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240 Springhill DrDavie County, NC Tax Parcel Report i) I n Z Friday, September 30, 201E Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: COOLEEMEE Land Value: Total Assessed Value: WARNING: THIS IS NOT A SURVEY Parcel Information M5100B000301 Township: Jerusalem 5745381095 Municipality: COOLEEMEE 20901000 Census Tract: 37059-807 DEDMON MARGIE Voting Precinct: COOLEEMEE PO BOX 414 Planning Jurisdiction: Davie Countv NC 27014-0414 P/O LOTS 35-38 EDGEWOOD LIFE ESTATE 0.40 12/2003 005260160 0004 030 122510.00 21000.00 143820.00 Zoning Class: DAVIE COUNTY R-20 Zoning Overlay: DAVIE COUNTY CZOD Voluntary Ag. District: No Fire Response District: JERUSALEM Elementary School Zone: COOLEEMEE Middle School Zone: SOUTH DAVIE Soil Types: GnB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra 310.00 Freatures Value: Total Market Value: 143820.00 l+v / 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 Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION.PERMIT IMPROVEMENT PERMIT ti 2 91 *-,Alda le V/% 0 **NOTE** This.,improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system:,, AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construct'i-on/installation of a system or the issuance of a building permit. (In compliance with A'it,icle 11 of 6.S..Chapter 130A, Wastewater Systems, $fiction .1900 Sewage Treatment and Disposal Systems) q- v NA PROPERTY ADDRESS DA / LOCATION -&, , a�r,»D // �ir// - ^ /'•.� ✓/- A�" - SUBDIVISION NAME �f,'/ �/ .sib/!' .`✓G p LOT NUMBER SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS _ GARBAGE DISPOSAL: Ye t5 ,COMMERCIAL. SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE %AC TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /W GAL. PUMP TANK OTHER REOUIRED SITE MODIFICATIONS/CONDITIONS: GAL. TRENCH WIDTH -:�`_ ROCK DEPTH _Z� LINEAR FT. ,;�,O17 ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. L � IMPROVEMENT 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 1:80-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY F 16 I If/ ' d u s, - Q�b �� `�I qV• � ll 6 AUTHORIZATION NO. OPERATION PERMIT BY DATE _ b **THE ISSUANCE EF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMIPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 138A, SECTION .1996 "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 10/95 -r 'w✓r _. .*L +:j:F- - ,, a •s'._.;-�yr1 .Iw.rL � '—•,rl -. .. .. 9 -... .. - ; .+: .. .. - zs.r-._ ... . . z IOL' L' a _Y Davie County Health Departmentr ENVIRONMENTAL HEALTH SECTION , /� Lj, ,M P4. Box 665 p, Mocksville, ,N.C. 27928 AUTHORIZATION FOR.WASTENATER SYSTEM CONSTRUCTION r (Issued in compliance with Article 11 of G.S. Chapter 139A, Wastewater Systems) ***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.*** z•f`` AUTHORIZATION NUMBER NAME �i®iJ�i`i Cyru �.O DATE NATE ON IMPROVEMENT PERMIT .(If differentththan above) SITE LOCATIONl/ 6+/eri+� � % / / CO - / r�.• e COOWS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM u , *44WICE*H THIS AUTHORIZATION FOR WA WATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. i — ENV IRONIENTAL'HEAL GIALIST DATE r DCHD 10/9.5 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Re uested By �' Mailing Address �'h� ��f Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation &Septic Tank Installation Permit 4. System to Serve: Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If house, mobile home: Subdivision No. of People No. of Bedrooms d No. of Bathrooms 01 Dwelling Dimensions c: 4 2 ✓1 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? I "NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvement§ Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORMATION REQUIRED: Directions to Property: This is to certify that the information provided is correct to the best incurred from this application. I` -ll -9 DATE Tax Office PIN # Road Nome Box # (if available) City knowledge, and I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1/93) ��// APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 f Mocksville, NC 27028 r�% .41 1 1. ADglication/Permit Requested By 'J IE�( _ / V—( s0' " Mailing Address V l: 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve: House General Evaluation Home Phone Business Phone U Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision , (.U") O!I 01(re! M. Section Lot # .% 37--' No. of People No. of Bedrooms No. of Bathrooms 12—J Dwelling Dimensions cl) 0 — 130 d 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 i Water Usage Figures 7. Type of water supply: Public J� PPrriivate��a � S ❑ Community 8. Property Dimensions l 15D x ewllage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes No ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine Dishwasher ❑ Garbage Disposal 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: 61 Jo u VA, )Cf- 6,q ti� Itl— 1-" - This is to certify that the information provided is correct to incurred from this application. I bATE 4 ATE my knoN4edge, and I SIGNATURE responsible for all charges CONSENT FOR SITE EVA6WATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. 1 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 th Davi unt Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to deter .n s d site, ility for grd ai�sewtion sewage treatment and disposal system.r�/ DATE SIGNATURE DCHD (1193) J DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED PROPERTY SIZE x LOCATION OF SITE NAME //igrrr$ ON ADDRESS PROPOSED FACIILTY .�qos-333z/��": 37 381 Water Supply: On -Site Well _ Community Public L-`*� Evaluation By: Auger Boring Ll__� Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC'_ G Consistence Structure /L 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: /-Its f! LONG-TERM ACCEPTANCE RATE: 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 ;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V, ---y 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 neraloety 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(01-90) ■��■■�■��■��■��■��■��■��■��■■ ■��l�i■ ■■■��■��■■■■_��■��■■N��■��■n��■�■��■��■■ ■�■��■��■��■ ■��■��■■ ■��■��■�■�■��■■■ ■■■■■��■��■��■��■■��i��■��■ ��■��■��■■■■■ ■��■■��■��■��■�■��■��■��■��■��i��■��■■��■■�■�■■ ■��■■��■■��■■��■��■��■■��■�■�■�■�■��■ ■��■��■�■��■��■��■■�■��■■��■■��■■■��■■■��■��■ ■��■��■■■■��■■■��■�■�■■■��■��■■�■■�■��■■ ■��■��■�■■■■��■■��■■■�■��■■��■��■��■��■ ■�■■■■■■��■ ■�■�■■■��■■��■■��■■��■��■■��■��■■�_ ■��■�■■�■■ ■��■■■�■�■��■��■■■�■��■��N��■�� ■■��■�■��■■ ■��■�■�■��■■■��■�■��■■■ ■■�■��■�■ ■ ■■��■�■�■��■ ■��■��■■■��■■■�■��■■�■■■��■��■■��_�_�__��■�■�■�■■ ■��■�■��■�■��■�■ ■■��■��■�■ ■��■ ■��■�■�■■ ■��■��■��■■��■��■■��■�■■■��■�■��■��■■ ��■■�H��■ ■��■■��■■��■��■�■��■�� ■��■ ■■ ■��■■��■��■��■��■■��■■ ��■ ■ � ■��■n�ii �� ■■■��■��■��■■��■■■��■��■�■■■■ ■■�■��■■�■��■ ■��■��■■■�■■�■�■�■��■��■��■�■�■■�■��■�■��■��■■■ ■��■�■�■�■��■■��■��■�■��■ ■��■■��N��■��■�■■�■■■■�■�■■��■ ■��■■�■■■■■�■��■■��■�■��■��■��■■��■�■��■��■��H■■■��■■ ■■■■��■��■��■��■■��■�■■�■��■ ■ ��■��■�■��■�� ■■■■■��■�■■■■��■��■��■�■�■�■■��■��H��■■ ■��■��■�■■�■�� ■��■■■■■�■��■��■��■w��■ ■■��■� ��■��■■ ■��■�� ................................►,. .............. _.�........■.. _ ................................,............. .... . ......... .. ...............................�r,......... ._................_... ■■■��■�■■�■■��■��■■��■�■��■i�� N■��■■�■■■��■■■ ■��■��■■��■N��■■■�■��M��■�\��■�■��■��■� ............................................... .. ...�......' ■�■■��■�N��■�■��■■��■■��■��N� ■ �■�� ■�� ..............■..............................■.__ ��.._■........0 ................................................ . .. .......... ■■■��H�■�■�■�■�■��■■�■�■��■�■■��/��■N�� ■��■��■�■ ■�■��■�■��■■��■■��■�u�■�■��■��■�■��u ��N�� ■��■ ■■N��■■��■��■■ ��H�� ■\N■��■��■��■ ■�■�■��NHH�■�■��■�■■��■■��■■��■�■ ��■�h ��■�■�■ ■■■��■��■■��■■�■■��■�■ ■ ��■� ■■��■�■��■��■��■�■■��■u ■ �■�� ■ ■ �■■ ��■��■ ■�■■■��■�■��■■ ■�� ■��■ � ■ �� ■��■��■■■��■■��t�■��■■�� ■ �� ■■�■■■��■■■��■■��■��■■■ ■■ ■� �■■■■��■�� M■��■��■■��■�■��■�� N ■■■�■■ . ra��■ ��■ ■�� ■� ■ ' �■■� �� ■■■�■■ ■��■■■�■■■N��■��U��■�■��■■■ � �� ■■��■� ■��■■��u��■�■H��\■ �■ �■ ��■��■■ ■■��■��Y��■��■��■■�� ■� ■■ ��■■■ ■�■■��■��■■��q��■■ �■�� ■ �� N�� ■■ ■��vM■■��■ �h �■■��■ .......�..............'�.. .. . 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 August 7, 1995 Patrick D. Morrison 205 Edgewood Circle Mocksville, HC 27028 Re: 2 Site Evaluations Edgewood Circle/Lot 39-40 & Lot 33-34-35-36-37-38 Dear Mr. Morrison: As requested, a representative from this office visited the aforementioned sites on July 21, 1995. Based upon the information provided on the application(s) for site evaluation and after the evaluations were completed, the sites were found to be provisionally suitable for the installation of an on-site sewage disposal system on each site. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure(s)