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181 Falling Creek Drive Lot 14Davie Countv, NC Tax Parcel Report Wednesday, December 21, 2016 131 191� r t Lki C) J' LE ------------------ (, I f 1f �� I i I I 1 i I I t I Ail 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 NC or arising out of the use or inability to use the GIS data provided by this webske. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H908OA0014 Township: Shady Grove NCPIN Number: 5789630565 Municipality: Account Number: 8306984 Census Tract: 37059-804 Listed Owner 1: SMITH DUSTIN C Voting Precinct: EAST SHADY GROVE Mailing Address 1: 181 FALLINGCREEK DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 14 FALLINGCREEK FARM PHASE I Fire Response District: ADVANCE Assessed Acreage: 0.96 Elementary School Zone: SHADY GROVE Deed Date: 10/2016 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010310679 Soil Types: Pc132,PcC2,WATER Plat Book: 0007 Flood Zone: Plat Page: 048 Watershed Overlay: DAVIE COUNTY uildin& Extra Building Value: FO eatures Value: Land Value: Total Market Value: Total Assessed Value: Ail 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 NC or arising out of the use or inability to use the GIS data provided by this webske. �t"'�•wt��,r.u�6,-^{sw�;�r'.....•�.�saw.'+y,Ap,.,�r:�,.� .,�«r.:x•yr�.t:�r4.,wtrarb'4� .3e.ca+ow"'a•r,.� ? y - S M" i'.�y;y*M }.G�"`,:4r 7w .•� ��;$�•'.s,...a��, J\•�ik:.CJiU1 aiasl:.•s,+,.x v;.,. AUTHORMATION NO: 169.9 DAME OUNTY HEALTH DEPARTMENT `w •� s� a ...I Environmental Health Section PROPERTY INFORMATION Permtttee'see.. 4 P.O: Box 848 f Naive:"' //G� C�7 .S Mocksville; NC 27028. Subdivision Name: d. r i Phone # 336-751-8760 . 'Directions to property: " .�% 'i' �� i < < d ', Section: oL• AUTHORIZATION FOR 3 WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - Road Name: ^ ip, ^ Lt **NOTE** This Authorization for. Wastewater System' Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building -Permits. This Form/AuthorizationNumber should be presented to the Davie County Building Inspections Office when applying for Building Permits. (in compliance with Article 11 of G.S., Chapter 1.30A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.' . rENVIRONMENTAL.HEALTH SPECIALIST' DATE ISSUED 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. DCHD 05/96 (Revised) APPUCAiION FOR SHE EVAWAiION/IIiPROVEIIENT PERM ai ATC [Davie Comity Health bepartment EnidloAfflaoftifia9fth secohn P.o. Ibog,640/910, No sl tStreet: 1111806vii1e,-NC 27020 :1; , ' (396)781-876b ' ***ZMPCRMsr** THitt AMICKVION CINNOT AN PROCICOMM UNLESS ALL THE REQUIRED QINFORMATION I8 PROVIDED. Refer to the INtMMA22011 BULLETIN for instructions. 1. Name to be milled Castlegate Constuction Inc contact person Marshall Horton ro NU -1160 Nailing address P 0 Box 466 Sam pie 940-5989 city/state/alp Clemmons NC 27012 Business Pham 766-0800 �. Name on Pemit/ATC it Different than Above Nailing address city, to/sip 9. Application For: C) Site Evaluation Zavmoent Permit/sac d Both 4. system to eervioe: (T House d Mobile Homs 0 Business 0 Industry d Other a. It Residence: # People 2 # Bedrooms 3 # Bathroomy tr Dishwasher a//arbage lYBassment/Plu Disposal 9/11 .hue Nadhine Bing n sasemant/so Plumbing s. It Business/Industry/other: Specify type # People # sinks # Commodes # showers # urinals # Nater Coolers IF FOODSERVICZ: 6 Heats Ratimted hater Usage toallons per day) 7. Type of Water supply: Id/County/city 13 Well d Community a. Do you anticipate additions or espauslons of the facility this system Is Intended to serve? d Yes Cf No If yes, what type! r421AfVIRTAN7%'*MINTS AIUSTCOMPLEiETNE REQUIRED PROPERTY INFORMATION REQUESTED r�Pro orty( Imensl nt: ZSZ �' �x J�p DIRECTIONS (from Mocbvllle) to PROPERTY: • �/ �ipfticePlN7l� rn�.� _ /r' � J` Tb ��F't�c"SC�iLEEyc i t /� s' Property Address: Road Name i�trzclJ� 6r$= -r- ml) f' C Ate-� Clty/Zlp ,/,n7U1_��J—1 1 If in a Subdivision provide information, as follows: Name: '�i1c%ese-A-�Ey— Section: Block: Lot: I Date i'roperty Flagged: This is to certify that the information provided Is correct to the best duty knowledge. 1 understand that any permit(s) issued bereafier are subject to suspension or revocation, if the site plass or intended use change, or if the information submitted in ibis application is falsified or changed !, dw, xndastand tiat I as►nsiblefor all charas Incurred f vin this application. 1, hereby, give consent to the Authorized Representative of the D Con lb Departs t to enter upon above described property located to Davie County an owned b? to conduct al es<tn procedures s necessary to determine the site bili . j DATE / O SIGNAT--- Nt^ l .. , THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: EilsWtg and proposed property lines and dimensions, structures, setbacks, and septic locations). l Account No. Revised DCHD (07/98) invoice No. OS (O i <;?/ / ZL/ 09 0 �� H APPLICATION FOR SilE IEVAMAHON/IMPROVEMINT PERMIT do ATC bavie county Heald( bepartment Sivlronnignbi tl`Ddltb Sedtbit P.O. Soxg4ll/210'11164pital Street moakaville k"119 27029 �lIi-8760 THIS APPLIGATICii Cmfmr 8B M= .9= UNLESS ALL THS MQUIRED =WRMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Castlegate Constuction Inc Contact Person Marshall Horton Nailing Address P 0 Box 466 now Phone 940-5989 city/state/sip Clemmons NC 27012 Business phone 766-0800 2i, flame on Pemit/ATC If Different than Above Mailing Address ;Crovement to/Lip 3. Application For: U Site $valuation Permit/ATC 13 Both 4. system to service.- 11(House 0 Mobile Rome 0 Business . 0 industry 0 other S. If Residence: g people � ti' Bedrome 3 / Bathrooms Z B n Awasher R dathige Disposal W/Washl" machine n Basement/plumbing 0 Basement/No plumbing 6. If Business/Industry/other: specify type # people # sinks # Cannodes # showers # Urinals # Nater Coolers It rooDgumcB: U Seats gstimated Mater Usage (gallons per day) 7: Typi of water snpplrid/County/city 0 Well 0 Community a. Do you anticipate additiow or expansions of the facility this system Is intended to serve! 0 Yes Co If yes, what type! "*'IMPORTANT"! CLIENTS AlUST ('()Minn THS REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBJIIITPED by the client with THIS APPLICATION. Property Dimensions: Tal Otiice PIN: Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: Name: '�i7-Ce-/A)6 .4�1L Section: Block( Lot: T WRITS DIRECTIONS (from -- MockrAlle) to PROPERTY: LfPrl- a7J t-`rnjr6 A S/IIJ Date Property Flagged: /D / S/16 This is to certify that the Information provided is correct to the best of my knowledge. 1 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 is falsified or changed. 1, also, understand that I an responsible for all charges Incurred frog» this appUcation. 1, hereby, give consent to the Authorized Representative of the.Davle County Health Department to toter u#on above described property located in Davie County and owned by to cnnduc .Ql testing procedures as necessary to determine the site suitability. DATE SIGNATURE APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P o. Box 848 AUG - 6 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed I�,es�y %e uJ Kiev �,�. Contact Person G V IA• v flailing Address 5""V ft 5 t' A � A rd Home Phone ?f 4/6 `? City/State/Zip �i ws �N i4 /�� , r� %Ij% 3 Business Phone 2. Name on Permit/ATC if Different than Above _ '5,4 rrm.e— Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: ❑ Dishwasher 6. If Business/Other: # Commodes City/State/Zip 2 --,Site Evaluation ❑ Improvement Permit & ATC ❑ House ❑ Mobile Home ❑ Business ❑ Industry # People ❑ Garbage Disposal Specify type # Showers # Bedrooms ❑ Washing Machine ❑ Basement/Plumbing # People # Urinals ❑ Both ❑ Other # Bathrooms ❑ Basement/No Plumbing # Sinks # Water Coole If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City ❑ Well ❑ Community 8. I o you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes : ,`_ ❑ No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST. BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: q7 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY. Tax Office PIN: # 5 7 gg - 63 - •-s 7 o 3 1 Property Address: Road Name �.:ac' �j ei , ; e t City/Zip M. Jyi4 we 1 ON n j9 &.5 1 If in Subdivision prlA �tion,as follows:/��5 1 Y 1 O f Name:jh/ t' 1 1 Section: Lot # .. 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issue. ,^.ereafter 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 am responsible for all charges incurred from this application. I, hereby, give consent to the A•ithorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by < to conduct all testingpr cedures as ne essary to determine the site suitability. DATE g-6— 9 7 SIGNATURE { Revised DCHD (06-96) 1 r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION____,t LOT Soil/Site Evaluation APPLICANT'S NAME f/YPS 5�Ltll PROPOSED FACILITY SUBDIVISION ZA(_ � Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit �[ DATE EVALUATED 4 ` PROPERTY SIZE ROAD NAME CP I Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position .. Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH a Texture group Consistence i Structure 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: PL5 LONG-TERM ACCEPTANCE RA' REMARKS: DCHD (01-90) EVALUATION BY: AW OTHER(S) PRESENT: 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 clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very 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 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