109 Oakshire Court Lot 37I
Davie County. NC
Tax Parcel Report
Tuesday. January 10. 2017
S HAiEL�VVOOD DR
S HAZED,VOOD DR I
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J7080B0037
Township:
Fulton
NCPIN Number:
5768204721
Municipality:
Account Number:
82525295
Census Tract:
37059-804
Listed Owner 1:
HARDIN STEVEN CLARK
Voting Precinct:
FULTON
Mailing Address 1:
17 WOOD DUCK CT
Planning Jurisdiction:
Davie County
City: HILTON HEAD
Zoning Class: DAVIE COUNTY R-20
State:
SC
Zoning Overlay:
Zip Code:
29928-0000
Voluntary Ag. District:
No
Legal Description:
LOT 37 HERITAGE OAKS PHASE TWO
Fire Response District:
FORK
Assessed Acreage:
0.80
Elementary School Zone:
CORNATZER
Deed Date:
10/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006320122
Soil Types:
GnB2
Plat Book:
0008
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding 8r Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
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 orfftness for a particular use. All users of Davie County's GIS webaite 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
na UN�� NC or arising out of the use or Inabiifty to use the GIS data provided by this website.
Account #: 990003451
Billed To: Edward Yeager
Reference Name:
Proposed Facility Residence
ATC Number: 3958
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028 i
(336)751-8760
Tax PIN/EH #: 5768-10-9770.37 EY
Subdivision Info: Heritage Oaks Lot # 37
Location/Address: 64E.-27028
Property Size: 3/4acre
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 CONSTR CTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Ax [ Date: / '`b , -
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.
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Septic System Installed By:
Environmental Health Specialist's Signature:'// Date:
DCHD 05/99 (Revised)
' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003451 Tax PIN/EH #: 5768-10-9770.37 EY
Billed To: Edward Yeager Subdivision Info: Heritage Oaks Lot # 37
Reference Name: Location/Address: 64E.-27028
Proposed Facility Residence Property Size: 3/4acre
ATC Number: 3958
**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: El Washing Machine; Basement w/Plumbing: O Basement/No Plumbing: El
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:
Lot Size Type Water Supply_ Design Wastewater Flow (GPD) Site: NewRT�-Repair 13
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Widtlr�Y� Rock Depth Linear
Other:
Required Site Modifications/Conditions:
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 installation. Telephone # is (336)751-8760.****
le
Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
APPLICATION FOR SITE EVALUATION/IhiPROVFAIENT PERMT �J!
Davie County Health Department
EnvironmentaiHeaithSection JAN P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760 i±'.VlR244f�ACA
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRE
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for
//instructions.
1. Name to be Billed �_l��r�2t1 ��}?�� Contact Person Z�L� arfLrl �6+C'Cxf���
,a,1 ¢ 'T
Mailing Address {d_,�'b� L/)L'kW1 ���1!�1` P'7 Home Phone 3L- �cC �rw�3�Y
.City/State/ZIP - uxlr' , vg 1� 1 d Business Phone 32;1 — Z? `5
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: 19 House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. Type system requested: C- Conventional ❑ conventional modified ❑ innovative
6. If Residence: # People # Bedrooms # Bathrooms _ 2
(Dishwasher ❑Garbage Disposal Mashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
s. Type of water supply: 0 County/City ❑ Well ❑ Community
9. Do you anticipate additions or cspatlsioiis of the facility this system is intended to serve? ❑ Yes MNo
If yes, what type?
***IATPORTANT*** CLIENTS AfUST COMPLETE TIIE REQUIRED PROPERTY INFORMATION REQUESTED
BELOIV. Either a PLAT or SITZ PLAN AfUST BE SUBMITTED by the client witli TIIIS APPLICATION.
Property Dimensions: Acca— 7r1
Tax Office PIN: l/ 2j�(p l�-jy — �77y 3
Property Address: Road Name
City/Zip a Rr'V 1", l Li; . N L
If in a Subdivision provide information, as follows:
Name: ftd_f_fi tT 3%
Section: Block: Lot: 2
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
a
i
Date home corners flagged: - tp - pS
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 lam responsible for all charges incurred frons
this application. I, hereby, give consent to the Authorized Representative of the Davie County IIealth 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 '7 SIGNATURE
TRIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include1 o the following: Existing and proposed
property lines annd dimensions, structures, setbacks, and septic locations).
Sign given
Revised DCHD (05/03
Client Notification Date:
EHS:
Account No.
Invoice No. ��
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME zy "
A", " �
Cq
ADDRESS
PROPOSED FACIILTY
40'
1-776
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply:
On -Site Well
_ Community
Public
Evaluation By:
Auger Boring
Pity/
Cut
FACTORS 1 2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH Y �'
Texture group
Consistence 1
Structure lG S J/ -
Mineralogy Mineralo
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: SPS EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
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 .lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V l�.-y 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
3C -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