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268 Montclair Drive Lot 8Davie County, NC Tax Parcel Report Thursday, October 20, 2016 Qh�A WARNING: THIS IS NOT A SURVEY All data Is provided as Is without warranty or guarantee of any Idnd 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 i --------------------- `-----276 17 Parcel Number: F7120B0008 Township: Shady Grove J .322 5870052972 Municipality: Account Number: 82522667 Census Tract: J------ Listed Owner 1: ----- Voting Precinct: WEST SHADY GROVE Mailing Address 1: 268 MONTCLAIR Planning Jurisdiction: Davie County Z ADVANCE 2R r ;_ O NC Zoning Overlay: Zip Code: u Voluntary Ag. District: No 260 r LOT 8 BALTIMORE HEIGHTS PHASE 2 Fire Response District: Qh�A WARNING: THIS IS NOT A SURVEY All data Is provided as Is without warranty or guarantee of any Idnd 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 �DUN'� Parcel Information County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and aft claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. Parcel Number: F7120B0008 Township: Shady Grove NCPIN Number: 5870052972 Municipality: Account Number: 82522667 Census Tract: 37059-803 Listed Owner 1: RUDOLPH SCOTT G Voting Precinct: WEST SHADY GROVE Mailing Address 1: 268 MONTCLAIR Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7879 Voluntary Ag. District: No Legal Description: LOT 8 BALTIMORE HEIGHTS PHASE 2 Fire Response District: ADVANCE Assessed Acreage: 0.78 Elementary School Zone: SHADY GROVE Deed Date: 4/2004 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005490191 Soil Types: GnB2,PcB2 Plat Book: 0008 Flood Zone: Plat Page: 016 Watershed Overlay: DAVIE COUNTY Building Value: 183260.00 Outbuilding & Extra Freatures Value: 2640.00 Land Value: 36000.00 Total Market Value: 221900.00 Total Assessed Value: 221900.00 Qh�A Davie County, All data Is provided as Is without warranty or guarantee of any Idnd 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 �DUN'� NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and aft 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 Environmental Health Section ' P. O. Box 848/210 Hospital Street 3 • Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002736 Tax PIN/EH #: 5860-95-1543.08DG Billed To: David Gordon Subdivision Info: Baltimore Heights 2 Lot # 8 Reference Name: Location/Address: Montclair Drive -27006 Proposed Facility: Residence Property Size: see map ATC Number: 3461 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type p g yp %l #People #Bedrooms !4#Baths Dishwasher/tJ Garbage Disposal: ❑ Washing Machine: 2r"'- Basement w/Plumbing: ❑ Basement/No Plumbing: -2-" Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: New Repair ❑ /• i System Specifications: Tank Size�� GAL. Pump Tank GAL. Trench Width �fRock DepthLinear Ft._�eU Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Da ' ealtt Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: Date: -s l/ DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002736 Tax PIN/EH #: 5860-95-1543.08DG Billed To: David Gordon Subdivision Info: Baltimore Heights 2 Lot # 8 Reference Name: Location/Address: Montclair Drive -27006 Proposed Facilitv: Residence Property Size: see map ATC Number: 3461 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CON TRUCTION IS VALID FOR A PERIOD OF FI�V�E YEARS. Environmental Health Specialist's Signature: &/jDate:/r ` ps CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 1 f S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY ak as guarantee that the system will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: ,,v ` 'la—zo E�dZ 6 PPLI ATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department CmRONt1EJ� ZH EnvirOnmenta/Health Section DA�IECp P.O. Box 848/210 Hospital Street d/t � Mocksville, NC 27028 (336) 751-8760 �Q pt�dd ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed �eLUi (1 �, G 0It^�%�(J I— Contact Person Cout Mailing Address ��' U V-) LG1 e- .'e lIome Phone ALJ (- -3 0 2—<? City/State/ZIP ,A kl /,j l.it (e P, C� Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. ARplication For: Site Evaluation Improvement Permit/ C Both 4. System to Service: House Mobile Home Business Industry Other 5. If Residence: # People # Bedrooms # Bathrooms Dishwasher Garbage Disposal aching Machine Basement/Plumbing Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats 7. Type of water supply: Estimated Water Usage (gallons per day) Conn ity Well 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? Community Yes No ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the clialt with THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS (from Moc(sville) to PROPERTY: Tax Office PIN: # g $ % d - 15- 1 �y3. �� Property Address: Road Name// �-O A �" �u.� bit, City/Zipy If in a Subdivision provide information, as follows: Name: / �r �Q Ae'Ar')Vr Section: Z' Block: Lot: Date home corners flagged: 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 ant responsible for all charges incurred J•oul this application. I, hereby, give consent to the Authorized Representative of the Davie County IIcalth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATESIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Datc(s): Client Notification Date: EHS: Sign given s, Account No. Revised DCHD (07/99) Invoice No. r �•i� " APPUCATION FOR SITE E6'ALUA•Il6N/IA1FROVBIEN1DEl1�,;11. <. Davie County Health Department Environmenta/Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 U. S I!' APR _$� 'list ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed (':7 Cx1-42-e 2 ,i -R, Contact Person G %t Mailing Address 1 A-< Home Phone IX City/State/ZIP All L. 2 7 UU 6/- Business Phone u 3 ) 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: t�ite Evaluation ❑ Improvement Permit/ATC ll Both 4. System to Service: "ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If asidence: # People ;} Bedrooms # Bathrooms Dishwasher II Garbage Disposal asking Machine 1.1 Basement/Plumbing II Basement/No Plumbing 6. If Business/Industry/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 it Well I1 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes )�No If yes, what type? 'IMPORTANT' CLIENTS MUST COMPLETE TIIE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eithcr a PLAT or SITE PLAN MUST BESURW17TED by the client with THIS APPLICATION. Property Dimensions: WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office1N: # S 6 S 5 `/3 + U 8 Property Address: Road Name l��k (� p� ✓ City/'Lip ��,/•ZiaoL If in a Subdivision provide information, as follows: Name: I I l)- Section: Block: Lot: Date Property Flagged: if) t i <fe - tD This is to certify that the information provided is correct to the best of my knowledge. 1 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. 1, also, understand that I am responsible for all charges incurred from this application. 1, 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 the site suitability. y DATE - G �" SIGNATURE �L THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). A 1 Revised DCHD (07/99) Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. 2z3 Z Invoice No. 1 U APPLICANT INFORMATION DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation Account #: 990002232 Billed To: Guy Comatzer Reference Name: Proposed Facility: Residence Water Supply: On -Site Well PROPERTY INFORMATION Tax PIN/EH #: 5860-95-1543.08 Subdivision Info: Baltimore Heights Lot # 08 Location/Address: Montclair Drive -27006 Property Size: see map Date Evaluated: Community Evaluation By: Auger Boring Pit M Public 4 - Cut FACTORS 1 2 3 4 5 6 7 Landscape position L. L Sloe % HORIZON I DEPTH r' Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence Structure 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: K LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: OTHER(S) PRESENT: 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 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 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/ft2 DCHD 05/99 (Revised) ■■■■■■■ ■■■U■■ ■■■ ■■ ■ i ■■■umm ONE ■■ ■ ■E■MM■■ ■E■■■■■ MONSOON SOMEONE ■■M■■■■ ■MNEME■ ■■■■■■■ ■■■MM■■ ■E■■ME■ ■■■■■M■ ■■■■■■■ NEEM■■■ NEEM■■■ NESE■■■ ■■E■■■■ No No