Loading...
112 North Hazelwood Drive Lot 22T Davie County. NC Tav ParrPl RPr.Art Tuesday, January 10, 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: WARMING: '1't1151S INOT A SURVEY Parcel Information J7080B0022 Township: Fulton 5768118024 Municipality: CORNATZER 82515544 Census Tract: 37059-804 SCOGGINS WILLIAM C IV Voting Precinct: FULTON 112 NORTH HAZELWOOD DRIVE Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 Land Value: Total Assessed Value: NC 27028-7164 LOT 22 HERITAGE OAKS PHASE ONE 0.66 912000 003450616 0007 005 Zoning Overlay: Voluntary Ag. District: No Fire Response District: FORK Elementary School Zone: CORNATZER Middle School Zone: WILLIAM ELLIS Soil Types: GnB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 91mvfAAll 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 all claims or causes of action due to r'p U N.S NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000969 Tax PIN/EH #: 5768-11-8024.22 Billed To: Cranfill & Sons Subdivision Info: Heritage Oaks Lot # 22 Reference Name: Mike Davis Location/Address: Hazelwood -27028 Proposed Facility: Residence Property Size: 3/4 Acre ** *N Sir: 2309 N �s mprovement/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 IZV#People #Bedrooms #Baths "2— Dishwasher: P'�' Garbage Disposal: ❑ 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 Repair ❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width ,,� Rock Depth ,Linear Ft., -?D Other: /) 4 'Os", Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 K 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.**** pp� 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 Account #: 990000969 Tax PIN/EH #: 5768-11-8024.22 Billed To: Cranfill & Sons Subdivision Info: Heritage Oaks Lot # 22 Reference Name: Mike Davis Location/Address: Hazelwood -27028 Proposed Facility: Residence Property Size: 3/4 Acre ATC Number: 2309 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: Y )� " Date: 0 2 " 6,7— op 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. Septic Systen Environmental Health Specialise DCHD 05/99 (Revised) APPLICATION FOR SITE EVAUTATION/IMPROVEMENT PERMIT & AT1401VIRONME]NTAI L5 p Davie County Health Department Envimnmenta/Hea/th Section EWCAill P.O. Bou 848/210 Hospital Street Mocksville, NC 27028 01 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. i. Name to ba Billed C� A ( VAP/ I L C, 4— JO M s Contact Person iy Y I KC b Ay( S Mailing Address -2/)a FIVE 101-L-&700 Home Phone qqe� q 5G 37 City/State/ZIP QC., K�UI L L E A] ,` . 2 %'pW Business Phone 4 3 1qT 46 (C% 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation improvement Permit/ATC ❑ Both s. system to Service: use ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. If Residence: # People # Bedrooms _ i Bathrooms tYDishwasher ❑ Garbage Disposal 04a.hlng Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type i People i Sinks # Commodes # Showers # Urinals M Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: U-County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes b4go If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 3/ & AQ? E PLOT WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # /t/Y 6 LI D - - -- Property Address: Road Name f�j'uoo !✓ /T eR/ 1-iq ��� © A S city/zip OC -1-; LO PiYl E4r ]- Z2" AC-# - 270Zg _ If in a Subdivision provide information, as follows: Name: Section: ' Block: Lot: Date Property Flagged: s,. -Ag LL 0 F r— '2- / =a-/ 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. f 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). Site Revisit Charge Date(s): Client Notification Date: I EHS• Revised DCHD (07/99) Account No. Invoice No. U (o ITE AFORESAID, CV�TUT THAT HARRIS B. , " �SM LAND 3URMOR. , PERSONALLY OF YE TiGS DAY AND ACKNOWLEDGED THE FOREGOING IIiSi UMM. jD AND OFFICIAL STAUP OR SEAL , THIS 19 1. PLAT ENTI= " ROBERT NF—:SON JONES do wife JANE S. JOKE AN UNRECORDED YAP BY GEORGE P STONE, R.L.S 3162, DATED JANUARY 2, 1996 1. PLAT ENTT' ZD " DALLAS WAYNE JONES do wife CONNIE LEE HE, AN UNRECORDED YAP BY GEORU R. STONE, R.L.S. 3162. DATED FEBUARY 1, 1996. N/F WILLIAM A. BURNETTE DB. 187, PG. 426 N 02'28'52" W 1028 39' + - 5r,6 '9• LOT 1 1 LOT 1 LOT ; 3 _OT 14 LOT ? LO' r- �s• Off• r,i o LOT 10 y S n T 135 7 ry M N iF N ?� N z TJ. 4•� LOT 9 '1 140AX 1J5.lE' ,3,.4.1 12731,• 755.36' LOT 23 LOT 53 a N 00'43•JE' E `ry E82.91' rJ N LOT 24 15075' 151-55• 152 31 15.120, - N LOT 7 a LOT 8 rt, LOT 21 LOT 20 LOT 19 LOT 18 I L4! 1 r 5.42>�tJ II asp• e.4 !7s.+s• LOT 22 L. S 0019'34' W 7 TJ. 4•� � cil E 755.36' LOT 23 LOT 53 a LOT 24 3 12 182.31' .50.00• 1 LOT 52 ' •� • P L07 25 0 N /F � ` 250.00 I SCOTT STEWART & wife j o LC' `E EUNICE STEWART —;00 DB. 102, PG. X40 i N LOT 37 TO o LO' `% . ro N ` U Oi jo LOT ?8 IT 36 : 250.0Q, I ' b ry LOT 29 _OT-w�J � . � r ,',} l 1. ► y � at a fa •�'t ati,a.,,"tt REM 9.3 C 3• ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section�� / Soil/Site Evaluation NAME C v DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well _ Community Public LI -11 Evaluation By: Auger Boring t/ Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence Structure 5 C 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 L SITE CLASSIFICATION: EVALUATED BY: f��6 G/ LONG-TERM ACCEPTANCE RATE: i % 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+ ---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 .3C --Single grain M -Massive CR -Crumb GR -Granular ABK-An"ar 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 j