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302 Colin Creek Trail (2)Davie County, NC Tax Parcel Report �� p Tuesday, September 27, 2016 cti 676 196, to . 214 17� X- filo— _.. l 1 ; � i 272 ., 672 I / 24a,, 412. 3f :r fr. w -609 612-604 tom: 599 X595 J- 577---k\--- -------- 16�, 55z r_� 4j 55----i 70133 369 } 1 _127 .373 f r 11� to i 107 3784` 1.�.,; 385 x521 116 ..:117 ,� ,� ' a ` �---386 . _ 135 1r� 1 3024 X396 X413 3033,,, yt Y\ ~1 ` 1®7 2973 182' i` X406 478 146171 1 r s �41 J ^ 417 115-- 466 J�164 185�1.�3! 281 �\r— r4 t —� 454 W 203 Z ..�2 t `« 26 t 31 i _ �' t 1�7 219 X251 --1262 -f444 / 436 , 2022.226 V- 4:,# f2 56 / t 238'; _ J 4334422 25' / / rl / 242 250i'� ! 41711 � t 7 -1 129. 397'rA-115 9124 1 }3 " t 5. .169 I,A� 140 161 —"I 367' 162 1,77 9 659— 649 r 337' 593 X594 �i 5I1 J�rjt 613 ..........(� ft t vw F ° t•s Davie County, NC WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J600000107 Township: Shady Grove NCPIN Number: 5768140647 Municipality: Account Number: 82522175 Census Tract: 37059-804 Listed Owner 1: DUNCAN DAVID ALLEN Voting Precinct: WEST SHADY GROVE Mailing Address 1: 302 COLIN CREEK TRAIL Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-7123 Voluntary Ag. District: No Legal Description: 3.000AC OFF CHESTNUT TR Fire Response District: CORNATZER - DULIN Assessed Acreage: 3.00 Elementary School Zone: CORNATZER Deed Date: 8/2008 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 007690197 Soil Types: MrB2,EnB,MsC,WATER Plat Book: 0010 Flood Zone: AE,X Plat Page: 002 Watershed Overlay: Building Value: 848720.00 Outbuilding & Extra 24980.00 Freatures Value: Land Value: 52310.00 Total Market Value: 926010.00 Total Assessed Value: 926010.00 659— 649 r 337' 593 X594 �i 5I1 J�rjt 613 ..........(� ft t vw F ° t•s Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 I causes of action due to or arising out of the use or inability to use the GIS data provided by this website. ._, lldx� le .,. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 848/210 Hospital Street Mocksville, NC 27028 111141o7cI _Q,7fn T4s ,�a 1;�A r 00, /gig" 7,41le 1eel 'r-,' 4pa/ ljleo- `g de zupdA 6 Septic Syst& Installed By: Environmental Health Specialist's Signature : DCHD 05/99 (Revised) Date:L���l y 74 l // /mai 1 O(/ CP f 0 Account #: 990001637 Billed To: David Duncan Reference Name: ATC Number: 3482 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5768-23-0434 Subdivision Info: Location/Address: Chestnut Trail -27028 size: 4o acres 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 FIVEE YEARS. Environmental Health Specialist's Signature: Ga L / Date: �U 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 Syst& Installed By: j on Environmental Health Specialist's Signature : DCHD 05/99 (Revised) ,//- , " / V xa� Date:e��j y ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section D ' P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001637 Tax PIN/EH #: 5768-23-0434 Billed To: David Duncan Subdivision Info: Reference Name: Location/Address: Chestnut Trail -27028 Proposed Facility: Residence Property Size: 45 acres ATC Number: 3482 **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 Systemq). THIS PERMIT IS SUBJECT TO REVOCATION ]IF SITE PLANS OR THE INTENDED USE CHANGE. WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING M. f Residential Specification: Building Type 21K #People #Bedrooms ! #Baths S 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) Site: New ❑ Repair ❑ System Specifications: Tank Size/OOO GAL. Pump Tank,/ GAL. Trench Widttr � Rock Depth Linear Ft. Other: ,r�u,-e Required Site Modifications/Conditions: 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. Teleph 420 �v. v 7� �v a Environmental Health � Specialist's Signature: Date: DCHD 05/99 (Revised) </7[) Oe APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT Davie County Health Department Environmental Health Sesdon MAR 13 2001 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 EWRONMENTAL HEALTH DAWECOUNTY ***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 tb14 %J ( (1 / i� ! �'r Y01► w } } . Contact Person ► qnI e Mailing Address LiNWAi/L s 7 �yP Sui1,,zp3- Home Phone —13-7 ��A- 42_"QO City/State/ZIP.�.r.s�r�.y SR%Pm�.9V. e. 27/0.3 Business Phone 7 971' 2. Name on Permit/ATC if Different than Above Q Mailing Address City/state/Zip 3. Application For: EKSite Evaluation 0 Improvement Permit/ATC 0 0 Both �f 4. system to service: 0"House 0 Mobile Home 0 Business ❑ Indu` � 0 Other s. if Residence: #People #Bedrooms �i #Bathrooms 4_ eDishwasher n Garbage Disposal Ci Naahinq Machine E!"Basement/PIng O Basement/No Plumbing. 6. If Businoss/Zndustry/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 0 Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes 19'f To If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETUTHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITI'ED by the client with THIS APPLICATION. Property Dimensions: I -i 5 ne . WRITE DIRECTIONSno-n Mocksville) to PROPERTY: Tax Office PIN: # .��� �=Z 3 3 [,C t. = Property Address: Road Name _ kLjd r F e cfai_4IU U f b, l --e—=-` � 0 r Cityalp ii n ksu.11c Z70LR C) If in a Subdivision provide information, as follows: Name: Section: Block: Lot: Date Property Flagged: 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 a e, or If the information submitted in this application is falsified or changed. I, also, understand thaobir respo Mie Qr all charges incurred from this application. I, hereby, give consent to the Authorized Representative oavle use( health Department to enter upon above described property located In Davie County and ovine to conduct all testing procedures as necessary to determine the site suitabir` DATE S- 7- D 1 SIGNATURE i,Y • 4 - 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). u Revised DCHD (07/99) �r-A) Date(s): Client Notification Date: IEHS: - - - - - - - f/ Account No. G v� Invoice No. f tri` Ex A� tfe`°* b"�ir.; �;.. N 1s , yy a 1 54 DAV IE COUNTY$ N. C. TAX MAPS REVISIONS ,763 85 , k) 4{( yTy� : tri` Ex A� tfe`°* b"�ir.; �;.. N 1s , yy a 1 54 DAV IE COUNTY$ N. C. TAX MAPS REVISIONS DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001637 - Tax PIN/EH #: 5768-23-0434 Billed To: David Duncan Subdivision Info: Reference Name: Location/Address: Chestnut Trail -27028 Proposed Facility: Residence Property Size: 45 acres ,,. Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring /e� Pit I = / Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence T /' Structure it i 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 -2, ]:�j Z SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: 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 clay loam SIL - Silty loam I CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay ' C - Clay CONSISTENCE 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 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 V��VALUATION BY: OTHERS) PRESENT: DCHD 05/99 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■;�■u■■■■■■■■■■■■■ ars ■■■■■■■u■■■■■■■■■■■■ill■■ 'I■■■■111■■■■11■■■■■■■II■■■■■ ■■■■■gin■■■r�■■■■■■■■■■■■■ ■�a■■■i■■■■�■■e■■■■■res■■■■■ �■■■■■ren■■■■■■■■■►�■■■1�■■ ■■■■■■era■■■■;�■�■■■■■■■■■II■■■■■■4 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■e■ iii ME ME ii Wises■ioele■■■■■■■■■■■■■ee■■■■■■ s■r�■tee■■■■■ea■■■■s■e■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ONE MEMNON MiiiiiiUNSEEN ■a■■■■amu■■■■■■r�■■■■■■■■■■■■■■ ■■■■■■■■■■/_ter■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ D 1rI� ®UNTY �i LT I �ARTMENT k..... _ _ - �. _ i __ _ . ENVIRONMENTAL HEALTH SECTION P. O. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone # (336)757-8760 April 3, 2001 David Duncan 2827 Lyndhurst Avenue Suite 205 Winston-Salem, N.C. 27103 Re: Site Evaluation/ Chesnut Trail Tax Office PIN: #5768-23-0434 Dear Client (s): As requested, a representative from this office visited the aforementioned site on April 2, 2001. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of a modified, oversized on-site sewage system Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, XA"ovX.. Robert B. Hall, Jr., R.S. Environmental Health Specialist RI-1/di Enclosure(s)