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177 Oakshire Court Lot 43Davie 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: WARNING: TH151S NOT A SURVEY Parcel Information J7080B0043 Township: Fulton 5767294823 Municipality: 82532425 Census Tract: 37059-804 CORNELIUS MONICA Voting Precinct: FULTON 177 OAKSHIRE COURT Planning Jurisdiction: Davie County MOCKSVILLE Land Value: Total Assessed Value: NC 27028-0000 LOT 43 HERITAGE OAKS PHASE TWO 0.69 11/2010 008430270 0008 139 Zoning Class: DAVIE COUNTY R-20 Zoning Overlay: Voluntary Ag. District: No Fire Response District: FORK Elementary School Zone: CORNATZER Middle School Zone: WILLIAM ELLIS Soil Types: Gn132 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9 P IS All data is provided as is wtthout warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, implied warranties of merchantability or Mness 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 NC or arising out of the use or inability to use the GIS data provided by this website. Account #: 990003820 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 8481210 Hospital Street Mocksville, NC 27028 (336)751-8760 Billed To: R.A. Freeman Construction Reference Name: Proposed Facility Residence ATC Number: 4279 Tax PIN/EH #: 5768-10-9560.43 Subdivision Info: Heritage Oaks Lot # 43 Location/Address: Oakshire Court -27028 Property Size: 3/4 acre 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 CON TRUC/TION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: G Date: 2 0 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. I� Septic System Installed By: Environmental Health Specialist's Signature: e Date: / DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section a • P. O. Boz 848/210 Hospital Street pd.Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003820 Tax PIN/EH #: 5768-10-9560.43 Billed To: R.A. Freeman Construction Subdivision Info: Heritage Oaks Lot # 43 Reference Name: Location/Address: Oakshire Court -27028 Proposed Facility Residence Property Size: 3/4 acre ATC Number: 4279 **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 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) �6 v Site: New 2T ❑ ' o'10 System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width( Rock Depth Linear Ft. Other: As stated in 15A NCAC 18A.1969(5) Required Site Modifications/Conditions: accepted Systems may also be used 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.**** Environmental Health Specialist's Signature: Date: 10 DCHD 05/99 (Revised) t APPLICATION FOR SITE EVALUATION/INI PROVE&I ENT PERM ®T(F Vu E tl V E Davie County Health Department EnvironmentalHeaith Section P.O. Box 848/210 Hospital Street DEC 19 2005 Mocksville, NC 27028 (336) 751-8760 ENVIRONMENTAL HEALTH ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE-MEQUIRED INFORMATION IS PRAVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed �%? ��« (•c� Contact Person ,/C�GI��Li Mailing Address Z ZS- �5/ I� , %D : t� Home Phone 2-336 [9V` - City/State/ZIP znw-.54�•/%tr' �i s''l� l� / © Business Phone J3,/'' 7 ����✓� ���✓ 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑Site Evaluation 4. System to service: lid/House ❑ Mobile Home City/State/zip,��y/State/Zi Ild"Improvement Permit/ATC ❑ Business ❑ Industry ❑ Other 5. Type system requested: 52 Conventional ❑ conventional modified 6. If Residence: # People � # Bedrooms ❑ Both ❑ innovative faCCepteA- # Bathrooms 111151shwasher MGarbage Disposal Washing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Dusiness/Industry /Other: verify type # Commodes # Showers # Urinals IF FOODSERVICE: ff Seats 8. Type of water supply: L'7 County/City # People # Sinks # Water Coolers Estimated Water Usage (gallons per day) ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ®h<o- If yes, what type? ***IJIIPORTAN7-** CLIENTS MUST COMPLETE THE REQUIRL•D PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: — / a'c--WRITE DIRECTIONS (frons Mocksvilic) to PROPERTY:' Tax Office PIN: # % b LU - L d .443 Property Address: Road Name4 u el-:; City/Zip If in a Subdivision provide information, as follows: Name: /` le,,, �!lidif 0, KS L 7 V3 Section: Block: Lot: Date home corners flagged: /1-11) " 115- 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, 1, also, understand that 1 am responsible for all charges hncurred front 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 suitabAty. DATE /P-%>"09,5' SIGNATURE V3 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). Sign given Revised DCHD (05/03 Site Revisit Charge Datc(s): Client Notificatiou Date: EI -IS: Account No. ! .�--�' Invoice No. �/ �P DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME /" ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE ire LOCATION OF SITE ��G Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z 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 c .� SITE CLASSIFICATION: EVALUATED BY: 1&6'Z LONG-TERM ACCEPTANCE RATE: / OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R -Ridge S7Shoulder 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- Vl--.-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 Pd. & P0.139 I / \I ti OAKSHIRE CO RT PAVED • � �p� 'cb oma. N 00' 13' 26" W 46' 6375 / I 44fe l m / I'�Ln Arlln� I N / I 42 / 43 I 9.97 99.95 99.8a U55 _ •--- S 00. 06-13" E 231.35 I I 2 3 I 4 1 HICKORY FIELD P.B. 5; PG. 124 SURVEY FOR RICK FREEMAN CONSTRUCTION FULTON TOWNSHIP DAVIT: COUNTY NORTH CAROLINA TAX ID : J708080043 DDECEMBER 9, 2005 PRELIMINARY PLANS NOT FOR RECORDATION, SALES OR CONVEYANCES 0 EXISTING IRON PIN • EXISTING IRON PIPE AREA BY COORDINATE METHOD RATIO OF PRECISION MO.000. 0 10 25 50 100 I"ab0' LOT. 43 HERITAGE OAKS PHASE TWO P.B. 8: PG. 139 PA & P0.1391 1 z OAKSHIRE COURT PAVED �'• o �'. .1 `^� N 00' 13' 26" W .56 4g' W 60 " /I 9 ARC D 63, / 44 m hti ti / I 42 43 I I 9.97 99.95 99.88 31.55 _ — S 00' 06'13" E 231.35 I I I 2 3 4 t HICKORY FIELD P.B. 5: PG. 124 SURVEY FOR RICK FREEMAN CONSTRUCTION FULTON TOWNSHIP DAVIT: COUNTY NORTH CAROLINA TAX ID:J7080BOO43 DDECEMBER 9. 2005 PRELIMINARY PLANS NOT FOR RECORDATION, SALES OR CONVEYANCES o EXISTING IRON PIN • EXISTING IRON PIPE AREA BY COORDINATE METHOD RATIO OF PRECISION 1:10.000. 0 10 25 80 100 I"=50' LOT 43 HERITAGE OAKS PHASE TWO P.B. 8: PG. 139