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122 South Hemingway Court Lot 26Davie County, NC . f Tax Parcel Report Tuesdav, November 29, 2016 WARNING: THIS 1S NOTA SURVEY Parcel Information Parcel Number: H806OA0026 Township: Shady Grove NCPIN Number: 5789142575 Municipality: Account Number: 82521335 Census Tract: 37059-804 Listed Owner 1: WALSH DAVID Voting Precinct: EAST SHADY GROVE Mailing Address 1: 122 SOUTH HEMINGWAY COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 26 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 8/2003 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005050862 Soil Types: WeB,PcB2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 All data Is provided as Is without 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 NCor arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT 3 3v Environmental Health Section �� P. O. Boz 848/210 Hospital Street 1 / /2�/ �/ • Mocksville, NC 27028 I (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001296 Tax PIN/EH M 5789-14-2575.mm Billed To: Michael Myers Subdivision Info: Co lf—.%+- N cR r` K u't" Reference Name: Location/Address: S. Hemingway Court -27006 Proposed Facility: Residence Property Size: see map ATC Number: 3033 **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 '7 #Baths .2J5 Dishwasher: 133"' Garbage Disposal: d Washing Machine: 13 Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 30 12 ^' Type Water Supply �Design Wastewater Flow (GPD) i7 Site: New Repair ❑ GAL. Pum Tank GAL. Trench Width Rock Depth 12 / Linear Ft.' System Specifications: Tank Size p ep Other: _B=X-EE,,ST L1S —I�b .C_. l�u►a . Required Site Modifications/Conditions: �STI�I.L- B^1 C� \Ot�Q Z`� cS E I�Ow`'�'c, % �O PR&- �-1 mss' IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 L° 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.**** '*-FecD U j c -z ,j o� �i-� Pt_vMB�,sb ►-1�C�H As Pc�s�g� L1�� Environmental Health Specialist's Signature: Date: 0 O of A005E DCHD 05/99 (Revised) IP4. ' . DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001296 Tax PIN/EH #: 5789-14-2575.mm Billed To: Michael Myers Subdivision Info: C&• La+- a6 Reference Name: Location/Address: S. Hemingway Court 27006 Proposed Facility: Residence Property Size: see map ATC Number: 3033 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 CO RUC ION IS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature Date: //1 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. EIL-- tr44I6- llww 12- lP Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) by M "� Date: Z� c. J.(a Q TION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department EnvironmentaiHealth Section P.O. Box 848/210 Hospital Street �tiMEN�PN Ep,LZN Mock (336) 751- 7028 8760 *X* TANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED I FORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Contact Person Mailing Address Home Phone City/State/ZIP Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/state/zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC \M --Both 4. system to Service: LVHouse ❑ Mobile Home ❑ Business Q /10 Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms; �hwasher ;- Garbage Disposal j,Washing Machine CI Bas—ement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: Q/(ounty/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes -' -P o 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: a2 X��40 �X ? �iL7� WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # 7 / U � 1 ' � �-- ?� - - t-A—'fQUI l Property Address: Road Name 162T 2G S,{ %(I�r/�j Y - I City/Zip'MM44E If in a Subdivision provide information, as follows: Name: 6�l/jy F— Q. Section: Block: Lot: Date Property Flagged: - �l 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 1 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. DATE A,4 / 171 /a, ) SIGNATURE %// THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inclyde all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. l Revised DCHD (07/99) Invoice No. 3 ZI C2 C3 7 rcl 30783' 43 E. Q r / _j62 - f3 o cn C2 C3 7 ------- / J z 46 �d7 Sy;J •�Z�� i�tY / � � •/ � 9� UUIl •6Z,9£.Z 5 .Ct [?tf - Q N- �. 00'Of 1 y 0 O cr W - - - - - _ Ay J �LZ_lS '� M Zt' d '� / //tai / •� ^ •� 1j Ut .► onen GO N 1°�` Q ► c�i //� tib// /:, \` •\ O3 .9t,fN 1.S I I LI OS tM •01 ti'.0 S Sr 08'6tZ ?Y101 ?/ / ; //v, �l�f. ^ •�• ��c, -----------•� Ov:3 SZ'►8 :jam '�N r- 00'Zlt 00'ZOl j i �� I ��`�•�\ M`��9 s ._ !a- •tz.tz.Z f6't0� r —I '3 -- i 1� ► a 1 Ido I ObOz•90�kE� �N'33Nt//1 _cZ .9t_0 S _t0Z0t I I l o, I Iz I q' r 'til r 0 Xp9"Od 1 I 1 r� ► 1• gl't �O i ;�.� i i^ ��NI t d3h BNAV 13 !z .•____� N --- I I r m 1 t 1 1 ►� 1 I I I� r AM alar ,oc • � .� .. +' 1 t 1 I � r r - � of '.,. A':J .! •!Z -` �a•!ii —' !! 1 i ►� t� l � � += 1 t i r iy i + � i �� + 1 1 1 1 I t 1 i i�� ' � i i i i � i ► i n s i� r �� i s i s t:+......�—�0.9b�tt�tv''AntWW IM "AIM ..N `13�Ww3t�1� BIW APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI' Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE UIRED INFORMATION IS PROVIDED. kor+ (11 Llrf 4 YI-1 irg 1. Name to be filled H'6 r A e S Contact Person / Mailing Address P6 iS t) )e :)L3 o e) Home Phone City/State/Zip 06 Uapu Ce N(_ 2700 Business Phone 99�'S�77:Z &3,39/k rM+bel 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip _ 3. Application For:M-Slite Evaluation [ 1 Improvement Permit & ATC [) Both 4. System to Serve: [ ] House [) Mobile Home [ ] Business [ ] Industry [ ] Other % y+ 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [I Washing Machine [ ] Basement/Plumbing [I Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes Hlq-o If yes, what type? I I1 11 I; 1. 111.11 ('f: I1I I1 l:.' PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A)a 0� 66 a.0 . lurc-e WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S-7.89 - - y 3 y [ /-it. � u �l� zb ld K o; C Aelye K: [me Property Address: Road lame iI01 owe n / m ► city/zip ,gy • 27ao b[ c t' S , -� C-.s'L`-., S� r� rn e P4 Me r - If in Subdivision provide information, as follows: I-a� reek. ' Name: % � b j / �rtrooSzd Section: ! Lot #: This is to certify that the information provided is correct to the best of my knowledge. I understand that any pe.—nit(s) issued hereafter ar subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified o changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorize of the Davie County Health Department to enter upon above described property located in Davie County and owne I , Revised DCHD (06-96) all testing proceouFs as necessary to determine the site suitability. I ii i z : v: r.t Ai q t;r. a rt> I-ok, !/0I Ilk' ,~ 1117 PIAN: ' DAVIE COUNTY HEALTH DEPARTMENT ~,. Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME �%i 2 DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well Community ROAD NAME 21122 Z Public Evaluation By: Auger Boring Pit L Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r >' Texture groupC Consistence Structure Mineralogy 7 _777 HORIZON III D CPTH Texture group Cons'atence Swcture Mineralogy. HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE I IEEE I I I I I SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMi!RKS: VCHD (01-90) EVALUATION BY: e�il� 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 clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay moist VFR - Very 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 SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic MineralgU 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