The URL can be used to link to this page

115 South Hazelwood Drive Lot 24Davie County, NC Tax Parcel Report 107 Tuesdav, January 10. 2017 115 125I J i+ 1 143 155 'FL,, Ili - --_ _--- -- -- ---- — UI L.,�_� ,(_� ,. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J7080B0024 Township: Fulton NCPIN Number: 5768210090 Municipality: Account Number: 82529874 Census Tract: 37059-804 Listed Owner 1: HINSON GERALD D Voting Precinct: FULTON Mailing Address 1: 115 SOUTH HAZELWOOD DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 24 HERITAGE OAKS PHASE TWO Fire Response District: FORK Assessed Acreage: 0.68 Elementary School Zone: CORNATZER Deed Date: 7/2008 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 007630854 Soil Types: Gn132 Plat Book: 0008 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: O t1� 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 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'pU N� NC or arising out of the use or inability to use the GIS data provided by this websites .� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street MockrAlle, NC 27028 (336)751-8760 Account #: 990001750 Tax PIN/EH #: 5768-21-0090 Billed To: Southland Construction, Inc. Subdivision Info: Heritage Oaks Lot # 24 Reference Name: Location/Address: S. Hazelwood - Proposed Facility Residence Property Size: 120 x 250 ATC Number: 4153 As stated In 15A NCAC 18A.1969(5) cccopted Systems may also be usetld 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 CO N IS V I R A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa re: Date: �S 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 13 , Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken11 rasagugant,tat a system will function satisfactorily for any given period of time. 4 Ito Septic System Installed By:� L Environmental Health Specialist's Signature: ate: -Z3 GI DCHD 05/99 (Revised) %/- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street 51 Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001750 Tax PIN/EH #: 5768-21-0090 Billed To: Southland Construction, Inc. Subdivision Info: Heritage Oaks Lot # 24 Reference Name: Location/Address: S. Hazelwood - Proposed Facility Residence Property Size: 120 x 250 ATC Number: 4153 **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 �5 #Bedrooms 3 #Baths Z Dishwasher: M*' Garbage Disposal: ❑ Commercial Specification: Facility Type Washing Machine: 00"^ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ #People #People/Shift #Seats Industrial Waste: ❑ Lot Size D 00412 Type Water Supply �t""Desi$Zn Wastewater Flow (GPD) Site: Newca Repair ❑ 11 �/ f System Specifications: Tank Size'()CO GAL. Pump Tank GAL. Trench Widtla� Rock Depth IZ Linear Ft.ZPC5 As stated in 15A NCAC 18A.1969(5) Other: ] �SfT'(Zt� "God accepted Systems may also be usedd Required Site Modifications/Conditions: ��-�3�' 1--7tMs'T7 �� ``�• �'`"I (` IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** 4$S Environmental Health Specialist's DCHD 05/99 (Revised) Date: ZL / /a� APPLICATION FOR SITE EVALUATION/IMI'ROVENIENT PE ATC l� Davie County Health Department Environmental Health Section JUS 2 ZOQ" P.O. Box 848/210 Hospital Stree Mocksville, NC 27028 (336) 751-8760 DAI'T ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Mailing Address City/State/ZIP 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person LV'O` W r U94./ Home Phone ��i]/n .nn;!?,7- q`t1(p�%�/ /moi Business Phone Nd ,. 36(- ow FO �'(' ff City/State/Zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC jR:Both 4. system to Service: F House ❑ Mobile Homo ❑ Business ❑ Industry ❑ Other 5. Type system requested: 'P Conventional ❑ conventional modified ❑ innovative I3acCepted 6. If Residence: # People 4.5 # Bedrooms 3 # Bathrooms 7. Dishwasher ❑Garbage Disposal washing Machine [ If Business/Industry /Other: verify type # Commodes IF FOODSERVICE: # Showers #1 Seats ❑Basement/Plumbing ❑Basement/No Plumbing # Urinals # People # Sinks # Water Coolers Estimated Water Usage (gallons per day) 8. Type of water supply: r County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes X -No If yes, what type? I***I111P0R2AN7*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED I IIELONV. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 12b 'A* `10", Tax Office PIN: it S%6fat LV ��''9,0 Property Address: Road Name J, tt*14 J City/Zip If in a Subdivision provide information, as follows: Name:kage O ow Section: o _ Block: Lot: 1 WRITE DIRECTION (from Mocksville) to PROPERTY:` taw A - . z ado ApIke goa ee- �Fnf Qic f tft 94dwd-L- /it. m Date home corners flagged: 0 ,. 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 intend use change, or if the information submitted in this application is falsified or changed. I, also, understand that fill resp risible fur all charges incurred from this application. I, hereby, give consent to the Authorized Representati of t J ilII it : c artment to enter upon above described property located in Davie Count to conduct al to ing procedures as necessary to determi t ' .aa : it'. y DATE ! SIGN TIIIS AREA MAY BE USED FOR DRAWING YOUR SIT llowing: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Datc(s): Client Notification Date: EI -IS: Sign given Account No. \� Revised DCIID (05/03 Invoice No. CONTRACTOR'S ESTIMATE n is ons. -- NCC 35773 contractor: ,Sou► � nc city. (�'s�o/uQfiri /V C, State: zip: i 9� Office phone. 336- 7M 46 97 sim. phone: FI M7-V2f sl cru aa9--aso Estimate for: 8 HM Address: city. State: zip: Office phone: p1mm.— — —� BUILDING SITE Street .` Subdivisions v �1"� Ki I LotNumber Block► UTILITIES AV IlAZE Water Electricity no%URI Sewe, S 8Ak Gas IA- Paving Sf�de LOT GRADE Front Rear Sao' N6 rat This estimate based on current cost and supplies, and is Rood not exceeding a period of .... I ....... da" or until ............ ....... •a. X ; { i t t X DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME (fG cG DATE EVALUATED Z�� PROPERTY SIZE ___VV `/C= ADDRESS PROPOSED FACIILTY LOCATION OF SITE e %2_ Water Supply: On -Site Well _ Community Public G� Evaluation By: Auger Boring Pit _ Cut FACTORS 1 2 3 4 Landscape position Sloe R HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure 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: LONG-TERM ACCEPTANCE RATE: y REMARKS: EVALUATED BY:i 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 ;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vc.-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 watef 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 •