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389 Pinebrook Drive Lot 2Davie County, NC Tax Parcel Report Thursday, December 29, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E50000001416 Township: Farmington NCPIN Number: 5841676091 Municipality: Account Number: 82520701 Census Tract: 37059-802 Listed Owner 1: STEWART TIMOTHY W Voting Precinct: FARMINGTON Mailing Address 1: 389 PINEBROOK DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-7744 Voluntary Ag. District: No Legal Description: LOT 2 FURCHES FARM Fire Response District: FARMINGTON Assessed Acreage: 2.00 Elementary School Zone: PINEBROOK Deed Date: 4/2003 Middle School Zone: NORTH DAVIE Deed Book / Page: 004740988 Soil Types: EnB Plat Book: 0007 Flood Zone: Plat Page: 035 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Es 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 fliness for a particular use. All users of Davie County's GIS website shall hold harmless the rCounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and aft claims or causes of action due to NC or arising out of the use or inability to use the GIS data provided by this website. ;'- „AiRIZATION NO: 1408 DAVIE COUNTY HEALTH DEPARTMENT - .. - Vii' � :.• �. Environmental Health Section PROPERTY INFORMATION Permittee 's .. P.O. Box 848 Name:l%1-44,r�� Mocksville, NC 27028 Subdivision Name:+, PCS} Phone #: 704-634-8760 Directions to property: r �, �* �, �� i�, a�r- Section: ,"' Lot: -• AUTHORIZATION FOR ��t •' !�. r % WASTEWATER Tax Office PIN:# - SYSTEM CONSTRUCTION Rod Name:`dip !r **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/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I l of G.S. Chapter 130A, Wastewater Systems, Section. 1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVI ONMENTAL HEALTH SPECIALIST DATE ISSUED 1408o DAVIE COUNTY HEALTH DEPARTMENT =V X _Pers'� k�� /► r IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATI�ON,�, Subdivision Name: Directions to property: �..' ✓,/"" Section: f Lot: -' f IMPROVEMENT PERMIT Tax Office PIN:#.�0Q_ - �.o,. :. Road Name: i )Ip: **NOTE**:This Improvement Permit DOES NOT authorize the construction or installation 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS Y2#.00CUPANTS GARBAGE DISPOSAkoo, No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY g,1) DESIGN WASTEWATER FLOW (GPD) v NEW.SITE REPAIR SITE j SYSTEM SPECIFICATIONS: TANK SIZE, d pL GAL. PUMP TANK ---GAL.' RTRENCH WIDTH ROCK DEPTH �.2�_ LINEAR FT �/ OTHER KJIJSI �S `E7. ja��GGS c- !/" r REQUIRED SITE MODIFICATIONS/CONDITIONS: **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT ` SYSTEM INSTAL ED BY: 11CJA1�►y �4►�LC� lilp3✓" /,1004: rl AUTHORIZATION NO. OPERATION PERM BY:DATE: G� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED OVE 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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) • 1 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (336)751-8760 E ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed�_/C.� �•UO�—s�SO c� 6A1S1"' Jl f c Contact Person 4) Mailing Address 6,01 UG- /�.4y 2412 Home Phone �Y,2 - 7S7 9 City/State/Zip %7"OCKs ✓ic.c_r N. C. .2 76 a F Business Phone I qE- 727 7 2. Name on Permit/ATC if Different than Above Mailing Address _ 3. Application For: 4. System to Serve: 5. If Residence: )1 Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: Site Evaluation House ❑ Mobile Home # People Garbage Disposal Specify type _ # Showers # Seats City/State/Zip ❑ Improvement Permit & ATC ❑ Business ❑ Industry # Bedrooms �s Pk Washing Machine ❑ Basement/Plumbing 7. Type of water supply: County/City # Urinals ❑ Both ❑ Other # Bathrooms aQ ❑ Basement/No Plumbing # People # Sinks Estimated Water Usage (gallons per day) ❑ Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes A No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A "THE PROPERTY MUST BE /=,2vNr 'R.3(450 Rr- ,Sjp 375-. yZk SUBMITTED WITH THIS APPLICATION. 1340 e -R 35. or. 4-F S IOP- 366. S Property Dimensions: a Acp-esS 1 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY: Tax Office PIN: # V I - -7-7 5:S 1 / X5 Property Address: Road Name 3 % -5 PIAJ,6f..31L A-- D2 1 %0 City/Zip Al1 �OC [ L/., L-(/ l C. a 70.2. E If in Subdivision provide information, as follows: 1 pp A10LU T 1 O A) lee- . Name: -r ✓J x l i /2ry1 eio� t / 1 1 Section: Lot #: 1 1 1 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 am responsible for all charges incurred from 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 /�l�C2C'rY ?02;4"/� to conduct all testing procedures as necessary to determine the site suitability. DATE (o - 6--' SIGNATURI Revised DCHD (06-96) YOU MAY USE THE BACK OF THIS FORM FOR DRAWING YOUR SITE PLAN. 0,0 4LSqC1e-- — A 5 Ro > t r. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC '• Davie County Health Department Environmental Health Section /gal P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 1i ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed 0 bA- i" %L -::2 . i /z s' Mailing Address/(% City/State/Zip � ! P -J S /L. L. G 7 4 l',4, 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person re G��' c Z'a'X c��J Home Phone 9 " 5-' 2 6 - \ Business Phone�- City/State/Zip 3. Application For: PI Site Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [vf House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] Washi,ig Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Busines;/Other: Specify type # People #Sinks # Commodes # Showery # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of Nater supply: [ ] County/City [ ] Well [ ] Community, 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ( ] Yes If yes, wh at type? EITHER [ ] No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AMA%'OF THE PROPERTY MUST BE SUBMITTED WITH T APPLICATION. Property Dimensions: WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PINf y c 6# 5 - - Property Address: Road Name Pi,v ,�� n 4 . R a �U /.0 ,/� ;� B �J 1� �- �� v City/zip A U L/q i5l a cn.5 If in Subdivision provide information, as follows: Name:,/El , Section: Lot #• r� — This is to certify that the information provided is correct to the best 4f,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 am responsible for all charges incurred from 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 GGi /'rig`) el S to c u t all testing ce s as nece ary to determine the site suitability. DATE 3 "-z a % SIGNATURE�i� Revised DCHD (06-96) THIS AREA MAY 13L USED FOft blaWINC JOUR SITE PLAN: 0 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit SECTION_ LOT DATE EVALUATED PROPERTY SIZE /� ROAD NAME �i Public 11� Cut FACTORS 1 2 3 4 5 6 7 Landscape position L .L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 1, �� 3w Texture group Consistence Structure w /C Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S' JO LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: �Z L4 LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: �c�/S'� 2�'l� lJ1 eZ. 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 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 DCHD (01-90) ■ ■ ■■ME■E■ NEEM■■■ no No ■M■■■ ■M■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■EN■■MM■■■E■■MM■ ■E■E■EM■■M■■E■EE■ ■MEMEMEMMEM■MMEM■ ■■E■EN■EMENEEM■■■ ■NM■■■■ME■ME■■NE■ ■■■■■■M■■■M■■■■■■ ■■■■■■ ■■M■■■ ■■M■■■ ■■MEMEN■■■■EME■■EE■■ ■■EMEN■■N■EEMM■■EM■■ ■M■ ■NEM■MME■■EE■M■ ■NE�■MMME■■■■■M■ME■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■■■■■ ■E■ MEMME■■■MEM■ME■ ■■■■■■■■■■■■■■■■■■■■ ■■MM■■■■E■■■■N■■M■■■ ■■MM■■■■M■MEMM■■E■■■ ■MEN■■■MN■ME■N■M■■E■ ■E■EMEMEMMEMMEMEEME■ ■E■■■MEME■■■MEME■E■■ ■■■hq■■■E■■■■M■■■■■■ ■■■ ■■■■■■■■■■■�'►I■■ ■ ■ ■■■ME■ ■■EE■■ ■NEEM■ ■MM■■■ ■E■■E■ ■ENNE■ ■■ME■■■E■■EM■■ ■EM■■MME■EE■■■ ■■■■■■■■■■■E■■ ■■■■■■E■■■■■■■ ■MMMMMMM■■MMM■ ■■NM■■NEEMEME■ ■■M■■■NEE■ME■■ ■MM■■EMM■MME■■ ■EN■■EM■■EE■■■ ■■■NEEMM■M■MM■ ■■■■■■■■■E■■■■ ■MME■NNE■■MME■ ■EN■MEME■■EN■■ ■E■MEMM■■MEN■■ ■E■EME■■M■■ME■ ■EMEMEM■E■■E■■ ■ME■■EME■■EM■■ ■E■■■EM■■EE■■■ ■■M■■■■■ ■U■■■■■ ■ ■■■M■ ■■■■■■M■ ■E■■EEM■ ■M■■■M■■ ■■■EM■■■ ■