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131 Eastridge Court Lot 5 Davie County,NC Tax Parcel Report Tuesday,December 20, 2016 GNU f G _ 301 f. Qy .Q 1565, 'A 334 ��¢� 4 147 315 lr f ! I 1553 362 Q 333 145 �f 153 355 146 1529361 191 117' , 1519 !x �4 10 9 cf,` 209 1509 ,7 134 142 j 217 ''; •` - �`r 1501 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E8110D0005 Township: Shady Grove NCPIN Number: 5881140284 Municipality: Account Number: 56330460 Census Tract: 37059-803 Listed Owner 1: PETERSON CHARLES STEVEN Voting Precinct: EAST SHADY GROVE Mailing Address 1: 131 EASTRIDGE COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 5 EASTRIDGE Fire Response District: ADVANCE Assessed Acreage: 1.80 Elementary School Zone: SHADY GROVE Deed Date: 1111997 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001980728 Soil Types: Gn62 Plat Book: 0005 Flood Zone: Plat Page: 220 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: E01 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's 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 NCor arising out of the use or Inability to use the GIS data provided by this website. +.. . i.�.A;,, . �..-�-v:oZ'u f:.H Hvy.y�i�.-,.,yM�:'•:xY .s r: ,, ° � d;gag4,�:s:ir+.pf . — fir, - ,.-i-,... - .. q -0 - 1I7 AUTHOR No: q �y 0 DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section PROPERTY INFORMATION l?ermiieeS-, , P.O.Box 848 Name: V Ake-K-5,0 HSubdivision Name: Mocksville,NC 27028 fie"„ ,CRs f� Phone#:704-634-8760 Directions to property: �''� ` �S'�' +�T� Section: � Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN: Road Name: iZ p: Z-:94)(p **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pen-nits.This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) r' ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION A/wa tGX IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 6 ,-a�i�' � �. ,.�,� . y_-e+: +v ;,ri:t s. ys d'`. r.p'' re.y,l. . r w� ,;.s.-'.s F � -r. • .. ...,. -... � /�V DAVIE COUNTY HEALTH DEPA t�`TMENT IMPROVEMENT AND,OPERATION PERMITS PROPERTY INFORMATION Perin ,r Nanie J, s� �' �� Subdivision Name: Directions to property:,/1;:✓ * w�,r` Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - -_ Road Name Zip: l (� **NOTE**This Improvement Permit DOES NOT authorize the construction or installation 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) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE, PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE_ & #BEDROOMS f#BATHS 3 #OCCUPANTS << GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS , INDUSTRIAL WASTE:Yes or No LOT SIZE ,TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) % NEW SITE v REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ��y'�� � <' L _74, ROCK DEPTH GAL. PUMP TANK GAL. TRENCH WIDTH /yo"" LINEAR OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: D � AUTHORIZATION NO. / OPERATION PERMIT BY: /L Y DATE: / **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96(Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PE RDMT& ATC ' Davie County Health Department l5 @ [5 Q W Environmental Health Section D P.O. Box 848 JAN 2 7 ISS Mocksville,NC 27028 5�2p' (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed wt'e-- Pk wryer Contact Person V Mailing Address 3700 . lau rgq C4 Home Phone City/State/Zip C. vyynon'S C 7U2 Business Phone W� 3770 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 Serve: [kJ ffouse [ ]Mobile Home [ ]Business [ ]Industry [ ]Other 5. If Residence: #People #Bedrooms _ #Bathrooms ' FTbishwasher[:l-Garbage Disposal [ } Gashing Machine [i-Basement/Plumbing [ ]Basement/No Plumbing 6. If Business/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 [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ]Yes [t]'N'o If yes,what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED:***IMPORTANT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �� a � 02/3 �i� WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: #-3-gwl Sb`' 74D fj'O l $ f d Property Address: Road lame ,f1/te,JE city/zip f�Or/�ir/Gr1 �700� ; a t�i9S�"��Sr� o"a L/*�- If in Subdivision provide information,as follows: Name: , , Section: Lot#: ; 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 C1_i,[c3 S �c'�'�JJ'A--, to onduct 1 sting ro ures as necessary to determine the site suitability. DATE /' ,97 SIGNATURE Revised DCHD(06-96) i THIS AREA MAY $E USED FOR DRAWING YOUR SITE PLAN: 0, r �rITH RESPECT TO CRITERIA AND CONDI IONSi C1 F ,r `-' COLNYY OF DAME ESTABLISHED BY STATE LAW OR PROMULGATED t r My Commiu,,jo espw" MAR. 24)1990 T HEREUNDER AND THE SAME IS FOUND TO ` SEAL _ I I COMPLY WITH SUCH CRITERIA AND CONDTITONS ZL-28901-el z EXCEPT AS SET FORTH IN SUCH EVALUATION. Z ' FOR DETAILS OF THIS EVALUATION AND FOR 9, s ^ r�Q ; LIMITATIONS. SEE THE WRITTEN REPORT ON FILE AT THE SAID DEPARTMENT. CH fts"o loo ' co� NOTICE IMPORTANT: THIS CERTIFICATE DOES IF NOT CONSTTU O IN I USMISION FOR 11•W " 287. 19 _ Lft �,�E►R OLi lip S INSTALLATILIN Ur' )tYvA-U-r- r--'L-1 9 _ 'N I 5g 6 - ff DATE C UNTY HEALTH OFFICEFt RESERVED FOR ACCESS _ . - �' � TO REMAINDER 58. �' c 22s' � t 1 J. M. BOWDEN OF PROPERTY 0•W „ _ ,Y 1 0 PG. 278 23' 1 I I 3 a 1 D.B. 42 S g0' �1 LOCATION MAP I co �` J 40 CD S 69.08' 54•W —�' 1 , � - -, �- p � U840 ACRE 1009.01' of r ✓ w E Z 3 66. to " O P�� P, ol IO I C �tD N b1 r N �� v;N 1 a % 1 75• x 150' SIGHT 2.6528 ACRES - EASEMENT 2 1 D N�1 1.0000 ACRE c 1 6.8758 ACRES >D �` 1 ''1 Q� 246.00 i r N 62' 2 23. E (PUBLIC) 30R 266•9 l 2 60' RIW e W 1 G i GE GOVT •22 W �. 232.g 1 `'off Z 7 SIGH -• N 720 06' 2 8'E E AST R D $ 62 _ ---C 'Q` 7 EASEMENT 907. 89. 60R` -w_,%TER 0.00- �1 25 \ ` F C g0x (a) •p1. 1 w \ tit0 / 2° Uf 1.0000 ACRE ' % 39 • 5.6075 ACRES ti9� �� 1 `- N 57. 44 't3r' w 1 253' N a `ry• N to 1 ' °' ° � cm4 Z Z m 0 L8041 ACRES W N IA000 ACRE A i 6 1 �' ��pNUMEN 1 U 3 I � 1.7493 ACRES � E 8. CON R 080 5.0000 ACRES 502• , 3 � NOTES Z`3T IRONS AT ALL CORNERS EXCEPT AS NOTED. , O 28.8859 ACRES TOTAL . . '. od o,4 loo 0 100 200 300 \\ 22 \ ,N�OpoO 53 1 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Q� �J Environmental Health Section 's I 0V / P. 665 AUG 2 0 Wr7�7 Mocksvill,ille, N NC 27028 1. Application/Permit Requested By—_ Th 0 M ig S C Y eS Mailing Address LOeeA rq Nry U e , &L', ,2 S- 1 Home Phone 9 S Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ® General Evaluation ❑ Septic Tank Installation 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Sut�d m sion 5�ri�r Section_ Z _ Lot # r ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms /71 ❑ Washing Machine i No. of Bathrooms 3 ❑ Dishwasher Dwelling Dimensions ::2 G0 f .S�r PV ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No.of Lavatories No.of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 0 Public ❑ Private ❑ Community 8. Property Dimensions' Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes (S No If yes, what type? "NOTE: Improvements Permits shall~be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: /Sg E,4SQAt 9,9l �e�f o N 1491,:10.1t9 SS /V Dpte- 0XI AJ This is to certify that the information provided is correct to the b st of my knowledge an I understand I am responsible for all charges incurred from/this application. p , DATE SIGNATYF CONSENT FOR SITE EVALUATION TOB DONE ON AB VE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. ®'2. I DO NOT OWN the property. If you checked Box#2,the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the [QaovCp�my Health Department to enter upon above described property located in Davie County and owned by -�. b d 11/ to conduct all testing procedures as necessary to deter ine said site's suitability for a ground absorption sewage treatment If disposal system. DATE 8&NATuhE DCHD(12.90) • DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation / r NAME DATE EVALUATED �,( ) ADDRESS / PROPERTY SIZE PROPOSED FACIILTY .4/�s� LOCATION OF SITE Water Supply: On-Site Well Community Public A.-' Evaluation By: Auger Boring d/ Pit Cut FACTORS 1 2 3 4 Landscape position .[, L •C, Slope HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence i Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture grouo Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: EVALUATED 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 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-Annular 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(01-901 ........................... ...................................... ...............■........................�......�.............MINE ■! .................................................................. iiiiiiiiiiiiiiiiiiiiiiisiii'iiiiiii=ice..iii®:iiiiiiiii'iiii'i■iiiilo iiiiiii■iiiiiiiiiiiiiiiiil'iiiiii�iiiiiiiii=iiiiiiiiii'iiii�.i■iii ................................ ................................ ............N■■■■......i..............n. .�,..... n....■C■...■■!. ...................................... UMMU.. . .. .. ■■....■■ MEMO ::: .. . .. . �:.'C� ■.�■■�!■C■■■■■!■.� ................................�...� .. ..ENE .. ■■.■.■■■..■..■■■■N■■■■■■■■■■■■■■■■■■■ W/■■�■ ■■e.■!■I.■■■■.■1�■ iiiiiiiiiiii � ' :: :::::: ::':: �i'■'i■'�N:i i ElMINE■o■!■...... =■.u■■��1m � ■■■■■.■■ ................■�...■.1�7.■....■. MENOMONEE I ...............■. .....N......■... .....�■■.........._.■..■_■. ■■■■■■.■.■N■..■. 1''liSMAIiMMMEMiiCiiiii :Cm:::' ■:"i:::::::'■:::�:: .........■....■.............■....■...■■.■._�.�.■..'■mi...■=.!■■..e.■■ ■.■.......■■■■..■........I%..■■l...■H.... ...■....... ■.lNNI.e. ■■.■/■....■■......../■■��....■■■ ■....■. .■..■...N!■■..■..■ ...■ NONE= :::::'::.:::::::: .................................................................. .................................................................. (Davie County AealtFr Department and Ylome NealtFi Ayeney 210 HOSPITAL STREET/P.O. BOX 665 MOCKSVILLE,N,C. 27028 PHONE:(704)634.5985 August 25, 1993 Thomas A. Hires 401 Century Ct. Kernersville, KC 27284 Re: Site Evaluation Eastridge/Sec. 1-Lot 5 Dear Mr. Hires: As requested, a representative from this office visited the aforementioned site on August 25, 1993. Based upon the information provided on the application for a site evaluation and after an evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr. , R.S. Environmental Health Section RH/wd Enclosure Le-, 7llrn ,,¢ gyres a-1-96 • ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville,NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) R LACEM-E,,NTT❑ REMODELING [3 RECONNECTION ❑ Name: "A' 'g ���" Phone Number7. ? ':�;Lb � (Home) Mailing Address: (Work) Detailed Directions To Site: 75 y Property Address: Please Fill In The Following Information About The Existing Dwelling. Name System Installed Under: Type Of Dwelling: Date System Installed(Month/Day/Year): y' /q /s/ Number Of Bedrooms:4_Number Of People: Is The Dwelling Currently Vacant? Yes❑ No B' If Yes,For How Long? Any Known Problems?Yes❑ No❑ If Yes,Explain: Please Fill In The Following Information About The New Dwe ling: Type Of Dwelling: I Number Of Bedrooms: ' Number Of People: Requested By: Date Requested: / 2- 07- (SiAare) For Environmental Health Office Use Only Approved0 Disapproved ❑ Comments: Environmental Health Specialist �: 4?� Date *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee(extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash❑ Check❑ Money Order❑ # Amount: $ Date: Paid By: Received By: Account #: Invoice #: I C AoL- a # J, y i b F q Davie County Health Department �P-161� Environmental Health Section , • . r' P.O. BOX 848 ,�� ® 210 Hospital Strect ` O '� A Couricr# : 09-40-06 1911 — ��j `�U1►. Mocksville, NC 27028 r �P Phone:(336)-7538 ' Fax:(336)-753-1680 Ty;�—��ON�-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: PhoneNumber (Home) Mailing Address: �- � "S 1�'t E+ 1 G C. (Work) t Detailed Directions To Site: /-j-&—r Property Address: 13 x i 2)4 P t,6U r Please Fill In The Following Information /About The,1EXISTING Facility: Name System Installed Under: c�� V.ZF/SGl iJ Type Of Facility: A25 Date System Installed(Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes 0 If Yes,For How Long? Any Known Problems? Yes ) If Yes,Explain: �/ ��.1t t lot Please Fill In The Following Information About The NEW acili �' ��9 ;� A 0, dt' � � 0,411, � r�� Type Of Facility: 0)( I N & !S i V DUNumber Of Bedrooms: Number of People Pool Size: rage Size: Other: Requested By: Date Requested: (Sign tore) For Environmental Health Office Use Only Approved isapproved Comments: Environmental Health Specialis Date: *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By:.__._ _Received By: _ Account#: Invoice#: