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222 Farm Ridge Rd Davie County,NC Tax Parcel Report Thursday, February 23, 2017 _`202 212. I 1 Ra N 22? `^) r � t r 266 , ' �4 r �`--"f ..............................................._............................_.........._............_.................................c'.. ............................. WARNING: THIS IS NOT A SURVEY ,: „. .: _ :Parcel Information `; Parcel Number: K10000002110 Township: Calahaln NCPIN Number: 5707346287 Municipality: Account Number: 8307137 Census Tract: 37059-801 Listed Owner 1: RITCHIE JASON Voting Precinct: SOUTH CALAHALN Mailing Address 1: 892 DAVIE ACADEMY ROAD Q� Planning Jurisdiction: Davie County City: MOCKSVILLE A;U�-m 6�ge-'�` Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 3.1984 AC FARM RIDGE LN Fire Response District: COUNTY LINE Assessed Acreage: 3.20 Elementary School Zone: COOLEEMEE Deed Date: 6/2016 Middle School Zone: SOUTH DAVIE Deed Book/Page: 010200302 Soil Types: GnB2,MsC,MsB Plat Book: 12 Flood Zone: Plat Page: 166 Watershed Overlay: DAVIE COUNTY Building Value: 208670.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 23630.00 Total Market Value: 232300.00 Total Assessed Value: 232300.00 O bI� 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 fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to �o�N t NC or arising out of the use or Inability to use the GIS data provided by this website. O0ERATION PERMIT or. ice use only * Davie County Health Department "CDP File Number 218329-1 210 Hospital Street 5707333401 P.O. Box 848 County ID Number. ` Mocksville NC 27028 Evaluated For. NEW Phone:336-753-6780 Fax:336-753-1680 Township: ("�- Applicant: Pilcher Enterprises, Inc/Jason Property owner. Jeff Seaford Address: 447 Cedar Creek Rd : Address; 892 Davie Academy Rd CRY:. Mocksville CRY: Mocksville State/ZiP: NC 27028 State/Zip: NC 27028 Phone#: (336),345-0380 Phone#: (336)909-0608 - Property Location & Site Information Address/Road#: a�a� dubdivision: Phase: Lot: Ridge Rd FAryn 2idge -- Mocksville NC 27028 Directions - Davie Academy Rd, past S. Davie runs into Ridge Structure SINGLE FAMILY Rd. 1101 on left property at end of woods on right #of Bedrooms: 3 . #of People: 4 *Water Supply: EXISTING WELL "IP issued by 21ao-Nations,Robert 'System Classification/Description: _: = TYPE III G.OTHER NON-CONV.TRENCH SYSTEMS *CA issued by: 2140-Nations,Robert Seprolite System? 0Yes (j)No Design Flow: 3 6 0 *Distribution Type: GRAVITY-SERIAL Pump Required? QYes QNo Soil Application Rate: 0 - a 5 *Pre Treatment: Drain field r mtion Field 1 4 4 0 Sp•ft. *System Type: INFILTRATOR QUICK4STANDARD rain Lines 3 Installer: Brian Mcdaniel Total Trench Length: 3 6 0 ft. Certification#: 1118 Trench Spacing: _ ()Inches O.C. • Feet O.C. *EH S: 2140-Nations.Robert Trench Width: _ 3 Oinches Feet Date: 1 1 / 0 3 / 2 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 6 Inches Minimum Soil Cover. a 4 Inches koprovalStatus Maximum Trench Depth: 3 6 ® Approved Disapproved Inches Maximum Soil Cover. 2 4 Inches CDP Fite Number 218329 - 1 Septic Tank County ID Number., 5707333401 , Manufacturer. Shosf Lat. STB: 760 Long: _ Gallons: 100 Installer. Brian McDaniel Certification#: 1118 Date: 0 8 / 2 0 / 2 0 1 6 _ THS: 2140-Nations.Robert *Filter Brand: POLYLOK Dual PL-122 With Pipe Adapter ST Marker. ElYes ® No Date: 1 1 / Reinforced Tank: Approval Status ❑ -Yes d No Piece an ❑ Yes C] No y 'Approved❑ Disapproved _ Pump Tank rManufacturer. rInstalleP7: Certification#: - Gallons: *EH S: Date: Date: RiserSealed ❑ Yes ❑ No - - RiserHegat: ❑ Yes ❑ No (Min.6,in.) Apprevai Statuslug i� einforced Tank: ❑.Yes ❑ No ❑ pyo t _._ Appro ❑ Disap vetl 1 Piece Tank: ❑ Yes ❑ _No Supply Line CPipe Size: inch diameter Installer. Pipe Length: feet Certification n: THS: *Schedule: Pressure Rated ❑ Yes ❑ No Date: Approved fittings El Yes ❑ No Approval Status =❑:Approved❑. Disapproved Pump u e e rDosing ump Type: Installer: Volume: — Gal Certification#: raw Down: Inches *EHS: *Chain: Date: Valves Accessible ❑ Yes ❑ NO Flow Adjustment Valve ❑ Yes ❑ No Check-valve ❑ Yes ElNo Approval Status; :- PVC unions ❑ Yes C3No ❑"Apprpved❑ Disapproved Vent Hale ❑ Yes ❑ No Anti-siphon Hole ❑ YeS ❑ NO 218329 - 1 County ID Number: 5707333401 CDP File Number , Electric Equipment NEMA 4X t3ox or Equivalent El Yes ❑ No Installer: Box 12 inches Above Grade ❑ Yes ❑ No Certification#: Box Adj. Pump Tank ❑ Yes ❑ No Conduit Sealed 1:1Yes ElNo *EHS: Pum p M an ually 0 perable ❑ Yes ❑ NO *Activation Method: Date: Approval Status Alarm Audible ❑ Yes ❑ No Approve Disapproved= Alarm Visible �63YYes ❑ No 2140-NaUons.Robert "Operation Permit completed by: Authorized State Agent: Oate of Issue: 1 1 / 0 3 / 2 0 1 6 Owner/Applicant Signatum==We�104i:4_ _ - This system has been installed in compliance with applicable NC General Statutes:Article 11, Chapter 130A, Rules for = -Sewage Treatment and Disposal,ISA NCAC 18A.1900 at. Seq.,and all conditions of the Improvement Permit and Construction Authorization.This property is served by a TYPE III G. sewage septic system. Rule.1961-requires that a Type TYPE III G. septic system meet the following criteria: Minimum System Review ByThe Local Health Department: WA ._ Management Entity: OWNER - -Minimum System Inspection/Maintenance Frequency ByCertified Operator: WA Reporting Frequency By Certified Operator. WA -Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract with a public management entity with a certified operator or a private certified operator for the life of the septic system. Rule.1961 requires that Type VI septic systems designed for a homelbusiness owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2)(e)requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit fora system required to be maintained by a public or private management entity, unless the system owner and certified operator are the same. The contract shall require specific requirements formaintenance and operation, responsibilities of the owner and systems operator,provisions that the contract shall be in effect for as long as the system is in use,and other requirements for the continued proper performance of the system. it shall also be a condition of the Operation Permit that subsequent owners of the systems execute such a contract. OHand Drawing Olmport Drawing **Site Plan/Drawing attached.** OPERATION PERMIT 218329 - 1 Davie County Health Department CDP File Number: 210 Hospital Street 5707333401 P.O.Box 848 County File Number: Mocksville NC 27028 Date; 4 4 1 O Inch Scale: . 0131ock Drawing Drawing Type: Operation Permit ON/A I GO -cl -J, I � i +4PI�. i-I-A , . 0 r 74" f CONSTRUCTION For Office'Use Only AUTHORIZATION *CDP File Nurnber �218329-- Davie County Health Department County-1D Number 57073334011 210 Hospital Street Evaluated For: NEW .� �. P.O.Box 848Towns hip: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax:336-753-1680 0 5 / 0 3 / a 0 a 1 Applicant: Pilcher Enterprises, Inc/Jason r perty Owner: Jeff Seaford Ritchie Address: 447 Cedar Creek Rd dress: 892 Davie Academy Rd City: Mocksville y: Mocksville StatefZip: NC 27028 StatefZip: NC 27028 Phone#: (336)345-0380 Phone#: (336)909-0608 Property Location & Site information Address/Road#: Subdivision: Phase: Lot: Ridge Rd Mocksville NC 27028 Directions Structure: SINGLE FAMILY Davie Academy Rd, past S. Davie runs into Ridge Rd. 1101 on left property at end of woods on right #of Bedrooms: 3 #of People: 4 "Water Supply: EXISTING WELL System Specifications Minimum Trench Depth: a 4 71nches Site Classification: Provisionally ,. ., Minimum Soil Cover. 1 a Seprolite System? QYes QNo , Design Flow: 3 6 0 Maximum Trench Depth: 3 0 Soil Application Rate: 0 a 5 Maximum Soil Cover: 1 g Inches *System Classification/Description: 'Distribution Type: GRAVITY-SERIAL TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: _ Gallons *Proposed System: 25%REDUCTION 1-Piece: QYes t No Pump Required: QYes QNo QMay Be Required Nitrification Field 1 4 4 0 Sq. ft. Pump Tank: Gallons No. Drain Lines 3 1-Piece: QYes QNo Total Trench Length: 3 6 0 ft GPM vs— ft. TDH Trench Spacing: _ 9 Inches O.C. Dosing Volume: _ Gallons Feet O.C. , Trench Width: @Inches 3 Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: QNSF OTS-1 QTS-II Septic Tank InstallerGrade Level Required: 01 011 0111 OIV Donn � of R t� CDP File Number 218329 - 1 County ID Number. 57073:3461 ❑ Open Pump System Sheet Repair System Required:@Yes ONO ONO, but has Available Space rDesign System Trench Spacing: 9 Inches O. ification: Provisionally Suitable Feet O.C. Trench Width: Inches w: 3 6 — 3_. Feet Soil Application Rate: 0 a 5 Aggregate Depth: inches Minimum Trench Depth: a q, Inches *System Classification/Description: TYPE IIA.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover 1 a Inches *Proposed System: 25%REDUCTION Maximum Trench Depth: 3 0 Inches Maximum Soil Cover: 1 g Inches Nitrification Field 1 4 4 0 Sq.ft, No. Drain Lines 3 *Distribution Type: GRAVITY-SERIAL a No Ma :Total Trench Length: 3 6 0' ' ft. - Pump Required: OYes O O Y Be Required Pre Treatment: ONSF OTS-1 OTS-11 *Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance ofthis permit bythe Health Department in no way guarantees the issuance of other permits.The permit holder Is responsible for checking with appropriate governing bodies in meeting their requirements. , This Authorization for wastewater system Construction shall be valid for a person equal to the period of validity of the Improvement Permit,not to exceed five years,and may be issued at the same time the Improvement Permit issued(NCGS 130A-336(b)).if the installation has not been completed during the period of validity of the Construction Permit,the information submitted In the application for a permit or Construction Authorization is found to have been incorrect,falsified or changed,or the site is altered,the permit or Construction Authorization shall become invalid,and may be suspended or revoked(.1937(g)).The person owning or controlling the system shall be responsible forassuring compliance with the laws,rules,and permit conditions regarding system location,installation,operation,maintenance,monitoring,reporting and repair (1938(b)). Applicant/Legal Reps. Signature Required? OYes ONO Applicant/Legal Reps. Signature: Date:. *Issued By: 2140-Nations,Robert Date of Issue: 0 5 0 3 2 0 1 6 Authorized State Agent: Malfunction Log OYes @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 ' CONSTRUCTION AUTHORIZATION 218329 - 1 Davie County Health Department CDP File Number: 210 Hospital Street 5707333401 P.O.Box Bas County File Number: Mocksville NC 27028 Date: 0 5 / 0 3 / 2 0 1 6 Q Inch D Drawing Type: Construction Authorization Scale: . ON/A = ft. QN/ > a CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street CDP File Number: 218329 - 1 P.O.Box 848 5707333401 Mocksville NC 27028 County File Number: Date: .0 .5 / 03 / 2 0 1 6 Click below to Import an Image from an external to tion: Drawing Type: onstruction Authorization 1 -J M y �o L PO C4 'r J� f l � � IMPROVEMENT PERMIT For office useonly *CDP File Number 218329-1 Davie County Health Department 210 Hospital Street County ID Number.5707333401 P.O. Box 848 Evaluated For. NEW Mocksville NC 27028 Township: Phone:336-753-6780 Fax:336-753-1680 PERMIT VALID UNTIL: 5/3/2021 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be Issued with this Improvement Permit. Applicant: Pilcher Enterprises, Inc/Jason Property Owner: Jeff Seaford Address: 447 Cedar Creek Rd Address: 892 Davie Academy Rd Cty: Mocksville City: Mocksville State/Zip: NC 27028 State/Zip: NC 27028 Phone#: (336)345-0380 Phone#: (336)909-0608 Property Location & Site Information Address/Road#: Subdivision: Phase: Lot: Ridge Rd Mocksville NC 27028 Directions Structure: - SINGLE FAMILY Davie Academy Rd, past S. Davie runs into Ridge #of Bedrooms: 3 Rd. 1101 on left property at end of woods on right #of People: 4 *Water Supply: EXISTING WELL - System Specifications nitial Classification:System_ *Site Provisionally Suitable Minimum Trench Depth: a 4 Inches Saprolite System_? QYes (3�-No Maximum Trench Depth: 3 6 Inches Design Flow: 3 6 0 Septic Tank: 1 0 0 0 Gallons Soil Application Rate: 0 . a 5 1-Piece: QYes QNo 'System Classification/Description: Pump Required: QYes 0N OMay Be Required TYPE II A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR Pump Tank: Gallons LESS) *Proposed System: 25%REDUCTION 1-Piece: QYes QNo Repair System Required:QYes ONo ONO, but has Available Space Repair System *Site Classification: Provisionally Suitable Minimum Trench Depth: 2 4 Inches Soil Application Rate: 0 . a 5 Maximum Trench Depth: 3 6 Inches u *System Classification/Description: Pump Required: QYes QNo Q May be Required TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *Proposed System: 25%REDUCTION Pagel of 3 CDP File Number 218329 - 1 County ID Number: 5707333401 *Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. ; Site Plan The Improvement Permit shag be valid for 6 years from date of issue with a site plan(means a drawing not necessarily drawn to O scale that shows the existing and proposed property lines with dimensions,the location of the facility and appurtenances,the e site forthe proposed wastewater system,and the location of water supplies and surfacewaters). Plat The Improvement Permit shag be valid without expiration with plat(means a property surveyed prepared by a registered land surveyor,drawn to a scale of one Inch equals no morethan 60 feet,that Includes:the specific location of the proposed facility O and appurtenances,the sltefor the proposed Wastewater system,and the location of water supplies and surface waters. Plat also means,for subdivision lots approved by the local planning authority and recorded with the county register of deeds,a copy of the recorded subdivisions platthat is accompanied by a site plan that Is drawn to scale). The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of the system to satisfy the conditions,the rules,or this article.This permit is subjectto revocation If the site plan,plat,or intended use changes(NCGS 130A.336(f)).The person owning or controlling the system shall be responsible for assuring compliance with the laws,rules,and permit conditions regarding system location,installation,operation,maintenance,monitoring, reporting,and repair(.1938(b)} Applicant/Legal Reps.Signature Required? OYes ONO Applicant/Legal Reps.Signature: Date: "Issued By: 2140-Nations,Robert Date of Issue: 0 5 / 0 3 / 2 0 1 6 Authorized State Agent: OValid without Expiration? OCreate CA. @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT 218329 - 1 Davie County Health Department CDP File Number: . 210 Hospital Street 5707333401 P.O.Box 848 County File Number: • Mocksville NC 27028 Date: 1 Q Inch D in Drawing Type: Improvement Permit Scale: . 0131ock QN/A i Fir` S 4 ; I I E S IMPROVEMENT PERMIT Davie County Health Department 210 Hospital street CDP File Number: 21'8329 - 1 P.O.Box 848 670733MOI Mocksvdie NC 27028 County File Number: Date: 05 / 03 / 2016 Click below to Import an image from an external location:Drawing Type: Improvement Permit I�CATION FOR SITE EVALUATION/IMPROVEMENT FERMPIt �''i,,i C� Davie County Environmental Health ate; P.O.Box 848/210 Hospital Street Received ll `Y �° ' • Nlocksville,NC•27028 b - (336)753-6780/Fax(336)7531680, got®; Application For: :1 Site Evaluation/Improvement Permit C Authorization To Construct(ATC) Both Type of Application:�New System ❑Repair to Existing System :]Expansion/Modification of Existing System or Facility ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION 1 Name kkhtf Fhtrim'Nts TNc ContactPerson �i�crltr Address 41.1 1 C.J C.r(cu OU Home Phone City/State/ZIP uu S ^' t)" Business Phone Email_;di-tu�l,an Hili htrrt-� t 'iiks,(tlm� Email: Name on Permit/ATC if D fferenl than Above_- q s t,r, {� 1�:e Mailing Address $9 2 uv t t c `at City/State/Zip / PROPERTY INFORMATION *Date House/Facility Comers Flag ed q NOTE: A survey plat or site plan must accompany this application. Included:U Site Plan UPlat(to scale) (Permit]sWlid for 60 months with site plan,no expiration with complete plat.) Owner's Name J Phone Number 909 U6 0s Owner's Address ave( Ilea City/State/Zip 00sx,u111k 2:3 pZ 8 Property Address 9� City M(k SOW - Lot Size J,19 Tax PIN#57 - 3 3 4 6 Subdivision Name(if applicable) Section/Lot# _ Directions To Site:1)gv..L t.%da k!nq 16 i tl w. 117') ?1ryri4 9� C1+ tv,4 ei& W tw S 0�_Q If the'answ8r to any of the following questions is"Yes",supporting documentation must be attached: Are there any existing wastewater systems on the site? _Yes LNo Does the site contain jurisdictional wetlands? _Yes ,1No Are there any easements or right-of-ways on the site? _Yes 1No Is the site subject to approval by another public agency? _Yes 1No Will wastewater other than domestic sewage be generated? _Yes /No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms 3 #Bathrooms 2 Garden Tub/Whirlpool 1 I�Y INo Basement: Yes ❑No Basement Plumbing:Ves :]No IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building #People #Sinks #Commodes #Showers #Urinals Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested:"XConventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:C County/City Water ❑New Well Existing Well :1 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?C Yes \No If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie CountyH h epartment to conduct necessary inspections to determine compliance with applicable laws and rules. I and rstand that I am e o ible for the proper identification and labeling of property lines and comers and locating and flagging ors ing tl/elhouse/f i o ion,proposed well location and the location of any other amenities. Site Revisit Charge Pro rty owner's or owner's legal representative signature Date(s): '�ry•� Client Notification Date: Date EHS: Sign given I Yes ONo Account# avq Revised 11/06 Invoice# Orahr CJ I�lou�c cvmar5 \ IP 16 or tN 1 ti DAVIE COUNTY HEALTH DEPAR'T'MENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION QA10- 0 P, �Ol- pod�sviffe 0) Awws 33� Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 .7 Landscape position `-- Slope % L1 HORIZON I DEPTH Lf Texture group L L LConsistenceAfe, h _ Structure C (Q Mineralogy4� p HORIZON-II DEPTH c( Texture group C% rG G ct Su Consistence Structure lG 5 Mineralogy CW 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: EVALUATION BY: 'G 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 clay loam` SIL-Silty loam 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 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-eal/dav/ft2 noun Hunt ina..: vas