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153 Fox Run Drive Lot 23Davie County, NC , i Tax Parcel Report Thursday, December 29, 2016 Farmington 37059-802 SMITH GROVE Davie County DAVIE COUNTY R-20 DAVIE COUNTY QD SMITH GROVE PINEBROOK NORTH DAVIE PCB2 DAVIE COUNTY No 161 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. WARNING: TH1S 1S NOTA SURV. Y _ Parcel Information Parcel Number: E6110A0023 Township: NCPIN Number: 5851738406 Municipality: Account Number: 82525380 Census Tract: Listed Owner 1: CHRISTIAN JOSHUA A Voting Precinct: Mailing Address 1: 153 FOX RUN DRIVE Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 23 FOX RUN Fire Response District: Assessed Acreage: 0.46 Elementary School Zone: Deed Date: 11/2005 Middle School Zone: Deed Book / Page: 006340631 Soil Types: Plat Book: 0005 Flood Zone: Plat Page: 182 Watershed Overlay: Outbuilding & Extra Building Value: g Freatures Value: Land Value: Total Market Value: Total Assessed Value: Farmington 37059-802 SMITH GROVE Davie County DAVIE COUNTY R-20 DAVIE COUNTY QD SMITH GROVE PINEBROOK NORTH DAVIE PCB2 DAVIE COUNTY No 161 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. + APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 MAR ' 1 2005 ENVIRON IMAM HEAITu ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL TH-E—AN M rrr INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed ✓NRU�S "I��/�/Jti CUiTb7M �Um s)LC. Contact Person MARk Mailing Address lAq 601A7 -E -K 90AID Home Phone I'/s-- City/State/ZIP 7 s"City/State/ZIP LciAl/S t//LL ' /UC— 9%0a 3 Business Phone 35 l 7, 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation �City/State/Zip }�4lmproveme4t Permit/ATC ❑ Both 4. System to Service: House ❑ Mobile Home /❑ Business ❑ Industry ❑ Other 5. Type system requested: A Conventional 13conventional modified [3innovative ( 6. If Residence: # People 7 # Bedrooms .3 # Bathrooms a s XDishwasher ❑Garbage Disposal AWashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats 8. Type of water supply:. County/City Estimated Water Usage (gallons per day) ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes AN If yes, what type? ***IMPORTANT'`** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 9,7 X ZZV V 8g X 2-0� Tax Office PIN: # 5-9 -�;—/ 93 9�0 6 Property Address: Road Name 15.3 6x RkJ pf— City/zip NoZ'4Si'4 re AZ a ? o2,9 If in a Subdivision provide information, as follows: Name: 6-1y— 91-11r✓ WRITE DIRECTIONS (from Mocksville) to PROPERTY: x t2,-,„ Dr oY. 1 e- '73 Section: i Block: Lot: Date home corners flagged: / This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) 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 aur responsible for all charges incurred frons this application. I, 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 —<-14-,4e— Ca' 1111C cl to conduct all testing procedures as necessary to determine the site suitability. DATE .3 SIGNATURE'y"�"���1 Ate`- �fy �� ct'-" �'Z" gos THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of f the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Sign given_ Revised DCHD (05/03 Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. 3 .:)-5 / Invoice No. � 7 F� DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990003025 Billed To: Jarvis Kennedy Custom Home, LLC Reference Name: Proposed Facility Residence ATC Number: 4002 Tax PIN/EH #: 5851-73-8406.23 JK Subdivision Info: Fox Run Lot # 23 Location/Address: 153 Fox Run Drive -27028 Property Size: see map 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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE JYEARS. Environmental Health Specialist's Signature: ��. �/ Date: f 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 guar ted that the system will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) v DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003025 Billed To: Jarvis Kennedy Custom Home, LLC Reference Name: Proposed Facility Residence Tax PIN/EH #: 5851-73-8406.23 JK Subdivision Info: Fox Run Lot # 23 Location/Address: 153 Fox Run Drive -27028 Property Size: see map ATC Number: 4002 **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. .i Residential Specification: Building Type R #People #Bedrooms _ #Baths Dishwasher: Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply _� Design Wastewater Flow (GPD) . Site: New 0" Repair ❑ System Specifications: Tank Size`I%lyd GAL. Pump Tank Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT FINISHED GRADE. ****NOTI E: ContE system between 8:30 a.m. to 9:30 in. or 1:09 a //� p [o for, GAL. Trench Width �� Rock Depth /S -"/Linear Ft,:W M - APPROVED EFFLUENT esentative of the Davie County H 1:30 p.m. on the day of installati lRd Q ,TER RISER(S) IF 6 L° BELOW h Department for final inspection of this Telephone # is (336)751-8760.**** AEnvironmental Health Specialist's Signature: Date: S DCHD 05/99 (Revised) 3.1 q - z S'5-47 M. I 1 2-1 DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation NAME • ����/ DATE EVALUATED ADDRESS PROPERTY SIZE i�2Ar- PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 Landscape position .L Sloe Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH )L 3 Texture group Consistence Structure c / 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: EVALUATED BY:� LONG-TERM ACCEPTANCE RATE: OTHER(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 FP -Flood plain H -Head slope _Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty <Aay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR-Vl---y 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 3C --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 (01-901 ■■■//■■■.■.■■..■■■■/■.■./■■//■////■■/..■■■.■■...■........■ ■E■■ ■■ ■■■/■■■■/.■■//■//NOON/■■■■■■...■■/.MOON././■ .//■■../■..//■./■■■/■ 10MMEMMEM MEN■ ■////NOON..■/■/.■.....//■■.■■■■■ .........■■.■...■ ■..■..■■■■.■■■ ■......■.■■.■....■/■./■/■.. ■..■■.■...■...■.... 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