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120 River RdDavie County, NC Tax Parcel Re -port Thursday, March 16, 2017 W AKfN llV tx:.L 11711 -in ZN V i H a U 1c v X X Parcel 7nformationM Parcel Number: E8110B000101 Township: Shady Grove NCPIN Number: 5871955321 Municipality: Account Number: 8305626 Census Tract: 37059-803 Listed Owner 1: YENNY-WITTLINGER DEBORA A Voting Precinct: EAST SHADY GROVE Mailing Address 1: 120 RIVER ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 6 GREENWOOD LAKES Fire Response District: ADVANCE Assessed Acreage: 1.03 Elementary School Zone: SHADY GROVE Deed Date: 10/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010020689 Soil Types: GnB2 Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Building Value: 143410.00 Outbuilding & Extra Freatures Value: 630.00 Land Value: 47500.00 Total Market Value: 191540.00 Total Assessed Value: 191540.00 SI Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davle, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to Dr arising out of the use or inability to use the GIS data provided by this website. HEALTH DEPARTMENT RELEAS Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Debora Whittinger Address: 120 River Road City: Advance State/Zip: NC 27006 Phone #: (336) 287-7936 For Office Use Only *CDP File Number 234388 - 1 5871955321 County ID Number: Evaluated For: HDR/WV1/G PERMIT VALID 0 a / 1 3/ a 0 a 2 UNTIL: Property Owner: Debora Whittinger Address: 120 River Road City: Advance State/Zip: NC 27006 hone #: (336) 287-7936 Prot)erty Location 1£ Site Information Address'120 River Rd Subdivision: Greenwood Lakes Phase: Road # Advance NC 27006 Township: SINGLE FAMILY *Structure: Directions 2 # f P I Hwy 158 right on Hwy 801 left on Underpass # of Bedrooms. o eop e. *Water Supply: N/A Type of Business: Basement F—]Yes � No Total sq. Footage: _ No. Of Employees: *Proposed: Improvement: RV Cover16x40 Must stay 5' minimum from all parts of the septic. Lot: 6 This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? OYes O No Applicant/Legal Reps. Signature, *Date: *Issued By: 2325 - Mitchell, Brittany *Date of Issue: 0 a 1 3 0 a a _ Authorized State Agent: *Site Plan/Drawing attached.** Hand Drawing 0 Import Drawing characters Remaining 700 S7,;z ........... ..... .. .. ..... ------------ --- --------------- ............ . ......... .......... ........... .... .. ..... ................. . ....... .............. ..... .... ..... ... ..... ........ ---------- ......... . ... . .. . ........... f - ------- ...... ............ I V/N 0 bole o. you 0 —co Z7 —T / -e-0 :Gleci IZCSC;6U82 :jeqwnN al!j Iqunoo :j;gqwnN OLI dGO oseajo�! ;uew:pede(] qllceH ;edA-L 6uimej(3 SZOILZ ON 9jj!A$N30VV M YOS'O*d JeGJJS lel!dSOH 02 luaw}md@Cj 409H ATun0O Wed 3SV31aN IN3WIUVd3G HIIV3H Phone: (336) - P.O. Box 848 210 Hospital Street C m� rier # : 09-40.06 Mocksville, NC 27023 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fix: (3363 - 753-1680 Name: fol It Phone Number 13 97 793 (Home) Nfailing Address: 1ga, i?'(Work) A.,Te Email Address: � t , a IC Y�, a 01 Detailed Directions To Site: c'?Saul 1, Property Please Fill In The Following Information About The .i UST17VG Facility: Name Svstem installed Under Tope Of Facility:. hate System installed (A-iontir/Date/Y ear): I Number of Bedrooms:�•NTumber Of People: Is The Facility Currently Vacant? Yes <0 if Yes, For How Long? Any Known Problems? Yes 6 If Yes, Explain: Please FM In The Following Information About The A Faeffity: Type Of Facility; v e� V,60, Number Of Bedrooms: Number of People Pool Size: Garage Size: Other. tsr t Requested By: 3 Date Requested: .,1-7-17 C. (Sign _ ) For Environmental Health Office Use Only Approver( Disapproved Comments:Mjme Environmental Health Specialist. Date: *The signing of this form by the Environmental Health Staff is in no wav intended, nor should be taken as a b srantee (exaended or limited) that the on-site wastewater system will fimcdon. properly :for any given period of time. Payment Cash Check Money Order ft A.mount:$ Date: Paid By: Received By: Account 4: ✓1 � invoice F66-� g"Ca = -R .14T Z,TLO-- = TR TEM 9T,866T = sw -,Coe 9z,90E = fTr x nz 3001tim-000-1--3w -opovi I r FA 0-ps pismI)m uml asz ujocupa@ tPes U"OJM Lpes 1&4-12W jamew OUIAIJ 4, a6eJeg .r tv oulula Uquov Mqno(3 .A womd uns 900a w3q - ON eyea AWWO q2483M OuLplins POW �Piapull'aawl.&PWIP� japuq ODUeAPV —?z PU JeArd IOZL SOM Udoid JeOU9j4j11&AUu2,kujoW(3 MPafxmos Davie County,, NC 1291 Tax Parcel Report 1SB Thursday, January 5, 2017 W Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: e All data is provided as is withoutwarranty or guarantee of any Idud either expressed or implied including but not limited to the Davie CoIIIIty, ! implied warran es of merchantability or fitness for a particular use. All users of Davie Countyss GIs website shall hold harmless the S NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to V or arising out of the use or inability to use the GIS data provided by this website_ i 1 ODDS WARNING: THIS IS NOT A SURVEY Parcel Lif6rmation Parcel Number: E8110B000101 Township: Shady Grove NCPIN Number: 5871955321 Municipality: Account Number: 8305626 Census Tract: 37059-803 Listed Owner 1-. YENNY-WITTLINGER DEBORAA Voting Precinct: EAST SHADY GROVE Mailing Address 1: 120 RIVER ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: - NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: Legal Description: LOT 6 GREENWOOD LAKES l=ire Response District: ADVANCE Assessed Acreage: 1.03 Elementary School Zone: SHADY GROVE Deed Date: 1012015 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 010020689 Soil Types: GnB2 Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra W Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: e All data is provided as is withoutwarranty or guarantee of any Idud either expressed or implied including but not limited to the Davie CoIIIIty, ! implied warran es of merchantability or fitness for a particular use. All users of Davie Countyss GIs website shall hold harmless the S NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to V or arising out of the use or inability to use the GIS data provided by this website_ i 1 ODDS DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:'Issued in Compliance With Article II of G.S. Chapter 130a ® '►�r Sanitary Sewage Systems -- - 1- _ _ : �C•i Permit Number Name '' ` DateNo 7154 Location ' �J. 1 n Subdivision Name` e ` Lot No. Sec" or Block No. Lot Sizea House .� Mobile Home ,, Business Speculation No. Bedrooms No. Baths No. in Family ___. Garbage Disposal YES p NO ❑ Spec,ifications for System:,. Auto Dish Washer YES E] NO ❑=; Auto Wash Ma^hive YES NO ` __ ` =- a ( ^• Type Water Supply -- t *This permit Void if sewage system described below is notlfinstalled within 5 years from date of issue. This permit is subject..to revocation if site plans or the intended use change. r i i l Y i Improvements permit by *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 day of completion. Telephone Number 704-634-5985. f � f Final Installation Diagram: Installed by � 1 � C o� C , iPi Certificate of Completion �" -- --- ' Date `The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ,f Davie County Health Department AI Environmental Health Section P. O. Box 665 Mocksville, NC 27028 ------------ 1. ____1. Application/Permit Requested By Gkat--le_s,._ Mailing Address Z ` J,1 Home Phone q 22 - ,� .2, -1 � Business Phone 2. Name on Permit if Different than Above �_. 3. Application/Permit for: E][ General Evaluation 'Septic Tank Installation 4. System to Serve: �A House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision C l-ee.)c.Ddu La 1�R-i _ Section Lot # ❑ Basement/Plumbing No. of People oL No. of Bedrooms No. of Bathrooms Dwelling Dimensions SU X 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Basement/No Plumbing p?Washing Machine p'Dishwasher 9'Garbage Disposal 7. Type of water supply: Vftblic :�II 3 ` 3 �k �, ❑ Private ❑ Community 8. Property Dimensions eT��"')9 Sewage Disposal ContractorSi 0.c ; C-O'tJzZ -7e r 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes B -No If yes, what type? "NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: i t -s S f�� This is to certify that the information provided is correct to the best of incurred from this application. DATE knowledge, and I understand I sunresponsible for all charges NATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. �-2. 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: 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 7-, 4. to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. Z 13 — DATE DCHD (12-90) SIGNATURE 1 TO 4;77- . 9*h DAME COUNTY HEALTH DEPARTMENT Environmental Health Section �Soil/Site Evaluation NAME DATE DATE EVALUATED ADDRESS S ��� PROPERTY SIZE PROPOSED FACIII.TY LOCATION OF SITE Water Supply: On -Site Well Community Public 1/ Evaluation By:C� Auger Boring L) Pit Cut FACTORS 1 1 2 3 4 5 6 7 Landscape positior, slope s / Com- �" L C1 HORIZON I DEPTH 41 I Texture jr0up 1Z_ L• L Consistence 3 F T �- _Z t Structure C� Mineralogy HORIZON II DEPTH Texture group Consistence !- Structure iz Mineralogy HORIZON III DEPTH Texture Sroup1 Consistence Structure { Mineralogy HORIZON IV DEPTH Texture grou2 Consistence Structure Mineralogy SOIL WETNESS S 5 5 s5 S5 RESTRICTIVE HORIZON — -' SAPROLITE CLASSIFICATION S, i S, E, S LONG-TERM ACCEPTANCE RATE ,k7 ++ SITE CLASSIFICATION: LONG-TERM REMARKS: DCHD(01-901 TANCE RATE: - N' � Landscalne Position _ EVALUATED BY: \ 1��p� OTHER(S) PRESENT:e�'� 41 LEGEND R -Ridge S7Shoulder 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 Poloist 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 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 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/fta ONE MEMBER ■l MEMENNOWN■ i 1..H■W■■■E.rt■.■■.r■i■1/■■■■■■■■uEMMERM■.■r!.■H■■■H■W ■ ■■!■■■■.■r■■......//!■/■.■■�f/■■ !.■R■■■■■■■■i■■■■■■■■■W.■■.■■. ■■■H.■O■.OO...H..rH..■MNEE■■ ■■■■■■■.■■■■■■■■..■..■.HH■W.. /■..!■..■.■. .■■/■■■r■■N.■.■■■/■UHr■i.....a.■i■■H.■i■■W■.W■ ■....U.■/■./.I■■H■..il./.■ /.OlEU■...■■.H■■■...■■■W.■■W..H. t■■■.■ ■■■■■.... .■■r■■.■■■■■.OE.0■■■f■...WH.■■.!.■.■.�W■.■■� E�■.rH■.M■■■M■UM■.r..HN■■■.■■■■/EUEN■.�■..■.E■■■..lUEW■N■ ■■MME.M.M■■■�.■■■■■.■■■UNM■■■■...■..■■HE ■.■.■..■....■■■.■H.■■ .■.■■■■■N■.■ ■■■■■.1.u■■H. .. ..■�■H■...■■■.■..■■.MEMO.i.i■■■ ./.■■...■..■■■..■�..■EUH..E/Hr■ M■MEM■MM■MMEMHMM■■MEMEME■■MEM■M ■...MM■M■■■N■■.NMN■... . .■■■■■■■..■■■■NMi!!.■■.MO■■■■■■■■■■ ME MOMMIMME ■.../HU.■■■.. 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