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170 Baltimore Downs Rd Lot 4 Davie County,NC ' Tax Parcel Report Wednesday, October 19, 2016 1ss -------- ----------- 20 i•� 1171 ti r - 1 1181 122 110 IN/ 2� 138 , - `5O ,S�g X205 o � 4 �V 170 aR� 'i r''-- ` 109 —{ 243 1`63 1249 206 183 v� �! J x - WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G701OA0004 Township: Shady Grove NCPIN Number: 5860743492 Municipality: Account Number: 8302115 Census Tract: 37059-803 Listed Owner 1: MITCHELL COREY T Voting Precinct: WEST SHADY GROVE Mailing Address 1: 170 BALTIMORE DOWNS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag.District: No Legal Description: LOT 4 BALTIMORE DOWNS Fire Response District: CORNATZER-DULIN Assessed Acreage: 5.44 Elementary School Zone: SHADY GROVE Deed Date: 4/2013 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009230198 Soil Types: MrB2,GnB2 Plat Book: 0008 Flood Zone: Plat Page: 150 Watershed Overlay: DAVIE COUNTY Building Value: 283920.00 Outbuilding&Extra 6510.00 Freatures Value: Land Value: 62970.00 Total Market Value: 353400.00 Total Assessed Value: 353400.00 101 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. DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 , (336)751-8760 176 Account #: 990002780 Tax PIN/EH#: 5860-33-5745.04 Billed To: Blake Hope Subdivision Info: Baltimore Downs Lot#04 Reference Name: Location/Address: Baltimore Downs-27006 Proposed Facility Residence Property Size: 5.44 acres ATC Number: 4110 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 CON N IS YALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa re: Date: 0� PNW1 Zoo 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. �T �T 1 Septic System Installed By: ���f/ Alwe, Environmental Health Specialist's Signature: Date: -x4xly-el DCHD 05/99(Revised) DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002780 Tax PIN/EH#: 5860-33-5745.04 Billed To: Blake Hope Subdivision Info: Baltimore Downs Lot#04 Reference Name: Location/Address: Baltimore Downs-27006 Proposed Facility Residence Property Size: 5.44 acres ATC Number: 4110 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction of 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 BEFORENSTALLING SYSTEM. Residential Specification: Building Type qO1.2:-C- ` #People #Bedrooms L7 #Baths Dishwasher: Garbage Disposal: Washing Machine: Basement w/Plumbing: 121 Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size j� f x�Sype Water Supply &a' 'Design Wastewater Flow(GPD) '4190 Site: New e Repair❑ System Specifications: Tank Size 6CCOGAL. Pump Tank IDCOGAL. Trench Width ao Rock Depth t&A Linear Ft.415�) Other: DDIZER—IGUT-1a3 aQ6-(.=S ACCL�TED2�2o ��te) S'•?ST , Required Site Modifications/Conditions: 0-j C-C�,ZTooy,, Voz:p lam' ply 'POOP. wze, uOIDyiot- K LJ.W. IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER S)IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie CountyFlealth Department f 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.o . of installation. Telephone#is( 36)751-8760.**** y P o list 0. Ho I Y-13U it tuo' \ Environmental ealtl Specialist's Signature: Date: 1 AQLe� DCHD 05/99(Re ised) • t tj APPLICATION 1:011 SITE-L•YALUATION/Ih1PIi0Val IW17 P011" 1'C nal Davie County Health Department -' Enviroi1inenta/ftealf/i Section 3 N P.O. Dox 848/210 Hospital Street 1 Mockaville, NC 27028 = (336)751-8760 ***XbIPORTANT*** TIiIS APPLICATION CANNOT DL PROCESSED UNLESS ALL THE REQUI1tEll INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instruction-11. 1 • 1. Name to be Billed Contact Pernoa R e Mailing Address /GO !tome Phone 7 9 City/State/ZIP I&V"Ide- , Aid � �19� Duuinuun Phone 2. Name on Permit/ATC it Different than Above ________....... ...._.. Mailing Address _/ City/StaL•e/Zip __.__._........._._.._...._ 3. Application For: L� Site Evaluation ❑ Improvement Pez�nit/ATC 13 Lb 4 1. 4. System to Service: L� House ❑ 24obile Home ❑ Duainet:: ❑ Industry ❑ OLlicr 5. Type system requested: 011conventional ❑ conventional modified ❑ innovative 09* 6. If Residence: It People It Bedrooms B11 1-1 • II IIaL'll• ooul:; ODishwasher L7Garbage Disposal 014ashing Machine MBascmenL•/Plumbing ❑Da:cuicnL•/No Plu,ubing 7. It Business/IndupL•ry /Other: verify type a People It Sinks # Commodes It Showers tF Urinals It {Vater Coolcru IF FOODSERVICE: 0 ,/S Seats Estimated Water Usage (gallons per day) 0 8. Type of water supply: County/City ❑ Well ❑ Conuuunity 9. Do you anticipate additions or a\pal loos of the facility tills sy5tcnl Is illtcnde(i to serve? A'es ff<u if ycs,wliat type? ***Ihll'ORTIIIYP**CL1L'NTS ill UST COAIIILLTC TILE lr1i�UIItLD 1'ItOI'Eit'I'�'1N1rOltll'IA'1'!O!\' ItlsQlll:S'I'lil) �I [BELOW. Engler a PLATorSITE PLAN jI MSTBESURKITTAW by the client wilh TIdIS APPLICATION. J Property Di111clisi011s: �! I 7 WRITE DIMCTIONS(rruw 11•lucksville) Io PROPERTY: Tax Officc PIN: 11 Property Address: Road Name P�'C" Qyo K ' �K _ p tl� City/Zip )S D Np 3 % /t;S O R R�• 117111 a Subdivision provide information,as follows: Mum: -&A MOS'e, t./tJS t�V V A Sectioll: Block: Lot. Date honle corners!lagged:. Tills is to certify that the information provided is correct to the best of l;uy knowledge. I understand that any pernlii(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if illc Information subulittcd in this application is falsilled or changed. 1,also,understand Urat I aur r'cghurrsiblcfor fill chrlges incurn-11 frorrl this applicativa. I,Jlcreby,give couscut to the Authorized Represeutative of the Dayic Cuuuty IIealtil Departlllcul to enter upon above described pruperty located ill Davie County and owned by to cuuduct ail testing procedures as nect:55ary to determine the site suitability. DA'Z'E' p 13— D--� SIGNATURE 10, THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLATY(Include all of the followhig: Exisihigand proposed property lines and dimensions, structures, setbacks, and septic locations). f Site Revisit Charge Clicut Notification Date: ME: ` Sign given Account No. 1 d . Revised DCIED(05/01 �!�� � ! 0 0 . f �" i ( �, ( .u.• 346 v• lip - '.•;�•',..6`!.• a 'r \ RY .,. 14aT 2 , ' 25 f .,.�� �'` . !� '•+`' •{i •�'�`;• � ` -`'' moi\' C,3 AEA-5.02 CrM S LO.T 19 ARIA 5.9 01 j LOT 6 AREA=5.0 ACRES �, ��. .....�'ZOT. t© - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002780 Tax PIN/EH#: 5860-33-5745.04 Billed To: Blake Hope Subdivision Info: Baltimore Downs Lot#04 Reference Name: Location/Address: Baltimore Downs-27006 Proposed Facility: Residence Property Size: 5.44 acres Date Evaluated: c2lf,/� Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 5 6 7 Landscape position 00 Sloe% HORIZON I DEPTH p Texture group (iV Consistence Ssfl e, 5 Structure3 qk Mineralogy t `X HORIZON II DEPTH $-23 ILA*-ial -Z Texture group G C_ C° Consistence -{S VS qr r., vslqfl Structure Mineralogy e:K HORIZON III DEPTH 2 Texture groupS.t f Consistence ` Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS 2� RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S 5 LONG-TERM ACCEPTANCE RATE �.3 SITE CLASSIFICATION: P3 EVALUATION LONG-TERM ACCEPTANCE RATE: �" ��r�•j OTHER(S)PRESENT: REMARKS: �V hA '�'" �� �f T '- F4,c S t D l)sQ3T 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 ZYIdq VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Nit' / 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 lYs>� 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 05105(Revised) 5 . r . .�Q Lo 3 ��' A& s ol LOT ;•\ `\ o o!, L e � 6, erg, \ 50 Q L.o