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110 Laurens Ct, Lot 1 Davie County,NC Tax Parcel Report Tuesday, October 18,2016 o: w a' O F126110 I LAURENS CT i 1 � ! f 1 ! fl Ir I WARNING: THIS IS NOT A SURVEY Parcel Information y Parcel Number: E70000011101 Township: Farmington NCPIN Number: 5861841935 Municipality: Account Number: 82526936 Census Tract: 37059-803 Listed Owner 1: SHIPLEY WILLIAM L Voting Precinct: SMITH GROVE Mailing Address 1: 110 LAURENS COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20-S,R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 1 ARMSWORTHY ACRES Fire Response District: SMITH GROVE Assessed Acreage: 0.71 Elementary School Zone: SHADY GROVE Deed Date: 9/2006 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 006780816 Soil Types: Gn82 Plat Book: 0007 Flood Zone: Plat Page: 186 Watershed Overlay: DAVIE COUNTY Building Value: 171390.00 Outbuilding&Extra 9570.00 Freatures Value: Land Value: 42500.00 Total Market Value: 223460.00 Total Assessed Value: 223460.00 91, iF All 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&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. Fal - ° S Nit rr" APPUCATION FOR SITE EVAUXIION/IMPROVEMENT PERMIT& Davie County Health Department I Environmental Health Secdon �-� P.O. Boa 848/210 Hospital Street Mocksville, NC 27028 ENVI 0� .1 �iH ' (336)751-8760 ***nV0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for i struct' s,,,- 1. Name to be Billed Contact Person Mailing Address Rome Phone City/State/ZIP AM. Business Phone 2. Name on Permit/ATC if Different than Above -! all& Hailing Address .51-A City/State/Zip 3. Application For: ite Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People ! Bedrooms 13 i Bathrooms 7— I I 7II Dishwasher II Garbage Disposal Ii Washing Machine 11 Basement/Plumbing 11 Basement/No Plumbing 6. if Business/Industry/Other: Specify type # People I Sinks t? Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes w1O If yes,what type? ***IAIPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions:p � 29ns: i &Rik WRITE DIRECTIONS(from Moc{tsvi{le)to PROPERTY: .�- TazOffice PIN: Property Address: Road Name Z& i City/Zip ��/�ytlCti '7?r� .�// '✓f 1f in a Subdivision provide information,as follows: Na !!!�Date Section: Block: Lot: 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 change,or if the information submitted In this application is falsified or changed. 1,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 st bili . DATE — 3'� NATURE 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: W EHS: Account No. i 0 gLl Revised DCHD(07/99) Invoice No. /y DAVIE COUNTY HEALTH DEPARTMENT __- Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 'Ay/ Account #: 989900204 Tax PIN/EH#: 5861-84-1935.JDC Billed To: J. D. Crews Homebuilder Subdivision Info: Armsworthy Acres Lot# 1 Reference Name: Location/Address: Laurens Court-27006 Pro osed Facility: Residence Property Size: see map ATC Number: 3622 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 CONSSTPUCTIION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: ( Date: 3 &d(oom 5 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. TFE Septic System Installed By: - Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900204 Tax PIN/EH#: 5861-84-1935.JDC Billed To: J. D. Crews Homebuilder Subdivision Info: Armsworthy Acres Lot# 1 Reference Name: Location/Address: Laurens Court-27006 Proposed Facility: Residence Property Size: see map ATC Number: 3622 **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 #Baths J— Dishwasher-.,E? Garbage Disposal: ❑ Washing Machine Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial13 Waste: Lot Size Type Water Supply S 1 � Design Wastewater Flow(GPD) c�(o a Site: New J� Repair❑ System Specifications: Tank Size j)GAL. Pump Tank GAL. Trench Widthc_X Rock Depth_� Linear Ft&C( Other: 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. Telephone#is(336)751-8760.**** r Environmental Health Specialist's Signature: Date: �f l DCHD 05/99(Revised) •pr■ uwea. rLnmav a Mot, ' Davle County HUM DOPUtiMt IiavrttNato sbcon '� 8.0. bolo lea/210 Nosyitrel a*t"*L*r p 1soWcsviYler, 1tC x7asf; , NOV 14 2x03 tsaafyli�-Mrao • Otter+*+ s ,xCarl'xdN X11 f Dt nwmsw mass ALL '1"m tiwzmw T AQRtWI Refax to the SOD SOLtAM for inst:rnations. WDYNG lL - S amtaat vrraon r2 y CQEt�S mailing Addre" �.YYI�EZE — so" 10ho e cs T/State/sty m t t✓....��" o?�� a�,asasss 2. xzm on Ramat/Aa It 01te4zont than AbOVO �� ftilifte r►ddsass e�►l tr/atateJEiys .ioatioa for: U site avatuat.ion O'zavp t ttrexxait/AXC D Seth •. Bystan to X"-AGO: t�Hom m © HabUa Hama 0 1t3s�U Zri�strY 0 Otislt s. if ftsldimtsa: tg people t sedsome 3 t 1aticcome '2 9�Oisbra wr q'is� Disposes &NQmhiesq Maahift 0 R"wa st/>aluWAnq 0 Upeownt/Ra fttnobinj �. it s?asiasss/ZrAus l/other: ag,eostyr t"m f f links t Cawood" 0 mums" i teC140le M Nater C001694 If 1'CiCy63EYM%CZ s N Seats -t.lwated hater Usage (fjanaew per dw r. Tnm of wats+r 114MIt: 0/l smty/C#tp 0 Comma dty s. Do ym as*dpste addkk ms or cipaastons of Har faculty this stem b handed tri strwT 13 Yes "o If yeh whm type! ***1KP0RT'ANP*"a[.'t.IZM1AIVSTCOA(PLEM THE XLrQUlRED!'it MBRTYINFOkM TION REQUESTED. BARAW. Who a FLAT ar SiTE PLAN MUST BESUBMTED ft dw ducat w7 bb'flitfi APIeLICA'! OL Property Diraeml"m ave.)()c 1.5 WRM DntttMorrs'(nas� G Property Addren: Road Name _,AHuag:W5 CTS J7*-1kI'r CitylZip AAuw _&R.CY /rlcrTOd U in s Subdivides provide irfeematfeo,a roilaors: f T fy,T S dke: BN1� n...�..rr..r�. I.Ad: Daft1'nwq.""'7 ed: This to to certify tb*the Wermatlon prorided Is rormet to ft best of my lcumkdpe. 1 etrrtterstmod float permkf s) lumd bereMer are mbjeet to uspemlm sr revotmism,if the also plus or iretesdad one eba&M or if the lufamatims wbaritted In WS application b Gtr st-ems. B sotto.xroderahor8tbaf I dao r"yrrre Okfar aril 0awsm becowndfiowr �..tdrL�.rpptf�rrr. t,Mreeby, corsoatera tbA•ArrSlrnr�sea 3tegswastsettve sf fbe Ds�le Co�tlts 8ttedtltl�psrttaetrt to tour updr above described prvpaty located to Davie Cady soul owoed by to cudwt all ustiaE proceftm as sem ary to aetesatr u Hoe site snitttbM TE ..�...Ll.w Z-O SIGNATURE THM ARRA MAY BE USED FOR DRAWING YOUR SiTIC PLAN all of the Wbwbaps Zxltdng and proposed property Retia and dta tusk" dometures, oftacks. acrd septk tura). ------I'd y , � F(ncsC' N b • ^---�j ao 3 N. AtCtNtllt No .7F X01` h €ttvlAe!DC 071991 Ala AURON315 CC" � rr 1 i DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTIONLOT- Soil/Site Evaluation APPLICANT'S NAME (�d���%/,� DATE EVALUATED��'-27 PROPOSED FACILITY PROPERTY SIZE c�o7 SUBDIVISION > lu ✓�a n ROAD NAME Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH g� Texture group Consistence 17— Structure IK / 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 SITE CLASSIFICATION: EVALUATION BY: 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 yJ 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 1 SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE oist 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 j DCHD(01-90)