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123 Pen Court Lot 3
I ;t Davie Countv. NC Tax Parcel Report Monday, December 19, 2016 , \ 4204 i 218 _123 t t 126 Gi XA O , t [all WARNING: THIS IS NOT A SURVEY All data is providedas is wilhoutwamtdy orguaranteeofmy idnd elver expressed or implied including butnotgmhed tone Implied viammgiryardles of emhandabor fftness for a paricularuse. Ali users of Davie County's GlSwebske shall hold harmless the County of Davis. North Carolina, Its agems,consultands, conb'aclons or employees bean any and all claims or causesofscion due to orarising out 0 the use or inability to use the GIS data provided by this webshe. Parcel Information Parcel Number. D301OA0003 Township: Clarksville NCPIN Number: 5822157741 Municipality: Account Number. 8307168 Census Tract: 37059-801 Listed Owner 1: AMH NC PROPERTIES LP Voting Precinct: CLARKSVILLE Mailing Address 1: 30601 AGOURA ROAD SUITE 200 Planning Jurisdiction: Davie County, City: AGOURA HILLS Zoning Class: DAVIE COUNTY R -A R-20 State: CA Zoning Overlay: Zip Code: 91301 Voluntary Ag. District: No Legal Description: LOT 3 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.84 Elementary School Zone: WILLIAM R DAVIE Deed Date: 11/2016 Middle School Zone: NORTH DAVIE Deed Book / Page: 010350120 Soil Types: MnB2 Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all Davie County, �a� NC All data is providedas is wilhoutwamtdy orguaranteeofmy idnd elver expressed or implied including butnotgmhed tone Implied viammgiryardles of emhandabor fftness for a paricularuse. Ali users of Davie County's GlSwebske shall hold harmless the County of Davis. North Carolina, Its agems,consultands, conb'aclons or employees bean any and all claims or causesofscion due to orarising out 0 the use or inability to use the GIS data provided by this webshe. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P: O. Boa 848/210 Hospital Street MocksviHe, NC 27028 (336)751-8760 Account #: 990003057 Billed To: R.B.Hope Contracting Reference Name: ATC Number. 3689 Tax PIN/EH #: 5822-15-7741 Subdivision Info: Dutchman Hills Lot Location/Address: Pen Court-2702CLO.,) F.141�6 t4 (,.arc•)%'12 t[•)ti v:����►.vvr�t��-�-rr� c•r• iMlIN80011IColo] **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 eatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CON RC N 11 VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: (� 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 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 will function satisfactorily for any given period of time. `jgak %>.%:c V2 -D Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) INI DAME COUNTY HEALTH DEPARTMENT Environmental Health Section —`9 P. O. Boz 848/210 Hospital Street - Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account_ #: 990003057 Tax PIN/EH #. 5822-15-7741 Billed To: R.B.Hope Contracting Subdivision Info: Dutchman Hills Lot # 3 Reference Name: Location/Address: Pen Court -27028 Proposed Facility: Residence Property Size: 0.844 Acres ATC Number. 3689 * *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 Ill (of'O & Chapter I30A, 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 PERMTT BEFORE INSTALLING SYSTEM. ]Residential Specification Building Type #People #Bedrooms 3 #Baths Z D3sbwasher_ CC Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ©g Type Water Supply N Design Wastewater FIow,(GPD) Site: New Repair ❑ System Specifications Tank Size I©lXt AL. Pump Tank GAL: Trench WidthRock Depth 1:7— 'Linear Ft. Other r� I to' , Required Site Modifications/Conditions: l r' ' N — C"A C Z J1� , C P late, 5 �p HOLM IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 830 am. to 9.30 am. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** 1� �Fitl� uarS I� c� Environmental Health Specialist's Signature: Cl oq DCHD 05/99 (Revised) / APPLICATION ron SITE [VALUATION/141PROVBIENT PL•IVINT 3 Al D f� Davie County Health Department Environments111ea/t/i Section Lr P.O. Box fock vi lle, NC p 27028 treet 0 Z04 D (336)751-8760 RpNy E7VT p y ***IdiPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL T1fE 12E ' INFORMATION IS PR O VIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed] �p— ("mA ' Al(1Q Contact Person Mailing Address 1101110 y, ltole Phoney�S3\1oCS�=9�9. City/tato/ZIP _/yp/J� 7 D yl� _ f� /W c2 769 (o Business Phone ,�_�9Q�_ S 2. Name on Permit/ATC if Different than Above Mailing Address - City/SL•ate/Zip 3. 'Application For: 11 Site 'Evaluation ti _`'—�d'Improveanent Permit/ATC. ❑ Both 4. ,system to service: ..House ❑ llobile Home .0 Business ❑ Industry ❑ Other Kl, f i Y S. ♦Type system requested:" Conventional- ❑ conventional mod iiicd ❑ innovative j 6. If Residence: 'll People. - r,r 11 Bedrooms 11 Bathrooms.; '- 9pinhwasher ❑Garbago Disposal- Zilashing Machine, ❑Basement/Plumbing ❑Danement/No P.luwbing 7. If Business/Industry /Other: verify type - It People 11 Sinks7- # Commodes It Showers It urinals 11 Wator COoloru -IF FOODSERVICE: # Seats Estimated Water IIs age (gallons per day) S. Typo of water supply: County/City - ❑ Well - ❑. Comlttunity, 9. Do you anticipate additions or expansions of the facility this systelll is illtellded to serve? ❑ yes -f N11 i If yes, what type? "VAIPORTANP"CLIENTS MUST COAIPLETETHE REQUIRED I'ROI,ERTYINFORMATION REQIIES E-1) BELOW. Eidter a PLAT orS1TE PLAN AIUSTEESU/A1l1TTED by the client with'1111S APPLICATION Property Dimensions: Tax office PIN: # add//- Property Address: Road Name G D/d" /gri City/ zip If in a Subdivision provide Information, as follolvs: 1VRITL DIRECTIONS (froin 11•locksville) to PROI'lilvm': c- N21ne: 14 /� Section: Block:Lot: Date hone corners Ragged. —�� ' l9 7 This is to certify that the information provided is correct to the Nest of my knowledge. I understand that ally pernlil(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 alit responsiblefor au charges hict rred•%raDl thus• application. I, hereby, give consort to the Authorized Representative of the Davie County Ileni(I, Deparlulei I to cuter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DA'Z'E ��—/D—OS� —) SIGNATURE_ THIS AREA MAYBE USED FOR DRAWING YOUR SITE, PLAN (Include all f Elle following: Existing std proposed property lines and dimensions, structures, setbacks, and septic locations). 6 Sign given Revised DCHD (05103 Site Revisit Charge Datc(s); Client Notification Date: Account No. d Z Invoice No. 3 Davie County, North Carolina Spatial Data Explorer fes` ;. Spatial Data £MKplOrer Norh Carolina Click on the Map to: Zoomin G ZoomOut O Recenter Map C Identify: rParcels 7 - Zoom Factor. Radius Search (feet) 0 J 4 9j http://66.208.132.254/servletleom.esri.esrimap.Esrimap?Name=Davie&Cmd=Clk&L Page I of 2 I Map L. F—Dr w Draw select ❑ Census Tra City Bound ❑ County Zor Multi Syl ❑ E911 Fire 0 ❑ Flood Pane ❑ Flood Zone G Parcels ❑ School Dist MUIti Syl ❑ Soils ❑ Town Zonir ❑ Townships Multi Syl ❑ Voting Prec ❑ Driveways ❑ Rail Lines ❑ Street Cent r US/NC Higt MUlti Syl U N ❑ Aerial Phot ❑ Creeks and ❑ E911 Addre ❑ Fire Depart ❑ Schools Draw L M" Cl This map is prep: Inventory of real 1 within this judsdic compiled from re - plats, and other p and data. Users c hereby notified th -frl... 2/10/2004 - e Land Unit/Type: 1 d LT • Deed Book/Page:0033510341 - - • Deed Date: 2 0 0 010 5/26 - • County/D:,D301 OA0003 - • Sales Price: $0.00 • Account NumberD3010A0003 • Property Address: -� ^ ' * - P/N. 5822157741"_.'•:.._._ .:. -._ . •_, - - 000123 000123 CT *�Legafi:LOT3 DUTCHMAN -HILLS>.,,,-.::. .- • County Zoning: R -A • Owner Name: CANA GROUP LLC • Census Code: • OwnerlAddress l:. CANAGROUP LLC - • CityCode: - ' • OwrredAddr 2,1870 UNDERPASS ROAD • Fire District • OwnerlAddress 3: • Flood Zone: ZONE X • Cdy,State Zfp: ADVANCE ,NC 2 - 7006 _ • Flood Community 370308 • Land Value: $12,000.00 • Flood Panel 0025 C - • Building Value: $0.00 • Flood Map Date: 12-17-1993 http://66.208.132.254/servletleom.esri.esrimap.Esrimap?Name=Davie&Cmd=Clk&L Page I of 2 I Map L. F—Dr w Draw select ❑ Census Tra City Bound ❑ County Zor Multi Syl ❑ E911 Fire 0 ❑ Flood Pane ❑ Flood Zone G Parcels ❑ School Dist MUIti Syl ❑ Soils ❑ Town Zonir ❑ Townships Multi Syl ❑ Voting Prec ❑ Driveways ❑ Rail Lines ❑ Street Cent r US/NC Higt MUlti Syl U N ❑ Aerial Phot ❑ Creeks and ❑ E911 Addre ❑ Fire Depart ❑ Schools Draw L M" Cl This map is prep: Inventory of real 1 within this judsdic compiled from re - plats, and other p and data. Users c hereby notified th -frl... 2/10/2004 t' APPLICATION FOR SHE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Env/mnmental Health Section P.O. Box 868/210 Hospital Street Mockavills, HC 27028 (336) 751-8760 ***?MPORTANT*** TNIS APPLICATION CANNOT BS PROCESSED UNLESS ALL IHIHZ REQUIRED INFORMATION I8 PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Naw to be Billed _ (o h AW N. � , contact person Nailing address it /o1J1d-er $S Kd am* Phone 9G9+�U'- r�'V 0 9 City/state/zIp _/V //6% Ale, 97-OC6 Business phone a. Naw on permit/ATC ie Dleeerent than Nailing Address City/state/sip a. Applioation ror: Ur ite Evaluation D Improvement Permit/ATC ❑ Both *. system to service, yr Nouse ❑ Mobile Rome ❑ Business ❑ Industry ❑ Other 5. If Residence: a People s Bedrooms I Bathrooms D Dishwasher D garbage Disposal D washing machine D aaeameat/plumbing D aasamant/No plumbing S. IL susiwss/Industry/other: apsoiey type I people s sinks e consodes a showers s Urinals s Nater Coolers Ir FOODSERVICE: II Seats Estimated Nater Usage (gallons per day) _ 7. Type of water supply: bounty/City ❑ wall S. Do you anticipate additions or expansions of the facility this system Is Intended to serve? If yea, what type? ❑ Community ❑ Yea ❑ No ***IMPORTANT*** CLIENTS MUSTCDMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESVBMI77ED by the client with THIS APPLICATION. Property Dimensloei: /'� t . g 9 3 A2'v—.5 Tax Office PIN: q_, -S Aa - N - G ?5-5'X0,5 Property Address: Road Name 01 464441 / d% City1zip 1%beZ5y/ � If in a Subdivision provide Information, as follows: io Name: � 1z:-rde/77d4 Section: Blockt Lot: +3 WRITE DIRECTIONS (from Moclwllle) to PROPERTY: /D/ A1,9A : T 9,4.ivt, lti hvye Y Date Property Flagged: This Is to. certify that the Information provided Is correct to the best of my knowledge. I understand that any permit(s) Issued heeafter are subject to suspension or revocation, If the site plans or Intended ase change, or If the Information submitted In this application Is falsifled or changed. 1, also, understand that I ant 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 to conduct all testing procedures as necessary to determine the site suits try. ,moi .►. _/✓ THIS AREA MAY BE USED FOR DRAWDVG YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic loci Revised DCHD (07/99) of the following: Existing and proposed Site Revisit Charge Date(s): Client Notification Date: Account No. _ /// Invoice No. 1927 DAVIE COUNTY HEALTH DEPARTMENT 43 Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 989900111 Tax PIN/EH #: 5822-146855.03 Billed To: Gray Potts Subdivision Info: Dutchman Hills Lot # 3 Reference Name: Gray Potts Location/Address: ', Eatons Church Road -27028 Proposed Facility: Residence Property Size: 51 Acres Date Evaluated: Water Supply:. On -Site Well Community Public EvaluationB Auger BoringPit "� Cut j'- FACTORS ' 1 • 2-.. 3 4 5. ( 7 Landscape position L . Slope % . li?o HORIZON I DEPTH Texture group Consistence S : S Structure S k Mineralogy1� HORIZON II DEPTH 5 Texture groupS C Consistence r55 Structure Mineralogyt 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 Q: 14 SITE CLASSIFICATION EVALUATION BY: l " LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: MAY' Nom:. w Pt9� d �� si � ' � 1 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 i Texture i S - Sand' .. LS - Loamy sand SL - Sandy loam : L - Loa .. '. � ' .. m 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 VFR - Very friable . FR -Friable ' FI Firm VFI -, Very firm EFI - Extremely firm Wet NS - Non sticky SS -Slightly sticky S - Sticky .VS 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 Mineraloev 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)