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147 Landis Court Lot 31Davie County, NC y Tax Parcel Report Monday, December 19, 2016 C) 131 P1461-- -- O - - Z '+ Q 145 %I 147 11+7 z Q 2 (7 2 107 + EATONS CHURCH RD [Al All data is provided as is without warranty orguaramee ofany kind elthwexpressed orimplled including but not ltmlted to the Davie County, Implledmiew. as of merchantability wfjhaaO ra patdndaruse. All users of Uavle County's GIS webdlte shall hold hamdess the Comfy of DaNa, Nodh Cwlina, ltsagents„ consultants, eondractorc oremployess hom any and alt daims or causes of action due to NC - oraddngoutoftheuseorinabiMytouuthe GlSdafaproWdedbythiswebshe WARNING: THIS IS NOT A SURVEY --Parcel Information Parcel Number: D3010A0031 Township: Clarksville NCPIN Number: 5822134955 Municipality: . Account Number: 82523468 Census Tract 37059-801 Listed Owner 1: WEST JAY Voting Precinct: CLARKSVILLE Mailing Address 1: 147 LANDIS COURT Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District No Legal Description: LOT 31 DUTCHMAN HILLS Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 0.74 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/2004 Middle School Zone: NORTH DAVIE Deed Book / Page: 005780173 Soil Types: MnB2 . Plat Book: 0007 Flood Zone: Plat Page: 0190 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: 9 Freatures Value: Land Value: Total Market Value: Total Assessed Value: [Al All data is provided as is without warranty orguaramee ofany kind elthwexpressed orimplled including but not ltmlted to the Davie County, Implledmiew. as of merchantability wfjhaaO ra patdndaruse. All users of Uavle County's GIS webdlte shall hold hamdess the Comfy of DaNa, Nodh Cwlina, ltsagents„ consultants, eondractorc oremployess hom any and alt daims or causes of action due to NC - oraddngoutoftheuseorinabiMytouuthe GlSdafaproWdedbythiswebshe DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Sectiones 3 3 0- P. O. Boz 848/210 Hospital Street MocksviBe, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002625 Tax PIN/EH #: 5822-13-4955 Billed To: Jeff Hayes Contracting Subdivision Info: Dutchman Hills Lot # 31 Reference Name: Location/Address: 147 Landis Court -27028 Proposed Facility: Residence . Property Size: see map **NOjjp*%m1 er. 3713 is provem&t/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 BI -66 #People #Bedrooms _-7�) #Baths Dishwasher: E21"' Garbage Disposal: ❑ Commercial Specification: Facility Type Washing Machine: 17"' Basement w/Plumbing: 11"' Basement/No Plumbing: ❑ #People #PeopletShift#Seats Industrial Waste: ❑ Lot size COIAC —cam Type Water Supply ""�Design Wastewater Flow (GPD) :3tc0 Site: New 171"� Repair ❑ System Specifications: Tank Size IVCV GAL. Pump Tank GAL. Trench Width 3U ' Rock Depth W' . Linear Ft.a0t:�; Other: 3 Required SiteModiScations/Conditions: LnS"u P-3 1C,(g jrocia, Kod 1! , 104 IMPROVEMENT/OPERATION PERMIT LAYOUT/APPROVED EFFLUENT FILTER RISEr(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Deparlmen for final inspection of this system between 830 am. to 9:30 a.m. or 1:00 1:30 p.m. on the day of installation. Telephone # s (336)751-8760.**** p.m. Ij -C, I) Environmental DCHD 05/99 (Revised) I Account #: 990002625 DAVIE COUNTY HEALTH DEPARTMENT p �ci Environmental Health Section %� P. O. Boa 848/210 Hospital Street Mochsville, NC 27028 (336)751-8760 Tax PIN/EH #: 5822-134955 Billed To: Jeff Hayes Contracting Reference Name: ATC Number. 3713 Subdivision Info: Dutchman Hills Lot # 31 Location/Address: 147 Landis Court -27028 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 WAST`EWXTERr6QNSTRUMWN IsID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa 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. ,Kt,�l V--btn, >� Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) ?Or 10 . APPLICATION FOR SffE EVALUATION/IMPROVEMENT PERMIT & A Davie County Health Department Q EC IS OWE Environmental Health Secilon P.O. Box 868/210 Hospital Street MAR I0 2004 Mockoville, NC 27028 (336)751-8760 ***Id�ORTANT*** THIS APPLICATION; CANNOT BE PROCEs= UNLESS ALL TBE REQUI1tED000NIY INFORMATION IS PROVIDED. Refer to the I10015I1TION BULLETIN for iaatruotioaa. 1. name to be Bills! 10-f / Contact Person nailing Address �!/�� AOf /✓i/ Rose Phone ,_•-•�7/F�—`-� City/stab/aIP, L'. W-Husi.sss Phone 2. Mama on Psrmit/ATC i! Different than Mailing Address -City/stab/Rip 3. Application For: ki/Site Evaluation ❑ Improvement Permit/ATC ❑ Both d. Byate. to Service: wRouae ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. 'if Residence: i People ! Bedrooms ! Bathrooms � - *Dishxaahas ❑Garbage Disposal ' ,,M W Wng Machine /ElPhasemnt/Plumbing O Basemant/no Plumbing S. 2f Business/Industry/other, Specify type- - i People Sinks i Commodes ! Showers - i urinals ! Mater Coolers IF FOODSERVICE: $ Seats Estimated Nater Usage (Gallons per day) 7. Type of water supply: I County/City ❑ tfall ❑ Community B. Do you anticipate additions or';expimlons of the facility thin system Is Intended to serve? 0 Yen l#o Hyes, what type?. ***►MPORTANT***CLIENTSMUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESrU/BM►TTED by the client with THIS APPLICATION. Property Dimensions: �k w 'k Z�� k Zr Z WRITE DIRECTIONS (from Mockaville) to PROPERTY: Tax 0IRce PIN: #;-6 2 /3.31E'r All J� Property Address: RoadName'is cityizip Ae < <l/C �l��a ?�u��i �✓ !D�/1�. -y7oz� If In a SubdivisionprovideInformation,. as follows; Name: U�(A`Clt /7a sS2�✓ J�i��S —77� / !/ Section: Blocky 3 a /bfl Lotti Oa 3 / Dste Property Flagged: This is to certify that the Information provided U correct to the best of my knowledge. I understand that any permit(.) Issued hereafter are subject to suspension or revocation, If the site plans or Intended use change, or if the Information submitted In this application B falsified or changed. I, also, understand that I am responsible for all charges Incurred from this applicollom I, hereby, give consent to the Authorized Representative of the Davie County Hoa ant to enter upon above described property, located In Davie County and owned by s to eoodur t all testing procedures as necessary to determine the site suitabIDty. DATE 3J41 b SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR S1 PLAN (Inc all of the ollswlsg: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). QLe`-5" Cdr ��� ✓ APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC r D • ^ f Davie County Health Department Environmental Health Sectlon P.O. Bos 848/210 Hospital Street 2"F 7—e A,_,yJ 1#ead C �� Mocksvills, HC 27028 ,�e (336)751-8760 ***ZM�=TANT*** TRIS APPLICATION CANNOT BE PROCESSED UNLESS ALL IRE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1.: Nae to be Billed - (content person Melling Address Some Saone City/state/alp A ym eee- Ale 97o06 suainese phone P'90'6 2. were on permit/ATC it Different than Above - Nailing Address City/stab/sip 3. Application Tor: . erlite Evaluation O Isfprovement Permit/ATC O Both. 4. System to service, 'ye house D McbLle Rome O Business 13 Industry ❑'Other e. If Residence: a People a Bedrooms 1 Bathrooms D Dishwasher O garbage Disposal O washing Machimm 11 Sasusnt/plumbing D aasasant/No plumbing S. Ie ausiness/Industry/other, spsaiey type I Commodes a showers I people a Sinks I urinals a water Coolers IF IWDSERVICE: II seats Estimated Water Usage Walloon per day) 7. Type of water supply: E County/City k a Well a Community e. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes 0 No If yes, what type? **"IMPORTANT*** CLIENTS MUSTCOMPLETETIIE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimension l nil Ael-eS Tax Office PDN: k_t �0-IU- L5$f-tcll) Property Address: Road Name _o / c� /-'dv / Clty/ZIpAl ee,,jwgy If in a Subdivision provide Information, as follows: nn Name: llJGt!fi X1 -'2C111 Section: Blocks Lot: c1 L WRITE DIRECTIONS (from MockMile) to PROPERTY: /o/ AI CA'A T 9. -doe, A �tv el�t IV& , l:4 Date Property Flagged: This is to certify that the information provided Is correct to the beet of my knowledge. I understand that any permil(s) Issued hereafter are subject to suspension or revocation, If the site plans or intended ase change, or If the Information submitted to this application h fabiffed or changed I, also, understand that I am responsible for all charges incurred from this applicatlam 1, hereby, give consent to the Authorised Representative of the Davie County Health Department to enter upon above described property located Is Davie County and owned by to conduct aM testing procedures as necessary to determine the site sultahillity. L'1,3L1w ..1. 00 THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic lot Revised DCHD (07/99) of the following: Existing and proposed Site Revisit Charge Dale: IEHS• I Accoulat No. i Invoice No. .. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation - r APPLICANT INFORMATION ` PROPERTY INFORMATION Account #:.989900111. Tax PIN/EH #: 5822-146855.31..- Billed To: Gray Potts Subdivision Info Dutchman Hills Lot# 31 Reference Name: Gray Potts Location/Address:. Eatons Church Road 27028 Proposed Facility: Residence Property Size: 51 Acres Date Evaluated ,6th Water Supply: On -Site ` . y Well Communis Public Evaluation B Auger Boring Pit Cut FACTORS ! 1: ':. 2 .3! -q 5 . 6 Landscape osition:. L .. Slope % Q HORIZON I DEPTH p - 2l 0_10 Texture groupG Consistence Structure S k Mineralogy1: HORIZON II DEPTH ..21-49 O - I " Texture groupC 4S + Consistence % PTr -5557 Structure Mineralogy HORIZON IH DEPTH tS� Texture groupk� Consistence Structure .., Ot_ Mineralogy • ..: HORIZON IV DEPTH Texture group Consistence Structure '-Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: P s �` ��'�/ EVALUATION BY: &e\%)C4 V%., 0 LONG-TERM ACCEPTANCE RATE: ,i �' OTHER(S) PRESENT: :., REMARKS:LEGEND LandscR Rid ape Position -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 y. .. SL -Sandy loam :' L -Loam S -Sand LS -Loam sand SI - Silt SICL Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam Silty clay - Clay CONSISTENCE .' C SC'?Sand cla SIC .. Y Y VFR - Very friable FR - Friable Wet FI -Firm VFI Very firm EFI Extremely firm' ,_ .. ..- 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 OR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:l, 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) LIAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/99 (Revised)