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142 Landis Court Lot 33Davie County, NC Tax Parcel Report Monday, December 19, 2016 r-- 132 H to 137 'a .z 142 ' 145 r \ 601 r � 40 I 47 146 147 EATONS CHURCH RD gam t8 WARNING: THIS IS NOT A SURVEY L�y _ Parcel Information Parcel Number: D301OA0033 Township: Clarksville NCPIN Number: 5822142143 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-20 State: CA Zoning Overlay: Zip Code: 91301 Voluntary Ag. District: No Legal Description: LOT 33 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.05 Elementary School Zone: WILLIAM R DAVIE Deed Date: 11/2016 Middle School Zone: NORTH DAVIE Deed Book / Page: 010350120 Soil Types: MnI32 Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY Outbuildingxtra Building Value: Freatar s Value: Land Value: Total Market Value: Total Assessed Value: ' LMId- is provided ss Is vAMoutmrranty or guarantee of any Idnd ehher expressed or implied including but notDmhed to the Davie County, xamrNesofm atdabllkyofinnesstorapartlmtaruse.AllusersofslavlecourdyaGlSwebsheshallholtlhaminsihe of Davie, NoNr Carolina, its agents, consuhants, contractor, oremployses hum anyendalidaimsoreeusesofactionduetoNC ng out ofihe use orinabllityto usethe GIS data provided by this websRa Account #: Billed To: Reference Name: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section 2C /1-10 - 6 y P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 990002706 Tax PIN/EH #: 5822-14-2143.33 JH Jeff Hayes Subdivision Info: Dutchman Hills Lot # 33 Location/Address: 146 Landis Court -27006 Proposed Facility Residence Property Size: see map ATC Number: .3910 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 ewage Trqi6nent and Disposal Systems). THIS AUTHORIZATION FOR WAS=�(TIONXS A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa e:C77Date: 40sd 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 I of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be tak tthat the system will function satisfactorily for any given period of time.' iD rcaM�l �evt U r iso i'j �� 8 �a 41C44-ZA Septic System Installed By: Environmental Health Specialist's Signature • ate: i DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 / (336)751-8760 IMPROVEMENT/OPERATION PERMIT / Account #: 990002706 Tax PIN/EH #: 5822-14-2143.33 JH Billed To: Jeff Hayes Subdivision Info: Dutchman Hills Lot # 33 Reference Name: Location/Address: 146 Landis Court -27006 .-Proposed Facility Residence Property Size: see map ATC Number: 3910 ..**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of aseptic 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 I1 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. .Rpsidential Specification: Building Type ##Pe/Basement w/Plumbin ❑ Basement/No Plumbing:, 0,ople #Bedrooms, �-i #Baths r/ Dishwasher: 171"'Garbage Disposal: E3 Washing Machine: � Commercial Specification:. Facility Type #People #People/Shift : ' #Seats ! Industrial Waste: ❑ 0l laCP� r. . Lot Size � � Type Water SupplA�T{ Design Wastewater Flow (GPD) —r gQ . Site: New e Repair ❑ System Specifications: Tank Size LOGOGAL. Pump Tank GALA. Trench Widtlx2(p 1 .Rock Depth Linear Ft"/C Other: b Required Site Modifications/Conditions: IMPROVEMENT/0 -.i" FINISHED GRADE. system between 8:30 a i M PERMIT LAYOUT - APPROVED EFFLUENT FIL :EL Contact a representative of the Davie County Heald mm. or 1:00 p.m. i. on the day of installation. O' Iii 9©, . i Xi V" I Qe✓,Self �6 I r�s - _ Environmental Health Specialist's Signature: DCHD 05/99 (Revised) 'ER RISER(S) IF 6 " BELOW Department for final inspection of this elephone # is (336)751-8760.**** LV 1 ffJ'fL 0.826 AC. 88`29'55' E 245.57 LOT #33 1.069 AC. 1 LOT #32 1.181 AC. N 05#39'10' E f L/ 83.13 i ti U 4 r CD CD O 4' V � Ln' C5M M .. N 1 LV 1 ffJ'fL 0.826 AC. 88`29'55' E 245.57 LOT #33 1.069 AC. 1 LOT #32 1.181 AC. N 05#39'10' E f L/ 83.13 i ti U 4 r CD CD ��o R. NA - I t, I ii, i i, 243, 7 )DAEN r 0 LOT #29 0.795 AC. 221. 39 , N 85'04'240' W LOT #30 C23 / 0.830 AC, LOT #31 0.923 AC. 4' C5M M .. p ��o R. NA - I t, I ii, i i, 243, 7 )DAEN r 0 LOT #29 0.795 AC. 221. 39 , N 85'04'240' W LOT #30 C23 / 0.830 AC, LOT #31 0.923 AC. :DAVIE A-p i9 2004u1ruCATIONWItStrEwnwan0Nnmrn0vrAlliML&ID' ATC DavieCounty}jealthDepartment ENTN HFA�TM AW1WnrenfalfieaW5=9aas.b: Dox aAa/lio xospital street COUNTY Xoel:nviXI2, HC' �/ 27eze ' �7'6 (3]61751-a760' 7r . : s+eSNPORTARTa+a THIS APPLICATION CANNOT ES PROCESSRO UNLESS ALL TION REQ11 13 `. -SNFOWMTION IS PROVIDED. - Rofax Go bltn ZNFORMkTXON DUL%WA=g for in➢lydetionw. 3. Yams to be ➢pled JG� afii Contact Parson (��5 11.=zD Addr..a hio JW ;pa Iiwa ➢Deme City/9tato/SIP ' ��Lrila7 a-`•4Y�V _�/'WDtrJiuoaa Dhw�n � d .:� W V Y. ➢iron an Pfale,%sO.SE then Agora _ aalSi� adAraaa Clcr/ae+ce/zip __ __�_ A. Appldanti. Yer: AaiGa livaluatinD ❑ ImproVOIDent Permit/ATC ❑ OOCA i t. siatea to s.r iro;,*Rouse. D Isopile xema. D nusiDess _'DIndustry D Othei 5. Syne aratem requested>Jk Conventional Q ccvvaotional moatel¢d ❑ iunora"sive f. ,,,Lr,,,,,,RDOcaidance, I people I Dedroomn e nathro", } ,Vmoaeher acbage Pi pecal WuhiN yamu.. DDaaalxeoclfivaouw Duseeamt/na V1.4ing 1. f..(((it nwiaaoa/Indo Uy /other: verify We a PeaVle I siot,a i cawed.. '-� p sbowe / urimlo D Macc➢ cooler. IF FOODS$RVICr; p Sesta - Estimated Nater Usage (gallons Dor day) D. Try. ei Vaso¢ sasPly�Xcounweity D well. 0 Cammnitity a. Do you aaticspaco maicioen oe ctpausiou of the faellity Uds rystcw,is iutetded tosrrrc? D Xes �u IfyaLwhat type? prope)ty Dimensions: Jiro X ZT XIS�O X•�b�ttltl� Tax0Mce1'lN: 0--5—,p2, /V3 ' rrapertyAudresc Itaa9 a J lacyrzlp a�r�c�..ClG Jfluaiiubdivisioupmvldcluformatiou, 1A we Name: bt..�C�it✓N4stJ 1A we Secliow: 3010+70 t _ - Lot W-0 313 Date lin VROVEIM I16-01tMATION REQNISMI) tlmtnult trip, T)IIS APPLIGITIDN: E DUMM IONS (free Muclat111e) to PROPERTY: This is to certify that thelefamufi➢n provided Ls eorrmt to the but ofluy kdelvledg� I uudersLwd that anypvntit(s) issued hereafter aro subjhct to suspension or revocation, Lf the siteplaos or Intended use chnugo, or it We htforn,atiou suhl"IM4 ht Udr application is falsified or dauged, f, oG•a, uurlerrlra,dlAarlmu r.sp.nsiGlrforu(I c/,urbm•iYnanr,rJrnm ger oppliMfioD. I, hereby, give consent to WtAuUtorized Iicpruenlafiyo of We Uuric County Ileallh Departmmil to miter upon show described property located in havie County and orrwed by to conduct all testing procedures u necessary to determine the site suitability. DAXE f�PS/ SIGNATURE TWAREAMAXAliUSEDFORDRAWINGXOUItSiTl;R tdG ofWcfollorrWg:P.kaugand Proposed propertyllumnaddimwslous, structures, setbac(v, audseplteloeationr). • Site Revisit CltargL Data($)- .. Grout NOMMUou Date: cr`v�S�lo� Sign given Aucowut 0. 1 •1 ?aoo'nu Ilbb OKA 1"1111 ren wani:b't 71i'iln V'r APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC r D �,� R, Davie County Health Department /EnOtunmenfa/Health Secdon a5 ��� � P.O. Box 868/210 Hospital Street ,an� �iPkc Cr /�� Mockavills, HC 21028 y, (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT Bx p==SSED UHLE88 ALL THE IRED REQU ItllORMATION I8 PROVIDED. Rater to the IHTORMATION BULLETIN for instructione. 1. Name to he silted Melling address City/state/lip 2. Name an permit/ASC it Ditterant than Mailing address Content person business phone RFF- - 8" S'410 City/state/Nip 3. Application Tor: El Site Evaluation ❑ Improvement permit/ATC ❑ Both a. system to nervime: )-16ouse ❑ Mobile Home ❑ Business ❑ Industry . ❑ Other s. If Residence: s People s Bedrooms i Batbrooms D Dishwasher D Garbage Disposal O Washing Machine D saseaant/plu•biag D saseaant/No Plumbing s. If business/Industry/other, specify type # people * Oinks e Commodes a shovers a urinal• I Karr Coolers IT TOODSERVICE: # Seats Eatimated Water Usage tgallona per day! 7. Type of water supply: !3 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 MUST COMPLETETII E REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PWT or SITE PLAN MVSTBESVB3f7M by the client with THIS APPLICATION- PropertyDimensl 'y<g9.3 Tax Office PIN: to�jJs��1 �J Property Address: Road Name 1 % 4 %it Yon/ dA Clty/up %%a 5t//Ve ..1 cy,, we If In a Subdivision provide Information, as follows: Name: Section: � Block: Lott C31i WRITE DIRECTIONS (from Mocksville) to PROPERTY: LIN PX)4 �rvpe Y r Date Property Flaggedt This is to certify that the Information provided is correct to the beat of my knowledge. I understand that any permll(s) Issued hereafter are subject to suspension or revocation, if the site plana or Intended we change, or If the Information submitted In this application Is f bli ed or changed 1, also, understand that / 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 properly located In Davie County and owned by to conduct all testing procedures as necessary to determine the site salla ity. DATE SIGNATUR THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Incl a all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic loado , Revised DCHD (07/99) : . Site Revisit Charge Date(s)- I Client NotiOcot on Dale: Account No. Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section : Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: '989900111 Tax PIN/EH #: 5822-14-6855.33 Billed To: Gray Potts Subdivision Info: Dutchman Hills Lot # 33 .Reference Name: Gray Potts Location/Address: Eatons Church Road -27028 - Proposed Facility: Residence Property Size: 51 Acres Date Evaluated: - Co- Water Supply; On-Site.Well Community Public Evaluation By: Auger Boring Pit LCut FACTORS 1 2 3. q 5 6 ! 7 Landscape position L Slope % HORIZON I DEPTH Texture groupL Consistence Structure Mineralogy I. =.1 HORIZON II DEPTH 11-50: Texture group C Consistence - Structure Mineralogyi HORIZON III DEPTH -30 - Texture group Consistence 55 1777 rt Structure C O(Z- MineralogyI; _. HORIZON IV DEPTH Texture group Consistence Structure . - Mineralogy SOIL WETNESS, RESTRICTIVE HORIZON SAPROLITE 5 CLASSIFICATION . LONG-TERM ACCEPTANCE RATE 49. SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS:.' Landscape Position LEGEND 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 SII. -Silty loam CL - Clay loam SCL - Sandy clay loam SC = Sandy clay SIC - SiltyclaY C - Clay _ CONSISTENCE of ! VFR - Very friable FR Friable FI. -,Firm ' VFI - Veryfirm 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 - gaUday/ft2 DCHD 05/99 (Revised)