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1086 Williams Road Lot 4Davie County, NC Tax Parcel Report Wednesday. November 9.2016 All data is provided as is wtihoutis ramy arguannfee of my kind ehhere>pressed or Implied including but not limited to the Davie County, ImpliedwarnntiesamechantabilhyarflhmssMapargwWruse.AllsameofDaMCCounty'sGISwebakeandlholdhamliessthe County of Davie, Nodh Carolina, its agents, eonsultama, contractors oremployea from any end all dalms oeauses a action due to NC or addng"of the use "Inability b use the GIS data provided by this rmbdte, WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 17 00 00 00431 1 `, 1103 NCPIN Number: ;t Municipality: Account Number: �\\- Census Tract: 37059-804 Listed Owner 1: � 1142 '1128 Voting Precinct FULTON Mailing Address 1: 112 Planning Jurisdiction: Davie County City: ADVANCE 1122 1067 NC Zoning Overlay: Zip Code: 27006-7132 Voluntary Ag. District: i (10 LOT 4 CARTERS COURT 1110 FORK L,P�1S 1.96 Elementary School Zone: --i ' Deed Date: 1 Middle School Zone: 1126 it i 1072 ',1086 003860962 Soil Types: WeC,WeB,PcB2 Plat Book: 0007 Flood Zone: r 086 Watershed Overlay: DAVIE COUNTY Ir z Outbuilding B Extra Freatures Value: 0.00 1064.JI d Total Market Value: 87580.00 Total Assessed Value: 87580.00 149 All data is provided as is wtihoutis ramy arguannfee of my kind ehhere>pressed or Implied including but not limited to the Davie County, ImpliedwarnntiesamechantabilhyarflhmssMapargwWruse.AllsameofDaMCCounty'sGISwebakeandlholdhamliessthe County of Davie, Nodh Carolina, its agents, eonsultama, contractors oremployea from any end all dalms oeauses a action due to NC or addng"of the use "Inability b use the GIS data provided by this rmbdte, WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 17 00 00 00431 1 Township, Fulton NCPIN Number: 5778069661 Municipality: Account Number: 82517542 Census Tract: 37059-804 Listed Owner 1: GAMBLE DONNA H Voting Precinct FULTON Mailing Address 1: 1086 WILLIAMS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7132 Voluntary Ag. District: No Legal Description: LOT 4 CARTERS COURT Fire Response District: FORK Assessed Acreage: 1.96 Elementary School Zone: CORNATZER Deed Date: 9/2001 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 003860962 Soil Types: WeC,WeB,PcB2 Plat Book: 0007 Flood Zone: Plat Page: 086 Watershed Overlay: DAVIE COUNTY Building Value: 57700.00 Outbuilding B Extra Freatures Value: 0.00 Land Value: 29880.00 Total Market Value: 87580.00 Total Assessed Value: 87580.00 All data is provided as is wtihoutis ramy arguannfee of my kind ehhere>pressed or Implied including but not limited to the Davie County, ImpliedwarnntiesamechantabilhyarflhmssMapargwWruse.AllsameofDaMCCounty'sGISwebakeandlholdhamliessthe County of Davie, Nodh Carolina, its agents, eonsultama, contractors oremployea from any end all dalms oeauses a action due to NC or addng"of the use "Inability b use the GIS data provided by this rmbdte, DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001865 Tax PIN/EH #: 5778-06-7187.dg Billed To: Donna Gamble Subdivision Info: Carters Court Sec 1 Lot # 4 Reference Name: Location/Address: Williams Road -27006 Proposed Facility: Residence Property Size: see map ATC Number: 2939 **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. Residential Specification: Building Type _ #People � #Bedrooms 41 #Baths 2 Dishwasher: X14" 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 //-IV Design Wastewater Flow (GPD) Site: NewZ00"Repair ❑ System Specifications: Tank Size/OD P GAL. Pump Tank _GAL. Trench Width IfZRock Depth If Linear Ft i/W Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 u 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.**** Environmental Health Specialist's Signature: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001865 Tax PIN/EH #: 5778-06-7187.dg Billed To: Donna Gamble Subdivision Info: Carters Court Sec 1 Lot # 4 Reference Name: Location/Address: Williams Road -27006 Proposed Facility: Residence Property Size: see map ATC Number: 2939 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, S ion .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWA C N TRUC ION IS ALID AFORIOD OF FIVE YYEARS. Environmental Health Specialist's Signature: — R — ate: 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 guarantee that the system will function satisfactorily for any given period of time. l� AW X—1 i'��c� Septic System Installed By: Environmental Health Specialist's Signature: X rC!// Date: % .�G-7 DCHD 05/99 (Revised) r 6ENVIRONMENTAL AAPPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATAL 9 1Davie County Health Department Environmental HealthSection HEALTH P.O. Box 848/210 Hospital Street DAVIE COUNTY Mocksville, NC 27028 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to_ the INFORMATION BULLETIN for instructions. 1. Name to be Billed 53"0A Q - M11'C' Contact Person DaGf�tlh�i� 6,411 J` - Nailing Address SSICLS &I sVHome Phone n -/l -iJ- "7S%f/ city/State/ZIP )aEy p m e �6 D(e Business Phone 11L � 0 3s`I f 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: to Evaluation - ❑ Improvement Permit/ATC ❑ Both 4. System to service: ;'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. If Residence: # People # Bedrooms �l _ # Bathrooms oL VDishwasher ❑ Garbage Disposal IG) Washing Machine ❑ Basement/Plumbing f] Basement/No Plumbing 6. if Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: AD/ County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes u1 Ivo If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 560- mck P_ Tax Office PIN: # t5- 7 -7 T-8 14--11" da Property Address: Road Name 0;1(Arn-s Qd City/Zip ALA (x. QD64 If in a Subdivisionprovideinformation, as follows: /c— Name: �Y ��D^' S r Section: _� Block: Lot:q WRITE DIRECTIONS (from Mocksville) to PROPERTY: F><w�l iSFf 6nl 94L4k m,)ice e�-�- i Date Property Flagged: O 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 lam 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 to conduct all testing procedures as necessary to determine the site suitability. DATE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/99) Date(s): EHS: Site Revisit Charge Account No.� / Invoice No. ��� 9 µ. To Lovem so -fir) Te #USK U-11 Wj �jIGIM �T�( r1/1P (.•1�7 YO *!Alai 06/26/01 14:57 N :02 N0:039 } 3ra41 DATE TIME b� J40 AECCOM IN 84GK�Par,E -,bi ff LIHOM 5EGiSTER OF CEEO$ OAVIF ,,y . a�un . ?IC 0 Igo � JAY o"� 4e7 3 3 � ;2 y)•{e'Dp n LOY y ;v � m 1% i pa�Ri� n �.�+ r G�of0l 3a ¢yo- .^ iIA w pe , At I 3 t { ��a'Ito PF I IGs3f.4�:ti�SH•o/ � NJ3 Lo•LYW 5 � - r pl.�, vJp Ls Syl"s�-ao-2y4 1S)o� RErAstim1uo AfIfiR FOR I ��.�.a so.73 x Aces WWI DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION RMATION PROPERTY INFORMATION Account #: 990001865 Tax PIN/EH #: 5778-06-7187.dg Billed To: Donna Gamble Subdivision Info Reference Name: - Location/Address Williams R6ad-27006 Proposed Facility: Residence Property Size. see map Date Evahiatedc Pro ert , Water Supply: On -Site Well Communis Public Y Evaluation By: r Auger Boring Pit Cut LONG-TERM ACCEPTANCE RATE : SITE CLASSIFICATION: EVALUATI,ON BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position' RL- Ridge . S - Shoulder L - Linear slope FS - Foot slope N - Nose slope - CC -Concave slope L CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture _. S - Sand LS Loam sand SL., y 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 fine 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 Mineraloev 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 05/99 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Healfh SecYfon P.O. Box 848/210 Hospital Street Mockeville, NC 27028 (336)751-8760 I JUN 2 3 1999 IF FOODSERVICE: # Seats Estimated Stater Usage (gallons per day) 7. Type of water supply: 0 County/City 0 Well 0 Community a. foo you anticipate additions or expansions of the facWty this system is intended to serve? 0 Yes D No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SVBA977FO by the client with THIS APPLICATION. 7Ar svor,Z o Property Dimensions: G� WRITE DIRECTIONS (from Mocleville) to PROPERTY: Tax Office PIN: # 5? 7 5�- 0 6 7, o y�/R N C,� iia �A. T Property Address: Road Name City/ZIP(� .7_...,,i� r _ 2706 If In a Subdivisionprovide information, as follows: Name: C/JRfZte.rs Couwr- dp Section: rb 9 Block: Lot: 4e Date Property Flagged: 7 �a 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 la tris application is falsified ar cb"r red. 1, also, understand that I wx respow151'e jce cll charges Incufred 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 to conduct all testing procedures as necessary to determine the site suitability. / DATE,A�j SIGNATURE Lfil� /i all of the following: Existing and proposed THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic lora Revised DCHD (07/99) Site Revisit Charge Client Notification Date: EHS: Account No. Invoice No. — 602 ***XMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. 11 name to be Billed Contact Person � tailing Address '/ �!/� L,� „-ftp �% Some Phone City/state/SIP �l,.f'-cra�:�tL f �. L i d d 6 Business Phone 2. Mame•en Perait/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: 0 Site Evaluation 0 Improvement Permit/ATC �oth 4. system to service: (\House 0 Mobile Home 0 Business 0 Industry 0 Other S. If Residence: # People # Bedrooms _3 # Bathrooms Z O Dishwasher ❑ Garbage Disposal 0 washing Machine O fts a t/Plumbing ❑ Buement/No Plumbing 6. IfBusiness/Industry/other: Specify type # People # Sinks # Commodes # Showers # urinals # water Coolers IF FOODSERVICE: # Seats Estimated Stater Usage (gallons per day) 7. Type of water supply: 0 County/City 0 Well 0 Community a. foo you anticipate additions or expansions of the facWty this system is intended to serve? 0 Yes D No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SVBA977FO by the client with THIS APPLICATION. 7Ar svor,Z o Property Dimensions: G� WRITE DIRECTIONS (from Mocleville) to PROPERTY: Tax Office PIN: # 5? 7 5�- 0 6 7, o y�/R N C,� iia �A. T Property Address: Road Name City/ZIP(� .7_...,,i� r _ 2706 If In a Subdivisionprovide information, as follows: Name: C/JRfZte.rs Couwr- dp Section: rb 9 Block: Lot: 4e Date Property Flagged: 7 �a 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 la tris application is falsified ar cb"r red. 1, also, understand that I wx respow151'e jce cll charges Incufred 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 to conduct all testing procedures as necessary to determine the site suitability. / DATE,A�j SIGNATURE Lfil� /i all of the following: Existing and proposed THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN property lines and dimensions, structures, setbacks, and septic lora Revised DCHD (07/99) Site Revisit Charge Client Notification Date: EHS: Account No. Invoice No. — 602 U' V .! y'� 'lin YbG 7n/1siS%y ON 4 -e N,CnL .ayg /Z/tIF ---- 109/ N � W '9I P 41 09 AJ ( .,L• � bs m I� 2 I Isla Sc9L�= b'3?Jd 5�21�N�o5i'S_�'�'�1� / • g l°� 71 M �1 �%b\ I ?,.. Ly T1.9 •y. idyl o� µ'y ..I ' v Bi • � I Z _ te+ I J , Qat ' I arc•. b ` X07 Gam -"i Qry I ". e . • 3�'A °7 I y •4: .. 'Y I i 0 I a°1 "}e� 001 d'' a% r •� • - a DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #:.:.989900562 ,. Tax PIN/EH #: 5778-06-7187.04 Billed To: Gray CarterSubdivision Info: Carters Court Lot # 4 Reference Name: Gray Carter Location/Address: Williams Road -270W / Proposed Facility: Residence Property Size: 370x300x250. Date Evaluated: owl' Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 . .' - 2. 3 . - 4 '5 6 7 Landscape position ..... L I,— Slope % HORIZON I DEPTH Tnrnxr omen - - Consistence I L -1 Structure Mineralogy HORIZON II DEPTH �� •� 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 c SITE CLASSIFICATION. Ove �� C EVALUATION BY: LONG-TERM ACCEPTANCE . : RAA TE: , y A � OTHER(S) PRESENT: ; REMARKS: 6�,1J j1 !G �� �i ✓ . LEGEND Landscape Position R - Ridge. -- S - Shoulder L - Linearslope FS - Foot slope N -Nose slope CC - Concave slope ' 4 CV - Convex slope T - TerraceFP - Flood plain H.- Head slope Texture i 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 y y Silty clay COONSI SC Sand clay SIC STENCE i VFR - Very friable FR - Friable FI - Firm VFI - Veryfirm 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 05/99 (Revised)