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219 Country Circle Lot 13Davie County',' NC Tax Parcel Report Wednesday, November 23, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WAKNI.Nki: '1'li1.S IS 1V0'1' A SURVEY Parcel Information E814OA0013 Township: Shady Grove 5881029663 Municipality: Census Tract: 37059-803 Voting Precinct: EAST SHADY GROVE Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: Voluntary Ag. District: LOT 13 COUNTRYSIDE Fire Response District: ADVANCE 3.48 Elementary School Zone: SHADY GROVE 10/2013 Middle School Zone: WILLIAM ELLIS 009420174 Soil Types: MrC2,GnB2 0005 Flood Zone: 210 Watershed Overlay: DAVIE COUNTY 376800.00 Outbuilding 8r Extra 93200.00 Freatures Value: 52500.00 Total Market Value: 522500.00 522500.00 No All data is provided as Is without warranty or guarantee of any kind 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 anyandagdaimsorcausesofactiondueto F-a NC or arising out of the use or inability to use the GIS data provided by this website, .� KEALTH DEPARTMENT RELEASE �e N^SiNF u Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Herminio Santangelo Address: 219 Country Circle City: Advance State/Zip: NC 27006 Phone #: (213) 479-7782 For Office Use Only *CDP File Number 158204 -1 County ID Number. valuated For: HDR/WWC PERMIT VAUD 0 9/ 1 9/ 2 0 1 9 UNTIL: Property Owner. Herminio Santangelo Address: 219 Country Circle City: Advance StatefZip: NC 27006 Phone #: (213) 479-7782 I-- Property Location & Site Information Address 219 County Circle Subdivision: Countryside Phase: Lot 13 Road # Advance NC 27006 SINGLE FAMILY Township: 'Structure: Directions # of Bedrooms: 4 it of People: Hwy 158 East right on Hwy 801, left on Underpass Rd, about 3 miles Country Side on right 'Water Supply: PUBLIC Basement: ❑ Yes a No 'Proposed Improvement: RV Barn 20x80 and 40x40 Type of Business: Total sq. Footage: No. Of Employees: This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? Oyes ONo Applicant/Legal Reps. Signature: *Date: / *Issued By: 2140 -Nations, Robert *Date of Issue: 0 9/ 1 9/ 2 0 1 4 Authorized State Agent: **Site Plan/Drawing attached.** O Hand Drawing Olmport Drawing b4/lb/1b14 11:1y Y Phone: (33Oi -753 - 6780 JJb1t)J1bUU LI;tJ-1 Davie County Health Department Ernironmentil Health Section ` P.O. Box 848 210 Hospiw S(xeet Courier #: 0940-06 Mocksville, NC 27028 ON-SITE WASTEWATER CERTIFICAITON (Check One) Replacement Remodeling Reconnection rHur- Cil/ GL Rw. (MG) - 753.1M Nazoy, �3�iZ �)" Mailing Address• (fGtz.e 2t, Gi/LtZS__(Work) /U C, g -7 q,� Email Address: -- Detailed Directions To -- i Property Address: e., - Please Fill In The Following Information About The DaSTING Facility: Name System Installed Under: Type Of Facility: - /"-/- 'V- L /'_, -- Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vncant? Yes 4If Yes, For How bong? Any Known Problems? Yes <:E)If Yes, Explain: Please Fill In The Following �� Information .,bout The N,BWFacility: Type Of Facility:6jq'*' b a Y_Ul mber Of Bedrows: Number of People Pool Size:_ darage Size: Other: Requested By:_ Date Requested:% Signa re) For Environmental Health Officc Use Only Approved Disapproved Comments: Enviroznmental Health Specialist . Date: *T':e signing of this form by the Environmental Health Staff is in n.o way intended, nor should be taken as a guarantee (extended or limited) that tyle on-site wastewater system will function properly for any given period of time. payment: Cash check Money Order # Amount:$ Date: Paid By:­�w—Received By: Account #: __ _ Invoice P _ D"IE COUNTY HEALTH DEPARTMENT IMPROVEMENTS, PERMIT AND CERTIFICATE -OF COMPLETION NOTE: Issued in Compliance With ArtiCie II of S. Chap erP,Oa Sanitary Sewage Systems- '�%�%Tu'p' ( Permit Number Name— -s� "�5 N2 7842 t � • � r-r.�.-+ f /i.,, Date Location � Subdivision Name Ar Lot No. Seca or Block No. Lot Size House _(Z Mobile Home Business _— Industry No. Bedrooms_. No. Baths No. in Family Public Assembly Other Garbage Disposal YES NO p Auto Dish Washer YES NO ❑ Specifica ions for System: Auto Wash Ma^hine YES NO � ❑ �r y Type Water Supply _ nZ -- ---I J �p/' / �, r *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject tojreyopation if site plans or the intended use change. �7 �? r4C (7, yC �ja Improvements permit by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. L. Final Installati �`� System Installed by Certificate of Completion Date 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. ti r *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. L. Final Installati �`� System Installed by Certificate of Completion Date 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. 11 DAVI 0�1 T____ Y_H_ "T DEPT. I•FOR ATION/IMPROVEMENTS `r Davie y ealth Department n ent I Health Section AN U � ���. O. Box 665 Mocksvilt , NC 27028 Application/Permit Requested By <SkeJe✓1 4- &(SQ n Co - (O atl Mailin Address 1 0J`" - Home Phone 79- of'rig ` 0PI-Scdemj )C- -?1716 Business Phone 770 -:7U6 2. Name on Permit if Different than Above 'p 3. Application for: a General Evaluation S�ptic Tank Installation Permit 2Prar%� %�40d 4. System to Serve: 2/ House ❑ Mobile oma ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision COIN n +e-ys (cL Section Lot # 13 IF ,l R-Basement/Plumbing No. of People `� ❑ Basement/No Plumbing No. of Bedrooms q C"Washing Machine No. of Bathrooms row CYDishwasher Dwelling Dimensions GLj2r169• 40 X. a- ra j - � - V� SIVOeV R -Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type —JAJ,4 No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: j Public ❑ Private 8. Property Dimensions r K S n, X ��5�x 'yL(� Sewage Disposal Contractor 9. Do you anticipate If yes, woat;ype? �ofJtthe facility this sytjem isintendediJntended to serve? X Yes �'Vil % �..1I Ire (n"t'h�rhrwt� RVQ Ln cb" P ❑ Community ❑ No 4 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to II revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: coo/ / 5ov�h 4i U,JV-V- -Lss gj CiLt"d Yo /e'� OA- U,Jerre-sS +O l.0uwl'r/ C-;, to i►, COL.Jr/5"CYe 51! Oltv1 O►� 3 `c 5 4 -Le T k t 4 l o+ o'- `{' h e r f 3 Q- a h, e( ' `G- S c, This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. �- - I - -� � qvl� &&4, — DATE SIGNATURE CONSENT FOR SITE EVALUATION !Q BED NE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. 91-�DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representatiyp of the Davi C nt Hea De artment to enter upon above described property located in Davie County and owned by ct261, to conduct all testing procedures as necessary to deterniine said site's 'tab' ' a ground absorption sewage treatment and disposal syste � 9 DATE SIGNATURE nnwn nN131 f } DAVIE COUNTY HEALTH DEPARTMENT r' Environmental Health Section Soil/Site Evaluation cy/ % NAME 1�/�'> DATE EVALUATED 91 MY ADDRESS PROPERTY SIZE /95"Ys9G,f'y;C�' PROPOSED FACIILTY Alff�f LOCATION OF SITE Water Supply: On -Site Well Community Public l� Evaluation By: Auger Boring L/ Pit Cut FACTORS 1 2 3 4 Landscape position 1 ,L Sloe Z 2 HORIZON I DEPTH 41 Texture group ell— Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC C' Consistence Structure �Gii ! Mineralogy Z. 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: AS- LONG-TERM 5 LONG-TERM REMARKS: DCHD(01-901 'ANCE RATE: EVALUATED BY: An-- 11Z ~�' ��✓ OTHER(S) PRESENT: 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 i • Davie County Nealtfr Deartment and .dome NealtI cy 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 Steven and Susan Callahan 105 Echo Glen Drive #C-4 Winston-Salem, N.C. 27106 Re: Site Evaluation Country Side Lot.# 13 Dear Mr. and Mrs. Callahan: As requested, a representative from this office visited the aforementioned site on August 8, 1994. Based upon the information provided on the application for a site evaluation and after an evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, p Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure _q 7 1 .o � PRO 'POSED 1—STORY eA• METAL BARN k oil ti Iti 1-1/2 STORY BRICK- GARAGE NOTE: THIS MAP OR DRAWING AND ANY ACCOMPANYING C DOCUMENTS ARE FURNISHED TO THE P S) NAMED THEREON AND NO ALTERATIONS OR USE BY OTHERS IS PERMITTED UNLESS AUTHORIZED 13Y UNITED LIMITED ENGINEERING AND LAIC SURVEYIN% P.A. THIS PLAT IS SUBJECT TO ANY EASEMENTS, AGREEMENTS„ OR RIGHTS-OF-WAY OF RECORD PRIM TO THE DATE OF THIS PLAT. EVIDENCE OF WHICH WAS NOT VISIBLE AT THE 79AE OF OUR INSPECTION. FLOOD ZONE X FEMA COMMUWANEL NO. 371058 8100 L MAP REVISED MARCH 18, 2009 MAP NOT FOR RECORDATION. DMD AREA - 3.4844 ACRES +- 'I, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SION OM �� -� cy�wuFv MADE UNDER MY SUPERVISION (DEED DESCRIPTION RECORDED IN DEED BOOK PAGE ETC.) t0THER);THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED ASo DRAWN FROM I ND IN DEED BOOK PAGE ; THAT 711E RATIO CUL.A70 IS 1;15.000+ ;THAT THIS PUT WAS WITH G.S. 47-30 AS AMENDED. 1MTNESS MY ATION NUMBER AND SEAL THIS THE ? :a SEAL C_ � ids L'11 ;we STAMP z . STAMP OR sIS ••....•' 'r `��PLS L-1192 ,•�Oh, �L�FI _...."*REGISTRATION NUMBER i i 11 0 0 0 ., 02 a kd a �:..:. PROPERTY ADDRESS: 219 COUNTRY CIRCLE :.:::.:::0::: ADVANCE, N.C. 27006 MAP FOR: 14C 2 M i" N i © ft!) %• (MARRIED) SANTANGELO .... SHADY GROVE TOWNNSHIP, DAVIE COUNTY, N. C. - ___ __ _ _ _ - _. ... ..wv ,..qtr. T1T ♦ R\ AT7 AATTIT/�11VCITt SITE PLAN PROPOSAL FOR BARN LEGEND EIP CM E)GS7ING IRON PIPE CONCRETE MONUMENT IP IRON PLACED MN MAGNETIC NORTH s MARK BM BENR/W RIGHTS -CEDE -WAY PROPERTYNE CA LINE 62 O v `q�, EP PC EDGE OF PAVEMENT POINT OF CURVATURE FC FACE OF CURB LC LONG CURVE PT POINT OF TANGENCY CH CHORD S STOOP P PORCH OH OVERHANG CP CARPORT NOTE: THIS MAP OR DRAWING AND ANY ACCOMPANYING C DOCUMENTS ARE FURNISHED TO THE P S) NAMED THEREON AND NO ALTERATIONS OR USE BY OTHERS IS PERMITTED UNLESS AUTHORIZED 13Y UNITED LIMITED ENGINEERING AND LAIC SURVEYIN% P.A. THIS PLAT IS SUBJECT TO ANY EASEMENTS, AGREEMENTS„ OR RIGHTS-OF-WAY OF RECORD PRIM TO THE DATE OF THIS PLAT. EVIDENCE OF WHICH WAS NOT VISIBLE AT THE 79AE OF OUR INSPECTION. FLOOD ZONE X FEMA COMMUWANEL NO. 371058 8100 L MAP REVISED MARCH 18, 2009 MAP NOT FOR RECORDATION. DMD AREA - 3.4844 ACRES +- 'I, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SION OM �� -� cy�wuFv MADE UNDER MY SUPERVISION (DEED DESCRIPTION RECORDED IN DEED BOOK PAGE ETC.) t0THER);THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED ASo DRAWN FROM I ND IN DEED BOOK PAGE ; THAT 711E RATIO CUL.A70 IS 1;15.000+ ;THAT THIS PUT WAS WITH G.S. 47-30 AS AMENDED. 1MTNESS MY ATION NUMBER AND SEAL THIS THE ? :a SEAL C_ � ids L'11 ;we STAMP z . STAMP OR sIS ••....•' 'r `��PLS L-1192 ,•�Oh, �L�FI _...."*REGISTRATION NUMBER i i 11 0 0 0 ., 02 a kd a �:..:. PROPERTY ADDRESS: 219 COUNTRY CIRCLE :.:::.:::0::: ADVANCE, N.C. 27006 MAP FOR: 14C 2 M i" N i © ft!) %• (MARRIED) SANTANGELO .... SHADY GROVE TOWNNSHIP, DAVIE COUNTY, N. C. - ___ __ _ _ _ - _. ... ..wv ,..qtr. T1T ♦ R\ AT7 AATTIT/�11VCITt SITE PLAN PROPOSAL FOR BARN