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144 Camden Court Lot 7 Davie County,NC Tax Parcel Report Wednesday,November 9,2016 '•155 � l ' CAA4DEN CT � lxs 1 � I --------,� X132 '! 156 jE--mY LN I -_j WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G703OA0007 Township: Shady Grove NCPIN Number: 5860931209 Municipality: Account Number: 8301410 Census Tract: 37059-803 Listed Owner 1: POPE MATTHEW A Voting Precinct: WEST SHADY GROVE Mailing Address 1: 144 CAMDEN COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag.District: No Legal Description: LOT 7 CAMDEN YARD Fire Response District: ADVANCE Assessed Acreage: 0.66 Elementary School Zone: SHADY GROVE Deed Date: 9/2012 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009030165 Soil Types: Gn132 Plat Book: 0006 Flood Zone: Plat Page: 169 Watershed Overlay: DAVIE COUNTY Building Value: 127210.00 Outbuilding 8r Extra 1610.00 Freatures Value: Land Value: 30000.00 Total Market Value: 158820.00 Total Assessed Value: 158820.00 161 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, A[THORI7AT-ION NO: DAVIE COUNTY HEALTH DEPARTMENT zVXO.. Environmental Health Section PROPERTY INFORMATION PermEtee s r%" . � P.O.Box 848 Name:' r j�" Mocksville,NC 27028 Subdivision Name: • w Phone#:704-634-8760 Directions to property:, �,�%�/)r err e Section: Lot:. AUTHORIZATION FOR WASTEWATER Tax Office PIN:# d I( - SYSTEM CONSTRUCTION Road Name:_ Zip; **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.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) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION X—�/J, � IS VALID FOR A PERIOD OF FIVE YEARS. I ENVIRONMENTAL HEALTH SP IALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ^1F8 Pe (�e s •— Name:' wi 5 # ii d " Subdivision Name: Directions to property: ' ' f' YSection: Lot: IMPROVEMENT47' PERMIT TaxOffice PIN:# T } �- - [ ,t' - «s� Road Name:_��)1�•':=��!�rZip: **NOTE**This Improvement Permit DOES NOT authorize the construction or installation of aseptic tank system or any wastewater system.An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fmm 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+ #BATHS o2 #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)--�W NEW SITE /" REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 6—6GAL. PUMP TANK GAL. TRENCH WIDTH s_� ROCK DEPTH 1 LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT E:J **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 SYS MIN T LED BY: r 40 ?a J` AUTHORIZATION NO.-�[�-K—�OPERATION PERMIT BY: �� 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 EVALUATION/IMPROVEMENT P T &ATC Davie County Health Department Environmental Health Section D P.O. Box 848 JAN 2 9 iv�8 Mocksville, NC.27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person n — Mailing Address 12 T 1 ✓ s I4� I- '/ Home Phone t,, ro 2 k City/State/Zip t*7o- rs : I c .' o),C • z"7 ��- �' Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [ale Evaluation [\IImprovement Permit&ATC [ ]Both 4. System to Serve: [mouse [ ]Mobile Home [ ]Business [ ]Industry [ ]Other 5. If Residence: #People-'X--V #Bedrooms #Bathrooms [r.]'lSishwasher[�a-6rbage Disposal [dashing Machine [ ]Basement/Plumbing [LJ-fra-sement/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: [iIJQicru-nty/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [4.Ncr— 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: / &4 - WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # 5-v' 0 __ _ tmama eJ Property Address: RoadIf lame C_A- .I — G-4-, Z"z ,. . I S 1- II City/zip 11--4 L. 4- ._ e* If in Subdivision provide information,as follows: Name: Section: Lot#: r7 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 C`�. T-- to conduct all testing procedures as necessary to determine the site suitability. DATE I 2 5 7 SIGNATURE Revised DCHD(06-96) THIS AREA MAY BE USEb FOR bRAWING JOUR SITE PLAN: 7-11 I-7 t2 ° IV So 16 2 .APPLICATION FOR SITE EVALUATIONIMPROVEM fit Davie County Health Department D .r Environmental Health Section P. O. Box 665 , Q Mocksville, NC 27028 rJl 1...Application/Permit Requested By f' 125 S' GS Home Phone 9�e' Z� 2�' q Mailing Address rV/ LLZ, Business Phone S U -12 'Name on Permit if Different toan Above 3..Application for: General Evaluation 0 Septic Tank Installation Permit 4. System to Serve: EYHouse ❑ Mobile Home ❑ Place of Public Assembly. ❑ Business ❑ Industry M Other ❑ Unknown 5. If house, mobile home:Subdivision �a �r Section Lot # f. ❑ Basement/Plumbing No of.People ❑ Basement/No Plumbing No.of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal }, 6. If business, industry, place of public assembly, other: Specify type 1' • I No. of People Served No. of Sinks i No. of Commodes No. of Urinals i. No.of Lavatories No. of Water Coolers No.of.Showers Water Usage Figures t: 7 Type of water supply: 1'Publi ❑ Private ❑ Community (��d . 8. y Property Dimensions Sewage Disposal Contractor � 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes PNo If yes,_what type? a i *NOTE: Ii iprove,nents PermitS Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: PROPERTY INFORMATION REQUIRED: Tax Office PIN # �(/- ,5WD8 Road Name . Box # (if available) F��'� City AC� ✓Q/J,—CQ-- i f. This is to certify that the information provided is correcttote o le e a d I understand I am responsible for all charges incurred from this application. DATE SIGNATURE ; s. CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY f MUST CHECK ONE: ❑ 1. 1 OWN the property. 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: k I hereby give consent to the authorized representative of th avie Cou ty Health epartment to enter upon above described property located in Davie County and owned by k. f ..to conduct all testing procedures as necessary to determin said si ui bili3y for a ground abso ' n sewage treatment t and disposal system. /- -949 ! DATE SIGNATURE r.. I DCHD(1/93) r• DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME � � DATE EVALUATED `� � ADDRESS PROPERTY SIZE PROPOSED FACIILTY -�� LOCATION OF SITE C� Water Supply: On-Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L L Sloe R HORIZON I DEPTH ple u Texture groupG Consistence Structure Mineralogy HORIZON II DEPTH 77 Texturegroup Consistence Structure l& s / 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: EVALUATED BY: r LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: ®17 ?_-5-. 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 ;lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vcry 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 .3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mi neraloey 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