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157 Sunset Circle Lot 13 & P/O 12Davie County, NC - r Tax Parcel Report Tuesday, November 29, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: MOCKSVILL State: Zip Code: Legal Description: LOT Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS IS NOT A SURVEY Parcel information K401 OA0013 Township: 5727841805 Municipality: Mocksville 82523864 Census Tract: 37059-801 SNYDER GEORGE A Voting Precinct: SOUTH MOCKSVILLE Planning Jurisdiction: Davie County E Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27028-0000 Voluntary Ag. District: 13 P/O 12 COUNTRY EST Fire Response District: 0.72 Elementary School Zone: 1/2005 Middle School Zone: 005890873 Soil Types: 0004 Flood Zone: 057 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: MOCKSVILLE MOCKSVILLE SOUTH DAME EnB DAVIE COUNTY No gI'w!AAll 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 &hall 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 rp C NAL NC or arising out of the use or inability to use the GIS data provided by this website. P OI,— DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900216 Tax PIN/EH #: 5727-84-1805 Billed To: Paul Willard Subdivision Info: Country Estates Lot # 1/2 of 12 & 13 Reference Name: Location/Address: Sunset Circle -27028 Proposed Facility: Residence Property Size: see map ATC Number: 3571 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 WASTE W LID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: 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. C 7-,7 C-- L_ec-�) fko-JT Tore, ZIO� 4w�,L- Septic System Installed By: L P`S �rC'a k Environmental Health Specialist's Signature: DCHD 05/99 (Revised) //3 DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT P oL C�c c-- 173 q Account #: 989900216 Tax PIN/EH #: 5727-84-1805 Billed To: Paul Willard Subdivision Info: Country Estates Lot # 1/2 of 12 & 13 Reference Name: Location/Address: Sunset Circle -27028 Proposed Facility: Residence Property Size: see map ATC Number: 3571 **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 _ 00 IE #People #Bedrooms �_ #Baths Dishwasher: 129"e Garbage Disposal: ❑ Washing Machine: 62"" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size _"�F Type Water Supply Design Wastewater Flow (GPD) Site: New 10/ Repair ❑ " i System Specifications: Tank Size OCd GAL. Pump Tank GAL. Trench Width 3tA Rock Depth Linear Ft. . Other: �� ST�JITiO'JS .� �ij1�k,7io•J S�S7�-. Required Site Modifications/Conditions: C^D'.3yCoe C a ---f � c� c� Lj.J' 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 insta)lation. Telephone # is (336)751-8760.**** PAl�-' "ST- -5e� A+j D` Enviro ental Health ecialist's Signature: Date: �J .4 DCHD 05/99 (Revised) 'S L —�1 r APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Fp Davie County Health Department , Ep , , D Environments/Bea/ih Section P.O. Box 848/210 Hospital Street ZO Mocksville, NC 27028 E/yt Nh1Q� �`� (336) 751-8760 Ad A( ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIR INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed /�A t, ]- L 1; %1 C, Mailing Address"'?b } b Sn4 It D? .c City/State/ZIP t bnl(Jempe- Yle- 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation 4. System to Service: Ill House Contact Person Home Phone aJJ�ya s'd Business Phone7S City/State/Zip >61"Improvement Permit/ATC ❑ Mobile Horne ❑ Business ❑ Industry ❑ Other S. Type system requested: ❑ Conventional ❑ conventional modified ❑ innovative ❑ Both 6. If Residence: # People # Bedrooms a # Bathrooms Z 9Dishwasher ❑Garbage Disposal IiWashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals t� # Water Coolers IF FOODSERVICE:: # Seats Estimated Water Usage (gallons per day) 8. Type of water suppy: X County/City ❑ Well ❑ Community 9. Do you anticipate orditions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No 3S If yes, what type? I ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: # S rZ Z2 9 4 1805 Property Address: Road Name suv,seV Cit-, City/zip YYltxK ; 0 16, 0 '10 0�►8 WRITE DIRECTIONS (from Mocksville) to PROPERTY: If in a Subdivision provide information, as follows: Name: q1JA- Section: Block: Lot:J3 4 Y2-4 2— Date home corners flagged: 1i 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 by to conduct all testing procedures as necessary to determine the site suitability. DATE 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). Sign given Revised DCHD (05/03 Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. 95� e ) ` 0 0 CID / (-Z' ' Invoice No. 37V .+ APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATCD Davie County Health Department Envi vnmenta/Hea/th Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 1 2. 6� D ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Name to be Billed \ �1 1II�__( lr• ►r I k\Acy c, Contact Person Mailing Address AUQED ^1.�,,�^l \ -1'� CUA!( Y +� Home Phone �`' City/State/ZIP 1 + �.�.�'�1\� ,� —f \ Yom- r� 1�^d� Business Phone �a�/►—��, ) Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:Site Evaluation 4. System to Service: House ❑ Mobile Home 5. I£ Residence: # People WDishwasher ❑ Garbage Disposal ❑ Improvement Permit/ATC ❑ Business ❑ Industry ❑ Other # Bedrooms 3 # Bathrooms ❑ Both 2 &_WaCsihing Machine ❑ Basement/Plumbing IJ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # Commodes # Showers # Urinals # People # Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: I County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 40 If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: it Property Address: Road Name �� CJ►� �x City/zip %INA e 3`toa� If in a Subdivision provide information, as rfollows: Name: \ C� � VS\ -GA_ -J Section: Block: �) Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: �e �►cam G^+..s�.�rcr��aa -t-a ©n - 3ra 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 Davie County Health 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 suitability DATE 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). Revised DCHD (07/99) Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. Invoice No. DAVIE COUNTY HEALTH DEPARTMENT ., Environmental Health Section Soil/Site Evaluation APPLICAN`'T INFORMATION PROPERTY INFORMATION Account #: 990001781 Tax PIN/EH #: 5727-84-1805 Billed To: Michael Hicks Subdivision Info: Country Estates Blcok B Lot # 13 Reference Name: Location/Address: Sunset CirrAe-2702EI Proposed Facility: Resi&hc# Property Size: see map Date Evaluated: Q Water Supply: Evaluation By: On -Site Well Community. Auger Boring Pit Public .� Cut • •• vo®o�®tea 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 HORIZON I DEPTHr�raIMIKOM4.1mr•�MNVPJ Wet .EFA oral NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic Consistence Structure 2M�V=mWimt4%mMEO=E'SM M - Massive CR - Crumb GR - Granular ABK - Angular blocky Texture group- rrs�Q��rv�■r����ar.�® Consistence �����I�r�"arir>►a� W!VM WAS ■�► W��M MUM •: rNTRIAWM���=IR w •r »� HORIZON III DEPTH group Texture ter- .HORIZON -�r:��,►���rr!�� IV DEPTH Texturegroup ConsistenceMineralogy •VINNN 73L7ty7���l�� SITE CLASSIFICATION: Y W J AODL- L ' EVALUATION BY: LONG-TERM ACCEPTANCE RATE: �'� OTHER(S) PRESENT: REMARKS: O CS TU'.4-3 LEGEND L—. -(2-Q C> 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) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■EEMEN ■■■■E■E■■■NEEM■SEE ■■■■■■■■E■■EEE■■■■■■M■■■■■■■■■ ■■■■■M■■■■■■M■■M■■■ ■■■■■■■M■■■■■■■■■■■ ■EO■■■■■■■■■E■■■■■■ ■■M■■M■M■■■■M■■■■■■ ■■M■■M■■■E■■■■■■■■■ ■■M■■■■M■■■■M■■M■■■ ■■E■■MM■■■■■O■■■■■■ ■MM■MM■■■MMM■■■■■■■ ■■MEMS■■■M■■M■■■■M■ ■MEM■ ■■■■M■ ■■M■■ ■■■■■ ■■■NE■ ■■■■■ ■■■SEES■■■■SEES■■S■■ ■MN��■EM■■■■■■■■■■■■■■Ms■N■■MMM■ ■■MM■■M■■M■■■■■■e■■■■■■■■■■MEM■ ■■M■�■M■■■■■■■■■MEM■■■■■■■■MEM■ ■■■■■SSM■M►■■■■■■■■■■■■■MM■EEM■ ■■MMM■►\■■�■M■M■■■■■■■■■■■■M■■■■ ■M■■■M■■■MMMMM■M■ ■MMMMM■■■M■MMM■M■ ■M■E■■■■■M■■■M■■■ ■■■M■■■■■■■M■■■■■ ■■■MM■■M■■MO■■■■■ ■■■■■■■■■■MM■■■■■ ■■■■■■■■■OO■■■■■■ ■■■ENE■■■E■■■MM■■ ■■M■■■■■■■■■■■■■■ ■■■■■EM■■M■N■■■■■ ■■M■■■■■■■M■■■■■■ ■■■■■E■■■N■E■■■■■ ■M■■■■■■■■■M■■■■■ ■N■■■■■E■■■M■■■■■ ■■■■■■■■M■■MM■■■■ ■E■■■E■E■■M■■E■■■ ■■■■■■■E■■■■■■■■■ ■■■■M■■M■■■■■■■■■ ■NNMMN■M■E■■■■■■■ ■■■■■■N■■M■■■E■■■ ■■MONM■■■■■■■■■■■ ■■■■■■■■■■■■■M■■■ ■■■■■■O■■■■■■■■■■ ■■■■■■■■■■■■■■■M■ ■■■MEMS■MM■■■M■■■ ■■■■■■■■NM■■■■■■■ ■E■■■■■■OM■■■M■■ ■E■■■■■■■■■MM■■■ ■M■■E■■■■■■■■ME■ ■E■■■■■■■■■■■■■■ ■M■■■■■M■■■■■■■■ ■■■■■■■■■■■M■■O■ ■■■■■■■■■■■■■■■■ ■E■■■■■■■■■■■M■■ ■■■■■■■■■■■■■■■■ ■MME■■■■■■■■SSS■ ■■■■■■■M■■■■■■■■ ■M■■■■■■■■■■SM■■ ■■■■■■■M■■■■■■■■■ ■■■■■■■■■■■■M■■■■ ■■O■■■■■M■■M■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ NONE NONE NONE MEMO OMEN ■E■■ NONE MEMO SEEN ■E■■ MEMO ■■■■ ME ■M■■■ om M ME No ii ME ON No SEMEN ■■■■■■P■■■E■E■■■■■■E■ i�■►�Mr�1�► ori■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■�■■■■►�■■��■iiiiiii iiiiiiiiiiiii Z)n URC"- paAlD (748) Davie Countv Wealth Department Environmental ,Meal th Section PO Box 848 / 210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 June 19, 2001 Mr. Michael Hicks 166 Center Circle Mocksville, NC 27028 Re: Site Evaluation -Sunset Circle Country Estates/Lot 13 and part of Lot 12 Tax PIN #: 5727-84-1805 Dear Mr. Hicks: As requested, a representative from this office visited the above site on June 13 and 15, 2001. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. Due to unsuitable or limiting soil characteristics on the front and lower side of this tract, the septic system will be restricted to the back, on the upper side. Additionally, a pump may be required due to this placement. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct the appropriate application must be completed in full and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at (336)751-8760. Sincerely, 7 Jeff G. uchamp, R. . Environmental Health Section enc(s) 1244 (ZZ.yuH) 1695