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118 Apple Acres Rd, Lot 2 Davie County,NC Tax Parcel Report Tuesday, October 18,2016 0 X 142 130 X118 t7 Z 'i ti ;� tl U_ i r I 108 I i I , I I APPLE ACRES RD z Y -- Up D: WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: C600000131 Township: Farmington NCPIN Number: 5852996967 Municipality: Account Number: 82529936 Census Tract: 37059-802 Listed Owner 1: CREWS TIMOTHY SCOTT Voting Precinct: FARMINGTON Mailing Address 1: 118 APPLE ACRES ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 2 APPLE ACRES Fire Response District: FARMINGTON Assessed Acreage: 0.72 Elementary School Zone: PINEBROOK Deed Date: 7/2008 Middle School Zone: NORTH DAVIE Deed Book/Page: 007660341 Soil Types: PcB2,EnB Plat Book: 0008 Flood Zone: Plat Page: 306 Watershed Overlay: DAVIE COUNTY Building Value: 339180.00 Outbuilding&Extra 2560.00 Freatures Value: Land Value: 41500.00 Total Market Value: 383240.00 Total Assessed Value: 383240.00 161 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 fitness for a particular use.All users of Davie Countys 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. DAVIE COUNTY ENVIRONMENTAL HEALTH 1 c� P.O.Box 848/210 Hospital Street Mocksville,NC 27028 LIT (336)751-8760 Fax#(336)751-8786 �q OPERATION PERMIT Account M 990004013 Tax PIN/EH M 5852-99-3900 Billed To: Nelson Shirley Subdivision Info: Apple Acres Lot#2 Reference Name: Location/Address: Apple Acres Road-27006 Proposed Facility: Residence Property Size: .720 ATC Number: 4772 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article 11 of G.S.Chapter 130A,Sectio►.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. 0l7/rL �Q System Typ S.T.Manufacturer Tank Date (O Tank Size Pump Tank Size System Installed By:4A S C J&J� E.H. Specialist: Cl�� Date: 3 - 1( V y% P,5 0%439 � OD S I DCHD 11/06(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street A Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004013 Tax PIN/EH #: 5852-99-3900 Billed To: Nelson Shirley Subdivision Info: Apple Acres Lot#2 Reference Name: Location/Address: Apple Acres Road-27006 Proposed Facility: Residence Property Size: .720 ATC Number: 4772 Site Type:49<ew ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. Residential Specifications: #Bedrooms—73 #Bathrooms #People Basement❑ Basement plumbing❑ Non=Residential Specifications: Facility Type #People #Seats A Square Footage(or Dimensions of Facility) Lot Size n>. `�- Type of Water Supplyie&unty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD) Tank SizkeaAL.Pump Tank GAL. Trench Width--�(p'Max.Trench Depth 1 f Rock Depth Linear Ft. Site Modificati ns/Con ' ions/O er: � c�1� -�"�� T „5 Contact the Davie CountyEnvi onmental Health Sect%on for fi al inspection of this system between 8:30-9:30a.m.on the`da .of installation, Telephone#(336)751-8760. " ..7Sr N4 VC— q11 I Environmental Health Specia st Date: 102 . DCHD 11/06(Revised) TION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC QDavie County Environmental Health P.O.Boa 848/210 Hospital Street QC i Z 2 Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 V�R�NME tion rte Evaluation/Improvement Permit Authorization To Construct(ATC) Both ppV1E pplication: ew Sy em Repair to Existing System Expansion/Modification of Existing y m or Facility *i*IMPORTAN7*0*THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions_ APPLICANT INFORMATION 40 Name to be Billed /Y v/ Contact Person R C Q ✓ P Billing Address Home Phone _�5?i(,-Cf�/ (.�Z 6/ City/State/ZIP .2? Business Phone 2_L3 6 _ Name on Pemrit/ATC if Di erent A ve S 1 r 3 _ �� 9 g l Mailing Address City/SWip �G PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site pian must accompany this application. Included: Site Plan Plat(to scale) (Permit is valid f r 60 months with site pian,no expiration with complete plat.) /� / ,Owner's Name 1 Nu Ph ber33 6"999-62 Owner's Address City/St; ip �t A?Ji co l A IX�rj Property AddressCity G o�'1/UU 6 Lot Size 7 yQS PIN# - T�Q( 14,ICIP Subdivision Name(if applicable) Section/Lot# 2, Directions To Sites-]^ LLC c C If the answer tUariv of the ollowing questions is`yes",supporting documentati m t be attached. Are there arty existing wastewater systems on the site? Yes Does the site contain jurisdictional wetlands? Yes Are there any easements or rigbt-0f--ways on the site? Yes Is the site subject to approval by another public agency? Yes o Will wastewater other than domestic sewage be generated? Yes IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms.3 #Bathrooms 3 — Garden Tub/Whirlpool a No Basement: Yes Basement Plumbing: Yes o 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: Eonvenhona Accepted Innovative Alternative Other Water Supply Type: ounty City Wat New Well Existing Well Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? Yes 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 arty pennit(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 County Health Department to conduct necessary inspections to determine compliance with applicable laws and Hiles. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating flagging org the house/facility location,proposed well location and the location of any other amenities. Site Revisit Charge Property owner's or owner's leg re esentative signature Date(s): /O--i'9- 7� Client Notification Date: Date EHS: Sign given Yes No Account# 0� Revised 11/06 Invoice# -IA!2 V061 tSQ c� 1295 150 150 n150 148 o � r SCD = NC N N +0 "r; 1 ` 1 6 kcRES D rn 120 222 a� CO ,14- N C.0 (D N N N c9 23 0 360 180 90 147 DAVIE COUNTY ENVIRONMENTAL HEALTH 1 c� P.O.Box 848/210 Hospital Street Mocksville,NC 27028 LIT (336)751-8760 Fax#(336)751-8786 �q OPERATION PERMIT Account M 990004013 Tax PIN/EH M 5852-99-3900 Billed To: Nelson Shirley Subdivision Info: Apple Acres Lot#2 Reference Name: Location/Address: Apple Acres Road-27006 Proposed Facility: Residence Property Size: .720 ATC Number: 4772 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article 11 of G.S.Chapter 130A,Sectio►.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. 0l7/rL �Q System Typ S.T.Manufacturer Tank Date (O Tank Size Pump Tank Size System Installed By:4A S C J&J� E.H. Specialist: Cl�� Date: 3 - 1( V y% P,5 0%439 � OD S I DCHD 11/06(Revised) 1 t � ' atone CATHERINE B. HIGHSMITH Q D.B. 72, PG. 437' D.B. I f f, ,PG. 171 �9 I1.Zoned R-ZOOe ` hw ` iRLd ' exif4bq �.R —� 9 1 1"1(on 328.27 S 83'48'27' C(1E64 OZ TO A,) 10'un1ftN f7 coff COIffROL� 12rare I I299.,� J .r _ CORNER from piou6 ley -.. _ ....—.tl9 •.—_.. —.. — tall iroyl • t of I: d , 30 (D6 @19" cs o j m pave -681 AiMaa 1.447 ACRES AREA4 3 0.7 ' RA1�34)718 ACRBSZ RBA� AMAX JA Inm0.720 ACRES 0.744 ACRES b" 1 j� PST e e 06'47• ••••••.• q Lin�.# b 10' X 7d SIOHC 1 .�-� \ R _ s0' n/W f 1501 1264 \ E !� q 48QS0 (tUTAL) \ \. -Xs 'll Tg1 .466. — -� •• — !� placed Is1ee 70'PA EW P stone RO -- Iron el&64 _ ` AT+�, x1E N 83'94'17• Y clE6b.33 TOTAL) waves n4gt.n l90..13sxlsUnq !20.00 co 10' in eae ARZAAr 50' R/W '-609 T-bar I existing 111a 60 �dqe of rad 0.300 ACRES +nviotr liif0issocMacws Ust ! W n+cwats►rtr�of e w nav ro uaNcat►no, 1 l� 11 ' t� Y(VIAN A. MoKNfGXT I j D.B. 187, PG. 466 JOANN H. COMBS Zoned R-20 1 j A.B. 196 PG. 662 ' t iSoned R-20 I Zane R--20 I DONALD V. ISRAELI xisUng 1 D.D..1 36 f, PG. 964 1 �I a.l. ------------------ ------- I i---------- 1 --"' ' — '"" y--------- ---- J 1 1 h1s plot Woe drawn =I survey geode 1tion recorded In JOANN H. COMBS (Pogti6rh that the in opted oe draw n�ot D,B, I96, PG. 863 •°uloi.a as�9` Zoned R-20 loardancs vMh 0. f oelginal e9jnoture. ^_ 1� day 0( .,. BOUNDARY LINE DATA (� 1 S; Ups 8Eti4HG OIS(AIJCE t) 6 LATS TOTAL OF 0.376 AC. ZONED �1�• Ll • 5 E549'27'E ]03D 2) 1.063 ACRES AV. LOT 512E L2 4 48348'27 E iZ•S • NUmbar K 49'1700"W 50.00 3) ALL 6 101 ZONED .�=2Q— �' tt5 1 1ry00•Jy�W 2.01 PROPEI(i'r UNE OF IDT b 4) MIMUUM OULOING S£IEACKS: %ftt... $ L6(!lE) S tiyp417 E S&50 LWE OF�O1 6 FRONT = 40' _- ..iuc•n�t7'w 795.0i PRS .+ w,en nITFRSFCTION �O PLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC Davie County Health Department Environmental Reath Section 1,0 O G 13 P.O. Box 848/210 Hospital Street P� Mocksville, NC 27028 N� V (336)751-8760 * P *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INF TION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed h47Nr G.f��C%S Contact Person Mailing Address f E `f IV16, 1 y 1?1:1/ /y Home Phone City/State/ZIP e44r ,•ZfG ?7(90j Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ®Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: Douse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: 0--conventional ❑ conventional modified ❑ innovative 6. If��Re--sidence: # People Z-.. # Bedrooms # Bathrooms Zh7r-,hwasher 42barbage Disposal ElWashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes . # Showers # Urinals ZfD # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. : Type of water supply: IYCounty/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve?❑Yes B-Nii If yes,what type? ***IMPORTANT'CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS(from Mocksville)to PROPERTY: CT Tax Office PIN: #- `l — 3 `/�'D (SOIXI Property Address: Road Name A/�O�d L-a-A �' c�,✓/��/ �e>/�T' ��/' c.7�•4 c,D� City/Zip If in a Subdivision provide information,as follows: Name: ��'�,�C C'/�ES Section: Block: Lot: Date home corners 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 change,or if the information submitted in this application is falsified or changed I,also, understand that I ani responsible for all charges incurred froin 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 /�/fGy,yr GSC=•�'� to conduct all testing procedures as necessary to determine the site suitability. DATE �" / "� tir SIGNATURE 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). Site Revisit Charge Date(s): Client Notification Date: EHS: Sign given Account No. /o� Revised DCHD(05/03 Invoice No. / 3 y u DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001578 Tax PIN/EH#: 5852-99-3900.02 Billed To: Wayne Webb Subdivision Info: . Apple Acres Lot#02 Reference Name: -27006Location/Address: Apple Lane Proposed Facility: Residence Property Size: see map Date Evaluated: l� pq Water Supply: On-Site Well Community Public t Evaluation By: Auger Boring Pit '/ Cut FACTORS 1 2 4 5 6 7 Landscape position L Slope% p HORIZON I DEPTH Texture group C._L_ CL Consistence Structure Mineralogy HORIZON II DEPTH Texture group } Consistence ` Structure L 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 O• , p SITE CLASSIFICATION: '" EVALUATION BY: �1!' r' LONG-TERM ACCEPTANCE RATE: ©•��� ' OTHER(S)PRESENT: REMARKS: -AJ DO, LEGEND Landscape Position R Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope y 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 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 DCHD 05/49(Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ate■■■■■■ iMENNENMENNEN� iiiiii iiiiiiiiiiiiiiiiNEN MENNEN ■■■■■■■ee■■■■■■■■■■■■■■■■�■■■■■■■ ■■■e■■rye■■■■■■■■■a■■e■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■e■e■■■■■ ■■■e■■■■■■■■■■■■■■■■■■■■■■e■■■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■e■■■■SEEM