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144 Highland Road Lot 18Davie County, NC . ' . t' Tax Parcel Report Monday, December 19, 2016 96m t8All data Is Provided as is vdthout vameMy, orguarantee of any IdrW ehhereawresatd or Implied including but not hundred to the Davie County, Mpliedwanantlea of merthantabilily" fitness for a particular use. Ag users of Davie Coumys GIS website shag hold harmless the County of Davie, North Caronns, Ns agents, consultands, contractors oremployees from any and al dalma ornauses of action due to nOhpR NC or arising out ofthe use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Information ._ ----------- `Parcel Parcel Number. D301OA0018 Township: Clarksville NCPIN Number. 5822241208 Municipality: Account Number: 8303391 Census Tract: 37059-801 Listed Owner 1: WILSON MAURICE VAUGHN Voting Precinct: CLARKSVILLE Mailing Address 1: 144 HIGHLAND ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District No Legal Description: LOT 18 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.83 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/2014 Middle School Zone: NORTH DAVIE Deed Book / Page: 009550713 Soil Types: Mn62 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: 96m t8All data Is Provided as is vdthout vameMy, orguarantee of any IdrW ehhereawresatd or Implied including but not hundred to the Davie County, Mpliedwanantlea of merthantabilily" fitness for a particular use. Ag users of Davie Coumys GIS website shag hold harmless the County of Davie, North Caronns, Ns agents, consultands, contractors oremployees from any and al dalma ornauses of action due to nOhpR NC or arising out ofthe use or inability to use the GIS data provided by this website. DAME COUNTY HEALTH DEPARTMENT Environmental Health Section ' P. O. Box 848/210 Hospital Street MocksvMe, NC 27028 %7( (336)751-8760 17- ;L IMPROVEMENT/OPERATION PERMIT Account #: 990002780 Tax PIN/EH #: 5822-24-1208 Billed To: Blake Hope Subdivision Info: Dutchman Hills Lot # 18 Reference Name: Location/Address: 144 Highland Road -27028 Proposed Facility: Residence Property Size: 0.835 Acres ATC Number: 3567 **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 14 L-A)SC5 #People #Bedrooms S_ #Baths 2— Dishwasher: Dishwasher: lid Garbage Disposal: ❑ Washing Machine: d Basement w/Plumbing: Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 0-Z35XUSype Water Supplyl n; Lftesign Wastewater Flow (GPD)a Site: New Ef Repair ❑ System Specifications: Tank Size COCkiAL. Pomp Tank GAL. Trench Width �0 Rock Depth 12" Linear Ft t Other: 3 sT$ t PJ�Jttc�a 97c.�s , It�iS� /�Lt_ 1�,�1vS 1'0. e-. U,,,) . f Required Site Modifications/Conditions: 701991�Ip 15 cv,- 16)S; 1(), a IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 K 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. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** A Environmental Health Specialist's Signature: DCHD 05/99 (Revised) xl Z , -;r") 4t. S 10 02� --I Date: t) I D3 s 466 G I Environmental Health Specialist's Signature: DCHD 05/99 (Revised) xl Z , -;r") 4t. S 10 02� --I Date: t) I D3 s DAVIE COUNTY HEALTH DEPARTMENT O Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002780 Tax PIN/EH #: 5822-24-1208 Billed To:. Blake Hope Subdivision Info: Dutchman Hills Lot # 18 Reference Name: Location/Address: 144 Highland Road -27028 Proposed Facility: Residence Property Size: 0.835 Acres ATC Number: 3567 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 WASTEWATERS IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: i 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. LGJv -OJc�J /Antic to -L: '1 -7 Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) I I I /to I 10�( J + PA PnD COURT TURN S 81 39'48' E 260.00 Wi b CD ICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department $EQ EnvironmentalHea/t11 Section P.O. Box .848/210 Hospital Street - Mocksville, NC ''-27028 - VIECOIIMY (336) 751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT, BE PROCESSED UNLESS ALL THE REQUIRED " INFORMATION IS PROVIDED. 1` Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed)�I�QD _ ^ Contact Person �� /�'7� Mailing Address �i� /5 jngS•Mi �� //� Home Phone City/State/ZIPn/LI2 lyn -,2760 Business Phone : .2. Name on permit/ATC if Different -than -Above " Mailing Address - .City/State/zip - 3. Application For: ❑ Site Evaluation i!�.Improvement Permit/ATC ❑ Both 4. Spat= to service: House El mobile Home 11 Business 11 Industry El Other 5. Type system requested:) Conventional ❑ conventional modified "" ❑ innovative 6. I£ Residence: # People - - # Bedrooms # Bathrooms dishwasher ❑Garbage Disposal.- Washing Machine XBasement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type' - # People # Sinks # Commodes -- -# Showers # Urinals - $ Water Coolers ' IF FOODSERVICE: $Seats Estimated WaterUsage.(gallons per day) S., Type of water supply: County/City - ❑ Well - ❑ Community s. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes A� t If yes, what type? ***1MP0RTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUES'T'ED BELOW.. Either a P��LL�A••++""T or SITE PLAN AIUST BESUBMITTBD by the client with THIS APPLICATION.. - Property.Dimensions: ayes n� WRITE DIRECTIONS (from Mocksville) to PROPER'T'Y: Tax OfRcc PINI # �rCl :t ? y �'S 1. �+ A-�, To�' a r'- r XW, • Property Address: Road Name/"°f e4 /�W? Qra 12 City/Zip 2�fe9g r If in a Subdivision provide information, as follows: Name: flU�lt Moil /7/��S q ,( n Section: Block: Lot: --Z lf/ Date home corners Ragged: I ' /t O This is to certify that the information provided is correct to the best of rainy knowledge. I understand that any permits) 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 am responsible jar all charges inc+irred fr mi this application., I, hereby, give consent to the Authorized Representative of the Davie County Ilealth Deparlmch I 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. DATE 7,eq,o SIGNATURE THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and Iiroposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Account No. a 7 OV O Invoice No. ----D- � APPLICATION FOR SITE EVALUATION/IMPROVEMEM PERMIT & ATC- �' " . ^ : Davie County Health Department D `' I f o �� Env/runmental Health Smdon w5e •G��- P.O. Bo: 848/210 Hospital Street Z``F 7 J I#e,/ C+ / Mockaville, NC 21028 ,Ey (336)751-67610 ***XHPCRTAHT*** THIS APPLICATION CANNOT BE PROCESSED UNLE83 ALL HE REQUIRED IH1rOMTIOH I8 PRROVIDED. Refer to the INrORH%TIOH BULLETIN for instructions. //�� Name 1. to be Gilled _(C.," )q, g contort person rAr A944 J Nailing address I F70t�SS l�e� Home phone 99��- a 9 City/state/sIP _ di/1� - Ale, o27oaa Business ?hone /OC ao r�/CV X F- 7eLo 2. Nue an Pendt/ATC it Diexerent than Above Nailing Address City/etate/sip 3. Application Por: E! Bite Evaluation ❑ Improvement Peratit/ATC ❑ Both e. systu to aervioe, WHouse ❑ Mobile Home ❑ Business O Industry ❑ Other S. If Residence: 4 People 4 Bedrooms i Bathrooms D Dishwasher D garbage Disposal D Washing Machine D Beseasnt/plumbing D Baasaent/No plumbing 6. I! Buslnesa/industry/Other: specify hype, a people / sinks e Commodes 6 showers a Urinals e Water Coolers Ilr rOODSERVICZ: ii Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: tT County/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system Is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MVSTCVfifPLEMTIIE Ri BELOW. Either aPLAT orSITE PLAN MUSTBESUBMIn Property Dlmenslo l - .3 Aa ! -1-0 Tax Office PIN: N Ap - iU ^ / 955, Property Address: Road Name 0/0/ VL 4, Yoe/ 2A City21p�%OyiLi�_ �,IP., wgv If in a Subdivision provide Information, as follows: Name: ;C��hc / u-/ 17�//s Section: Blocks Lot: PROPERTY INFORMATION REQUESTED elient with THIS APPLICATION. WRITE D1RECnONS (from Mocksvllle) to PROPERTY: 421 III16A'A T S.-cive-, A Date Property Flagged: This Is to certify that the Information provided Is correct to the beat of my knowledge. I understand that any permit($) Issued hereafter are subject to suspension or revocation, if the site plane or Intended me change, or If the Information submitted is this application is Shifted or changed. I, also, understand that I am responsible for all charges Incurred from this applicadom 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 awned by to conduct all testing procedures as necessary to determine the site suitability. THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN ([met 0/all of the following: Existing and proposed property linea and dimensions, structures, setbacks, and septic loatio , Revised DCHD (07/99) Site Revisit Charge Date(s): I Client Notification Dale: Account No. _ L./_ Invoice No.'. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION • Account M 989900111 Tax PIN/EH M 5822-146855.18 Billed To: Gray Potts Subdivision Info: Dutchman Hills Lot # 18 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 Evaluation By. Auger Boring < Pit" / / Cut FACTORS1 2 3' 4 5- 6 7 'Landscape position ., ... -_ ... Slope % HORIZON I DEPTH Texture groupL Consistence Structure Mineralogy HORIZON Il DEPTH Texture group G Consistence Structure �� 5 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: EVALUATION BY: LONG-TERM ACCEPTANCE RATE:' OTHER(S) PRESENT: - : REMARKS: LEGEND Landscape Position R -Ridge S = Shoulder L - Linear slope i 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 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) ■■■■■■■■■■■■■■■■■■s■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■asses■■■■■■■■■■■■ ■■■■■■■■■■e■■■■■s■■■o■e■■■■e■e■■■■■■■■■■■■■■■■■■e■sass■■■o■■■■■■■■ ■■■■■■e■■■e■■a■■■■m■■■■so■■eo■■■■■■■■■■■■■■■■■■■■■saes■o■■sees■o■■ ■■■■■■■■■e■■■■e■om■ase■■■■■me■o■�■■■■■■■■■■■■■■m■o■■■■■o■o■■■■■■■ ■■■■■s■a■■■■■■■e■e■■■■■■■■e■■■■e■■■■o■■■m■ms■ass■■■ao■■■esa■a■■■■■ em■■eam■ea■■e■■em■■■■■■■■■■s■em■m■■■■■a■■me■■■■■m■■■■■■■■■■■m■■■■■ MENNENiiiiiiEMMONSie■■ism ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■sea■■s■■■■■■oe■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■e■■m■eee■■■■■■e■se■e■■■■■■■ ■■■■■■■■■■■■■■■■■■■sem■oee■■oe■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ee■see■■e■■■■■■e■■■■