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210 Baltimore Downs Rd Lot 7 f Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 I 243 i 1901.,OAq f ,153 C' l 163 •12 49 Jud i r r 206 "O 183 ---1263 199 - , r 200 M1 `� ` 210 109 11 19 7'' , '1292 108 11 169 I 1318 132 i1 1332 1340 WARNING: THIS IS NOT A SURVEY YVTCtl TT!((►T1T"t,i;"T2 Parcel Number: G701OA0007 Township: Shady Grove NCPIN Number: 5860730328 Municipality: Account Numbcr: 8300711 Ccnsus Tract: 37059-803 Listed Owner 1: BOWLES JOHN FRANK Voting Precinct: WEST SHADY GROVE Mailing Address 1: 210 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: LT7 BALTIMORE DOWNS 5.112 Fire Response District: CORNATZER-DULIN Assessed Acreage: 5.11 Elementary School Zone: SHADY GROVE Deed Date: 2/2012 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 008830749 Soil Types: GnB2,GnC2,RnD,ChA Plat Book: 0008 Flood Zone: Plat Page: 150 Watershed Overlay: DAVIE COUNTY Building Value: 349890.00 Outbuilding€Extra 13250.00 Freatures Value: Land Value: 59950.00 Total Market Value: 423090.00 Total Assessed Value: 423090.00 101 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 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 wcbsitc. M t a DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990002706 Tax PIN/EH#: 5860-53-5745.07 Billed To: Jeff Hayes QQ Subdivision Info: Baltimore Downs Lot#07 Reference Name:Thrl l jUda roc��r?5 Location/Address: Baltimore Downs-27006 Pro osed Facility Residence Property Size: 5 acres ATC Number: 4112 As stated In 15A NCAC 18A.1969(5) accepted Systems may also be used 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 T eatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWAT CON TION I VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur : Date: 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. 0 46R � N•ous� - ;7y-TV0\1 hav e Dri v f, OV1114co Y � LinK% SHoAF toOD .1tv� 4-t8 Se,Y t col Dls�hY�bv 3-ton Septic System Installed By: ToY\n t C, Environmental Health Specialist's Signature: Date:Uj DCHD 05/99(Revised) ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section • P.O.Boz 848/210 Hospital Street ,z -2- . 5 Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #:, 990002706 Tax PIN/EH#: 5860-53-5745.07 Billed To: Jeff Hayes Subdivision Info: Baltimore Downs Lot#07 Reference Name: Location/Address: Baltimore Downs-27006 Proposed Facility Residence Property Size: 5 acres ATC Number: 4112 **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 1-�O�St= #People #Bedrooms `7 #Baths Dishwasher: Garbage Disposal: ❑ . Washing Machine: Basement w/Plumbing: 21""-'Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size `�10r3��ype Water Supply(?Design Wastewater Flow(GPD) Site: New Repair 13 System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width an Rock Depth t2� Linear Ft.X400# I 'gyp 5 stated in NCAC 18A.19$9( Other: accepted�4c�I� � accepted SystemM s mav21g0 be.a�„cad Required Site Modifications/Conditions: 0.3 CA.JI oJCL , & 1`S 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.**** C -rl --r .1 �C Vie,vim-- 01 �2`S Environmental Health Spe ' 'st's S' tore: e: 1 DCHD 05/99(Revised) p - C APPLICATION FOR SITE EYAUATIONIIAIPROMIMT PULUIT&ATC_ Davie County Kealth Department E/lyiro/)mer>m/Hca/�!i Section P.U. pox 898/210 hospital Stroct IMocksville, HC 27028 (336)751-8760 *a•IlIPORTANT*** THIS APPLICATION CANNOT BZ PROCESSED i)IILLSS ALL THE REQU.TitIi ~.{ MrORMATION IS PROVIDED. Retor to the INFORMATION DULL=XN for instructions. Jy 1. pima to be Dilled contact Parmou y � sailing Address 123 lloma Mona City/.^tate/zzr j(Y.t 1 It a �L` 7 7�rAajncas Phouc S. Baro on per»it/I.TC 1A Difroraat [yaw Abova ' [tailing Addrasa City/State/zip ,_—___•___ _ s. Application For: ❑Site Evaluation Is ❑ Improvemont, s- -%TC ❑ Doth i. &jet=to service:Mouse 13Uaile Home ❑ Dusinesa ❑`_Iindduustry ❑ ottier w_ 3. Type system requested;ocoavoatioaal ❑ conventional modified ❑ innovattyc ^7 c. It Residence: a People n Bedrooms q BaChroouu , ,Wiahuaaher ❑Garbago Dispoial /dashing ttaebins ❑eavwmnt/Pluubiug ❑Dasomcnt/t:o riumbing 7. If Du*ineam/Induotry/other[ verify type 6 People # sink." —.— # Coumoden I showers 0 Urinalo tl Water Coolers IF FOODSERVICE-- 0 Seats Estimated Water Usage (gallons per day) i. Typo of eater aupply:poitaty/City ❑ Well ❑ CommuniL•y 9. Do you anticipaCc addition or Cxpa:UIOW or the facility thissysletn is inleudcd to serve?❑Yes j6u If yes,what type? •'*WOA7AJYI***CLIENrSiUUSTCOAIPLLTL'Tllc RLQUlItfiUJ')tOPL'If1'YLVUO1tMA't70lY1tEQl1lJfliU 11201V. Mtltera PLAT orSlU PLAN AMSTBESUDAMTL•D by the cnent u•Ilh T111S APPLIC,1TION. 1'roperty I)JmCnslons: pa 1 C }yltlTL OJIM PIONS(frrunt`Aludasrills.)to 1'uU/fMUcIIT: Tax 0f1)cc PIN: fl ��cc���� T/J'y ) PropertyAddreas: ItoadName' rr ..�Pl�vSs•ally f` IflnaSubdivision provide Jafurtuafion,asruffot��vs: Section: Block: Lot: / Date home corners nagged: This is to certify that the fnforatatiou provided is correct to the best of my kuoivlcdre. I understand that any perndl(s) Issued hereafter are subject to suspcosion or revocation,If the site plans or intended use change,or If(he iuforivalion subndtted In this application is falsified or changed I,also,under-mad mat lain responADIefor all ehaigra inciirretI from this applicallon. I,hereby,give consent to llte Authorized Representative or tlic Doric County Ile:dtlt Depurtmcul to enter upon above described property located in Davie County and owned by to eouduct all testing procedures as necessary to delut tnino Me site suitability.. DATJr l7 �a� SIGNATURE THIS A=-A MAY Br.US1:D T01t DRAWING YOUR SITZ±PLAIN(Include all of the fallowing: Riddling sad propused Property lines anddial=siou;structures,se(baelts, and septic lap tions). Site Revisit Charge Date(3): Client Nouriicaliou Date: MM: Sign given Account No. RnricnrE1� 'dfnv1ZZc'ON ZOb 866 +Mh lea AdSZ:E _MZ *9 Nor DAVIE COUNTY HEALTH DEPARTMENT • . , '' Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002706 Tax PIN/EH#: 5860-53-5745.07 Billed To: Jeff Hayes Subdivision Info: Baltimore Downs Lot#07 Reference Name: Location/Address: Baltimore Downs-27006 Proposed Facility: Residence Property Size: 5 acres Date Evaluated: _fo 1l0 �S Water Supply: On-Site Well Community Public ✓ Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 o 5 6 7 Landscape position Sloe % HORIZON I DEPTH O -Z Texture group C: Consistence Structure Mineralogy HORIZON II DEPTH -_CVD -" Texture group 'G Consistence • Structure 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 ©• T� SITE CLASSIFICATION: a EVALUATION BY: LONG-TERM ACCEPTANCE RATE: •Z���'� 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 MDW VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm 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 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 05/05(Revised) ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ �■■■■■■■■■Mom■■■■■■■■■■■■■■■■■■■■■■■■ EMEEMMM ■■■■n■■■e■■■ ■�■■EEM■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■/■e■■■■■■ ■/■■■■■■/■■■■■■■■■■■/■■■■■■■■■■ ■■■■■■■■n■■ �■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■ ■■■■■■■■■■■ �■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■mMM■■■■■ �■m■■■■■■■■■■■e■■■■■■■m■■■■■ ■■■■N■■■■e■ 'Mem■■o■■■■■■M■■■■e■■M■■■■E■ ■■■■■■mono■ r ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■o■mo■■om■ ■■■M■■■■■■■■■■■■■■■■■■E■ ■■■■■■■■■■■ ' - �■■■■mom■■■mm■■■■■■■■■■■■ ■■■■■■■■■■■ �■■■■■■■m■■■■moo■mom■■■■ ■NEEM■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ \MEN EMMOMEMEll:u ■■E■ME■■M■ \■■■■■■■■■■MM■■M■■■M■ ■EMEMM■■■■ \m■■■m■■■■■■■■■■■■■■ ■M■M■■M■E■ �EM■MEEEMEMEMEMMEMM■ ■EEMEMM■M■ \■■■EEE■■■■M■■ME■■■ ■EMM■■E■M■ �MEMEMM■■MEM■■E■■M■ ■m■■m■■m■■ \IM■■E■■MM■■M■■■EN■ ■■■m■m■■■■ ■■■■■■M■■EMMMMEN■ ■EMMEMMEM■ \■■EMEMEMMEMEMEM■ ■EMMEMENM■ '�■■E■■EMM■■M■■E■ ■EM■■MMEM■ \mM■EMN■EMM■■■■■ ■■m■■mm■■■ ■M■■■■■■E■M■■M■ ■E■M■MENE■ \■■m■■m■■m■■■■■ ■■NE■■■■■■ \MEM■M■ENM■■■■ ■M■■■■M■M■ �■■MEMEM■EMEM■ ■■M■M■■■M■ \E■M■■■■E■■M■ ■E■E■EMEM■ `■ME■■■N■■■■■ ■M■MEMEME■ \MNMM■■■■MM■ ■■MEM■■■■■ `EMMEMM■MMM■ ■EM■■■■■■■ \■■■E■E■■E■ ■E■EM■■■■ '■■■■MME■E■ ■EMEMM■■■� \■■■N■■EM■ ■EN■■MME■■ '■ME■■■■N■ ■ENNMMM■■ \MENEM■M■ ■m■■■■■N■ \/■MEMM■ ■■■m■■■■■ \■MEM■N■ ■■m■■mm■■ \MME■M■ ■OEN■MEM■ ■■■NN■ ■■NEEM■E■ \M■■E■ ■■■■■m■■■ `ME■■■ ■EMEMM■M■ \NEN■ ■■N■M■NE■ 'EEn■ ■■MMEMM■■ \■■■ ■mmmm■■■■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■■M■■■■■■■■■■■ ■■■■■E■■■■■■■■■■■■■M■e■■nee■■■■■