltewttr�
7. If Auelneaa/Iaduatrr /Otl,or: verify type I People Y Slope
Canne,do■ I .ibover. a aria [le I Wator Ceelera
IF r00D.1ERVICE: 0 Sea6LB Estimated W.ter Usage tgallooa per day)
t. Typo of rater supp2re kl&ur.ty/City ❑ we'.l 13 Community
9. oo yea anticipate additions or clpansions of the facM(y Ibis sysi -ru is intended to serve? ❑ Yes )ikW,-
try", Wait type?
•••1rVpURriINT-e• CLnI Nr, AwsrCoiJPL67ETILE XCQt%l/tt .9 PROP[ R7l' l)Yl•OttAlATlPlI tiEQill�ll D
BELOW. rtibrraPlarorsrTrPt.ANAtafr06sUit.4f FTFObrt .elleut withTHISAPP1,ICATION.
Property pinlensions: r zz K Z��` /` /�, )(2�(0� NVItrTE rJIItECTIOM (rout Atoc)cseitkl tot )tOPEtYi'Y:'
T21 Office PINI: 8—rnb go Is
Property Address: Road Na►ue f ,�� (flDt �ie�tyk +� /��
clyrLip�uc:Mee, iliC (_'Q
If in a Subdivision prnvitic infornnliou, as follows:
flame• 010 D -k t^IUT-C
3 77-,-, s- ff (�
cle� �--
Section: Block: Lot: Date lurtnecorners Qaeged: COOL frCY RA,609
This is to certify drat cite infurtnalion pruvittcd is correct to Cite best or my lnowledge. i understand that atty pundt(s) (A e- i> F
issued bercaRerare subject tosuspeusio::a•revocation, if The site plansoraitendcdtuecbange,orrftheinfornuntimt Ir{<<L �W�YJJt
submitted is tlils apptfcation is f tlslLtd cr ebang"L /, also, lWerstant/r/rat ;am rerltorisiblejor all ekortw iaearrer(from ea Ot//A.S
tlrir applicadar. 1, hereby, Lire eunsurt b-, the Autborfzcd Rcprescntatb-r of dee Daric Counly 11call)intent i
to enter upon abmr described propertr lacated in Davit County and osrnet 1— cparj 047L
to conducl At (tes(ing procedduures as umisiry to detcrutitte the site suitabilit ;.
DATE ) 11 I �\ SICNATUItii P—iC AAO
Tins Aim& Ava Itz USED mR pnivviNC YOUR SITE PLAN (Includ ' an or Clot, funum ing: l ristiug and proposed
property lines and Onensions, structure, setbacks, and septic locations).
Site Revisit Otargo
Sign given
Itn•ised DCIII) (05103
Datc(s):
Clint NoGrication Date:
jkccoantNo. v
Invoice &N,1—
WN
Sep 16 05 12:42p 336-766-5063 p.2
N66*1912*E
180.00,
20' Power Easement
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Side setbacks: IS Olk/
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Lot 3 Hidden Creek
Davie County
Hidden Creek Drive
1 inch= 30 fee
4
�h APPL TION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
�2 EnvironmentaiHeaith Section
P.O. Box 848/210 Hospital Street
Q Mocksville, NC 27028
(336) 751-8760
***IhtPOR *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
FORZ• ION IS PROVIDED".� Refertothe INF/O'R�M,ATION BULLETIN for instructions.
1. Name to be Billed n Gtlt/��F l7r(;�C�'(�C. Contact Person
�] CB// --
Mailing Address F J/0 C/PvPT ciG1" . Sf /R 3tome Phone 225 7
City/State/ZIP [/41 54Z.-) C, Z weg Business Phone 70 - 5725-e
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: AHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. Type system requested: X Conventional ❑ conventional modified ❑ innovative pacCepted
6. If .Residence: # People # Bedrooms � # Bathrooms —S
❑Dishwasher ❑Garbage Disposal ❑Washing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: #i Seats Estimated Water Usage (gallons per day)
S. Type of water supply: County/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No
If yes, what type?
***I1IIPORTf1N2-** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBhfITTED by the client with THIS APPLICATION.
Property Dimensions:
Tax Office PIN: it
Property Address: Road Name t'yr'E r i)c
City/Zip 1144ti c tf A700 �-
If in a Subdivision provide information, as follows:
Name: A;5 1Pr, 6 -e, -I
Section: Block: Lot:
WRITE DIRECTIONS (front Mocksville) to PROPERTY:'
Rel/r ,fry
ept?
Date liome corners flagged:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
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 ans responsible for all charges incurred front
this application. I, hereby, give consent to the Authorized Representative of the Davie County I-Icaltli Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suitab' ' ,
DATE t9 --J6 —OJ SIGNATURE,
TIIIS A ZEA MAY BE USED FOR DRAWING YOUR SITE PL"dc/ali of lie gli�owing: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations . 1j
Sign given
Revised DCIID (05/03
Site Revisit Charge
Date(s):
Client Notification Date:
I EIIS:
Account No.
Invoice No. / ag"',
Pr/► 7'V- .5' 7/ !S�v-3 J5?
N 66019'12' E
180.00'
1
20' Power Easement
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Side setbacks: 15'
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40'
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Lot 3 Hidden Creek
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Davie County
R 796.5'
48'1x'
Hidden Creek Drive
1 inch= 30 feet
Pr/► 7'V- .5' 7/ !S�v-3 J5?
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990002260 Tax PIN/EH #: 5871-58-3157.03
Billed To: Allen Wayne Builders,LLC. Subdivision Info: Hidden Creek Lot # 03
Reference Name: Location/Address: Hidden Creek Drive- 7006
Proposed Facility: Residence Property Size: see map Date Evaluated:
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring �� Pit
Publicy
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Slope %
r%
HORIZON I DEPTH
Texture group
Consistence
r/
Structure
p�
Mineralogy
e
HORIZON H DEPTH
Texture group
Consistence
Structure
/L
Mineralogy
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
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
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
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
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 05105 (Revised)
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CORDON C. HENDRIX - GILBERT T. DAVIS JR. A>
\ D.B. 130, PG 67 3 ��
t�ll• m- N N
1 O oL.
tv N )
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0 3 -
WOODS
51,6052f FIELD
67, 821 of
M0
N
O
170.00' 3.13' 1
---- 750 760
- I -- -- 770
�-- -
BOWDEN Rneh �
I RESIDENTIAL 'ROAD' SYMMETRICAL CUL-DE-SAC
I-V w ULN HEIRS RICHARD pBp
DB 45, PG 44 I DB. 126, PG 588
ZONED R -A
I •
I
I
I, FRANCIS BRYSON GREENE certify that this mop was drjwn���•CAR®1'.,�
from on actual field survey mode by me ; that the error of p .�G„T : 0%
closure as calculated by latitudes and departures is I--IOA00 �: • `� %9
SEAL =
and that this mop was prepared in accordance with G. S. 47-E30 = •rl
as amended. y < L-1761
Witness my hand and seal this 10 th day of DECEMBER, 1986" 2 • q p +�: ��'
:�C'�' • S up")" `` • Q,
Q ��"'�,�kYSON•�. `��,
L 1761
r
NDEXTI R RUTH B. POINDEXTER
DB. 49, PG 506
cr
0 1100 200 300
MAP RODMAN E. MILLS -KENNETH E. MILLS- RODNEY S. HARPE
FOR THAD J. BINGHAM-GORDON C. HENDRIX-GILBERT T. DAVIS JR
- SCALE -
CURVE,
-DATA
-DATE-
I"= 100'
CURVE
a
R
T
L
C
A -R/W
86000'01"
50.00'
46.63'
75.05'
68.20'
B- R/W
40° 3VOW'
796.57'
294.27'
536.77'
552.08'
C-R/W
91°08'32"
25.00'
25.50'
39.77'
35.71'
D-C/L
37000'00"
657.51'
220.00'
424.60'
417.26'
E- R/ W
88°57'26"
25.00'
24.55'
38.81'
35.03'
F- C/L
55022'16"
652.07'
342.13'
630.16'
605.93'
G- R/W
90000'00"
25.00'
25.00'
39.27'
35`.36'
H-C/L
44°23'45'"
299.99'
226.68'
122.41'
232.56'
I - R/ W
900 20'45"
25.00'
25. 15'
39.42'
35.46'
J - R/ W
89039'15"
25.00'
24.85'
39.12'
35.25'
K -R/ W
1 40033'04"
570.00' 1
210.57'
1 403.42'
395.05'
L-R/W
'87°64' 30"
3.0-00'
24.92'
46.03'.
4.1..65 `
WOODS
730
C. A. STREET JR,740
-MARY JANE STREET
DEED BOOK 50, PAGE 575
ZONED R -A
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740
750
RODMAN E. -MILLS -KENNETH E. MILLS
RODNEY S. HARPS- THAD J. BINGHAM
GORDON C. HENDRIX-GILBERT T. DAVIS JR.
D8. 130, PG 67
ZONED R -A
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Z 26 `� ' 0o RODNEY S. HARPE- THAD J. BINGHAM N
ZA
CORDON C. HENDRIX - GILBERT T. DAVIS JR. A>
\ D.B. 130, PG 67 3 ��
t�ll• m- N N
1 O oL.
tv N )
�� _ -�
0 3 -
WOODS
51,6052f FIELD
67, 821 of
M0
N
O
170.00' 3.13' 1
---- 750 760
- I -- -- 770
�-- -
BOWDEN Rneh �
I RESIDENTIAL 'ROAD' SYMMETRICAL CUL-DE-SAC
I-V w ULN HEIRS RICHARD pBp
DB 45, PG 44 I DB. 126, PG 588
ZONED R -A
I •
I
I
I, FRANCIS BRYSON GREENE certify that this mop was drjwn���•CAR®1'.,�
from on actual field survey mode by me ; that the error of p .�G„T : 0%
closure as calculated by latitudes and departures is I--IOA00 �: • `� %9
SEAL =
and that this mop was prepared in accordance with G. S. 47-E30 = •rl
as amended. y < L-1761
Witness my hand and seal this 10 th day of DECEMBER, 1986" 2 • q p +�: ��'
:�C'�' • S up")" `` • Q,
Q ��"'�,�kYSON•�. `��,
L 1761
r
NDEXTI R RUTH B. POINDEXTER
DB. 49, PG 506
cr
0 1100 200 300
MAP RODMAN E. MILLS -KENNETH E. MILLS- RODNEY S. HARPE
FOR THAD J. BINGHAM-GORDON C. HENDRIX-GILBERT T. DAVIS JR
- SCALE -
-TOWNSHIP-
- COUNTY - - STATE -
-DATE-
I"= 100'
FARMINGTON
DAVIE N. C.
12-10-86
AREA = 35.438 ACRES DMD
FRANCIS B. GREENE RLS
PO BOX 501, MOCKSVILLE , NC -27028
19
DiVI CQtJN`�, iLTIDFkT1VIT`T
�..W
Environmental Health Section
P. 0. Box S4S/210 Hospital Street
Courier 09-40.06
Unrlccvilla Alr fP71noQ
August 23, 2005
Allen Wayne Builders,LLC
Attn: Jeff Hoffinan
2110 Cloverdale Avenue, Suite 1 B
Winston-Salem, NC 27103
Re: Site Evaluations/ Hidden Creek Drive Lot 3 and 54
Tax Office PIN: #5871-58-3157.03 and 5871-38-9373.54
Dear Client(s):
As requested, a representative from our office visited the aforementioned site on August
22,2005. Based on the information provided on the Application for Site Evaluation and
after an evaluation was completed on the site, it was found to be provisionally suitable for
the installation of an on-site sewage system.
Before and Improvement/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RBH/dlf