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205 Country Circle Lot 14Davie County, NC Tax Parcel Report Wednesday, November 23, 2016 WARNING: THIS IS NOTA SURVEY Parcel Information Parcel Number: E8140A0014 Township: Shady Grove NCPIN Number: 5881027218 Municipality: Account Number: Census Tract: 37059-803 Listed Owner 1: Voting Precinct: EAST SHADY GROVE Mailing Address 1: Planning Jurisdiction: Davie County City: Zoning Class: DAVIE COUNTY R -A State: Zoning Overlay: Zip Code: Voluntary Ag. District: No Legal Description: LOT 14 7.59AC COUNTRYSIDE Fire Response District: ADVANCE Assessed Acreage: 7.60 Elementary School Zone: SHADY GROVE Deed Date: 9/2013 Middle School Zone: WILLIAM ELLIS Deed Book ! Page: 009390317 Soil Types: MrC2,Gn62,ChA,RwA WATER Plat Book: 0005 Flood Zone: Plat Page: 210 Watershed Overlay: DAVIE COUNTY Building Value: 243600.00 Outbuilding 8r Extra Freatures Value: 25510.00 Land Value: 134150.00 Total Market Value: 403260.00 Total Assessed Value: 403260.00 9lt� All 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 Mass 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 all claims or causes of action due to �pllN� NC or arising out of the use or Inability to use the GIS data provided by this website. **MOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIIATION 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) NAND 'DAv I Q. PROPERTY ADDRESS Co u��t G'• - �,7oalo p• 94, DATE LOCATION '—doU//, Nrde SUBDIVISION NAME U N R�{ �tt LOT NUMBER SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE ou # BEDROOMS # BATHS Lf # OCCUPANTS GARBAGE DISPOSAL: &No COMMERCIAL SPECIFI6ttDN: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTErAU/No LOT SIZE • L o `TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE V REPAIR SITE SYSTEM SPECIFICATIONS: "TANK SIZE. OOs GAL,. -,PUMP TANK GAL. TRENCH WIDTH ' .� ROCK DEPTH /g LINEAR FT. OTHER-, �+ r REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS 96BJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR'`WASTERWATERISYSTEM CONTRACTOR MAST SEE THIS PERMIT BEFORE INSTALLING,THE SYSTEM.- /0 TD y - U 76 Ilk .a IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE -OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY-�'^1 rD,g, V Q �It� Ivo\ r.nL.LVO aV. O I r V11 R OPERATION PERMIT BY i��s DATE r ! **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 10/95 Davie County Health Department ENVIRONMENTAL ROt�(ENTAL HEALTH SECTION F.. -P.O. Box 665 s Mocksville, N.C. 27028 ' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of: G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health'Settion prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie CountyBuilding Inspections Office when applying for Building Permits.*** n / cep?• O s (ba /) r `p YATION RM*R NAME PO 1 (Zb Ck1oN �Z. i-N;4C. DATE Q ' �� - 1 �t► NQ (j 4 9 P . 1 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION `►.. ouNom`•) '� fit. " VA COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM, **WICE* THIS AUTHORIZATIDN:FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5)'YEARS. -1u 9 t ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 ,,. .,,.. . .. ._. . - v r .� su.,�.t�. .._ «.[ ...� 4!: -, , x.i-M � ,..'...f- r ms`s .'+` ::-:ti. + Tr <YX-++Y1 "`.; .. `ls.b � ., a. v w't, .t .6i+.`N ♦a�S t . - � . APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Davie Construction Company, Inc. Mailing Address P.O. Box 1670 City/State/Zip Clemmons , NC 27012 Contact Person Carl V. Carney Home Phone Business Phone (910) 766-5740 2. Name on Permit/ATC if Different than Above same as above Mailing Address same as above City/State/Zip same as above 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [X] Both 4. System to Serve: [X] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People 2 # Bedrooms 4 # Bathrooms 4 [X] Dishwasher [X] Garbage Disposal [X] Washing Machine [ ] Basement/Plumbing [X] 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: [X] County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No If yes, what type? No (N/A) PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: See plat complicated WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #51381 —2 - Property Address: Road Name Country Circle ; City/Zip Advance, NC 27006 If in Subdivision provide information, as follows: Name: Country Side Estates Section: P13-5 Lot #: 14 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 Joe and Beverly Proule to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE S / c n o rte-- �� / _S�oQ _ G�1—Ct Revised DCHD (06-96) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1 / 1. Name to be Billed (f C, . r,,� Contact Person Mailing Address Pr<2- K" M W7© Home Phone City/State/Zip �4 ax M &S ogo(C Business Phone 2. Name on Permit/ATC if Different than Above S ASC Mailing Address _S City/State/Zip 3. Application For:ite Evaluation [ ] Improvement Permit & ATC oth 4. System to Serve: LN -]'House [ ] Mobile Home [ ] Business [ 1 Industry [ ] Other 5. If Residence: # People Z # Bedrooms ' # Bathrooms eDishwashe€�Garbage _,&ashing Machine [ ] Basement/Plumbing -4116asement/No Plumbing Disposal 6. If Business/Other: Specify type �� # Peop] In s # Commodes # Showers—#-brimats—'—# Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply�County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No If yes, what type? LVLA PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # Property Address: Road Name &J644 City/Zip _ � hti�� /l� C 70G, If in Subdivision provide information, as follows: Name:�t�t�Tc- ' Section: Lot #• 4f 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. 1, 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 )/ �L to cond ct all to ting j9rocedur s necessary to determine the site suitability. DATE SIGNATURE Revised DCHD (06-96) •r, GRADY L. TUTTEROW conlythat ,frets CA Iha rfnl my was draum from len actual PIIMy made by mat Idea/ darrlpllon rrnel/r/ M 1. ,I 11h1,, look 145 ; Pop 559 , look -- J-11°n ., hp --- , fit I Llhad; twt IM ono at :loo", of takulab/ by Ianrolw snl of • • Iat d-votwas ° 1 ?`•; M•1 : that the boundaries not ouvoyd a.f shoa.n ■ brr:lm 1inas pond from information found in look -- Pale - that Iho mop o,u Prepare/ In at=ordeme with G. S. 4170 or smandN. • I W.I." my hand and w.I is 21st /M of APRIL A.D., 19 89 'Survey a'a 114611 ,�%/�j1 oYL.I{4�t.41W } SURVEYOR NORTH CAROLINA ` DAVIE COUNTY i 1, Rgntr of OoIN W Nov NbhOe" c w ork of S"palCo,.n m DavleCaumy N C do 0111111 that LAND st.IrvlrOR . P.,onally ppaaled aetwo me this day and aknowbdpd the All urutian of the lungan/ artil¢ata Wdn/u my hand and note W wM Mn day of ISaall � SIGNATURE AND IITIE my commission O.Pur NORTH CAROLINA - DAVIE COUNTY The lyryouy und.ure AND OFFICIAL TITIE OF THE OF FICIR SIG IHI Cl RIIIICAII PASS10 UPONI to bo correct tho day of Probate toe Pud HENRY L. SHORE,Rp•nro10.N1 by DEPUTY • ASS,SI• S 27°50 21" E S 33°27'2i'E 16561 S 38004 16: E _1� o (S•R' ROAD OTAL�+ �5�19\9T 11' E R : 1525 1 SCJ 47159 7:.07 91.'� ^79. 16 Al., _ UNDERo R'�W_ 41 1j 34' E �� N 12891 0�4 + 9\ S �° 40' 00' E S 3 , 1 7 °d" E S 342.66 +� ? 38.32 N �r +9-S 00° 51' 57"L 7n 15 H . 7 tea„ 61199 TOTAL -4 m OL T 27 1 g z OBtS \ o 232'9 1 4' E La I i' 1.509 AC.' I I- to CA J S 06 2H :'324.. S 41°17 403.13 W �o AT 21 -1 � ,,� 8 _5/'I7'I -�' I"6 m od u z t„ O1 1.718 AC { S 34° 09' OO' E -+' U °°' I La ✓„ �,ra S ! ,� ut" s -- 1 0 t: Ce w 3 z 1 ULft LOT 11 W tr U. 329.89 u .t N I o T 10 u to 2, 560 AC. NQ o O �1 w -iii 15.15 AC. o O 340.00 0 or v o 0: 1 z g /1 g W 1.515 AC 8 ci m Control Caner 1 fA n' W ° -«- 34° 09' 00' W I T 22 i -11 34° 09' 00' W ._ 3 1.717 AC. 8_ n z 4S 055 51 00' W r .. 329.89 FY n LOT 12 87.42 _� 8 o m n L : 1 9 ^' `no 2.031 AC - N 34 09' CA' W n V. •, O " N 1L S 46° 41 50" W -T 339.44 JN o1 419 AC. C''(,', ARC = 132.59 ` 1.515 AC.8 ✓ 8 C ? CHORD = 13203 1 ? is $ Q V J t O7 z ..-• N 34° oy 00' w "lv IN ^ t! 3 ; ..Iii ; Ir.' W n -�- N 34° 27 Ifi' W C,y 4, 1.994 AC N 1w � z u 4 21.01 Y' pcq� p `..� m A Qu- u 329.89 cD z 1 �yv ate° �, ,�o .� �+t� ju b r 4 01 b ^ N?Sptoo o N #LA.1.548AC� lsi�OfD1� y nV� U'CI O' 0 fl I..` tt) AC. �; LOT 13 °�$��crn / "U� f 0: PPO. L�G ( rat r1 o N 3.465 AC. '�� rr (CPQ 16/ U k O • .1 °O S 0 0 • t' rl0' w "o 4 d s COUAIT tr° , - - z.n 1 caul ChO�one.,� RY CIRCLE a (H4kC mr 6Z�9�89 /940j / f"" c�0�o\ ORO y9n�F : 3 • 7 AC.IT 8t1A hh0p0h W n ue tr ( A .` 11 • ,p `tV� •7i ON pnA 1 A :1t.1 99 a 7 $ tar N "1po p. �N •i 33' 538"2E LOT 14 oe t+ pUlla : %� D Cil l D 218.76 7 59 6 A C. a o rat R:?5 00 I Lnr6 I \ 2 30.1 A.C. A r mo y oe aj 2 ch \�� v u ` U 40A7 0 6-0 37_- 1•_s�*� m y 'I N 42° 15' 59' N i 1't N 21"t." . Y, v \� 871'.1 N " 1 5s, W' 7:' •14 N 4- *10 14" E I;) IB TOTAL N '3� .y DoT zD ' 2.402 AC• � A i. r N _N 34° n9 00' W ConlrUl I, 379.98 I-0IW LOT 19 Oto T. 0 2.035 AC A O 0: L -N 55° 51 04" E 1 56.94 LOT 18 LV °'1" 2 02 8 AC Io N 72° 25 74' F CHOCRD - !JWI 44 �- 20' Dromoge Easement /FROM ca A Lor 13 m n LOT 1s "S. Lor 178.369 AC. ; 7,922 AC. 0 10,343 AC.° a )w1. A FLOOD LINE(TAKEN 3961 U.S. DEPT. OF HOUSING 8 °o C. DEV. MAPv r+' r9' 2 0o N 67°I`06" w CARTER'S CREEK s, 9410 In N 5e3102"E�`•`� +����+ +VA 70?:I 50.00 ♦4zz + 114UI1 ' As N 37028' 17"W 84. OTAL •.;r + 5000 tA� + p + + N 090 56' _5"' E N 50° 37' 43" E ` ` + POTTS INVESTMENTS + fOR31 , D8. 145 PG. 557 v� ,^r• +� 1 N 34 51. 36" E 0 N 31005. 46.. W N 2964 0453' E h N 59° 21 22" W S 84° 57'4C* W N 770 59' 35' W ° 73.10 N 21 25' 16" E 9253 ,.,hili',,- .d6 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P Davie County Health Department i Environmental Health Section P. 0.. Bax 665 iO Mocksville, NC 27028 P� t,( r D Q l -� D I EIAf ONE Al HEALTH ' 1. Application/Permit Requested By AV1F COUNTY Mailing Address, �°Zyy ,°�> r h.r ��, .S � � /) L .4 0 i - Home Phone (0 `� Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: 2 --General Evaluation ❑ Septic Tank Installation 4. System to Serve: DrHouse O Mobile Home ❑ Place of Public Assembly O Business O Industry O Other ❑ Unknown 5. It house, mobile home: Subdivision C -a �' S �� Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms O Washing Machine No. of Bathrooms Lf- ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 9 -Public ❑ Private ❑ Community 8. Property Dimensions • ,S! (2 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes ❑ No If yes, whit type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: Co LA, V\ VV. NAA_ F6 s P���e� 4, - - F -a _-Tr 4 t- This is to certify that the Information provided is correct incurred from this application. DATE l `C of my knowledge, and I understand I am respo sible for all charges SIGNATURE CONSENI MB aE EVALUATION IQ @E DOM QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: O 1. 1 OWN the property. e'9I DO NOT OWN the property. If you checked Box #2, the rest of this form &IM be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Healtlt Department to enter upon above described property located in Davie County and owned by � ,- f k y *_ C -y ^ Y /' a f ts" to conduct all testing procedures as necessary to de a said site's suitability for a ground absorption sewage treatment and disposal system. _ DATE SIGNATURE OCHO (12.90) DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation NAME r"'� ADDRESS 5 1'� T't, PROPOSED FACIILTY O U S 19 Water Supply: On -Site Well Evaluation By: Auger Boring DATE EVALUATED "7 '" (� PROPERTY SIZE ? v 4 LOCATION OF SITE \ _� Q Community Public Pit t1 Cut_ FACTORS 1 2 3 4 Landscape position S -S S .S Slope Z )_- I S '�0° t-16 ° i^-30"' HORIZON I DEPTH " 6 �• Texture group C Consistence Structure IQ,. V- Mineralogy t :1 11 ' HORIZON II DEPTH t. 1 Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS 1 S -S-S S RESTRICTIVE HORIZON --• �--- ---� SAPROLITE-- CLASSIFICATION .S S LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: a • S EVALUATED BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS:__ Landscape Position R -Ridge S7Shoulder 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 :lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+_ --y friable FR -Friable FI -Finn 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 5C --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 (01-901 o. 198 . -` S 27050 2!" E N • +�. S 330 27' 21' E dRMAN R X6561 _ s 38°04 15'E:1�1117; *-�_ \ R S 19° 4 7' 1 1' E R = 1525 • 00 �S SS ROAD TOTAL PA_ „E ��47159 791.98 � 0.3'+\ S \°40 00' E 78. 16 ARC 1 1NDER , R1W 12893 \ V -50 S 4i 17 34 66 9j �i + S 00° 51 57" E S 39 49 28" E 342 38.32 N 9 �- THE DAVIE COUNTY 78.15CH. �9 ;OTA'- m LOT 27 o k ��o 0 o �� 611: � 1.509 AC. u O J \ S 06 29 29' vi EVALUATED THE S 27 22 2i' E� CHORD = 232.19_��/r 41°17 34 E 403.13 I j `�I CP`�' 68.02 ARC - 232.42 S LOT 21 o y i ' g ow tc14 �� VICI N ITY MAP -� S 31°43 57" E-� L-'" _.f = OD 1,718 AC o -. cn cn A AND CONDITIONS w 20686 ± � cn o m D s 34 09 00" E ° N r W OR PROMULGATED "� a Wr49R= 1525,Co �, z ( ov° , 329.89 o- LOT 20 50' R/W. 0o rnc- LOT It w-_ n o 2-402 AC. VI E IS FOUND T O - a 00 � �r cn 3 cn ao 4 N 34 09' 00" w p rn o s1 RIA AND CONDITIONS��� �-N o LOT ! Ln N o o N L.or to w v 2.560 Ac. NO �, z N o o in - - cn cn O - 0 340.00 N LOT 26 O N �% �. SUCH EVALUATION . W� -Y mon 1.409 AC. Ni 0 = 0 545 AC. p o g 1.515 AC O 1 r - O_ z O o Control Corner TION AND FOR 3� o-0 'oma 96, e Cn o o r -N 34 09 0c w -_ - ; m Control Corner cn .-N 34 09' 00" W N z 0 379.96 REPORT ON a --N 29033 08"W rn - N 34°09 00'W o LOT 22 -o T IV L N T. f W --- N 34 09 00' W ! D. Lu o w 300.61 4 400.00 3 1.717 AC. g_ r- 328.89 z O 3 u> _ > ?_85.00 z S 55° 51' 00' W r Lr' CERTIFICATE DOES o- a oo m LOT 2 S z 1 cn LOT 12 87.42 a gam- 34° 09' 00" W c o w LOT 19 0 IT OR APPROVAL OF�� N cn N c"° -d N N °' -- 2.035 AC N t� ry o v N LOT 9 2.031 AC LOT 25 g o_ SUBDIVISION FOR N° -Y o 0 1.415 AC. o 0, N No �„ S 46°41' 50'W 1 339.44 o m FACILITIES. w�-.0 'n ��)-7 of -�P 1.439 AC. O ARC = 132.59 I �, !.515 AC. S 0 -- FACILITIES. SQA / o p O 0 0 � CHORD = 13203 w 3 y o a - zc --N 27° 53 04' 00" W- � -J �� • r%° l Qom! o N 34° 27' 16' W , 45 p 1 9 r\) W o ZN 34° 09' 00' W - N 34' 390.86 J W -60' R/W _ N 09 OC;'W O 9 o cn N 329.89 m ° A O O N 55 51' 04!'E ES RIDGE 285.00 421.01 s ti ° °°� rn o N 56.94 60135 �OAD I1. y, �, -P /,'o, v' �v- LOT O' 0 Lor r8 UNOPENE 9 -1 A 1 !NTY HEALTH OFFICER w S 27°54 00" " Z ccs - do r`�° „ coo -, N 1. 9 S o' s s O p cn_ 5 Ac �, o y� 2.028 AC. ALICE A. HARTMAI WESTRIDGE O 301.52 E 2 U' / p ct - cn tv LOT 9 ry �G: Q• �U o.Fi �xOn = D wc� O' 0 n N 72 25' 24' E L101 w O• o_ ,co DB. 41 PG. 361 section t- n tr w o g ' �p O , ti, O ARC = 133.06 ` cy cn o 1; p Q A CHORD = 131,21 lot 51 - n o LOT 3 N 0 `r- 0 1.538 AC. o zA LOT I3 ��o p� O �, o1. O �t� - 163 p1. bk. 5 Pg.5 (D.po cv o v'_ U) o o ✓ O A 3.465 AC. 0o � /� 7�0 P l 2 �1 25029' 28 151 1.490 AC o r �� Q �_ 0 2� W 62 T WE ARE THE OWNERS o�o = J ao ' 03o a% C�i� r' PO 445.17 AND DESCRIBED HEREON N z o_ rn o^, QI 4p,\ s`, "ti rkY CIRCLE `` . 'z� ?9 w ,GPT THIS PLAN OF -- 0 --I� :,4 v --� Ilk �2 s °4�' 31.56•- N 3.4 09-7 00" W 285.00_ o o g RO 8 r' C q�C 3?" EE CONSENT, ESTABLISH 29997 N z 0:--i 1 °_ p� �' /S -00 (PI ORD = 9000E w NOTE I )LOTS 1,10,11,21,24 8 20 HAV AND DEDICATE ALL �n �% `' - . mr 2O p,/ PsBo� �G�s �o'r' 89.43 ° TO S.R.1656. ARKSAND OTHER SITES. �, _ o ° N Lor 7 N o �g5 d `�,' w �" �, o o 2)A lo' x 70' SIGHT EASEMENT' ARKS, cn O o \ h� o fb =n o INTERSECTIONS. LAND AS SHOWN �w 'n LOT 4 ��o o- � 1. 370 AC. p �G� 00 p�73N ro= 3)MINIMUM SETBACK LINES • (I, PLATTING JURISDICTION oci c6 1.635 AC. a J ,�-l: ° / oN4', U,o o" o <-20' Drainage -r cv N_ = 0 ^� 'O U co " o Easement co N 33 54 41" W v ROADS ARE 264.99 C PAGE 7RU17T '� --N 34°09 00' W A �-N 32°33 58' E LOT )4 KidS DI 00 -. �-°`�'pm 6)A OTAOLAAREA = 84L LOTS .883 PUBLIC. 1ACRE DB. 107 PG 567 M z 27751 55 P D ARC = 211.32 W 7 596 AC. C._ J o � rCHORD = 19.76 0 4 a co R= 25.00 o U 3 c-� 1�^'1 J O U v p 0 cn LOT 6 n /- m -a \ 2.300 AC. r m � o 1\100 cn Q LOT ► 5 k � cn �' r W m LOT 16 D LOT 17 LOT 5 c� _ = IRON PIN N 55°51' 00'E 5.509 AC. v �O - h m �0 8.569 AC. co 7922 AC -+ 10.343 AC. o 79.65 �Pc ',j u�� 77� �Jy z co O t = UNMARKED POINT IN CE �7 hJC� . \_ _ - w Nr 01) � CREEK OR ON R/W, S1, - F SHARPE �O CARTERS CREEK ZONE A FLOOD LI AKEN 10- p �� �\ GAVID (3 p FROM U.S. DEP . 0 HOUSING 8-O DB. 107 PG. 3300 o + /� 40.87 0= 39.61 URBA!d DEV. MAP cn 5 �/N 84j 16`�+r+1 m�d?5 N X93 �o r V OU N T R YS 1 li CD�W N 42'15' 59' W +• \\ 50.00 OWNERS DEVEL' /- 146.64 + .112- + ��s, s .i2° 50' 57" w ° , \ ° ktCARTER'S CREEK 84 2 N 2I 13 29 W L o +_+,+ +�+ ° 87.19 N 67 11 06'W •POT TS I NVESTI, N 12-15' 19' W o `�+ 0 N 42'54' 53' W N 56°31' 02'E�•� + ADVANCE N.C. 27c S 67 19 11" W 72.44 co �1B •- 34.38 ° 3� PHONE -(919) 998- N 170 59' 03' W N 06 10 14 E �90 p\ + 98 60.48 TOTAL + \ 50.00 N 38036' 19" W +0728+ IGO +\ SHADY GROVE TOV N 25 56' S5' W N 48°58' 23"W o + + 50.00 DAVIE COUNT 48.95 18•}.28 TOTAL s a + Z o CUL-DE-SAC INFO, N 37"28 I7"W � + N 2853.21 57 W o N 09 56 51" E a r' ' A = S 79 08� 01� W o �+ CHORD =2976 R=25.00 j -N 50°37'43'E \� +/ c,�k (9 50.00 NORTH CARO[i B = S 880 12' 31" W + 108.31 + 20 + ° ARC = 27.28 POTTS INVESTME:JTS \ °. N 56 27' 12'w CHORD c 2700 D.B. 145 PG. 557 Dam? County Nealtir De artment altFi en �� and .dome .fie y cy 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 April 18, 1995, Mr. Raul Pelton 520 Knobview Winston—Salem, NC 27104 Re: E Site Evaluations Countryside/Lots 14-15 Dear Mr. Pelton: On April 12, 1995, I did site evaluations on lots 14 and 15 in Countryside off Underpass Road. Both lots are provisionally suitable on the very front of each lot. You will have to pump to these areas. Also, each lot will need a modified system with extra line. The back portion of each of these lots is unsuitable and also is in -a flood area. Sand filter systems could empty in the Carter's Creek, which is behind lots 14 and 15. The permits for these systems are issued by Environmental Management out of Winston—Salem at 910/896-7007. If you have any questions, please feel free to contact me at 704/634-8760. Sincerely, Charles E. Little, R.S. Environmental Health Section CEL Enclosure a EMAILED Date: j 3 �� RaNie County Health Deputment 5` 4 1836 OCE EnN ironmenta.l Health Section P.O. Box 8,18 210 Hospital Street' (>'( Courier H: 0940-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: t� bn Yi-1k�1 '� I S i ny �� S Phone Number fj ' (Home) Mailing Address: a05 (4�tlmvkA CI lz-fi t I (Work) Detailed Directions To Site: a) L 1 1 UnDI CI?H J 5 , CC V'/1 ! 0'1 (2 A,(? a_(L Lq Property Address: '5 Please Fill In The Following Information about The EXLMAIG Facility:&e_/q0- 0� t �,5q 46 Name System Installed Under:1 etC15 I , Type Of Facility: _ Date System Installed (Month/Date/Year): l a Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please FilI In The Follovving Information About The AEJV Facility: I Type Of Facility: Number Of Bedrooms: �j Number of People Pool Size:_ G3 rage Size: tj Other: Requested By: �.� Date Requested: ,2 (Siena ire) Dppr Comments: Disapproved For Environmental Health Office Use Only .7t Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a -,uarantee (extended or limited) that the on-site wastewater system «ill function properly for any given period of time. Payment: Cash Check INIoney Order L Paid By: _Amour Received B� Account,': 11 I F # lm oice : 19-7 1 2013 11: 5G 3367531 GSO DCEH PAGE 01/01 WV 5: r -M -TR tEPART!IRti CAPIE CGL'4TY IMNOVtY11T ptRi1IT and G:EHATIDI PERMiT I"POM"ZINT FER'1TT 4m!-'JTE#i This im;;rbuflfrt p¢rIlt MZ8 QT authnrin the constr(rtitn Cr installation of a septic tenk system or any Nast-aterl system. AN AUTRUPUAT1C4 FOR NASTI6MER SY57E11 CUh3TAIJ,71N 111)5t be obtained frnl this Departlfr,t prior to the I cnnstmxtlAn/installAtloa of a system or the isscrace of A building pfrgit, (In Compliance with Article 11 of G,$. Chapttr pastfnater Systej6, Sectinn , M0 Semnge Treatment and Disposal Systets) NAM 'N �i I Q 1 1. \..C:PnMRTY AMr-FS C Z) 71 "1 ! L6CATIDNos- (16U,17 SLMIVISI(S{ IJAyE o ro P.`I 1�C{, LOT lr'u'fER ' ? SEC,/ELECT{ (E51B?,jC{_ S ,C',FTCATIMI: EUILVN9 TYTE ,FinV�4_ A 6 OPfN7"S 11 # T'n5 -- —i__ Pl `? OCCISrNTS « gr1.iPCFE Di^�'+1:It{o CL'"'ERCIC:L SFcCiF1CAfIC!1: FACILITY TYFE J PEKTLE q pECStE/SHIFTLATS �_ IHTLi�TR1At HASTE: ,YFSl1Jo LCT SIZE �, b >rs.� TY� NATER SUF�Ft,Y �s,. MSM W;}STE ATEP FLOW MDI Ll ap NF,II SITE ��FECAIR SITE 5�5Tc SPECIFICATIONS:'TP-'k S1ZF, bU CAL :,PLIP TP496tL. TF.- 1110TH F, CCH DEPTH % LINEAR FT. CiIrtR - REpUIRD RITE MCb1FiCAi1CN'S/CL77D1T1G"�: + T i15 KFMIT IS fI,VECT TO F[UCCATIC4J iF SITE PLA'i: oR niz i"ii;DED LI',,E C}i; Gt 1Ti75 PENIT DEr'O-,E INSTpLLIN^,.THE SYSiJ1" � ' Y F'I^ Sie, aTtR 5'iSTE>! CONiiGCTCR "L,T j , ", Z4,11 C46 Opt y OS�1ce _?. 4-Z V7n CG!1TA�i A YnfSJ?iAiiCEL1F h,_ CAUTc CC':TY !(FAITH D_A %TN ! L 6:3d-9:3? A.H. GP (:^!1-1:3� D. r. ?l t, FGR FItY Iti: CTIO!{ T r8iy SYSMI -- C TX -t NY CF I1.iT 1tATIC`t• ?L:Y '.E t i; (7N) S3 -Pnl, C:cnaTlC! T .PEP.', SYSTi_!1 IhaTALLEi'i by v....• '"L�\�\� �r u� F I C `c�ATIQI r£F? I1 Bym +iHc IFSI.'ii;% THIS NfHATICR P-JMT Sµ;.''_L INCTC.ATE TKU int StiS;c LE8zR1R:D A-Av:_E H^; Fc, „r-. A.RTICIE 11 C" G.S. CHApTtR �7G EE •r c , E I 1 � „LLE it{ C it !1C= N:TH 1, , CTICe .19[>t x hr . Tr:c Tk. NT Ffi] Di- QS�L SYS :r5' EL'' G_L IN N7 WY K TAKE?1 A A SJARY{ie� MIT 1hES'ISic't WILL F0OTICN SAil;�XTORILY FCR ;4r'e C{ ;I!�. �\ �• , 4• t t , %t7 7. Ilk h � �q •rsI• t:: VAW, is 76, T. All data is provided as is without warranty or guar3ffi'eQof'dny RRSdQhEPeQIr.Yr inlQfiAM inLI lIpbut not limited to the 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 all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Printed :Dec 26 , 2013