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130 Pudding Ridge Rd Davie County,NC ; Tax Parcel Report ) a �� Tuesday, October 4,2016 � � 5 �I 1 I 1 *� y � ti � ♦ �� i 1187 �O' -Y �`/ t^ � 132._�� � 152 -,150 130 � J` ��� f I � f 11•73 172__ i �_-164 ' , ' i ' PUDDING RIDG� ; � r i I i � � I I i f WARNING: THIS IS NOT A SURVEY ,__:: :_ n . _.___� _ _ _, _ _ . _ _..._, _ .. _ __ _ . _ _. --- -. . _ __ . _ ,. . _ - 's. . _ .::_. _..:.. ...._.:u. .. ...�_. Parcel Information ._._ . - - Parcel Number. D50000006401 Township: Farmington NCPIN Number. 5841589779 Municipality: Account Number: 82532031 Census Tract: 37059-802 Listed Owner 1: EVANS CHRISTOPHER Voting Precinct: FARMINGTON Mailing Address 1: 178 PINEWOOD LANE Planning Jurisdlction: Davie County City: ADVANCE Zontng Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: 1.110 AC PUDDING RIDGE RD Fire Response District: FARMINGTON Assessed Acreage: 1.05 Elementary School Zone: PINEBROOK Deed Date: 6/2010 Middle Schooi Zone: NORTH DAVIE Deed Book/Page: 008290060 Soil Types: GnB2,EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding 8 Extra 5410.00 Freatures Value: Land Value: 24430.00 Total Market Value: 29840.00 Total Assessed Value: 29840.00 9���, All data Is pmvided as Is wHhout warraMy or puanntee of any Idnd elther exprcued or Implted Includlny but not IlmRed to fhe Davie County� ImpNed wamMlea of ine�chaMabllity or fttness for a partleular use.All users o/Davle Cou�Is GIS websRe shall hold harmless the �o� �T� CouMy M Davle,North Caralna,its agmts,conwkaMs,wntractors or employees from any and a9 dalms or uuses of actlon due to 1� w arlsiny out of the use or Inablilty to uu the GIS data provided by thfs websi[a y..>.�;. ""f` a4��+ti., ,/: � .. �.. �- ,x� ,;fx �`I �c s1. ^�.`� , - � . ` ... . - _ �+�'�Y^ O ''��.r � 07 f�/C. . ...% !�`�.-����i�:�4/y'� � ���_ :� j o�i Y`�. r � . . . . .. .. . ��� .AUTHORIZA'FION NO: bAVIE COUNTY HEALTH DEPARTMENT . . � ;; ��_�:r.-�- "., � Environmental Health Section PROPERTY INFORMATION �ermz'ttee,s � . P.O.Box 848 ame: � /c �� ..� Mocksville,NC 27028 Subdivision Name: Phone#:704-634-8760 � ; Directions to property: . i•� %� Section: Lot: ��� . AUTHORIZATION FOR � WASTEWATER Tax Office PIN:# �a��5� SYSTEM CONSTRUCTION ���� _ Road Name: C�t �1�E:'�.- �� , . ..< � ; **NOTE**This Authorization for Wastewater System ConstrucUon MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts.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) ���' �/ � d� . ***NOTICE***TFIIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION i ,�.��'� :;st'K,�� �'/''�`✓"'�� IS VALID FOR A PERIOD OF FIVE YEARS. � ENVIRONMENTAL HEALT �SpECIALIST DATE ISSUED '- ^"' P 7.'ti�+ :. ,, .. � .. » . . ��,F.. .si�.,+�,� ,�-r ., Y � . * .. c �°t:.. .. ! t' '" K ,�+I�f``' ,+ i,F k ,rNv. "�':y. ''ri«i1�.'` " H�/ . . , . . . . '��/t'�Q, �'�.�,, � ��� # / i! � �g���� �y, . . . �. . � . ., �' �� DAVIE COi�'NTY HEALTH DEPART f .< e�J.,�,wx�, .. . .' „ *.� ' , ..,.��'#�<, ...�� � IMPROVEMENT AND OPERATION PE� PROPERTY INFORMATION � � . ��• ..-�., „ �,P,�rmiuee's .r:=,� . N ' , � a ,�„ � . "1CTame��' d',�"t.:)r"t.� �t'/,rsrr>..f Subdivision Name: � , ,. F �,o 2�-�Du'e�uons to property: ��'�.� -�''f �' Section: Lot: � ` '^, �J Il1�PROVEMENT _ , ,�.. PERMIT Tax Office PIN:#���_ i'"�► _ �'".,,��5 c!:i Road Name:�f ..� t�` i��:::���. .ti'` ,.;'' . .-- � **NOTE**This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system.An - AU'THORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained frc�m this Department prior to the ' conshuction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Sec6on.1900 Sewage Treatment and Disposal Systems) ' � ; �� �.,;.:i� ,..��~ ***NOTICE***THLS PERMIT LS SUBJECT TO REVOCATION IF SITE .�ry S� ,,'t";_ �+.�t,�'`�rt``:r' 6 ..`��,i�••J't;'"�i�+'t''�' PLANS OR THE IIVTENDED USE CHANGE YOUR WASTEWATER ENVIRONMENTAL HEALTEf SPECIALIST DATE ISSUED �r SYSTEM CONTRACTOR MUST SEE Tf�S PERMIT BEFORE ; , . _. INSTALLING TI�SYSTEM. _ " RESIDENTIAL SPECIFICATION:BUILDING TYPE �� #BEDROOMS � #BATHS � #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILTTY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE �� TYPE WATER SUPPLY �- � DESIGN WASTEWATER FLOW(GPD) y� NEW STfE � REPAIIt SITE SYSTEM SPECIFICATIONS: TANK SIZE QDU GAL. PUMP TANK ' GAL. TRENCH WIDTH��� I ROCK DEPTH� LINEAR FT.� OTHER c-��'���� "\�'./,l,�.0 :n li�t.v� ; r., `REQUIRED SITE MODIFICATIONS/CONDITIONS: �. �, IMPROVEMENT PERMIT LAYOUT : ��. ';::, - .�,...�.*'.�""'. . !— _ **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPAR'fMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON Tf�DAY OF INSTALLATION.T'ELEPHONE#IS(704)6348760. OPERATION PERMIT , : SYSTEM INSTALLED BY: , � ��� � _ � t- / o AUTHORIZATION NO. /� / / OPERATION PERMIT BY: ��J� DATE: K�—�— � � **TI�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 WII.,L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96(Revised) � • APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC : ' Davie County Health Department • � Environmental Health Section � P.O. Box 848 _ Mocksville,NC 27028 � (704) 634-8760 ., � � . ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed /�'/��3� ��`f�OJ�.S Contact Person ���%/Y/y � /i �d� Mailing Address���Q�� ,� �fd /[/.�C�lto� C� Home Phone ,��e� �G �- 7 �� � City/State/Zip G,�ly1�l/ir.�. ,�v. � v2 70�2 Business Phone ��7 - �,�7 � /�T �/ 2. Name on PermidATC if Different than Above ' Mailing Address City/State/Zip , 3. Application For: [ ] Site Evalua6on �mprovement Permit&ATC [ ]Both . 4. System to Serve: [ ]House �bile Home [ ]Business .[ ]Industry [;•,J Other � 5. If Residence: #People� #Bedrooms�_ #Bathrooms� ,��]'Dishwasher[ ]Garbage Disposal [ ]Washing Machine [ ]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:�unty/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ ]No If yes,what type7 PROPERTY INFORMATION REQUIRED:***IMPORTANT*'�*Ak�1�'�OF THE PROPERTY MUST BE r SUBMITTED WITH APPLICATION. 1 Property Dimensions: /'e ;WRITE DIRECTIONS(from Iocksville)TO PROPERTY: Tax Office PIN: #�Z,��1-�_-� ; � �`' Property Address: Road Name L! �� -� �"�!� �`/� �' ���o'� N City/Zip � SY�" �� � �f ,�G6 ! ,� , If in Subdivision provide infqrmation,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 aze 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 chazges incuned 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 by1����, . �y4•�S to conduct all testing procedures as necessary to determine the site suitability. DATE �'�S "�� SIGNATURE - ��"�'�� Revised DCHD(06-96) Tl-iIS AIlEA MttJ $E USEI> �O1Z blttlWZNC� �OUIZ SZTE E'JriN: � I � I , J�.P��`'0 (� 0 ��� V _;�;r�p��� � . APP�.ICATION FOR SITE EVALUATION/IMPROVEMENT PERM ,�, � . 1 Davie County Health Department � � ��� �� p � _ Environmental Health Section �� , �� � Y' �. � '� :_ P.O.Box 848 ���{�� � � l997 ° R� � � � Mocksville,NC 27028 �"�`#� /J-�/' �� �„ 'ia � � - (704)634-8760 �7 + Q� _ � ,d ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed � /�Q. ��L75 �' Contact Person � e��j � MailingAddress '> I HomePhone��� ��d ����-' City/State/Zip ��5v1 I �P� _/l�L� a-7 oa-� Business Phone ��v / ��� t11�� 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: C� Site Evaluation ❑ Improvement Permit&ATC ❑ Both 4: System to Serve: ❑ House ❑ Mobile Home ❑ Business 0 Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms ❑ Dishwasher ❑ Gazbage Disposal ❑ Washing Machine 0 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: 0 County/City �Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE j SUBMITTED WITH THIS APPLICATION. Property Dimensions: ' l-l.C1rP� � WRITE DIRECTIONS(from ,/ q � Mocksville)TO PROPERTY: Tax Office PIN: # �f�"7� - S / - '�' 3 U � .� . , � P�d�'c." �d ,�1. ; m�-r -�` � Property Address: Road Name ' _I ' � 7o a� � ud d i 7. �d � c�- � ��ty��P oe�s v���� � �o 0 � If in Subdivision provide information,as follows: 1 .___ _ 1 -_ _,. Name: � � s���-,�- � � Section• � .I.et—#t.' � 1 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 �'� (��—t� ��n!?�'� to conduct all testing procedures as necessary to deternune the site suitability. 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Water Supply: On-Site Well � Community Public Evaluation By: Auger Boring �� Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition Slo e% .Z 2 HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH � �' " �� �i Texture rou C C" Consistence � � , Structure / Mineralo � HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE , , SITE CLASSIFICATION: Yo G EVALUATION BY: i`/.��� LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: • - REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Lineaz 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 tructure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angulaz blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloav 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-gaUday/ft2 nc}m 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"" � - � � �avie County�-Cealth �epa�ynent � and.�fome.�lealth�gency �nvironmentaC�-feaCtf�i Section 1 P.O.8oX 84S I 21 O HOSPITa.STREET � ' COUaIER#09-40-06 4 MOCKSVtLLE,N.C.27028 Pr+oNe:(704)634-8760 January 29, 1997 Dana Sheets 130 Pudding Ridge Rd. �'iocltsvill�, NC 27028 KE: 2 Site Evaluatians/Pudding Ridge Road Tax Office PIN: �58�1-59-8230 Dear Ms. Sheete: As rEquestEd, a represFntativE from this officE visited the aforementioned sitets3 an January .'l3, 1597. Based upon the information providEd an the applicat,ian(s) for"`site Evaluationis) and after the evaluations were campleted the findings were as follows: 1) Site �ll was found to Y,e provisionally suitable for the installation af an on-site sewage disposal syst�m. �i 2) Site �� was :found to be provisionally suitable for the installation of a modified, aversized on=site �errage disposal system. If�you r,ave any questions, please fEel free to contact�this office. Sincerely, � ;, . �� ��� �� �� � , Robert B. Hall, Jr. , R. S. � Environmental HEalth Section RH/wd � Enclosure(s) cc: JessE Bc�yce� Zoning Officer ' ,