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215 Essex Farm Road Lot 15Davie County, NC ' Tax Parcel Report Tuesday, December 20, 2016 All data is provided alis without mmidy or guarantee of any kind either expressed or Implied Including but not limited to the ® Davie County, Implied mmandes of merchantability or gtnessfor a particularuse. All users of Davie Courdy's GlSwebshe shall hold harmless the !+ Courdy of Davie, North Carolina, Its agenda, cansuitante, contractors or employees from any and all claims or causes of action due to SOD 2� NC _ cradstag out of the use or inablydyta use the GIS data provided by this weindix, WARNING: THIS IS NOT A SURVEY x� wa co Parcel Number: F8030AD015 223 LAMRERTDR NCPIN Number: 5870640675 Municipality: i 8307176 Census Tract 37059-803 Listed Owner 1: l5 Voting Precinct: c 215 Z -- ------ 216 Planning Jurisdiction: Davie County iLL Zoning Class: DAME COUNTY R -A State: L`_'_-__-- x __LLf 27006 rn r u LOT 15 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 209 Elementary School Zone: SHADY GROVE Deed Date: - ------204 All data is provided alis without mmidy or guarantee of any kind either expressed or Implied Including but not limited to the ® Davie County, Implied mmandes of merchantability or gtnessfor a particularuse. All users of Davie Courdy's GlSwebshe shall hold harmless the !+ Courdy of Davie, North Carolina, Its agenda, cansuitante, contractors or employees from any and all claims or causes of action due to SOD 2� NC _ cradstag out of the use or inablydyta use the GIS data provided by this weindix, WARNING: THIS IS NOT A SURVEY Parcel Number: F8030AD015 Township: Shady Grove NCPIN Number: 5870640675 Municipality: Account Number: 8307176 Census Tract 37059-803 Listed Owner 1: WHICKER CHARLIE J Voting Precinct: EAST SHADY GROVE Mailing Address 1: 215 ESSEX FARM ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAME COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District No Legal Description: LOT 15 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 1112016 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 010350564 Soil Types: GnB2 Plat Book: 0009 Flood Zone: Plat Page: 290 Watershed Overlay: DAME COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data is provided alis without mmidy or guarantee of any kind either expressed or Implied Including but not limited to the ® Davie County, Implied mmandes of merchantability or gtnessfor a particularuse. All users of Davie Courdy's GlSwebshe shall hold harmless the !+ Courdy of Davie, North Carolina, Its agenda, cansuitante, contractors or employees from any and all claims or causes of action due to SOD 2� NC _ cradstag out of the use or inablydyta use the GIS data provided by this weindix, Y Account #: 990005395 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780/Fax # (336)753-1680. Billed To: Halmark Builders, Inc. Reference Flame: Proposed Facility:. Residence OPERATION PERMIT ✓�87o'�u—01�75 5� Tax PIN/EH #: 5879=55=96 DID Subdivision Info: Essex Farm Lot # 15 dIS LocationiAddres1t'-Essex Farm Rd -27006 0 " Property Size: .691 ATC Number: 5016 /, E**Theisua of p (�C�" OTE** issuance of this Operation Permit shall indicate the system described on the ATC has been installed m 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. System Type: S.T. Manufacturer' Tank Date / Tank SizeO� Pump Tank Size—Z/�--� System Installed B/y: 01A, QLl, E.H.Specialist:.Wdv—Date:3�/ �( !0 !(I lO DCHD 11/06 (Revised) 'DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005395 Billed To: Halmark Builders, Inc. Reference, Name: Proposed Facility: Residence Tax PINIEH #: 5870-53-9646 Subdivision Info: Essex Farm Lot # 15 L•ocationiAddress: Essex Farts Rd -_27006 Property Size: .691 ATC Number: 5016 Site Type: l2"1Vew GRepair DExpansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat - ortheintended use chanee. - i Residential Specifications: # Bedrooms3_# Bathrooms 3h # Peoples Basement0 Basement plumbing0 Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) Lot Size Q Type of Water Supply: E16unty/City ❑Well ❑Community Well (�6 O System Specifications: Design Wastewater Flow (GPD) /06 Tank Sze /00003iAL. Pump Tank' *GAL. i Trench Width 3fi� �Iax Tre ch D tt int " cl�pep LinearFt. of Asinin i5A tgA't SSA 1�v�yfb n Site Modifications/Conditions/Other: accepted Systems may also be used �� S Contact the Davie County Environmental Health Section for final inspection of this system between - 8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760. ©fYvt`'la7 ` Environmental Health S DCHD 11/06 (Revised) R \_A\ � ©fYvt`'la7 ` Environmental Health S DCHD 11/06 (Revised) R EVALUATION/IMPROVEMENT PERMIT & ATC 1 W)9\(36)753-6780/ County Environmental Health 3 2�p9 . Box 848/210 Hospital Street IVI � Mocksville, NC 27028 Fax(336)753-1680 Applicatio For:`D S9tej' , a7W improvement Permit O Authorization To Construct (ATC) O Both Type of Ap Hcation: w System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Name to be Billed 4A61A1 it l n. idea s h4 e, Contact Person s e. 1 wJw A t'✓ - Billing Address L 6ti%2 S•Arzf :° cl f Home Phone City/State/ZIP I lo,i 4 111-e 010 ,1 Business Phone F 14 - / 713 Name on PP it/ATC if Different than *Date House/Facility Corners NOTE: A survey plat or site plan must accompany this application. Included: 0 Site Plan DPlat(to scale) (Permit is valid for 60 qionths with site plan, noexpiration with complete plat.) Owne>r's Name 7NW t J- 1 JA e,o it nr is n A ��- u� Ae Phone Number 'r /6 OwneA,Address City/State/Zip Property Addrese City Lot Size LG1 Tax PIN# ff 7b- 53- I& 6, Subdivision Namei!ytf applicable)—�,ne 1,� Section/Lot# I Directions To Site�lv'vU l -4& C"..rv:: A.-. If the answer to any of the following questions is "Yes",supporting documentation must be attached: Are there any existing wastewater systems on the site? _Yes _kNo Does the site contain jurisdictional wetlands? _Yes XNo Are there any easements or right-of-ways on the site? _Yes _:�No Is the site subject to approval by another public agency? /-No Will wastewater other than domestic sewage be generated? _Yes Yes _ o IF RESIDENCE FILL OUT THE BOX BELOW # People 6i # Bedrooms = # Bathro ms a Garden Tub/Whir] ool es ONo Basement: ❑Yes Fwo Basement Plumbing: DYes la3Go p -IF_NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facilityl3u-siness=>r.'D__ _ Total Square Footage of Building # People # Sinks -S # Commodes --#-Sh- i3rimai Estimated Water Usage a ns -p (Attach documentation o ilar-facility water consumption) FOODSERVgCE-O LLYE# Seats Type system requested: Oconventional ❑Accepted Ohmovative ❑Alternative DOther Water Supply Type: County/City Water 0 New Well DExisting Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes ONO If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Represents ive of the Davi ounty Health Department to conduct necessary inspections to determine compliance with applicable laws les. �underst that I am responsible for the proper identification and labeling of property lines and corners and local n a td fla gtn or aking the house/facility location, proposed well location and the location of any other amenities. i — Site Revisit Charge Property owne sowne 's legal representative signature t ` Date(s): Client Notification Date: Date EHS: Sign given ❑Yes CNo Revised 11/06 Account# Invoice #� A. / r- 'APP L ON FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Environmental Health AUG rt 3 '007 - P.O. Box 848/210 Hospital Street Mocksville, NC 27028 - - H�`TM (336)751-8760/Fax(336)751-8786 . HIVIRON FNtA)- - p � rte Evaluation/Improvemen[Permit ❑Authorization To Construct(ATC) ❑Botlr o Application: ONew System ORepair to Existing System- OExpansior ModificationofExisting System or Facility "'IMPORTAN7w'• THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Name to be Billed.bSC /Jc v6coorrr.+T mat_ i.� - Contact Person 7.Afwf B r;z vt Billing Address P.o.&x 3fo Home Phone - City/State/ZIP&ocrnl.u,. rtG 27018 - Business Phone - 7S/- 73oo a - - - Name on Permit/ATC if Different than Above - rllvrOl J, l nNru1 v1t111v1V 'Laic nuWlGraGwl l.uuwrarm cu NOTE: A survey plat or site plan must accompany this application. Included: O Site Plan lat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat.) Owner's Namc A5:-- p-vEcopirfi+" ccx� irtc. Phone Number 73-1 • 73-16 - Owner's Address ,'�Odog ?-42a City/State/Zip 2 70L6 Property Address LotSize' 0, TaxPIN# , O- Cityty - 'ZZ&¢�— - - Subdivision Name(if ap licable) . S Directions To S' C %- Sectio ol#_ Z -101-011o, nhh;I fz,jjQr k the answer to any of the following 4uestions is'yes", supporting documentatiqry must be attitched. - Are there any existing wastewater systems on the site? DY" U750 Does the site containjurisdicbonal wetlands? DYes DNo - Are there any easements or right-of-ways on the site? O'ies ❑ryryo - Is the site subject to approval by another public agency? - OYes 11Npo Will wastewater other than domestic sewage be generated? DYes 2No - - #People #Bedrooms _!;6_ #Bathrooms Garden Tub/Whirlpool DYes ONo Basement: DYes ONo Basement Plumbing: DYes ONo I;Yi:(1)�C�� 19_y_x►`[r+]����18YWY71�Y�)'�:l:f1U171 Type of Facility/Business Total Square Footage of Building # People S Sinks # Commodes # Showers - # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats - -Type system requested:��CiConventional OAccepted Olnnovative DAltemative ❑Other Water Supply Type: D'County/City Water O New Well _ DExisting Well D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? O Yes O No If yes, what type? This is to certify that the information provided on this application is We and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating an gging or stakin the house/facili location, proposed well location and the location of any other amenities. Site Revisit Charge - Prapert, i-1-or er's legal represents re - - - Date(s): - .% Client Notification Date: Data / ERS: Sign given DYes ON. Account# Revised 11/06 - - Invoice# 73 F I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004425 Tax PIN/EH #:'5870-64-2265.15 Billed To: PSC Development Corp. Inca Subdivision Info: Essex Farm Lot # 15 Reference Name: Brad Coe Location/Address: Cornatzer Rd -27006 Proposed Facility: • Residence Property Size: 0.691, Ac. Date Evaluated: — a.O —0-7 onsistence .',;,Structure SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION } �;Im 12; LONG-TERM ACCEPTANCE RATE O 7 + }'7 — 8.1? 1 SITE CLASSIFICATION: �j k. E a�0�� EVALUATION BY: ISA b fU a'Pt arl LONG-TERM ACCEPTANCE RATE: d OTHER(S) PRESENT: ti REMARKS: LEGEND Landscape Position A - 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" t .' _ TeX it I:., .. :. '. ., - � i S - Sand " LS - Loamy sand SL - Sandy loam L -Loam SI - Silt ,_• ..: .'. SILL - Silty clay loam SIL - Silty loam CL -'Clay loam . SCL - Sandy clay In " Sc - Sandy clay, SIC - Silty clay" C - Clay CONSISTENCE tMoost VFR -.. Very friable - .- FR - Friable FI - Firm VFI - Very firm EFI;. Extremely firm NS - Non sticky SS - Slightly sticky S - Sticky "' VS - Very Sticky ■ems®e��®®®® NP - Non plastic" - SP._ Slightly plastic P - Plastic VP -, Very plastic Sfrlictni& SC -'Single grain < M -Massive .,, CR - Crumb GR - Granular, ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic - 61 -. ... ... HORIZON IV DEPTH ■ems®aav®—■—�® - ... group ■�a����®®®® 'Horizon depth - In inches ,j onsistence .',;,Structure SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION } �;Im 12; LONG-TERM ACCEPTANCE RATE O 7 + }'7 — 8.1? 1 SITE CLASSIFICATION: �j k. E a�0�� EVALUATION BY: ISA b fU a'Pt arl LONG-TERM ACCEPTANCE RATE: d OTHER(S) PRESENT: ti REMARKS: LEGEND Landscape Position A - 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" t .' _ TeX it I:., .. :. '. ., - � i S - Sand " LS - Loamy sand SL - Sandy loam L -Loam SI - Silt ,_• ..: .'. SILL - Silty clay loam SIL - Silty loam CL -'Clay loam . SCL - Sandy clay In " Sc - Sandy clay, SIC - Silty clay" C - Clay CONSISTENCE tMoost VFR -.. Very friable - .- FR - Friable 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 Sfrlictni& SC -'Single grain < M -Massive .,, CR - Crumb GR - Granular, ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic - 61 -. ... ... Mineralogy 1 1:1,'2:1; Mixed - ... ' LZotes i 'Horizon depth - In inches ,j 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 05/65 (Revieed) / %Cali) **NOTE* *This Improvement Permit DOES NOT authorize the construction of a wastewater system An Authorization. To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: ew ❑Repair. ❑Expansion Permit Valid for: 5 Years []No Expiration Residential Specificaiions: #Bedrooms Ll #Bathrooms_#People_Basement0Basement plumbing❑ Non -Residential Specifications: Facility Type #People #.Seats_ Square Footage(or Dimensions of Facility) DesignFlow(GPD): 80 Type of Water Supply: 6145`ounty/City DWell DCommunity Well Site Modifications/PermitConditions: =t Bta'j:d in 154 NCAC-16AAt;�3{5) System T e LTAR Initial 3.7S Repair Sn ,Fra 9erow 5�pfr� 301 Environmental Health Specialist. a5' yo 5-o, H80R Nn�sr F✓oH� 63 -f& -Q-1 Davie County Environmental Health P.O. Boz 848/210 Hospital Street Mocksville,NC 27028, (336)751-8760/Fax(336)751-8786' Account #: , 990004425 IMPROVEMENT PERTN4f IN/EH #: 5870-64-2265.15 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 15 Address: PO Box 340 Location/Address: Comatzer Rd -27006 City: Mocksville Property Size: 0.691 acre Reference Name: Brad Coe Proposed Facility: Residence **NOTE* *This Improvement Permit DOES NOT authorize the construction of a wastewater system An Authorization. To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: ew ❑Repair. ❑Expansion Permit Valid for: 5 Years []No Expiration Residential Specificaiions: #Bedrooms Ll #Bathrooms_#People_Basement0Basement plumbing❑ Non -Residential Specifications: Facility Type #People #.Seats_ Square Footage(or Dimensions of Facility) DesignFlow(GPD): 80 Type of Water Supply: 6145`ounty/City DWell DCommunity Well Site Modifications/PermitConditions: =t Bta'j:d in 154 NCAC-16AAt;�3{5) System T e LTAR Initial 3.7S Repair Sn ,Fra 9erow 5�pfr� 301 Environmental Health Specialist. a5' yo 5-o, H80R Nn�sr F✓oH� 63 -f& -Q-1