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120 Landis Court Lot 35Davie County, NC Tax Parcel Report Monday, December 19, 2016 108-1 �`----111 601 i 120 ------------- 125 O a J ----------- I r 1 1 132 [all WARNING: TffiS IS NOT A SURVEY All dab is provided"Is withoutmminyorguarardeeofenyfundeitherespressedorlmpliedincludingbutnotlimitedtothe Impliedvaandesofinerchantabilityoriltnessforaparticularuse,AllusersofDavieCounty'sGISvmbelteshallholdharmlessMe County of Davie, North Carolina, Its agents, consubarrb, contractors oremployees Mostany and all claims uresuses of action due to wanting out "the use or lnabSdyto use Me GIS data provided by this website. Parcel Information Parcel Number: D301OA0035 Township: Clarksville NCPIN Number: 5822142453 Municipality: Account Number. 82525915 Census Tract: 37059-801 Listed Owner 1: FURR PAUL W JR Voting Precinct: CLARKSVILLE Mailing Address 1: 120 LANDIS COURT Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAME COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 35 DUTCHMAN HILLS Fire Response District WILLIAM R. DAVIE Assessed Acreage: 0.93 Elementary School Zone: WILLIAM R DAVIE Deed Date: 2/2006 Middle School Zone: NORTH DAME Deed Book / Page: 006500699 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, NC All dab is provided"Is withoutmminyorguarardeeofenyfundeitherespressedorlmpliedincludingbutnotlimitedtothe Impliedvaandesofinerchantabilityoriltnessforaparticularuse,AllusersofDavieCounty'sGISvmbelteshallholdharmlessMe County of Davie, North Carolina, Its agents, consubarrb, contractors oremployees Mostany and all claims uresuses of action due to wanting out "the use or lnabSdyto use Me GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT _ Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002128 Tax PIN/EH #: 5822-14-2453.35 Billed To: Phase IV Realty Subdivision Info: Dutchman Hills Lot # 35 Reference Name: Location/Address:- Landis CT :..-27028 Proposed Facility Residence Property Size: see map ATC Number: 4006 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, Sectign.1900 Sewage T tm isposal Systems). THIS AUTHORIZATION FOR WASTEW C N I U FORA ERIOD OF FIVE YEARS. Environmental Health Specialist's Signa e: Date: CERTIFICATE OF COMPLETION 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. 5 0IW- 4 Orn 0A % -9k Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: �� J DAVIE COUNTY HEALTH DEPARTMENT �O Environmental Health Section P. O. Boa 848/210 Hospital Street S Mockwille, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990002128 Tax PIN/EH M 5822-14-2453.35 Billed To: Phase IV Realty Subdivision Info: Dutchman Hills Lot # 35 Reference Name: Location/Address: Landis Court -27028 Proposed Facility Residence Property Size: see map ATC Number: 4006 **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. Resid ential Specification: Building Type. 1A C05 #People #Bedrooms #Baths Dishwasher: 0� Garbage Disposal: ❑ Commercial Specification: Facility Type Washing Machine: M�- Basement w/Plumbing: 1y Basement/No Plumbing:❑ #People_ #People/Shift #Seats Industrial Waste: ❑ Lot Size p.93 ACS; S Type Water Supply CDLWW Design Wastewater Flow (GPD) 3 Site: New eRepair ❑ System Specifications: Tank Size 1X0 GAL.. Pump Tank GAL. Trench Width 34 � Rock Depth _e/A Linear Ft. Other. 3 -DI 3Tt2AE)kir1,,-,I Required Site Modificaiions/Conditions: blab AEE- Eat Ge.rlwo )L.= -,P l5 ex 3e X413-1 Ya -P � �1 epF 4 •� 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.**** .i n �ALIZ_pQ� Eryvironmental Health Specialist's Signature: DCHD 05/99 (Revised) i 0_ �1e2- iSSt)�7 I DAVIE COUN'T'Y HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street _ Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002128 Tax PIN/EH M 5822-14-2453.35 Billed To: Phase IV Realty Subdivision Info: Dutchman Hills Lot # 35 Reference Name: Location/Address: Landis Ct- -27028 Proposed Facility Residence Property Size: see map ATC Number: 4006 **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 3 Dishwasher: O�- Garbage Disposal: ❑ Washing Machine: I1`�— Basement w/Plumbing: 12�'- Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ©93 6COESType Water Supply !_� Design Wastewater Flow (GPD) 3( LO Site: New Er— Repair ❑ System Specifications: Tank Size ID�GAL. Pump Tank 1000GAL. Trench Width 'Nv" Rock Depth12 Linear Ft FEO Other: .S Lt5TR13UT1014 'L' DcfS Required Site. Modifications/Conditions: W%S-rat t_ Da [ oNTb�1�_ �7 15 CFP t4tx7S.:. IGZt� Its oF-- PPo0. Ll 40S 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 systpra between 8:30 aqni. 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.**** �� �- Max, TQ�-�t ��P�►-t z�, CA a N �. i Environmental Health Specialist's Signature: X DCHD 05/99 (Revised) APPLICATION x011 SITE EVALUATION/IMPROVaI M PEIN•I ' Davie County Health Department Baylrorrme,otal Health T6QV0V7 P.O. Box 848/2.0 Hospital Street t! Mockoville, NC 270213 (330751-8760 LIAR . 3 20 ' .. * * =ZMPORTANT* ** THIS APPLICATION CANNOT DS PROCESSED M �AL JV ' QiITRED - - I2IFORMATION 19 PROVIDED. Refer to the : FOAMATION BULLETX$ i'1} , M, J 1. Name to be Dilled Contact Person )� MailingJ' Address Qii/ lU 1Ioss►c Plsonc city/state/ZIP X-5- 2 r% y Dwinaaa Phoue 7 r _G�...... _.. ......_. 2. Name on Pandit/ATC it Differant than Abova f f !failing Address City/state/Zip „"._.__...__...... 3. Application Fort L7 Site ivaluation ❑ Improvement Peszait/A'tC 11oL•I, S. System to Servica: i Iouse 0 Mobile Haire ❑ Busincbs ❑ Industry ❑ OL•I,er S. Type system requasteds Conventional gc,oAvcatioaal modifiilieo d ❑ iut,ovaL•ivn G. If Residence: 0 People I Bedrooms �. 11 Bathroolm; ❑Di„l,washer ❑Garbage Disposal ❑Washing Maehiao$•!� asouent/i'lwabIng ❑isas:emant/No Plumbing 7. If Du,stacss/Indu;try /other. verify type 0 People a, sinks # Co=cdos 8 Showers 0 Urinals 0 Water Cooler:, �.�_.._..._ I IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) o, Tna of water oupplys C- County/City ❑ Well ❑ Coimuunity P. Do you anticipato additiona or expansions of Elie facility this system Is Intended to serve? ❑ Yes ❑ No Ifycs, tiihat tyi:c? . F***DfPolz7''AN7'*** cljr-.NTSb1UST cokipLL7,cTili liliQUlltGD YIt01'Llt1'7�' 1t�I1�Olt14Irl'I'I01`I ItLQUIs'S'1'Iil) .» BLOW. zither a PLAT' or SlU PLAN A1UST VESUIdr>•t1 E -D by the client with l'HIS APPI,10V1'l0N. Property Minclsious: G Tats Officc I'IN: !i Property Address: Road Name l.Bx d; 5 Ci YMP M - Ifin a subdivision provide inform lion as follolrs: Name• $ Section: BIocIu Lot: WIME DIREC11ONS (Frow 6•ludisvillc) to L,4 -f— Y1/ Date home corners !lagged: This is to certify that the inforntatlou provided is correct to the best of my lcnotiviedge. I understand that :111Y perulil(s) Issued hereafter arc subject to suspension or revocation, irthe site plans or Intended use change, or if clic Mrorau:ttlon submitted in this applleatlon is Nsllled or chaired. I. /glen. ur,dnr or, -4 /h..�.I.�........•......:r.r.. r_ ..i, _r......... - — •�• •-••t•�••�•�•���, uu �r.u.be„r,errrr•t•re,/rr,rrs l/iis,lpplica11olt. I,1lcreb}; glvc cotucLit to the Authorized Representative or tlic Wyk Coautt�• I1ctillt Department enter upon above described proparty !orated in Davie County and owicd by ”-tVoffdttn-fl't>5tingpiorcdrires•asn'00011'aTftavctcrnlinelife si(csuitabIlity. ` DA'Z'E ,�� g25: SIGNATiJ _ THIS AREA ATAY BL USED VOR DRAWING YOUR SITI-; I'LM (Includ all or 1110 01101ving: r)astiub and prop used property tines and dimensions, structures, setbacks, and scptie locations). Sign given Revised DCII rdSlff..t -�0 i5 td r � 1 � Site Revisit Charge Date(s): CIimit Notilicationi nate: EUS: ' �•- y y'� O -� .� / `v ✓Q,� G� Ac,:onut No. v ��ti -7 MAR. 3. 2005tg11:59AMC cdiCBT TRIAD+ 998 4492 d N0. 2649 P�P. 3m'2 o�L Spaial Data 1Zpforer �ap� �S r76rh carl>Ina NW 0 Click on the Map for Qi Zeetnln C Zoom ut C RecenterMap C IdenW. Fa—"FIR Zoom Factor: , 6� C' Radius search Oee* —� 36 243 ii8l25SI4G3 t... at 2257 SW -9- Parcel Data Find Adjoin{Ttg Parcels • Cou*ID. D3010A0065 • AeodYdtNran6er.8A515152 • Phi 6822142453 • Legal 1:LOT35 DUTCHMAN HILLS • OwnwNamwLANA GROUP LLC • Ownadgddreas 1: CANA GROUP LLG • OwnerlAddless2: • Owoer/gddreas 31870 UNDERPASS ROAD • Wy,Stale Zpr ADVANCE,NC27006-0000 • Land Value: 520,000.00 • Building Vamo 50.00 is 523 • Land UmT/Type: D3010A0035 :r LT • Deed BooWPagee 00338 f 0341 DeadDate:2o00/0= • safssPdea: $0.0 • FlopeldAddress: 000120 000120 CT • C0W*Zamhg. R-20 • Celsus Code • CdyCddC • .FaeDwat WILLIAM R. DAME • FkodZenvZONEX • FWadCOMMW .. • Flaod Panet • FaoddMapDafe: 0 E�A Map 6. Y:'rj're 9 Draw aelad [� Can= Tra City Bound I . County Zor Multi Syl ®11 Fire D r Flood Pane r' Flood Zone Parcels r sciml Disl Multi Syl seas Town Zonir [, Townships MUIri Syl [" Voting Prec [" Driveways Rail Lines r Street Cent UsRJC HiOt Multi Syl U N r; Aerial Phut C' Creaks and j' E911 Addre r Fire Depart [� schools LEE M pieis, and othor F and data. USers c hereby notifiedm h4:1/sdxmktech net/smvledcom.esri.esrimap.Esrimap?Name=Davie&Cmd=Clk&Lefr15... 3/3/2005 o LOT. #36 0 & ! N 0, 998 AC. + 10' UTILITY_ J . + EASEMENT 4 Q ^� .1 2s359z , I o QJ 4Z o LOT #35 o 0. 925 AC. . z 50' + 234. 71 N 3 ^ N 88` 3S' 40' W o 3 M tp I • LOT #34 b ° I .-- 10' UTIL ti • . � In 10t826 AC. ^ ` l 4 + C; w APPLICATION FOR SHE EVALUATION/IMPROVEMENT PERMIT & ATCRL2cl Davie County Health Department esEnvirvnmenlal Health Section,�k�CP.O. Box 868/210 Hospital Street � Moaksville, HC 27028 (336)751-8760 ***IHI+ NMT*** THIS APPLIChTION CANNOT BE PROCESSED UNLESS ALL HE REQUIRED INTORMATION I8 PROVIDED. Refer to the INFORMATI011 BULLETIN for instruction@. 1: Nam to be billed Mailing address City/state/zzv x. Name an Pereit/a2C it Dirreremt than malUlog address Content Rare= Rose Phoma sn/o business Mom City/state/aip 3. Application tror: 6 ite Evaluation ❑ I mprovemsnt permit/ATC ❑Both a. system to Service: ya Mouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other s. If Residence: 1 People 1 Bedrooms 1 Bathrooms D Mehvashar O cache" Disposal D bashing machine D basement/Plumbing D assement/No Plumbing 6. Ie business/Induatry/Other) spaciry type 1 People / sinks 6 Commodes 1 shovers 1 Urinals 1 Meter Coolers Ir TOODSERVICE: N Beata Estimated Water Usage (gallons per days 7. Type of Dater supply: bounty/City 0 well ❑ Community e. Do you anticipate addltions or expansions of the facility this system Is Intended to serve? ❑ Yes ❑ No If yes, what type? +++IMPORTANT+++ CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eilber a PWT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. C R� Property Dimenstoel:1 Tax Office PBV: A -no -)q - to �,5" Properly Address: Road Name (W / 41,JJ,s/og/' IN 2") City/Zip LLe- Alejwe If In a Subdivision provide Information, as follows: Name: b4WVh 1Va4 Sections Blocks Tut: c 1 WRITE DIRECTIONS (from MackMlle) to PROPERTY: /0/ MLL T L�.e 1fo.Ii lb Date Property Flagged: 70 /pec' Scrneon-e This 1s to certify that the information provided is correct to the beat of my knowledge. I understand that any permit(s) Issued hereafter are subject to suspension or revocation, It the site plans or intended an change, or If the information submitted in this application is falsified or changed I, also, understand that I am rraponsi6le 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 aR testing procedures as necessary to determine the site saltst�tlty. DATE _ _ 7 ^ a �V -,6&J THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic loc Revised DCHD (07/99) Of the following: Existing and proposed Site Revisit Charge Client Notification Date: EHS: Account No. L/ Invoice No. :.,,t4,4 IF . q 55 - Texture LyrOUD s TextureerouD . 'G . I /`_ I C I /?L_ • Struchu Mineral 90—RIZ, Texture Consisti Structut Mineral HORIZI Texture t nFnTu . Mineralogy HORIZON IV DEPTH Texture group Consistence : Structure' SOIL WETNESS l RESTRICTIVE HORIZON SAPROLIT'E CLASSIFICATION VIIS LONG-TERM ACCEPTANCE RATE D• 0• SITE CLASSIFICATION: a EVALUATION BY: CEPTANCE RATE: OTHER( LONG-TERM AC fi 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 T.- Terrace Flood plain H'- Head slope 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, VFR - Very friable FR - Friable FI Firm VPI - 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) , DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 9899 0111 Tax PIN/EH #: ' 22-146855.35 'Billed To: Gray Potts Subdivision Info: Dutchman Hills. Lot #35 Reference Name: Gray Potts Location/Address: Eaton Church Road -27028 . Proposed Facility: Residence Property Size: 51 AcresDate Evaluated: :51*0 1 Water Suppy: - On Site Well Community .- , . . Public Evaluation By: Auger Bonng < Pit �' Cut FACTORS I 2 3 q 5. 6. ' Landscape position Slo % 'HORIZON I DEPTH TextureerouD . 'G . I /`_ I C I /?L_ • Struchu Mineral 90—RIZ, Texture Consisti Structut Mineral HORIZI Texture t nFnTu . Mineralogy HORIZON IV DEPTH Texture group Consistence : Structure' SOIL WETNESS l RESTRICTIVE HORIZON SAPROLIT'E CLASSIFICATION VIIS LONG-TERM ACCEPTANCE RATE D• 0• SITE CLASSIFICATION: a EVALUATION BY: CEPTANCE RATE: OTHER( LONG-TERM AC fi 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 T.- Terrace Flood plain H'- Head slope 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, VFR - Very friable FR - Friable FI Firm VPI - 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) ,