153 Finn Hollow Lane Lot 2Davie County, NC
Tax Parcel Report
Wednesday, November 9, 2016
901 All date Is provided as Is withoutwmranty or guarantee of any Idnd either expreased or Implied Including but not limited to the
Davie County, Implied wanantles of merchantability or fitness for a particular us a Ag users of Davie County's GIS website shall hold harmless the
County of Davis. Norm Carolina, its agents, eonsufiams, contractors or employees from any and all Balms or causes of action due to
X01"' NC or arising out of the use or Inability to use the GIS data provided by this websfie.
182
12'e
Information
-
75
174 134
139
Parcel Number.,
162 11
Township:
Shady Grove
142
5870435913
Municipality:
i
Account Number.,
82526063
Census Tract:
37059-803
_____
45,,,-\,
57
WEST SHADY GROVE
155
d59
o
49
152 15'6
m- _
r 162
D
r
�
1Q
---- --- 147
p `_,154
h�`�.�
39
ON
27006-7344
Voluntary Ag. District:
No
12 6
LOT 2 SUTTON & MARTIN
Fire Response District:
ADVANCE
127
115 .
Elementary School Zone:
153
2669
119
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
JG o 338
Soil Types: GnB2,GaD,WATER
Plat Book:
0010
Flood Zone:
6
107
Watershed Overlay:
2661
Building Value:
355930.00
Outbuilding & Extra
0.00
2653', ,%��0
� CGRNq�
Freatures Value:
Land Value:
2639,
Total Market Value:
417710.00
Total Assessed Value:
417710.00
G�
901 All date Is provided as Is withoutwmranty or guarantee of any Idnd either expreased or Implied Including but not limited to the
Davie County, Implied wanantles of merchantability or fitness for a particular us a Ag users of Davie County's GIS website shall hold harmless the
County of Davis. Norm Carolina, its agents, eonsufiams, contractors or employees from any and all Balms or causes of action due to
X01"' NC or arising out of the use or Inability to use the GIS data provided by this websfie.
WARNING: THIS IS NOT A SURVEY
Information
-
_-Parcel
Parcel Number.,
G800000O0508
Township:
Shady Grove
NCPIN Number:
5870435913
Municipality:
Account Number.,
82526063
Census Tract:
37059-803
Listed Owner 1:
SUTTON ROBERT D
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
153 FINN HOLLOW LANE
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R -A R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7344
Voluntary Ag. District:
No
Legal Description:
LOT 2 SUTTON & MARTIN
Fire Response District:
ADVANCE
Assessed Acreage:
6.85
Elementary School Zone:
SHADY GROVE
Deed Date:
9/2008
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
007710820
Soil Types: GnB2,GaD,WATER
Plat Book:
0010
Flood Zone:
Plat Page:
005
Watershed Overlay:
DAVIE COUNTY
Building Value:
355930.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
61780.00
Total Market Value:
417710.00
Total Assessed Value:
417710.00
901 All date Is provided as Is withoutwmranty or guarantee of any Idnd either expreased or Implied Including but not limited to the
Davie County, Implied wanantles of merchantability or fitness for a particular us a Ag users of Davie County's GIS website shall hold harmless the
County of Davis. Norm Carolina, its agents, eonsufiams, contractors or employees from any and all Balms or causes of action due to
X01"' NC or arising out of the use or Inability to use the GIS data provided by this websfie.
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P d Box $48
Mocksvill'o NC; 27028'
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: Robert Sutton
Address: 153 Finn Hollow Lane
City: Advance
State0l): NC 27006
Phone #: (336) 998-3413
/ Property Owner. Robert Sutton
Address: 153 Finn Hollow Lane
CRY: Advance
Statefzip: NC 27006
hone #: (336) 998-3413
Property
Location & Site Information
Address/Road #:
Subdivision: Phase: Lot: 17-
147 Finn Hollow Lane
147
Advance NC
27006
Directions
Hwy 64 E. Turn left on Cornatzer Road, tum left on
Structure: SINGLE
FAMILY
Beauchamp Road. Left on Finn Hollow Lane
# of Bedrooms:
# of People:
"Water Supply: PUBLIC
*System Classification/Description:
*IP Issued by.
*CA issued by:
SaprolteSystem? QYes QNo
Design Flow:
1
0 0
*Distribution Type: GRAVITY -SERIAL Puji
Q
Soil Application Rate: 0
3
*Pre Treatment:
Drain field
Field
3 3 3 S4 ft. *System Type-. INFILTRATOROUICK4STANDARD
rNifification
. Drain Lines
a
Installer. ChoyaAOutnn
tal Trench Length:
1 0
0 ft. Certification #: 1158
Trench Spacing:
-9
Inches O.C.
Zeal D.C. *EHS: 2140 -Nations. Robert
Trench Width:
—
3Inches
BFeet 0 9/ 0 4/ 2 0 1 5
Date:
Aggregate Depth:
inches
Minimum Trench Depth:
3
6
Inches
Minimum Soil Cover.
a
4
Inches Approval Status z
Maximum Trench Depth;
3'
6
®tApproved D►sapproVed
Inches
Maximum Soil Cover.
a
4
Inches
CDP File Number 123713 -1
Manufacturer. Shoaf
STB:
760
Gallons:
NO (Min.6 in.)
Gallons:
1000
RiserSealed ❑
Yes
Date.
0 5 /
1 6
/ x 0 1 5
'Filter Brand:
POLYLOKPL-122WdhPipe Adapter
ST Marker.
❑ Yes
T
No
nforced Tank:
❑ Yes
O
No
1 Piece Tank:
❑ Yes
®
No
County ID Number: G$ -OW -00-005-08
Let. a
Long:
Installer Choya A Quinn
Certification #: 1158
'EHS: 2140 - Nauons, Robert
Date: 0 9/ 0 4/ 2 0 1 5
'Approval -Status
Pump Tank
Manufacturer. Installer.
PT:
No
Gallons:
NO (Min.6 in.)
Date:
/
RiserSealed ❑
Yes
Riser Height: El
Yes
nforced Tank: ❑
Yes
1 Piece Tank: ❑
Yes
❑
No
❑
NO (Min.6 in.)
❑
No
❑
No
Pipe Size: inch diameter
Pipe Length: feet
'Schedule:
Pressure Rated ❑ Yes ❑ No
rpproved fittings ❑ Yes ❑ No
Certification #:
'EHS:
Date: / /
Approval Status
❑ Approved ❑- Disapproved
Installer.
Certification #:
THS:
Date:
❑ Ar
/ Pump Type: Installer.
/ Dosing Volume: - Gal Certification M
Draw Down: Inches `EHS:
. 'Chair:
Date:
Valves Accessible ❑ Yes ❑ No
Flow Adjustment Valve ❑ Yes ❑ No
oraval Status
Check -valve 1:1Yes
11
No
gpprovei'Status
PVC, unions El Yes
❑
No
-'ro'v'e- Approved Disapproved
Vent Hole'':❑ Yes
❑
No
Anti -siphon Hole ❑ Yes
0
No
CDP File Number 123713 -1,
County ID Number: G8-000-00-00"8
NEMA4X Box or Equivalent
❑ Yes
❑
No
Installer.
Box 12 inches Above Grade
❑
Yes
❑
No
Certification #:
Box Adj.To Pump Tank
❑
Yes
❑
No
Conduit Sealed
❑
Yes
❑
NO
*EHS:
Pump Manually Operable
❑
Yes
❑
NO
*Activation Method:
Date:
ApprovalStatus`� '
Alann'Audible' ;❑
Yes
❑
No.
❑ �Approvei ❑ Disapproved
Alarm Visible
❑
Yes
❑
No
=
2140 - Nations, Robert
*Operation Permit completed by'
Authorized State Agent: Date of Issue: 0 9/ 0 4 / 2 0 1 5
Owner/Applicant Signature:
This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for
Sewage,Treatment and Disposel,15A'NCAC 18A :7900 et„Seq., and,all conditions of the Improvement Permit and
Construction Auth'orizatio'n: Tris property is served by,a Sewage septic system.
Rule A961 requires that a Type septic system meet the following criteria:
Minimum System Review ByThe Local Health Department:
Management Entity:
Minimum System Inspection/Maintenance Frequency ByCertified Operator.
Reporting Frequency By Certified Operator.
Rule .1961 requires that a Type IV and V septic,systems designed fora home/business owner must maintain a valid contract
W6a public'Managei ment entity.w�h a certified operatoror a prate certified operator forthe life of the septicsystem:
Rule .1961 requires that Type VI septic systems designed fora home/business owner must maintain a valid contract with a
public management entity with a certified operator for the life of the septic system.
1
a
e:.
the.systems execute
O* Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
for
be
r to the,.
unless the
ce end
OPERATION PERMIT
Davie County Health Department CDP File Number: 123713-1
210 Hospital Street G8-000.00-005.08
P.O. Box 848 County File Number:
Mocksville NC 27028 Date: / /
W W
Olnch
Scale: ,
Drawing Drawing Type: Operation Permit r)NIA = ft.
CONSTRUCTION For office Use only
AUTHORIZATION 'CDP File Number 123713-1
Davie County Health Department Ga-000-0o-ooe-os
^'. tY P ,County ID Number:
210 Hospital Street Evaluated For: NEW
P.O. Box 848 Township:
Mocksville NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax: 336-753-1680 1 0/ a 1 r/ a 0 1 8
Applicant: Robert Sutton Property Owner. Robert Sutton
Address: 153 Finn Hollow Lane Address: 153 Finn Hollow Lane
City: Advance City: Advance
State/Zip: NC 27006 State/Zip: NC 27006
Phone #: (336) 998-3413 Phone #: (336) 998-3413
Address/Road #:
147 Finn Hollow Lane
Advance NC 27006
Structure: SINGLE FAMILY
# of Bedrooms:
# of People:
*Water Supply: PUBLIC
Subdivision:
Phase: Lot:
Directions
Hwy 64 E. Turn left on Cornatzer Road, turn left on
Beauchamp Road. Left on Finn Hollow Lane
Minimum Trench Depth: a 4 \
Site Classification: Ps Inches
Sa rolite System? OYes ®No Minimum Soil Cover:
Inches
Design Flow: 1 0 0 Maximum Trench Depth: 3 6 Inches
Soil Application Rate: 0 3 Maximum Soil Cover: Inches
*System Classification/Description: *Distribution Type: GRAVITY -SERIAL
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
*Proposed System: 25% REDUCTION
Nitrification Field
No. Drain Lines
Septic Tank. 1 0 0 0
Gallons
1 -Piece: OYes ®No
Pump Required: Oyes ®No O May Be Required
Sq. ft. Pump Tank: Gallons
1 -Piece: ®Yes ONO
Total Trench Length: 4 0 ft. GPM—vs— ft. TDH
Trench Spacing:OFeet O.C. 9 Inches O.C.
_ Dosing Volume: _ Gallons
O
Trench Width: _ 0 6 Olnches
®Feet Grease Trap: Gallons
Aggregate Depth:
inches Pre -Treatment: ONSF OTS -1 OTS -II /
Septic Tank Installer Grade Level Required: 01 Oil 0111 01V
CDP File Number 123713 - 1
*Site Classification: PS
Design Flow: 1 0 0
County ID Number: ca-000-oo-oos-os
®Yes ONO ONO. but has Available
Soil Application Rate: 3
*System Classification/Description:
TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR
LESS)
*Proposed System: 28%REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
Sq. ft.
Trench Spacing:
Trench Width:
Aggregate Depth:
Minimum Trench Depth: a 4
Minimum Soil Cover:
❑ Open Pump System Sheet
Q Inches O.
C) Feet O.C.
0 6 2Inches
® Feet
inches
Inches
Inches
Maximum Trench Depth: 3 6
Inches
Maximum Soil Cover:
Inches
*Distribution Type: GRAVITY - SERIAL
4 0 g, Pump Required: Oyes ®No OMay Be Required
Pre -Treatment: ONSF OTS -1 OTS -II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be Issued at the same time the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the Information submitted In the application for a permit or Construction
Authorization Is found to have been Incorrect, falsified or changed, or the site Is altered, the permit or Construction Authorization shall become
Invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes ONO
Applicant/Legal Reps. Signature, Date:
*Issued By: 2244 - Daywalt, Andrew
Authorized State Agent:
Date of Issue: 1 0/ a 1/ a 0 1 3
Malfunction Log OYes
® Hand Drawing O Import Drawing Total Time:(HH:MM)
**Site Plan/Drawing attached.**
Page 2 of 3 0 0 Hour 30 Minutes
S-8 - CA'S issued - new
CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC '27028
CDP File Number:
County File Number: G8-000-00-005-08 !
Date: 10 /.1 1/,2013
O Inch
Scale: , OBlock ft.
Lrawme
urawing I ype: Lonsirucuon /-wmonzanon O N/A
ti
tool
y�-----
-��
t -
1181L:
tC-1
T
Page 3 of 3
P1 P2
CONSTRUCTION AUTHORIZATION
Ji Davie County Health Department
! 210 Hospital Street CDP File Number:
P.O. Box 848 G8-000-00-005-08
Mocksville NC 27028 County File Number:
Date: 10/ 11 /.0.0,1.3.
Click below to import an image from an external location: Drawing Type: Construction Authorization
1 � �
Crr
3� o
��� � � `
Page 3 of 3
P1 P2
- --
IMPROVEMENT PERMIT
-W
Davie County Health Department
Inches
Y
ta.
210 Hospital Street
P.O. Box 848
Inches
Mocksville NC 27028
/ For Office Use Only
*CDP File Number 12V13-1
County ID Number: GB -000-00-005-08
Evaluated For: NEW
,Township:
Phone: 336-753-6780 Fax: 336-753-1680
PERMIT VALID UNTIL: 10/21/2018
*NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit.
Applicant: Robert Sutton
Address: 153 Finn Hollow Lane
City: Advance
State/Zip: NC 27006
Phone it: (336) 998-3413
/Address/Road #: n �Q ubdivision:
147 Finn Hollow Lane y
Advance NC 27006
Structure: SINGLE FAMILY
# of Bedrooms:
# of People:
*Water Supply: PUBLIC
Property Owner: Robert Sutton
Address: 153 Finn Hollow Lane
City: Advance
State/Zip: NC 27006
Phone #: (336) 998-3413
Phase: Lot: 'L
Directions
Hwy 64 E. Turn left on Cornatzer Road, turn left on
Beauchamp Road. Left on Finn Hollow Lane
Repair System Required: ®Yes ONO ONO, but has Available Space
Repair System
*Site Classification: Ps Minimum Trench Depth: oZ 4 Inches
Soil Application Rate: 3 Maximum Trench Depth: 3 6 Inches
*System Classification/Description: Pump Required: OYes ®No O Maybe Required
TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR
LESS)
*Proposed System: 25%REDUCTION
Page 1 of 3
Minimum Trench Depth:
oC 4
Inches
Saprolite System? O Yes ® No
Maximum Trench Depth:
3 6
Inches
Design Flow: 1 0 0
Septic Tank:
1
0 0
0
Gallons
Soil Application Rate: 3
1 -Piece:
O Yes
® No
Pump Required:
OYes
® No
O May Be Required
*System Classification/Description:
TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR
Pump Tank:
Gallons
*Proposed System: 25% REDUCTION
1 -Piece:
O Yes
O No
Repair System Required: ®Yes ONO ONO, but has Available Space
Repair System
*Site Classification: Ps Minimum Trench Depth: oZ 4 Inches
Soil Application Rate: 3 Maximum Trench Depth: 3 6 Inches
*System Classification/Description: Pump Required: OYes ®No O Maybe Required
TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR
LESS)
*Proposed System: 25%REDUCTION
Page 1 of 3
CDP File Number 123713 = 1
County ID Number: GS -000-00-005-08
*Site Modifications ❑ Open Fill Sheet
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
Site Plan The Improvement Permit shall be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to
® scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the
site for the proposed Wastewater system, and the location of water supplies and surface waters).
Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land
O surveyor, drawn to a scale of one Inch equals no more than 60 feet, that includes: the specific location of the proposed facility
and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat
also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy
of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale).
The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of
the system to satisfy the conditions, the rules, or this article. This permit is subject to revocation if the site plan, plat, or intended
use changes (NCGS 130A -335(Q). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring,
reporting, and repair (A 938(b)).
Applicant/Legal Reps. Signature Required? Oyes ONO
Applicant/Legal Reps. Signature: Date: / /
*Issued By: 2244-Daywalt,Andrew Date of Issue: 1 0 / a I/ a 0 1 3
Authorized State Agent: O without Expiration?
a'`� ®CCrere ate CA?
®Hand Drawing OlmportDrawing
**Site Plan/Drawing attached.** TotalTime:(HH:MM)
0 0 Hours 3 0 Minutes
Page 2 of 3
Activity Code: s-4 - IP's Issued: new, valid for 60 mos.
Drawim
• IMPROVEMENT PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Improvement Permit
Page 3 of 3
CDP File Number: 123713 -1
County File Number: c8-000-00-005-08
Date: / /
Q Inch
Scale: O Block
QN/A
I I I
Soya
IMPROVEMENT PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
CDP File Number: 123713 -1
County File Number: c8-000-00.005-08
Date: 10/ 11 /a013
Click below to import an image from an external location: Drawing Type: Improvement Permit
Page 3 of 3 P1 P2
APPLICETION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
CF,� Davie County Environmental Health
• 12� P.O. Box 848/210 Hospital Street o PAJD
I b ii Mocksville, NC 27028 Z �3
qac• 1 (336)753-6780/ Fax.(336)753-1680 R�elved6 ;
d!
Application For: 0 Site Evaluation/Improvement Permit O Authorization To Construct (ATC) 0 Both
Type of Application: ❑New System URepair to Existing System DExpansion/Modification of Existing System or Facility
***IMPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT
Name _
Address
Email' ISaberr (Z 1PhAJ, Com
Name on Permit/ATC if Different than
Mailing Address 153 fiAn Noll
PROPERTY
Contact Person
qa pex_+
Home Phone
3SLa -Y/3'- Y / l3
Business Phone
3310 - S 13 -� l91
NOTE: A survey plat or site plan must accompany this application. Included: 0 Site Plan OPlat(to scale)
(Permit ii valid for 60 months with site plan, no expiration with complete plat.)
Owner's. Name `-; 0oao ,7- S�TTDN Phone Number_
Owner's Address 15-3 fin/ Ablt.Ow L40 City/State/Zip HAV%i�.Y,E
Lot Size Tax PIN#
Subdivision Name(if app ica e) Sectio ot#
Di 'ctions To Site: Z6e— 71 / 1 /J
0/ Ve,
If the answer to any 6f the following questions is `•Yes',supportin documentation must be attached:
Are there any existing wastewater systems on the site? v -Yes • No
Does the site contain jurisdictional wetlands? _Yes X0
Are there any easements or right-of-ways on the site? _Yes __ /;g
Is the site Ojb ,qt to approval by another public agency? _Yes
Will wastewater other than domestic sewave be venerated? Yes o
IF RESIDENCE FILL OUT THE BOX BELOW
#People # Bedrooms # Bathrooms Garden Tub/Whirlpool DYes ONo
Basement:OYes ONo Basement Plumbing: DYes []No �/� ' �7 �t�t
IF NON -RESIDENCE FILL OUT THE BOX BELOW C? Q-000 -(i�'U(-0b
Type of Facility/Business 0 Fr -1 ce- S9Nc e_ Total Square Footage of Building ,5 17 ' # People
# Sinks I— # Commodes _I # Showers I # Urinals
Estimated Water Usage (gallons per day)(Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: Konventional DAccepted Dhmovative DAltemative ❑Other
Water Supply Type: 6County/City Water D New Well OExisting Well U Community Well
__.._.---...— -- -
Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes M No
If yes, what type?
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand'
that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use
changes, or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized
Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable
laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and
loccility location, proposed well location and the location of any other amenities.
t
Property owner's or owner's legal representative signature Site Revisit Charge
Date(s):
TO _Z -(_3 Client Notification Date:
Date EHS:
113
Sign given DYes ONo Account #
Revised 11/06 Invoice #
co(2(�