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218 Greenfield Road Lot 1Davie County, NC Tax Parcel Report Monday, December 19, 2016 S `1S \S ` 1 601 218 r FF 4, —`------ --- 217 WARNING: TIHS IS NOT A SURVEY Ali data Is provided as Ne uutwamrdy or guarantee of any hind eitherepressed or Implied Including butnotilmlted to the hnpliedvaamrNes ofinerehaMabgfty ormmess fora particularuse Ali users of Davie Count's GIS webstte shall hold harmless the ��. NC Parcel Information Parcel Number. D301OA0001 Township:. Clarksville NCPIN Number. 5822153733 Municipality: Account Number: 82523391 Census Tract: 37059-801 Listed Owner 1: LEDBETTER P ANTHONY Voting Precinct: CLARKSVILLE Mailing Address 1: 218 GREENFIELD ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: . Zip Code: 27028-1771 Voluntary Ag. District: No Legal Description: LOT 1 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.86 Elementary School Zone: WILLIAM R DAVIE Deed Date: 92004 Middle School Zone: NORTH DAVIE Deed Book/Page: 005740205 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: Davie County, Ali data Is provided as Ne uutwamrdy or guarantee of any hind eitherepressed or Implied Including butnotilmlted to the hnpliedvaamrNes ofinerehaMabgfty ormmess fora particularuse Ali users of Davie Count's GIS webstte shall hold harmless the [all NC County of Davie, Northterra, its agents, consultants, wrMctors or employees from any and all clahns or causes of SCUM due to orarisNgoutotMeuseorinabirdytousethe GISdatapmvidedbythiswebsDe Account #: Billed To: Reference Name: Proposed Facility: DAME COUNTY HEALTH DEPARTMENT Environmental Health Section v P. O. Box 848/210 Hospital Street Mockwille, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT 990002162 Tax PIN/EH #: 5822-14-6855.BC Bob Cope & Son Construction Subdivision Info: Dutchman Hills Lot # 01 Location/Address: Eaton Church Road -27028 Residence Property Size: see map ATC Number: 3530 **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 #People #Bedrooms 3 #Baths 2 Dishwasher: [�' Garbage Disposal: ,10'.' Washing Machine: 1211" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type � #�P/13eople #People/Shift #Seats Industrial Waste: Lot Size/�,�• 8r,S ACAS Type Water Supply l �" I Design Wastewater Flow (GPD) Site: New 13/Repair ❑ H 1.1 System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width �10 Rock Depth b2 Linear Ft Other: 3 D1ST2►lbuTtp.J �x . 1J�T�4tU, ua� �j'o.c v� ,,i. Required Site Modifications/Conditions: 1�STAU- C►J C66J'tOt7P„ krxe cS' V(F L S3 10 of IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 w BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. sy :00 p.m. to 130 Wim, on the of iuctallarmon TPlephnne # is (336)751-8760.**** ARDL WL S / I 1 � AP .- Mitt, T Environmental Health eci I ature: Date: I DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksvitle, NC 27028 (336)751-8760 Account #: 990002162 Billed To: Bob Cope & Son Construction Reference Name: Proposed Facility: Residence ATC Number: 3530 Tax PIN/EH #: 5822-14-6855.BC eLl Subdivision Info: Dutchman Hills Lot # 01 Location/Address: Eaton Church Road -27028 Property Size: see map 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 wage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATERLObL->TR ALH /FO&-2't.RERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: 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. *-y ,till . Septic System Installed By: M 12 r - Environmental Health Specialist's Signature: —&—adz Date: -0,7. Li DCHD 05/99 (Revised) i i APPWAL shown hereon has been sn Regulation,, with the noted in the minutes i approved for recording Aeby noted that. such ippproval to install and ,approval for .the xtures. 1 A J CONIFROL CORNER xISTG'VG 1 1Ror. N83014-, """` - r� o M G_ .LOT # 1 z Y t 865 AC, 3o' EASEMENT AC 10 .... ..._. CESS 20 S 83° 53' 30' 169, 7 Li .SOT #42 k� S .' 58" 04'06'54" E W .46 51.52 N 13" 17'59" W 17 13.08 - N 59'51'46" W. 20 85.01 S 27'56'08" E .90 58.29 S 80'58'50" W .55 27.77 N 20'35'48" W .70 10.08 S 13431'10" E 16 29.39 N 2707'36" W .41 j. 11.18 N 45'59'58" E 09 98.07 S 84'53'25" W ,58 20.91 N 09'25'47.' W: 35 65.18 N 65'46'28" E 41 11.18 N 85'48'39" W 53 17,33 N 00'42'03" E 39 33.76 S 02'53'34" E 4 159.37 S 4 7'21 ' 18" E i i APPWAL shown hereon has been sn Regulation,, with the noted in the minutes i approved for recording Aeby noted that. such ippproval to install and ,approval for .the xtures. 1 A J CONIFROL CORNER xISTG'VG 1 1Ror. N83014-, """` - r� o M G_ .LOT # 1 z Y t 865 AC, 3o' EASEMENT AC 10 .... ..._. CESS 20 S 83° 53' 30' 169, 7 Li .SOT #42 k� .nth P CATION FOR SITE [VALUATION/IMP1tOVEAJENT PLIGY1ff &ATG O 3 " Davie County Health Departmerit Env1r0nment7/Bea/t1, Section P.O. Sox 848/210 Hospital Street Mocksville, NC 27028 fTPh pp`AE� (336) 751-8760 *IMPORTANT***.,THIS APPLICATION CANNOT Bl,: UNLESS ALL TILE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed -LiaZL1� J�/% (Q/1 , - Contac L- Person - /q�q♦� Mailing Address 1�^) Lw/u i�6O -- Home Phone akY---YYY_" 7070 .City/State/ZIP 69j9 e,"ee-- - a-'%D1y �✓� • Business Phone - 2. Name on Permit/ATC ifDifferent than Above Mailing Address City/State/Zip -- 3. &K Application For:, Itd'S'ite Evaluation A - .3. ❑'-Improvement Permit/ATC ❑''Both P 4. System to Service: WHouse ❑ Mobile Home -❑ Business ❑ Industry ❑ Other S. Type system requested: Conventional ❑'conventional.modified ❑ innova Live 6. If Residence: If People 0 Bedrooms- _�. .If Bathroonm Ili�iishwasher Mcarbage Disposal klashing Machine ❑easement/Plmnbing ❑Dasemen L/No Plumbing „ 7- If Business/Industry /Other: verify type - ItPeopleIf Sinks H Commodes If Showers _ If Urinals If Water Coolers IF FOODSERVICE: $. Seats Estimated Water Usage (gallons per day) 8. Type of water supply: IH County/City - ❑ Well ❑ Community - 9. Do you anticipate additions or expinslons of the facility this system is inteuded to serve? ❑ Yes 'o - If yes, what type? i **IMPORTANT*** CLIENTS AIUSTCOAIPLETETHE REQUIRED PIROI'ER•1'1'-INFORMATION REQUESTED tELO1V. Either a PLAT or SITE PLAN AIUST BESUIIMITTED by the client nvith'I'Ii1S APPLICATION. Property Dimensions: O X /fD X Itw G PWRITE DIRECTIONS (rrum Alocksville) i6 PROPER'('1': Tax Office PIN: 8 Property Address: Road Name' in /ted. 1-e7d7t #011L JP�'fr/,:,an//-7/ City/zip fin le## F:J y0Q /I/? If in a Subdivision provide information, as follows: 'ice Cwt Section: % Block: Lot: Date honle corners flagged: This is to certify that the information provided is correct to the best of my knowledge. I understand that :uly perulil(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if IIIc information submitted in this application is falsified or changed. I, also, understand that I am responsiblefor all chmges incurred fraol (his application. I, hereby, give consent to the Authorized Represclitative of the Davie County IIc:dlll Departmeul to enter upon above described property located iu Davie County and owned by to conduct all testing procedures as necessary to deternihie the site suital 'lily. DATE SIGNATURE THIS AREA MAYBE USED TOR DRAWING YOUR SITE PLAN (Include all of tine following: Existing hlid proposed property lines and dimensions, structures, setbacks, and septic locations). Sign given Revised DCIID (05/03 Date(s): Client Notification Date: EIIS: Account No. l 2 Invoice No. 7© L APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC r �/ S 1 Davie County Health Department D — Envf ninenfofHeeliriSftWon yg P.O. Box 818/230 .Hospital Btreet ¢'7� Mockeville, HC 21028 ryS�l T (336)751-8760 ***IIPORTANT*** THISAPPLICATION CANNOT BE PROCIDSSED UNLESS ALL THE REQUIRED INMRMIITION.IS PROVIDED. /.Refer to the INrORMATION'BULLETIN for instructions. 1. Nur to be Billed Content Person . ... - t SS/ B99OkU -MailingAddresseo�.Phooa City/state/ESPLV Ale, :?70106 Business Phone 2. Naas on Perait/ATC if Different than Abome - . Mailing Address - City/state/zip . -3. -Application For: E ite Evaluation 0 Improvement Permit/ATC O -.Both e. Brat" to service: y -House 0 Mobile Rome O Business 0 Industry ' O Other 5. if Residence: a People a Bedrooms a Bathrooms .D Dishwasher El Garbage Disposal O Washing Machine, .D eaeeaant/plumbing D Basement/No Plumbing. 6. If Duaineea/Industry/Other, specify type. a People - a-Binxs. : a Commodes 'a showers " a Urinals a Water Coolers` - iF rooDSERVICE:' # Seats Estimated Water Usage (gallon per day) . v. Type of.water supply: 8 County/City D Well. O Community B. 'Do you antidpate'addiNons or expansions of the facility this system Is Intended to serve? 0 Yea O No If yes, what type? - ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT ar SPITE PLyA�N� MUST BESUBMITTED by the client With THIS APPLICATION. : Property Dimessid l �T r . / 3 I f+° S WRITE DIRECTIONS (from Moclwille) to PROPERTY:' Tax Oflice PIN: a�5'S Aa - IU - G �S�(, o/) 10/ N//oi V-A . , �T 6c io.v a Z/ Fro IP"Address: Road Name -('DeZ ,,L /1, 4e eA2/P/P�e��I • City/ZIP _%%D� Jf P.�7�i1 If ID a Subdivision provide Informationi as follows: Name: 44(4G,/I'/10 � 7 Section: Block:- Lot: / Date Properly Flagged: 70 /nG+�!4 c�G�LG�12� 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 empeosion or. revocation, If the site plans or intended me change, or If the Information submitted in this application Is falsified or changed I, also, understand that I am responsible for all charges lncarredjrom 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 aIle suits Illy. DATE 7^i�!;0 SIGNATUR THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Incl a all of the following: Existing and proposed property linea and dimensions, structures, setbacks, and septic locado FACTORS _ 1 2 _.. 3 4. 5. 6 7 Landscape position t DAVIE COUNTY HEALTH DEPARTMENT Slope % '>' 76 Environmental Health Section' HORIZON I DEPTH 0 ` 1 - Soil/Site Evaluation C APPLICANT INFORMATION Consistence _: PROPERTY INFORMATION Fr5 SP ' Account #: 989900171 � Tax PIN/EH #: - 5822-1 46855.01 ( NU Y.:O HORIZON II DEPTH 2 Billed To: Gray Potts . Subdivision Info: Dutchman Hills Lot # 1 'Reference Name: , Gray Potts 'Location/Address: Eatons Church. Roa -27028 Proposed Facility: 'Residence Property Size: 51 Acres Date Evaluated: Bc7 HORIZON III DEPTH 7-3- 4 2 2.- q (o Texture group5 Water Supply: On -Site Well Community Public Evaluation By: y. er Bonn Aug` g � Pit' ✓ Cu t HORIZON IV DEPTH Texture group Consistence FACTORS _ 1 2 _.. 3 4. 5. 6 7 Landscape position t - Slope % '>' 76 T HORIZON I DEPTH 0 ` 1 - Texture group C GL Consistence _: , 5 .- Fr5 SP Structure &Z. Mineralogy ( NU Y.:O HORIZON II DEPTH 2 -2 Texture group + GtSv Consistence _, CrS F; S Structure 5514- kMineralo Mineralog HORIZON III DEPTH 7-3- 4 2 2.- q (o Texture group5 Consistence Structure GQ {� MineralogyI: HORIZON IV DEPTH Texture group Consistence Structure . Mineralogy' SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S o LONG-TERM ACCEPTANCE RATE fl SITE CLASSIFIC n ATION: i 5 > EVALUATION BY: LONG-TERM ACCEPTANCE RATE O 3 _ D 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 T1- 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 - Finn 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 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 -tern acceptance rate - gal/day/ft2 DCHD 05/99 (Revised)