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183 Linda Lane Lot 14Davie County, NC Tax Parcel Report Wednesday, November 9, 2016 All data Is provided as Is %afthoutivarranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie! County, Implied wamaMid of merchantability or lure" for a pard ularuse. Ali users of Davie County's 615 miedta shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors oremployees from any and all claim or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this websft WARNING: THIS IS NOT A SURVEY ---- Parcel Inform.altio.n.,..--....--,—,..,-..—,—..-...,,-.----,,..--.-..---" Parcel Number: 1616OA0014 Township: Mocksville NCPIN Number: 5758048546 Municipality: Account Number: 82530354 Census Tract: 37059-805 Listed Owner 1: MARTIN WESLEY K Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1:, 183 LINDA LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 14 CAROLINA HOME PLACSECTION ONE Fire Response District: MOCKSVILLE Assessed Acreage: 1.19 Elementary School Zone: CORNATZER Deed Date: 1/1993 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 1993EO200 Sall Types: GnB2,GnC2,RnD Plat Book: 0005 Flood Zone: Plat Page: 196 Watershed Overlay: DAVIE COUNTY Building Value: 159710.00 Outbuilding & Extra Freatures Value: 4370.00 LandValue: 18000.00 Total Market Value: 182080.00 Total Assessed Value: 182080.00 All data Is provided as Is %afthoutivarranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie! County, Implied wamaMid of merchantability or lure" for a pard ularuse. Ali users of Davie County's 615 miedta shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors oremployees from any and all claim or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this websft DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990003401 Tax PIN/EH #: -5:FB-04-8546 Billed To: Ken Durham Construction Subdivision Info: Carolina Home Place Lot # 14 Reference Name: Location/Address: Linda Lane -27028 ATC Number: 4340 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION 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, S on .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER NS RU ION ALID OR A PERIODD OF FIVEE/YEARS. dal Health Specialist's Signature: Date: CER **NOTE** The issuance of this Certificate ofC has been installed in compliance wi Disposal Systems," but shall in NO C3 given period of time. ,0 Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) OF COMPLETION0 1 tJ 5(�-C q44 F19t fiarjµtfGa✓� 1 2 to the system described on hnprovement/Operation Permit er 130A Section .1900 "Sewage Treatment and alj,�,antee that the system will function satisfactorily for any I �elv� 1 "T- Date: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT 5769 Account #: 990003401 Tax PIN/EH #: -ff6 04-8546 Billed To: Ken Durham Construction Subdivision Info: Carolina Home Place Lot # 14 Reference Name: Location/Address: Linda Lane -27028 Proposed Facility: Residence Property Size: 1.197 acres **NO1E9* Th is lmprovement/Operation Permit DOES NOT authorize the construction of 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. Residential Specification: Building Type #People #Bedrooms (24-- #Baths I Dishwasher: Garbage Disposal: ❑ Washing Machine: 00' Basement w/Plumbing: e Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD) b Site: New ❑ Repair ❑ System Specifications: Tank Size 419GAL. Pump Tank GAL. Trench Width � Rock Depth / Linear Ft. 9 _ n A� 1 .61M Required Site Modifications/Conditions: NCAC 18A.1969(5 may also be use IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** r" Environmental Health Specialist's Signature: ��1 Date:V / DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEM ATC Davie County Health Department Environmental Health Section MAO - 6 2005 P.O. Box 848/210 Hospital Street.. Mocksville, NC .27028 OMRONMENTAL HEALTH (336)751-8760/ Fax (33 1-8786 oAVIE couNir Application For: Site Evaluation/Improvement Perini ❑ i tho m�rization To Construct(ATC) ❑ oth ***IMPORTAIVY*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLTCANT INFORMATION Name to be Billed ke f D,,.� A nK LOns4A � � � ,e vt Contact Person e ti CA v& a W1 Billing Address P O j3o )& X 0 2 Home Phone 3 3 b 2gy —2 6 19 . City/State/ZIP an—J e�—In,n .e a i t C 1za�]I i Business Phone 17& Sl yo -g o G Z Name on Permit/ATC if Different than Mailing Address PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 months with site plan, no expiration with Street AddressCityA, Subdivision Name_C i w r3 'Ho vn a PncG Section/Lot# Directions To Site: plat.) !G ' Tax PIN# Lot Size / t -3.7 Ac Date House/Facility Comers Flagged �j� 1 a & If the answer to any of the following quesh'o s "yes ,supporting documentationvnust be attached. Are there any existing wastewater systems on the site? ❑Yes Kio Does the site contain jurisdictional wetlands? ❑Yes kgroo Are there any easements or right-of-ways on the site? 0 es ❑No , — N s r l (� Is the site subject to approval by another public agency? ❑Yes P<O Will wastewater other than domestic sewage be generated? ❑Yes 2313 low p%o'T IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms ' � # Bathrooms _' Garden Tub/Whirlpool p4es 01No Basement: des ONo Basement Plumbing: R Yes ONo I W Zto) ►8=3-II 11;R to) a 01 a9011J so 29 1 M3 0-10XV I P Type of Facility/Business Total Square 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: Konventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes Id 1v o 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 application3s falsified or changed. I understand that I am responsible for all 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 eeterminLc-oomplia9ce with applicable laws and rules on the above described property located in Davie County and owned by A e 6, lJuJln ' Site Revisit Charge Pr perry owner's or owner's legal representative signature ; 3 Date Sign given ❑Yes B3Qo Revised 2/06 Client Notification Date FHS: Account # !' l wf Invoice #, 5 E DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION 'Q/ Name /��"� �f - Date Address C Lot Size -Z) n7Q?G�IS' FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/ Landscape Position S S S S PS PS PS PS U U U U 2) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) ds? PS PS PS U U U U i) Soil Structure (12-36 in.) S S S Clayey Soils PS PS PS 'O U U U 1) Soil Depth (inches) S S S bp PS PS PS U U U U i) Soil Drainage: Internal S S S f�S PS PS PS U U U External S S S S PS PS PS U U U i) Restrictive Horizons Available Space S S S S PS PS PS U U U ) Other (Specify) S S S S PS PS PS PS U U U U 1) Site Classification Recommendations /Comments: Described by SITE DIAGRAM ass DCHD (6-82) S—SUITABLE PS—Provisionally Suitable Title Date - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003401 Tax PIN/EH #: 578-04-8546 Billed To: Ken Durham Construction Subdivision Info: Carolina Home Place Lot # 14 Reference Name: Location/Address: Linda Lane -27028 Proposed Facility: Residence Property Size: 1.197 acres Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2, 3 4 5 6 7 Landscape position Slope % - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON H DEPTH Texture group Consistence Structure : Mineralogy HORIZON IH 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: EVALUATION BY: . LONG-TERM ACCEPTANCE RATE: ... .' .OTHER(S) PRESENT: :... REMARKS LEGEND7Landscape 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 sandSL 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 .: CONSISTEN F. 3� ¢t VFR ,Very friable FR firm EFI - Extremely Friable FI -Firm VFI -Very y £um NS - Non sticky , SS - Slightly sticky 'S - Sticky VS -Very Sticky NP Non plast SP - Slightly plastic P•- Plastic VP -Very plastic Structure SC - Single grain M _ Massive CR - Crumb GR - Granular ABK -'Angular blocky S13K -Subangular blocky. PL - Platy PR -Prismatic Mineralogy' 1:1, 2:1, Mixed LI4ieS. .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 c_hroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) - LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/05 (Revised) "'` �(' .r'F6 r c '�a`nE''IFFr[.. �. } / < r tY �F -t' Ct {• 'y,.._ ` pS � t c k3 �-yyyya sr r >p ,�.• �ya .w �5��':R 32f. r •�P a��' �A R�r�%Yr F��'hfY / �� YY 1�� 5 � ` � � �r x/��'�'��*--�y9 F�`L�' Ij IT i},,'^ r.,y w1 41 il.s iM�Ifti-a"..'E VI � `s .i i j. • 1 M , - r qq � r ry ! s CROTTS RD Y e� f• f r�.....�.'� .I� .r'{ ,• � '' r . FIT k 17 IT T TO Yr f lilt 1^�A.�.,