Loading...
334 Merrells Lake Road Lot 50 Davie County. NC . Tax PnrrrPl R Pnnrt Wednesday, January 11, 2017 WARNING: THIS 1S NOTA SURVEY Parcel Information Parcel Number. J70000005906 Township: Fulton NCPIN Number: 5768624202 Municipality: • Account Number: 8305522 Census Tract: 37059-804 Listed Owner 1: EDWARDS LINDA D Voting Precinct: FULTON Mailing Address 1: 520 N PEACEHAVEN ROAD Planning Jurisdiction: Davie County City: WINSTON SALEM Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27104 Voluntary Ag. District: No Legal Description: LOT 5 HAYES HILLS Fire Response District: FORK Assessed Acreage: 4.73 Elementary School Zone: CORNATZER Deed Date: 9/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010000871 Soil Types: Gn132, MSC Plat Book: 0009 Flood Zone: Plat Page: 020 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Ota l� Davie County, All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the j� C County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to • or arising out of the use or Inability to use the GIS data provided by this website. Davie County Environmental I-Iealth i3l P.O. Box 848/210 Hospital Street a t Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Account #: 990001461 IMPROVEMENT PLT? i1N/EH #: 5768-62-1630 Billed To: R.A. Hewitt Building Co. Inc. Subdivision Info: Hayes Hills Lot # 5 Address: 3565 Spangenberg Ave. Location/Address: Merrells Lake Road -27028 City: Clemmons Property Size: 5 Ac. Reference Name: 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: R<ew ❑Repair ❑Expansion Permit Valid for: 25Years ❑No Expiration Residential Specifications: # Bedrooms Y # Bathrooms 3 # People BasementP-Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats_ Square Footage(or Dimensions of Facility) Design Flow(GPD): ,4(,?y Type of Water Supply: 04E�bunty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: System Type LTAR Initial Y n. t . Z5_ Repair Environmental Health Specialist Date N ba °C Aug 15 08 01:25p Davie County Environmenta 3367518786 p.2 I,L TiO SITE EVALUATION%IMPROVEMENT PERMIT & ATC Davie County Environmental IIealth P.O. Box 848/210 Hospital Street Vlocksyille, NC 27028 VX, own NGo��\y (336)751-8760! Fax (336)751-8786 Ap icatio Fo�r�v\� a Evaluation/Improvement Permit F, Authorization To Construct(ATC) J Both Type fAppli on: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility " ORTA?VT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT L'NIFOKMA.TIOI\ Name to be Billed AetfA l0, 2;4(- • Contact Person 1 4'4V 1 A� Billing Address 3S Home Phone City/State/ZIPBusiness Phone 334v - b Name on Pern7it/ATC ifDifferent than Above Mailing Address City/State/Zip rtUUrnAl z uvrUAc:V11-U1U_v ,Date douse: Pactllty Corners NOTE: A survey plat or site pian must accompany this application- Included: ❑ Site Plan UPlat(to scale) (Perii�iit invalid -for 60 months with site plan, no expiration with complete plat.) Owner's Name df e Phone Number Owner's Address CityiState/Zip d G o Property AddressCity Lot Size Tax PIN# -!T76, ?(9 a-/ (y3O Subdivision Name(if applicable) Section/Lot# Directions To Site: Afivv & qe iZ-� drr /,t/sr .� O�✓.ri.�ta� ovt �1i e!�/ 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? Eyes R140 Does the site contain jurisdictional wetlands? Eyes pilo Are these any easements or right-of-ways on the site? Dyes ❑wo Is the site subject to approval by another public agency? Dyes �o Will wastewater other than domestic sewage be generated? Dyes �o IF RESIDENCE PILL OUT THE BOX BELOW # people # Bedrooms Bathrooms _�_ Garden Tub/Whirlpool 5Kes ENo p —/ Basement: es DN Basement Plumbing: l>d'Yes ❑No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square rootage of Building -4 People # Sinks # Corm -nodes # Showers # Urinals Estimated Water Usage (gallons per day) (.Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: 3C`crtventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: 416unry/City Water Z New Well GExisting Well O Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes P40 If yes, what type? This is to certify that the infonnation provided on this application is true and correct to the best of my krowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the inteuded 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 CountyHea th D - ;n1ment to conduct necessary inspections to determine compliance with applicable laws and rules. I understand tha r spons'ble for the proper identification and labeling of property lines and corners and locating and flagging or staling t iot, / Ili ca ' n, proposed well location and the iocation of any other amenities. Site Revisit Charge Proper vner's or owners legal representative signature : Datc(s): Client Notification Date: Date EHS: Sign given Dyes ONo Account # Mf Revised l 1i06 Invoice >r 4,q-1 Aug ,Aug. 15. 2008 12;54PMcounR A HEWITT BUILDING COMPANY 3367518785 No. 2466 P. 3; Davie County Health Department .Environtrtentad Heallth See P.O. Box 848/210 Hospital Sty Mocksville, NC 27028 f _ 1 `I (336)751-8760/ Fax (336)75N4105 Y� Improvement Permit Jeff Hayes 228 NC HWY 801S Advance, NC 27006 ite: 5 Acre Tract I Mwell,s Lake Road Q -t # Tax PIN# 5768621630 Dear Client(s): This lmprovetnemt Permit DOES NOT authorize am cousttuction of a wastewater system. An Authorization To Construcr a wastewater system must be obtained from this office prior to the constructionfmstallation of a wastewater system or The issuance of a building permit(iu compliance with Aiiicle I 1 of G.S. Cbapter 130A, Wastewater Systcros). This Improvement learnt is subject to revocation if site plaus or the intended use change. System To Serve: Er 11DEO C4 9Vastewater Design Flow(GPD): Y90 Valid: Years ONo Expiration System Type: OConventional jZAccepted DInvovative OAlteanative Dother Site Modifications/Permit Conditiaos: Site Mn . =p. 1� lrA(�t S M61fE 764 Date i.p.letter V06 1 IFS PPLICATION FOR SITE EVAL.UATIONAMPROVEMENT PERMIT & ATC 2 6.2006 Davie County Health Department JUS Environmental Health Section ' P.O. Box 848/210 Hospital Street NIL - • Mocksvilles NC 27028 "W""D"Dof Wo (336)751-87601 Fax (336)751-8786 Application For: ire BvaluatioNimprovement Permit huthorizatica To Construct(ATC) 0 Both *•"1UP0RT'dN7'"' THIS APPLICATION C4NNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refbr to the INFORMATION BULLETIN for instructions. Name to be Billed Contact Person 7 R, !'t" Ljr"-V'z-7— Billing Address w Ta S, home Phone City/State/ZiP v v ,o Business Phone 3154 -Os O Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A surveyplat or site plan must accompany this application. (Permit is valid for 60 mpnths with site pla no expiration with complete plat.) Street Address v 1 1 Lc. o City ytnv. kt v. l e Tax PIN# S' 7(o e(,o L 1 6 3 O Subdivision Nacre a Section/Lot#��Lot Size S- 5"mcc a_ 2 -J yi,� DircctionsTo Site: l F t %� ¢ n Date Houge/Facility Comers Flagged l " J O "CX- If the answer to any of the followin,4 questions is "yes", supporting docurocntatio ust be attached. Are there any existing wastewater systems on the site? Dyes Odes the site contain jurisdictional wetlands? ❑Ya ppp���jjj•••(((�� Are there any casements or right•of-ways on the site? Oyes 70 Is the site subject to approval by another public agency? Dyes 2146 Will wastewatcrother than domestic sewage begenerated? Oyes DKo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms. q _ # Bathrooms Garden Tub/Wbirlpool elf'r ❑No Basement: es ONo Basement Plumbing: 0 es ONo IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of FacilityBasiness Total Squarc Footage of Building # People # Sinks # Commodes # Showers # Urinals estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: OConvontional OAccepted Olnnovative ❑Alternative 00ther Water Supply Type: outtty/City Water 0 New Well ❑Existing Well 0 Community Well FY Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes NoyW 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 arc subject to suspension or revocation if the site is altered, the intended use changgs, or if the information submitted in this application is falsified or changed I understand that lam responsible forall charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance wi aPplica In laws and rules on the above described property Iocated in Davie County and owned by �Q �Vzrl bi \ e•s Property iKncr's oro ler's legal dipreseritative signature Date Sign given UYes ONo Revised 2/06 Site Revisit Charge Date(s): Client Notification Date: ERS: r Account # AM Invoice tl AAA ITAAta, t I I,IITRA\tt lA \IIIINA\lI AtAA AAA AAA IR,I* AL.TT A"11 AAAI On" 11A -.41 Op;a1a �' Q U NOM Carolina Click on the Map to: HiiRlr" f:irtiti(t I^i,?Ipj Find Ad1oiujag a�cois j • Couety10!J700000059 • ACCount Number:000011950000 • PIN. 5768621630 • Legal 1:14 AC MERRELLS LAKE RD • Owner Name. BYERLY GLEN HEIRS i • OwnerlAddress f: BYERLY GLEN HEIRS • OwnerlACidress 2: • Owner/Address 3: % BETTY HOCTOR • CIty.State Zip: WALDICK ,NJ 07453 - 0038 • Land Value: 586,950.00 • Bupoing Value: $0.00 • LandUnit/Typa: :/AC • Dead Sook/Page:0004210495 • Dead Date: 1944101131 • Sales Price. $0.00 • Property Address; Ptd • County ZonIng: R•20 • Census Code: • City Code: • Fire District: FORK • Flood Zone: ZONE X • Flood Community: 370308 • Flood Panel: 0100 C • Flood Map Data: 12-17-1993 Map W 0MW.L Draw select [] Census Tra City Bound County Zor Multi Syl (] E911 Fire 0 ❑ Flood Pane (] Flood Zone [] Parcels Settool 0I61 Multi Syl ❑ Soils p Town zonlr Townships Multi Syl ❑ voting Pre( Infra$tructu ❑ Driveways Q Rall Lines ❑ Street Cent Q US/NC Higl Multi Syl U ® N ❑ Aerial Phot 3hysical Q Croiks and E911 Addre ❑ Fire Depart © Schools ;-Draw•L MAP C.I. I bis map is prep: inventory of real 1 within this jurisdic compiled from rot plate, and other; and data. Users c hereby notified th nottaq dad VNI10W 00d WO 866 9££ YVd WTT OHA 900Z/ WO 86'00'00' E: ISO 159.00 LOT I ro mow, 70 5.46 ACRES 14 &—i —g.,c N 88*17'07' W 843.75 CD So A— LOT 2 41, N 7 46 ACRES mlui 7C IN 87-291590 w co co w 813.70 40 m LOT 3 ro I$f 5.46 ACRES to 0 3c, I N87.28'59` W h 8c'5.28 LOT 4 Iv 5.46 ACRES co N 86*00100, W 825,00 LOT o, 1 5'46 ACRES6 co m 301,00 N X76.00', ts 3 70 2.04 ACRES +/ 0 CZ '70 MEL Vis C. GU TIM �004;N 836.00'00' -0 D.B. 1f5, po. yto DAVIE COUNTY HEALTH DEPARTMENT • 0©©©00 Environmental Health Section Landscape position Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004007 Tax PIN/EH #: 5768-62-1630.05 Billed To: Rodney Bailey Subdivision Info: (unknown) Lot # 5 Reference Name: Jeff Hayes Location/Address: Merrells Lake Road -27028 Proposed Facility: Residence Property Size: Date Evaluated: 31VV Water Supply: On -Site Well Community / .i . / Public Evaluation By: Auger Boring Pit •' d2 Cut • • 0©©©00 Landscape position HORIZON I DEPTH Texture group ConsistenceMineralogy HORIZON H DEPTH KMUM Rd=9iT/1L'ir���� Texture groupConsistence Mineralogy HORIZON III DEPTHTexture groupConsistenceTexture HORIZON IV DEPTH groupMineralogy ConsistenceSOIL Mineralogy WETNESS CLASSIFICATION 11PROM W� MOM SITE CLASSIFICATION: f LONG-TERM ACCEPTANCE RATE: 0 • ZS REMARKS: J EVALUATION BY: OTHERS) PRESENT: 4o-t:�_x 9qK Q, 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 1► rim 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 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 lions 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 7 Long-term acceptance rate - gal/day/ft2 DCHD 05105 (Revised) Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Improvement Permit Jeff Hayes 228 NC HWY 801S Advance, NC 27006 Re: 5 Acre Tract / Merrells Lake Road Lot # 5— Tax PIN# 5768621630 Dear Client(s): 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 or the intended use change. System To Serve: VE51 D0'�- astewater Design Flow(GPD): 1&0 Valid: Z5"'Years ❑No Expiration System Type: ❑Conventional Accepted ❑Innovative ❑Alternative ❑Other Site Modifications/Permit Conditions: .t