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142 Apples Acres Rd, Lot 4 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016 I 142 13a 118 r 5i I 154 ; I APPLE ACRES RD I I WARNING: THIS IS NOT A SURVEY Parcel Infortna tion Parcel Number: C600000133 Township: Farmington NCPIN Number: 5852993998 Municipality: Account Number: 8305329 Census Tract: 37059-802 Listed Owner 1: REYNOLDS JAMES R II Voting Precinct: FARMINGTON Mailing Address 1: 142 APPLE ACRES ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: LOT 4 APPLE ACRES Fire Response District: FARMINGTON Assessed Acreage: 0.72 Elementary School Zone: PINEBROOK Deed Date: 7/2015 Middle School Zone: NORTH DAVIE Deed Book/Page: 009960780 Soil Types: Pc132 Plat Book: 0008 Flood Zone: Plat Page: 306 Watershed Overlay: DAVIE COUNTY Building Value: 207600.00 Outbuilding&Extra 7790.00 Freatures Value: Land Value: 41500.00 Total Market Value: 256890.00 Total Assessed Value: 256890.00 101 Ail data Is provided as is without warranty or guarantee of any Idnd 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 shag 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 HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990004013 Tax PIN/EH#: 5852-99-3900.04 Billed To: Nelson Shirley Subdivision Info: Apple Acres Lot#4 Reference Name: Rachael Shirley Location/Address: Apple Lane- A/Z Proposed Faceletys Residence Property Size7 0,707 acrp s PT ATC Number: 4432 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 Trea nt and Disposal Systems). THIS AUTHORIZATION FOR WASTE W ON T IS V ID FOR ERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur U Date: aed Zoorl s CERTIFICATE OF COMPLETION r � Nktr, �� LI►�i °' 0 neissuance or tt is Cerancate of i�bmpte�rorr3 m irdicatE th n Improvement/Operation Permit S s been installed in compliance with Article 11 of G.S.Chapter 130A,Secti n.1 00"Sewage Treatment and Systems,"but sha in NO W Y be taken as a guarantee that the s em 11 function satisfactorily for any I f tim /— r $.mss q0 C#4 .:lotQUIP,K �STD U AW ILL —7— El IMUS � r Septic System Ins ailed By: A J Environmental ealth Specialist's gnature: Date: �2 p M DCHD /99(Revised) DAVIE COUNTY HEALTH DEPARTMENT P30 30 Environmental Health Section ' P.O.Boz 848/210 Hospital Street CD Mocksville,NC 27028 l- (336)751-8760 �. IMPROVEMENT/OPERATION PERMIT Account #: 990004013 Tax PIN/EH#: 5852-99-3900.04 Billed To: Nelson Shirley Subdivision Info: Apple Acres Lot#4 Reference Name: Rachael Shirley Location/Address: Apple Lane- Proposed Facility: Residence Property Size: 0.707 acres **NO"1'19*'Th slmprovemeent/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. 4)ose #People #Bedrooms 3 #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 2 Type Water Supply�' � Design Wastewater Flow(GPD) S O Site: New d Repair❑ System Specifications: Tank Size LQ'AL. Pump Tank GAL. Trench Width 'I, Rock Depth NIA-1 Linear Ft.� �+ Other: Ar'�� 17lril Required Site Modifications/Conditions: 445TALL O"j canjmo � • [ami IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS) 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 m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** 10 �, 39 C' W Cl1 X C; 21113 CA Environmental Health Specialist's igna e: 1p /0 co • DCHD 05/99(Revised) �I APPLICATION FO ITE EVALUATION/IMPROVEMENT PERMIT & ATC a avie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street JUN Mocksville,NC 27028 336)751-8760/Fax (336)751-8786 Applic tion o i ement Permit P"Authorization To Construct(ATC) ❑ Both ***I TANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed A r:: I,, nAl i L Contact Person Ac X 4 v S � ' Billing Address a7/6 v„1 o— I p+P, --t vc Home Phone I City/State/ZIP lOi9nIC C �p Business PhoneQ' L3,34 ' Zo d'.7- ' ei,/9 l Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 months with site plan,no expiration with complete plat.) Street Address _ — City ;. Tax PIN# Subdivision Name e Rp Section/Lot# Lot Size Directions To Site: Date House/Facility Corners Flagged If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? Dyes FciNo Does the site contain jurisdictional wetlands? Dyes 2-Tgo Are there any easements or right-of-ways on the site? ❑Yes RVo Is the site subject to approval by another public agency? ❑Yes 2 tqo Will wastewater other than domestic sewage be generated? Dyes 9No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms ---*3 #Bathrooms Garden Tub/Whirlpool Kes ❑No _ Basement: ❑Yes V6 Basement Plumbing: ❑Yes fr o IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/ - ,c�eov ; Total Square Footage of Building People # Sinks -3 #Commo #Showers #Urinal Estimated Water Usage ons per day) (Attach dol. i similar facility water consumption) FOODSERVIC Y: #Seats Type system requested: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes mho 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 Nny 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 understand that 1 am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to de ermine complian e with applicable laws and rules on the above described property located in Davie County and owned by X S�� 5 i P- Site Revisit Charge Property owner's or owner's legal represe tative signature Date(s): — i — Client Notification Date: Date EHS: Sign given Dyes ❑No Account# _ Revised 2/06 Invoice# PLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC ^ � Davie County Health Department Environmenta/Health Section P.O. Box 848/210 Hospital Street wG Mocksville, NC 27028 N� (336)751-8760 * PrK *** 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 lc,'4wj -7 Contact Person J1Ww--- Mailing Address j€��✓�tii y �C�/ /y Home Phone 7,76 City/State/ZIP ��L�fG �� 1?0!2 Business Phone 9 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: O�-iite Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: [rouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: 2---Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People Z— # Bedrooms _ # Bathrooms 1111)1�shwasher 43V—arbage Disposal ElWashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals eD # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. Type of water supply: t�County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve?❑Yes B-No 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: Tax Office PIN: # `] Property Address: Road Name Lam C' c,✓ ACV' c-7.<-� City/Zip If in a Subdivision provide information,as follows: Name: 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 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 suit bility. DATE 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 Datc(s): Client Notification Date: EHS: Sign given Account No. 79 Revised DCHD(05/03 Invoice No. S t.L DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account M 990001578 Tax PIN/EH M 5852-99-3900.04 Billed To: Wayne Webb Subdivision Info: Apple Acres Lot#04 Reference Name: Location/Address: Apple Lane-27006 1 Proposed Facility: Residence Property Size: see map Date Evaluated: 1 Water Supply: On-Site Well Community Publicy Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position (, Sloe% ^ : HORIZON I DEPTH 2 Texture group CL_ Consistence SSSH SSV Structure R154- Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH 2r lot Texture group I Consistence Structure k_ Mineralogy S HORIZON IV DEPTH 1 . L41 Texture groupGL Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE Yg. D• , SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: b3 - t/r_4V'q;r4D —4- C'otlm1Q -.& x3, LEGEND t x cJ 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 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 Mineralog 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 05/99(Revised) u � i'�f �� • ' . S DEED NORTH D.B. 187 , PG, 485 C CAT��E'RI'.'V,E B. h�IGHSMITf� D.B. i',�, PG. 437 fJ..F1. 111, PG. 171 D.�. � 1, PG. 706 existing �� iron 50' R/W � 40 ZO 0 40 80 120 i--�� I SCALE IN FEET REVISIONS � a,�, � � y ;� g � ; }'� ' 4Y � �oZP ' � �!+t �'� � 1 � yNy � � � � 8�� a � t r� � �,�� > ! �. < ��, z NO SCALE ; , VICINI �'� 1LI�f' � SEE PLAT BOOK 8, PAGE 306 FOR ALL NOTES. ,��1�1}�d19�II �' � ♦ i � �� ...... .��' �' � ; ' �� y; � �F�S�/p,�. ��!'� � � �'�QQ 3'{.' � % ` SEA� � - � � � `s � = L-2527 = `;� =. < e��= - i�r9Oti°suav��Q� ` y•.. . ,� L � �. ., +�'',', i F � 7, �� `' `,,� V ii� I, GRADY L, TUTTER[7W, CERTIFY THAT UNDER MY LIRECTION AND SUPf_RVISiCN, THiS MAP WAS DRAWN FR❑M A' AC�UAL FitLD SURVEY MADE B TUT ROW RV YiNG C�MPANY, PR�FESSION LAND S RVEYOk �-2�27 TtiTTEROW SURV`LYING C�,. -''AN`' 107 NORTH SALISBURY S i. MOCKSVILLt, N.C. 27G?_o (336) 75 � -5` i G PLAT ❑F SURVEY F�R� �� NELSON S.�rx ��;.�� CALE� �� = 4O� APPROVED BY� DRAVN BY� � F1�E NA*tE� SNiR—�'�1�L ATE� O6/O6/O6 GLT RHD s Co.�D, ,voWE� BEING LOT 4 OF THE APPLE ACRES SUBOIVISION (P.B. 8, PG. 306 j LYING IN THE FARMINGTON TOWNSHIP , DAVIE COUNIY , NORTH CARGLINA DRA4ING NUMHER� � 14906-3 . . � _ , .Y. , , ._ ,. -- _ _ _— --- � i i