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137 Cedarwood Place Lot 3Davie County, NC Tax Parcel Report 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 / Page: Plat Book: Plat Page: Building Value: WAlZNING: THIS 1S NUT A SURVEY Parcel Information J7080B0003 Township: Fulton 5768107037 Municipality: 35906250 Census Tract: 37059-804 HINDS WILLIAM J Voting Precinct: FULTON 137 CEDARWOOD PLACE Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 Land Value: Total Assessed Value: NC 27028-0000 LOT 3 HERITAGE OAKS PHASE ONE 0.61 12/1998 002070839 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: ! I 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, consultands, contractors or employees from any and all claims or causes of action due to NiC or arising out of the use or Inability to use the GIS data provided by this website. Road Name:U�('-Zip,er�v� **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �t•�i4'ra!t''�i/ I'�/ IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMEN tAL HEALT SPECIALIST ' DATE ISSUED 1053 AUT RIZATION NO. COUNTY HEALTH DEPARTMENT ' Environmental Health Section PROPERTY INFORMATION Permittee's F ""`l sviv- r' f . P.O. Box 848 Name: r a Mocksville, NC 27028 Subdivision Name: Directions to property:"`/•e .�- " Phone #: 704-634-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#= �4 - 1-Z Road Name:U�('-Zip,er�v� **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �t•�i4'ra!t''�i/ I'�/ IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMEN tAL HEALT SPECIALIST ' DATE ISSUED T 11 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Subdivision Name. - Direction's to property:=' . f " Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# 1r Road Name:(."; d. **NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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) '.f f ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTif SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE 4Z # BEDROOMS --? # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT` # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �jj.:�� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) d NEW SITES REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE,/ ) GAL. PUMP TANK GAL. TRENCH WIDTH �l „ ROCK DEPTH 1 LINEAR Fr. OTHER REQUIRED SITE MODIFICATIONS/CONDMONS: IMPROVEMENT PERMIT LAYOUT **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: Q iSdY3X/-9' e e: 1/1 AUTHORIZATION NO. OPERATION PERMIT BY: ley4dl& DATE: **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 05/96 (Revised) - APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department , M Environmental Health Section G - P.O. Box 848 SEP 15 Mocksville, NC 27028 197 (704) 634-8760 I ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ;!� r �'Y M .Vfe CO Contact Person U -K y m: 4-Z7Cr' Mailing Address �vj C 'ee / ,( TZ J . Home Phone WO 73 % —J-1 # 8e City/State/Zipo� l At . �' , 27 2 9 S Business PhoJIM `.22 2. Name on Permit/ATC if Different than Above 5,4 In to Mailing Address City/State/Zip 3. Application For: [ ] Site Evaluation P4 Improvement Permit & ATC [ ] Both 4. System to Serve: N House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms_ # Bathrooms_ Dishwasher [ ] Garbage Disposal [7l] Washing Machine [ ] Basement/Plumbing N Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes 7 8 # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) Type of water supply: 0 County/City [ ] Well [ ] Community Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes If yes, what type? N No EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: F-/ bZ 9 -1477 R:5 — / 5?l L;5 -1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # -moo �ll - O_e% Property Address: Road Dame t7r'�C0�11r'W ed 1>44&ee�A/ 1. ,1 oT �� 'r S �3 QA1 City/Zip oS ye) ;t ; �.eE:E 62d e- aF If in Subdivision provide information, as follows: Name: do r `TMS t) A k�` 3 ' Section: �_ Lot #: ' 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 Authori i zed Representative of the Davie County Health DepartEonductto enter upon above described property located in Davie County and owned by all testing proced as necessary to determine the site suitability. DATE—q---JY—,q,1— SIGNATURE Revised DCHD (06-96) THIS AREA MAY $E USED FOR DRAWING YOUR SITE PLAN: 3.'+t¢ N j,a.gy " f T Yj,1V -,P Y'^•Y'+W�lFGLi.*R�7®lr. �i'i+MYY` w.• .. ... � 8 i M. �X }},�( t -_ f n �i ry � tf - jjY - i � f` nt e � \ { t\"'• 1p" SA��i.. N r•: • n f � tf - jjY - i � f` nt e � \ { t\"'• 1p" SA��i.. 'to- _�Y 7 a r �'r v }' ,� a s + .� + ' �,„t;. •� y '''t< �i� 4at� to 1t�� t o -S `tC ��` y3•t'M 4 �i i� r ��:.'` 5 i J t v1i tnw .�• i e _N INV Sm.4s ) 3 t Sh i� 1 5 Na -�i a• t � - ! t ft 5 �.� . �� C' ✓• � t 1 r 14t� °i'' '� 9� � � �?i ��L n "r lxyu(wrY;�xSy r `t�`+ -3 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME 44 ADDRESS C' PROPOSED FACIILTY Water Supply: On -Site Well Evaluation By: Auger Boring DATE EVALUATED!//�,G PROPERTY SIZE LOCATION OF SITE Community Pit Public Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group_ Consistence Structure Mineralogy•'/ l 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: EVALUATED BY: 4 �4L 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 -:.-y friable FR -Friable FI -Firm VFI-Very film 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