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386 Pine Ridge Rd ' ' •��" � ; DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street • Mocksville,NC 27028 ' (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990002745 Tax PIN/EH#: 5745-70-7114 Biiled To: Clayton Homes Subdivision Info: Reference Name: Location/Address: Pine Ridge Road-27028 Proposed Facility: Residence Property Size: 4 Acres AT�,�jV��*Th eissuance of this Operation Permit shall indicate the system described on the ATC 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 sys em will function satisfactorily for any given period of time. �(,� �'��.� � O �?� � 1-� C/ System Type:��S.T.Manufacturer Tank Date � Tank Size�� Pump Tank Size___ ��✓v/ ' / System Installed By: �c�j�G� , ltC��`-�•H.Specialist: Date: r � �d— v � � 5 ��� , rt �,� -� /� _ - � - i� ' �Y� 5 � � L+ / o � / /� . ,,��I �� , o�' � , � «.�. � � � �e � DCHD 11/06(Revised) � � ��;; . . .I^ « � . � l/� . .; � P/ - �0�26�d� • DAVIr CO[JNTY ENVIRONMENTAL HEALTH � P.O.Bo�84S/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Fax#(�36)751-8786 AUTHORILATION FOR�VASTEWATER SYSTENI CONSTRUCTION Account #: 990002745 Tax PIN/EH #: 5745-7.0-7114 . Billed To: Clayton Homes Subdivision Info: Reference Name: , Location/Address: Pine Ridge Road-27028 Proposed Facility: Residence Property Size: 4 Acres ATC Number: 4911 Site Type: ew ❑Repair ❑E;cpansion *'NOTE** This Authorization to Constnict(ATC)MUST BE ISSUED by the Davie County Environmental ' Health Sectionprior to issuance of any building pernut(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems,Section.1900 Sewage Treahnent and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,p11t or the intended use change. Residential Specifications: #Bedrooms�#Bathrooms �- #People�Basement0 Basement plumbing❑ Non-Residential Specif cations: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size !ClG�"-C`� Type of Water Supply: C3'County/City ❑Well ❑Community Well Systern Specifications: Design Wastewater Flow(GPD) 7�U Tank Size/7i�OGGAL.Pump Tank��,�. GAL. ii �i �, i Trench Width� Max.Trench Depth 3� Rock Depth �Z Linear Ft. � y� � stated in 15A NCAC 1�1'�.1�3�(5� Sile Modifications/Conditions/Other: � _ � t+v ..� �.. .. � � �� ,.� .. ........ Contact the Davie County Environmental Health Section for final inspection of this system between /10����,C�v� 8:30—9:30a.m.on the da of installation. Tele hone# 336 751-8760. �� cc�� C'� � e � , av� e `� �. � ` � �`) — � � � �� / jN�'�l�`� � � � � � � � � ��� ��� 3,�, �S ��p��l `�l/ � . ,T �a � � �r � \ ` v \� � qd (�'��,.s / v��-�� / P -� SS �,�` I � 'd� Yv i -aQ�'--Y� cU � / Q �'` � � ����'` ,� ^ � ' \ �Gti� ��' �y�V p\ �u»�bi�j s�u��c�� �o, slwu�� b�as �sl�or��, �� � . / ��vi,-nnmP.ntal Health Snecialist � Date:�D����U , I t i �' '�' , .'•It;,�'. 1 �, �) ' � • l ..�^,'1.��'/, . .;,' kl(:I ihl:l l A. i'U ` � . � �./ � •�'� „ � � � � ���� , ..� 0 ��,�,i , , .� � DELAIVO M. DEDMUIJ ` r�� r�u.' � �� .[u;�a D,B. 20'I, PG. 5:.?n I�I I i1NU Ivi. DEDMOIJ I D.B. �89, faG, 'I�17 i i� 1).l�t. �01, PG. 520 � D.�3. 'I t3�?, f'c;, //;' , c:� I),I3. 1�9, f'G. 1��7 r�nvi ,,�� i�u. •i.�:�, i�r.. s:ri I U.13. '189, PG. 772 �xi�,inN: i:�' rn�,tl,�rlir n ini i w i rn���: nuivi:wn�r( PiC711:`;: \ I i�• �au,wi _.. . .. ._.. 1) :', 1.1�1:, ,��� i: .. ;n:�,i.� �� � axi:cin�,c � i�r,rn (_ "" . 2) t7.l�t►i.; y IItUf 1 ' ' '..,.........__'�'"""'�,"'Q�'-'-'y:`^�^�—.�t.�,_,_,M..��,II:�'ll;",���. � .. CXI571WG I 3� IIII:� I'i; "\\� � t11�'r '�;III.I'.i _ _ IROIJ s_ F — � . hLOUI) ._''J' 'II;�n I , �.�.�.: �`"� S , _... . �l•� I�IU N.C. 1�'- ''`. ' d�,,,.,�����..,,p:,.:,,.. w .....�.��--._..�,`"�. � Z7'S0 25' f ` ; �:` --.. );'tis -�, \ 5�,77 . '�. 5) 'ff�At.:r ( � �.�',Il�. W n��.ac�':�l \ 1•1[W � �l/1V1�: � ,'`^�.,�^ � '1��- ,�� IRUN � Lit: t:t�t '•II'w �•.� � �--t�l r,u,.I�1,�Ii � ,� � G) 'i'RI�t.;i I �, " _._�uu� � ;�\� ' \ f�) i"ti: '�'' ��4 �''�,��dflh�l . � \, �� lti(:IIlU�[ , .�q�� � �,�. �,,� �n �, J) i'FII: D11 �,��;,; , ,,,.h �., [VALUA �� SN�IITAf � ' �,�,,�,: ,,,,�,;:, f�20GER D. WEST ' o�• �n�u � � '' � . ���' I).R. �$3, PG. �','7 �, ��'` ' S94• PG. �:�., r�) rizn�:��, � �� c� ;. ` ; �; I.).13. , ,..� I , �, .., '•; � � � �. �--Jif, �j � •`'� �, J � l � ^Q , : `� S � �a� � � � '`�, � i;:�,lli•IC IRUhi 'f-OM. � �� �� o L � `�' A1 .S" CY.IS(IWG IR01•I .����r}���J � � � � n. �,�.Q ,�' „��� �:�.�� fL �� --,... -... ., / � —�' �('� �' __....... � (, � �' n`� ;�''�'• ���� �l 5 �' � \J �' � `c, r,al;l•fElt q ����'``� '�""r� 'y� '�• �h ,�1 ,, _ ; ,\�:�. �P � f'iiioi��c, ;r—���pyn'�,, '�� `i � �`����1`,;•. 'ns';s.�,, O�NNER � `"^�,.,,,ti,�, I !�'t � •\��;��,1 17��f. . j '';1 �r (_,•` �\ �n .,.'��..,,,w�17�`.��- `1���� ',i:; .= j r %�. � '���, ._ �� �o r t�7��rv. �.,.,,, J, '`=' � ��i f �r •, ••� i., � . ►r •.-.., , o �� r ti'`%' ''•'4� /,: r f' 1--••�, 9 � / .r� r � �� .. �d U1 �•`^....,,,�� >s ,\ �,+ '„�� ,1('^'�+,� � J �R . 1 iO � �� � �� �•,...,,�,�,� .,�Jq`�`�Ss,v•� .F�; Zr��� +�� .—; ; ::;"",�.i�r�x ''1 TIIv101�1-I`( JOIJES �� E�is•iuic `"�.,, �,_ �'�:'•�;�•:'' ��� �, ._ :�; ,* .., _ �.� , � D.IJ. Grj2 , PG, 8Z.? (� �ro��� a-so� f �.,�` ��� �,,, x • ' ,,. —.�� ,�r=•.�` 1,,1� '�� ���� [;.I_�1111:; ` �, �� �� i� �y� �.'. �II � n. r�n 1(tUl'I ' `��W1_ t n � � r�. ,��� ���a ' 1 ti��L-�L -S�ts �. �•d �cb�.. � ,QQ� u . . . 1 " Davie County Environmental Health ' P.O.Box 848/210 Hospital Street " Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account #: 990002745 Tax PIN/EH#: 5745-70-7114 Billed To: Clayton Homes Subdivision Info: � Address: 3866 N. Patterson Avenue Location/Address: Pine Ridge Road-27028 City: Winston-Salem Property Size: 4 Acres Reference Name: � Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Pernut Type: C�Tew ORepair ❑Expansion Pernut Valid for: 5 Years ❑No Expiration Residential Specifications: #Bedrooms / #Bathrooms�#People� Basement� Basement plumbing� Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Desig�Flow(GPD): l� Type of Water Supply: �ounty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: � stated in 151� ta�CtiC 9 t:$: �r_c,1!�M •�v�-N•�•• w.:J�lti11I5 I7If.�� C:IJ� �an. I.�:JC.� S stem T e LTAR Initial �,� , a. ` Re air Cc c o� • a- `� I ite Plan � � / � � ;���� , � Y o-,��n �� R o i l ; 1 ��, � /`� f��;c R. � �u.. � � �l 5 ,e u �1t � � a �� I' C \ /L� � �r` d� D: �`�/,.F � c� �� \ � � �. � — � . , . y�� � r�'~r- �' \ �`� , �_ ` Environmental Health Specialist ' ' Date �G '�f��l�� i.p.l l-O6 � � -� �� (� ICATION FOR SI'TE EVALUATION/IMPROVEMENT PERMIT&ATC . �� V .�. � Davie CountJ En�zronmental Health �Q ` P.O.Bos 848/210 Hospttal Street �� '� 1liocks��ille,NC 27028 „^� (33�751-8760/Faa(33�751-8786 O � Application F : Sit Evaluarioa�Improvement Permit Authorization To Construct(ATC) o , �A �„ o CJ C Type o `� lication: `ew System Repair to Existing System Expansioa'Modification of Fxisting System or Facility � � IPO , ,'I"`•*THIS APPLICATION C.�'OTBEPROCESSED UI�TLESS ALL OF TF�REQUIItED ���iON� ��- TION IS PROVIDED. Refer to the IIv'FORMATION BULLETIN for instructions. C�..s' APPLICANT INFORMATION Name to be Billed �c�x+� ��� M�S Contact Person S�diti►- BillingAddress (a �u... Aa t HomePhone Ciry/State/ZIP tuJ:r.t�o.,i S c •�-�. Business Phone 7�a' la�l ����' Name onPemvdATC ifD�erentthanAbove �bNa q �'�«M.:r�S Mailing Address City/State/Zi PROPERTY INFORMATION *Date House/Facili Comers Fia ed ce—Z 7'l7� NOTE: A survry plat or site plan must accompany this applicarion. Included: de P Plat(to scale) (Peimit is valid fot 60 months with site plan,no expiration n�ith complete plat.) O�rver's Name_E� �d�a�.t Pho�e umber Owner's Address P V o�e 3`�'� Ciry/State2ip_��V Ani e� N. C ' Property Addres __ i� �r "�2 City�o ekE u:11 � Lot Size �ntT'�s' Tax PIN#_S"'�y 570 711 H Pa�l u� ` Subdivision Name(if applicable) Section/Lo �e,}- � DirecrionsToSite: � �p�\ Sa.. �tJe�:�y� t4A 7��0 v.,� � �.��.r Rt� � �s4- , If the answer to any of the following questions is`�es",supporting documentati must be attached Are there any existing wastewater systems on the site? Yes � Dces the site contain jurisdictional M�etlands? Y Are there any easemenu or right-of-ways on the site? � No Is the site subject to approval by another public agency? Will cvastcwater other than domestic se�a e be enerated? Yes � IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms #Ba ooms�_ Garden Tub/Wliirlpool Yes o Basement: Yes o Basement Plumbing: Yes N IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of FacilityBusiness Total Square Footage of Building #People #Sinks #Commodes #Showers #Urinals Estimated Water Usage(galions per day) (Attach documentation of sunilar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: Conce'utional Acce�ted Tnnovative Altemati��e Other Water Supply Type: County/City Water New Well Existing Well Community Well Do you anticipate additions or ea�pansions of the facility this system is intended to sen-e? Yes No ffyes,what type? 17us is to certify that the information provided on this application is true and coaect to the best of my knowledge. I understaud that aay peimit(s)or ATC(s)issued hereafter aze subject to suspension or revocation if the sita is altered,the intended use changes,or if the inforn�ation submitted in this application is fals�ed or changed I herzby grant right of eatry to the Authorized ' Representative of tl�e Dacie County Health Deparhnent to conduct necessary inspections to determine compliance with applicable laws and rules. I undarstand that I am responsible for the proper ident�cation and labeling of property lines and comers and locating and flagging or staking the houseifacility location,proposed well location and the locahion of any other amenities. seyrh �rr� ! �/�'�.�' �'�'JMe S W� 5 g`•� Site Revisit Charge Property owner's or on�ner's egal representative signature Date(s): Q'Z?�O 8 Client Notification Date: Date I EHS: Sign given Yes No Account� �� N Revised I1J06 InVoice� ��r�:n� . �KJ ���3 �Jisi`� �l / !�)3 ..� I� , .� . � % ��O � � 4� . r` :;-i;;; ,►i►;,�'. ..�� _,,;: I � �._ �,, ! '•' ' "' •',',� ,.' uir.iU.i;n n. ��ii � C� �,, / , � �1 � `,�• I . �� '��,,.••�� �'�' I lau � DELAIVO M. DEDMOIJ \ �� .�,A;�� D.6. 201, PG. 5?� i�i J i1NU M. DEDMOIJ I D.B. 189, P(7. �I�I% i�� I.�.I:1. �01, PG. 520 � { D.E3. '13�, i't, _ �//:.' , `��� U.13. 189, PG. 1��7 i�nvi �.i i u n. .,::, i�c. s:�i I U.13. 'I 89, PG. 772 t XI'.IIIU: 1J' I'A'�I hil;llf ii�ni �ui i rn�r.: nrtvr.vrnv� NC)1 L:`1: I ��' �:iva��� , . .. _._ 1� :i L(11'. ��� t ,.,: ,�1:1.17 �a ( F.xr.;uac urrri � __.. _ 2) 17.littr� ►itr)r1 •. _ ` � .' �. u�ru:��.i,�• � ... [xisnwc � 3) llil'; I�it \�" UI Vt ;1;111,�') _ _ IRON ` _ T — ^I {LC)(.}U �' �., �I;IqJ .w ...___�.�„�� � — . 1 A•) f�lU N.C. .. . � �� —�--�— � s 27•so 25• r �� 5) 11.nCT I r' YIT..�:,,...,. —�-�T..:_ �c�- 53,77 _����t t a,,. 1�`a��;;1,,1� ,A ~oi�. \ iicvr � • I�Ilvtl" r V , � 'j2-�'''� ,,.,.4 iRor� � l�f_ r:c ri -' N r,n".�r✓u•r u ��n���� � i _ --- -- N /' �, ;�i..��, p �� � �) 7�rin�;r i u,U��� r— 2 �.'�+ � ���� r.ct: ,,'�� '"' t,��,� 1�1� j � _ u \\\ f, ��J'�'' \ I1Ic:I�N:C G i�9. :•u,�4.r�r • � � \��� \\� ;• ,�� ��, I) CII� D/� ��; ` � � �,�,,,. ,.��j EVALU,� . �����op+`f� �„�,'� ' , SA141T/lf `''` '1�' 1�20GER D. WEST or T�u � � � -�__ , � . � i � � . , ,,:, � x ., �f).13. 183, PG. ti','7 �� i��nr:t:; �� p.. �� `, �, ,., IJ.f3. 594• , PG. ���1 , L� �C,c�S � ��Q �' �'� , . � pora a� , ���� � '',`�.'•. i;:r.;inac iaori �r-onre i�/� � �+ lil .� [Y.ISiI1dG If2QIJ �/,�����J , � J--�Q ����,ZS ':•�\�� ��Jt � ���0 �C `` �� � , � . � ,� . �.� Ct>ItIdER q ���Q�,M '� - �.•. �r � :,'�,c� „ czisrnic �� „�j �:�� �• �s';��� OWt�lER IROIJ ' /� �;` .� .... t ,; �;�;, 7 �r. 1 �� %I/"` ��.� ���� f � \'+i'\ �A l ' �� `Y(i � .,t -'�` , ��� $6/ � �\ ,r�•./.1 �, � ; �'�t77�� ,�. �..ti , a N . s' k � \ ..;� � �;�.�.' ... p� � �'+`�.,��� (:UFI II"tOL �;�' \ ;� `�� ���v � •'."3 � �,� r f '-^ N W � '"^-►.. CORIiE(t O'���,� �4 � •�J v '-�� ��i �'� i��v1�J��"�`� JD EX�~ �3y���\',�j, ',t , �\�t' ,1 _.,� ���; , , NES irot� ��'''`��ro � ��,:�' �` ,� . , :;� � y D.D. G�2 , PG. F��7. �0'�, .�� �' ,�.`V �� . : .._ f � C;a:,iit�� �`��'��, t'+1�. �.�. i. c11 ` n. .,r. IRull ', '���2?j,'$�—' - E2 N S6'S5'19"W dy��/ r,a�iication fo��GJLot Da i Coi nm Nortn i vn�imv . --�-�-''----- E3 IJ 39'3G'17"W 55.E8 �.�".•••�• E4 N 35'76'12"W 9�•71 I, Grady L Tuttarow, Protasalon��l Lund Surveyor, Numbor L-2527 + ES N 30'S6�10�W »�97 certify Lo one or mora of lha lollowiny aa Indicaled by an %: � E6 N 2725'02�W �4��`�� 4 GroJy l.iu:leruR.cQ � � E7 N 24'S5'15'W �8.20 a.Tlwl thla la a plul ol n inuv�y lhat creatce a subdlvL�i�ro ��1 under mY u4��'!"O^trt lond Wlthln an area ol a cum�ly w munfcipdity thai hua un under my a�Wo^^Y"o^�a ordinance Lhat rogulalca pmcrin i�l lund; 600k_--7 F'°9°— b. Thot this plat In o( a aurvny Ihnl lu located in euch a boundariess ncA s�uvaY�d , ' • . — porHon of a counly or munir.ipnllly l6ul la unregulated aa lo ,�u from inta�mliw fa■d CCNTER LINE OF 20' EA:CMENT AND ordlnance that roqululee f����:�ln �d Innd; that the tal'a d predsi NEW BOUNDARY UNE OF TR4CT I AND TRACT III thol tida �r-'qel+� c.Thot thle pbl le uf n r.uwcy ul au nzluliuy porcol or '47-30 a�imemia� H �L9 -- porcele of land; �B N 60'S6'09'W �_d.That thla pbt In uf a aurvoy al anuthm� catogory,such as tlm Ilcense num6ar�mJ rm � L9 N 81'03'21'W 3�•86 rocombinatlan ol m:lnlfn{I�arcnic, u courl-orJerod eurvey, or AU..2U� � L10 N 89'28'29'W 140.07 othe� excepliun lo Ilw co InlUon of a auLdivlaion; U1 N 83'03'14'W 3B•95 e. Thot the Info�nxdlnn avoilablo to thie aurveyor fs sueh ! -- thal I am unaLle lo mnke a dalerminatlon to Lhe beat of my ��or�1auK�) • profaseional a6fll�y��+ lu proNaiona conlainad in a. through J. oLova• . . � 1 i�e�cby calily Ilyd 1 , � �unl JmcrbeA Ir�eaa ,/�/� ���� W Slqnoture -.._.-.-_. Ilwl 1 herot7 u�t�qd _.-. .__...-- L{cmv.m Ihw���� �(� $urveynl enlubli.:hmi mini*e�m t '•� iv � �i�n u r nlleye.vn�6a P«k�u^ �i«'s �� p g,�632 F, PG.E897 � (. �.�a�1-1 C/�/rQ�/��� uewe��an�d V,�i r� ZV� ��. no� I ' Ui �`�.����rCSolp�.,��i: . �n � ��� _ � :r_n,� ���' � MICFNEi.p.BURiW�. I �.� ' E L.':,27 -— ( i I ���:•. !r.�.�� IM:1(Y INAIILTON � � I � �. :�1��-��'I,�•��11� .1':' i�1.` . . __— i`. ��f/� I����� � J O ,�%,:..I.l`•\`�`�: ia�awa�ti riuir; I � �Q ��,,,.�.���,. ' NU N'I•i{ „ � � � DELANO M, DEDMON : .Z l���l 4� '.:- �� y ��� D.B. 201, PG 520 ULIANO M. DEDMON � � ' I D.B. 189, PG. 147 o U.E3. 201, PG. 520 ' � G� �� �� �.`r��G I D.B. 189, PG. 777 � D.B. 189. PG. 147 unwC i:�H. SCE D.B.422,PC.1=1I U.�. 189, PG. 772 � _ '�'i y"/�j ' E%ISTINC 11 EASFMfIIf NO1C.S: V(/�� Trv,r rouows oaNiwnrl 1) 3 l015 i0(AL 'M � ^ � �.. S 85•3TSm EI rsEBnR \ n'ra+nv�� �---- -�-'-- 2� 17.tdIG AC. _ S OS'31'BB' E-► 373.17 �l I EIHq7l�: /./ �u�"� 3� nir• ��i;cu�r�tt .,tAi � - 33—�.-.r...... � � . �fi,� Cc,..,_/y}� ,- .`. n•rn;��.p•� C-,.� oastn�a --�---r•-j-T�-.� C,E��__ inoN � ' fLWU '10�4E • T �_��,� �,�w w ,rau.I�� _ __ _._-._-_.� `'` 4) NO N.C.G.S. ! ��u�� ..�i,�iii �S 27•50'25' E 0.N , 53.77 � 5) Tf`JrCT A WS � �39.'�,. V � DAVIE C0. I�S � THIS NEW 30' ElSEI�IENT � u� WILL REPLACE AND VOID ` `�,3,�9• 5�Z 5� � iRw+ � (iC CON`�YE[ � ANY OTHER RECORDED LASEMG�T. ' NI `\_ `��' I� N 6�r'H:ii�r W � 6� 7R�;T III IS f ( i'1�4i. � 10 QI' RECOR s ' _�,��i � {^',h'���i�' • - \ � ItICYIMD A P i� �� \ �`� ��� � /) TtIE DAME CC 6°' ��f�;'d X � . ��cr � �� ���,,�� m m . � \ : � SANRARY SE ;�o� � . `�\�1�1';�.� FtOGER D. WEST oF nns w� � e!� � �� 20'FhSEMF1JT/ `. ��� rf 7 L. U�yf�. �� . I win�a�rEs a�eouwos �;�'�� D.B. 183' PG. F7 g� innt.ts t, e �� •�/ �' � � oe.eaz,rc.ea� \� � D.fi. 594 PG. �.i4 � � � � D0.700.PG.}66 ``�, D&122,PC.311 ��.;�;;� � �-.�' .\ • �� u �7� ' • ��`�\�. r . ,Y"°{�"°N T_� MI CHAE �� �\ � M 1'E%151�IJG IRON N 82•4�'Ol• V A /{�/'+:J'� . ��\� (1 11�. �_�41�.0� ccxtNEx� / '�" �' � �' ' .,W-rie / /� j:.<,- �..,'_\� �9. OWNER --- Y:ON C I. E%piON i /L/ /�C.�J�"J \\\ �6� I � q,�r� ! r �, *1 �/(� Q fl � \�\ r.� ',JJ �'�d* �AC7r� ' �( ! !'� '� ��� �. r.:.:1 � • o� _"'2•e�-es w < < h ,r {� .( �� 7 ;, w� cwrmoi +o. .���''�� ("4 . ' pi�^ , G: :!Q� r�I�� N w CORNER )$f- �.1 �3. � \Y .. m � . `Ts ` �<�.' �. . Q.�� �U � TIMOTHY JONES �"n"'� �_;:Z cr.rru+c nm�� � �! .. D.B. 682 , PG. 822 ��ow N6�I0,4g � •:+'' \�V` �O GH LNaE. �91 /�(� , PONU �`�\ . , EXIS(CIL' . �\�•4 "\` � � �` ��' r l59.00 �>lorai 9?.53 ...... . 382.30 ... .... utuH . __. __ _ _ _ ___ _____ I ' � • ..� � Davie County,NC � Tax Parcel Report �. �;�'�� �;� ;, ,� � ,„� .� _ ��. .�' "' _- �"°,�.;'� � � - � — � ° �:: �{ i`' p'• },� '� I{'���SaA�} � �� � � ���`���-� ' t �.' d -�� ty � 4��'� 7�'` :��, � }'�t � r `� `�t .1' �{ a �e:' ��s. .e �., M�� w��=4 M,v�,�.�-�ii� . s !'z.�J4Famc..�r � �.is� r t, .+, "�.a �, ie �.•. '� ��.: '`'d-." 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"� �c� �� � a� � . a,.'� „�� ���+` . .. ,.F�,:•'�.�*v��i `�`F"�IN`'��wi. � ,"'4�"�1�.'qt�a�. � ' . ,.� � � . :.,; "�, �: �"�`�`���:a9 �`�.'�t"'w.y �� T+�p ` 4; ;'� �.S� �A"'- �� �� H ��f��ex-�� � .'�.A K�'4"�:�' :, _ . '�j �,. -� �-� . f ,��`. � ���` V h' �' Wf �'. �1- -`�+�n _ �WS- � 9 � � ,`5` .,. � ��+ 3 � '�' ,�s��$ �,�'� '� ���'�:.9 h . � � i� ��_ �� � ���� �� � � � ��� � � _�� �.. � .�� �4 .... . .�. .'��'r ::2' � .. �i � s.� � � ' . � �.. :' ,wq_ f . . *WARNING: THIS IS NOT A Thursday, �) �� ?008' p�cel Number: N50000006205 SURVEY!* a�;, ; This map is prepared for the ��—"�'''��� P�N�ber: 5745707114 inventory of real pro pe r ty found ��-_;�'r Account Number: 000082527383 within this jurisdiction, and is ��`'�� BANK OF THE � compiled from recorded deeds, Listed Owner#1: CAROLINAS plats, and other public records ATTN: ED and data. Users of this map are Listed Ov��ner#2: JORDAN hereby notified that the Mailing Address 1: PO BOX 347 aforementioned public primary information sources should be Mailing Address 2: consulted for verification of the City: ADVANCE infonnation contained on this State: NC map. The County and mapping Zip Code: � 27028 company assume no legal responsibility for the Leaal Description: 17.607 AC PINE information contained on this ` RIDGE RD I map. Acreage: 17.72000000 ' Deed Date: 020070830 Notes: Deed Book and Page: 007271071 , , . . ; _ � . � ' , DAVIE COUNTY HEALTH DEPARTMENT ,�,-`• -w . ,• Environmental Health Section Soil/Site Evaluation AP �T'T����ON Tax PIN/EH#: 5745-7��fCD'W�RTY IN ORMATION Billed To: Clayton Homes Subdivision Info: Reference Name: Location/Address: Pine Ridge Road-27028 Proposed Facility: Residence Property Size: 4 Acres Date Evaluated: �_���/�'� �' �� Water Supply: On-Site Well ommunity Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e sition L— v Slope % HORIZON I DEPTH r. 6 - 6 - � Texture grou � L G� Consistence r� Structure �K � Mineralo HORIZON II DEPTH Texture rou Consistence Stsucture Mineralo HORIZON III DEPTH Texture rou Consistence � Structure ,�2 Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS � � RESTRICTIVE HORIZON � l SAPROLITE / / CLASSIFICATION LONG-TERM ACCEPTANCE RATE • Q � . SITE CLASSIFICATION: '_ EVALUATION BY: G LONG-TERM ACCEPTANCE RATE: V' OTHER(S)PRESENT: x�M�s: A. _t "1 Q d -C LEGEND T.�ndscape 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 T�Xtur� 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 ('ONSISTENCE MQiSt VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm � NS-Non sticky SS-Slightly sticky S-Sticky VS-Very S[icky 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 Mineralogv 1:1,2:1,Mixed LYQts� Horizon depth-In inches Depth of fill -In inches Restrictive horizon-Thickness and inches from land surface Saprolite-S(suitable),U(unsuitable) � Soil we[ness-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-gaUdav/ft2 ru�un nc mc m__.:__�.