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1110 Williams Road Lot 3DaN M311 [all All data Is provided as Is Wkioutwam�dy or guarantee of any kind eitherespromed or Implied Including but netIlmked to the Davie County, Implied wamamles of menchantabllky orliltneaa for a parthadaruse. All users of Davie County's GIS nebske shall hold harmless the county of Davie, North Carolina, Id agent% consultand, contractor oremployeeafrom anyend all claims or causes of ackon due to NC or arising out of the use or Inability fo use the GIS dad provided by this saindta, ' WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 170000004312 Township: Fulton NCPIN Number: 5778161791 Municipality: Account Number. .. 82532342 Census Tract: 37059-604 " Listed Owner 1: STROUD JENNIFER D Voting Precinct: FULTON Mailing Address 1: 154 SHANNON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Descrlption LOT 3 CARTERS COURT Fire Response District: FORK Assessed Acreage: 0.75 Elementary School Zone: CORNATZER Deed Date: 10/2010 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008400274 Soil Types: WeC,PcB2 Plat Book: 0007 Flood Zone: Plat Page: 086 Watershed Overlay: DAME COUNTY Building Value: 30470.00 Free ores Vldina &extra 0.00 Land Value: 15050.00 Total Market Value: 45520.00 Total Assessed Value: 45520.00 [all All data Is provided as Is Wkioutwam�dy or guarantee of any kind eitherespromed or Implied Including but netIlmked to the Davie County, Implied wamamles of menchantabllky orliltneaa for a parthadaruse. All users of Davie County's GIS nebske shall hold harmless the county of Davie, North Carolina, Id agent% consultand, contractor oremployeeafrom anyend all claims or causes of ackon due to NC or arising out of the use or Inability fo use the GIS dad provided by this saindta, ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000827 Billed To: Donald & Jennifer Stroud Reference Name: Donald Stroud Proposed Facility: Residence Tax PIN/EH #: 5778-06-7187.03 Subdivision Info: Carters Court Lot#3 Location/Address: Williams Road -27028 Property Size: 100x300x150x ATC Number: 2743 **NOTE** This Improvement/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 M. IaOMC #People 4 #Bedrooms _� #Baths :2 - Dishwasher: Dishwasher: M' Garbage Disposal: ❑ Washing Machine: 0� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supplyc_Dk � Design Wastewater Flow (GPD) 3tc+tp Site: New E;K Repair ❑ System Specifications: Tank Size ICOOGAL. Pump Tank GAL. Trench Width a6 Rock Depth Z4 1 Linear Ft.ZEep' Other: 1 SSL i I.-ssTQu-- u.SeS Required Site Modifications/Conditions: V,-r4P 2'- M• No titEi VL --=P I& t7( -F PPoP ti aC 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.**** yr IOE�'v�'S�'x2ti" 120 27' 30 E:FF Environmental Health Specialist's Signa e: Date: L DCHD 05/99 (Revised) *—F4I.5 A -e t > 11llplqA DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O: Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account A 990000827 Tax PIN/EH #: 5778406-7187.03 Billed To: Donald & Jennifer Stroud Subdivision Info: Carter's Court Lot # 3 Reference Name: Donald Stroud Location/Address: Williams Road -27028 Proposed Facility: Residence Property Size: 100x300x150x ATC Number: 2243 **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. H Residential Specification: Building Type M • , Me; #People 4J #Bedrooms 3 #Baths 2 Dishwasher: R'�- Garbage Disposal: ❑ Washing Machine: 2'� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: FacilityType #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply C09-J'rYDesign Wastewater Flow (GPD) Site: New 0 Repair El System Specifications: Tank SizebDOGAL. Pump Tank GAL. Trench Width �t Rock Depth 12L Linear FtZcc� Other: (�1S-rQ tR�J no-� 34?v. -1 O .c-, Required Site Modifications/Conditions: O -N 1-g5o,1TpJ2. Y-k-ezP -S: BF1= IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 4° 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 d,3y of installation. Telephone # is (336751-8760.**** —9r- APazoti.ln Environmental Health Specialist's Signature: DCHD 05/99 (Revised) PM Date: I/%/o�- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 84SCIO Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990000827 Billed To: Donald $ Jennifer Stroud Reference Name: Donald Stroud Proposed Facility: Residence ATC Number: 2243 Tax PIN/EH #: 5778-08-7187.03 Subdivision Info: Carter's Court Lot # 3 Location/Address: 'Williams Road -27028 Property Size: 100x300x150x 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, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSIRLCTION ISI9ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: CERTIFICATE OF COMPLETION Date: **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 1 I 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. r eta pyo ter"" b tom' !G aro ��24" Septic System Installed By: Vex- I m e '&t -c Environmental Health Specialist's Signature DCHD 05/99 (Revised) Date: /`P 1 APPLICATION FOR SITE EVALUATION/IMpROVEMMF PERMIT & ATC Davie County Health Department Env1P.C. ox 8� Z� Realift o ospital Street Mccketriller NC 27028 (336)751-8760 •*•I!>QORTaHTete OCT 2 11999 BVI DAVIE COUNTH`/�LTH TRIG appt.ICaTION ta1Rw0T ER pRCCcggrp URLE11 Ba a7.f. , RL()UIRtED INyORlATICR 28 BRCVID1tD. Reser to tha �'MMIOR BM=TIR for instructions. 1- Rime to be slued �flnt2 i d k1 nni` t� �trW&rr Contact "Coon �'k inn uuisos ate1R some shone 4 C7 Z = 7 � 9 2- tiro/et.ta/sly /a:v C LJ% �. adsineee prone _7 <l fY = QO — & 2. Item- an *.salt/a7A Lt DSleerant thin above ka►ltoe address . t:Ltr/:lata/pip e. application Tor: D Bite llvalUat:ioa b[Y>cprovamaat parsit/]1TC e � 0 Roth e- Mtem to se=vloe: 0 Rouse X"ile Roma 0 Business 0 Indus ✓ � ��// try 0 other s. I! Ratidanoet L i people `i a Bedrooms �_ I Bathrooms •r}4lebwaehar O se naebaMopoeal Rasbing Madliae 0 aaaemant/pl:mbing 0 Daeeamt/ao pim.biag t. It Mewissen/xo&Wt=r/other: speolft type/` e people a eldca I comGe a shower. a Urinal. _ - 1 Rats Cooler. I! 100D810tVICM: ti -tate sstimat:ed water Osage (gallon@ per day) 7. Type of Rater acpplps .Wrounty/City 0 Well 0 Community a. Do YOU anticipate additions or expans/loner of the facility this system is Intended to serve? 0 yea 0 If yes, what type? a�eIMPO(FAMOtCLENTSM157COMPLEWTHEttLcQt)JpPINESfEp BELOW, Either aPLWerSITE Pt.ANM►tcrnv.ctmtnR-E n.RE__... ROPERTY.._ ___FORMATIONREQU_ Property Dimensions: 7/7n X , l� X Sy x 6 WRITE DMEMONS (from Mocheville) to PROPERTY: Tax Office PDts q LI 577 dd RonPNg!�I�li �� nProperly Addreps Ra u L a UA S ` fZ lU Qj �(�• �j i k CIty21p v It to a Subdivision provide information, as follows: _{l./!)� P v,4-cA fed Name: _ 1 _O rffV D 1S ocsy-{ r 1 SeeHoes Blocks Let: � _ Date Property Flagged= of o This is to certify that the InforataHou provided is correct to the bat of my knowledge. I understand that any permit(-) seemed hereafter are licsti t to suspension o c revues Met if the site plane or Intended we change, or If the Information submitted la Ihb appllutiou is GisIRed or changed I, GISO, Understand that! am responsible for all charger Incurred froas this appllcadon. I, hereby, glue consent to the Authorized Representative of the vie County lth De But to enter upon above described properly located lu Davie County and by v to conduct all telling procedures As necessary to determine the site ems Mly. Q P DATE( SIG TNATURE HIS AREA MAY B USED FOR DRAWING YOUR SITE LAN property Ban and dimensions, structures, settee clad- of the tollawingt Existing and proposed lu, and zea c Hoe■ Site Revisit Charge Date(:): i11 lent Notification bate: G4� soEHS: 'L Account No. Revised DCHD (07/99) UsO Invoice Na. If yes, what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTRESR!YnE R by the client with THIS APPLICATION. ItaO 3�oKi �,(a>tS Property Dimensions: %f '�C� WRITE DIRECTIONS (from Moclwllle) to PROPERTY: Tax Office PIN: # 5 7 7 5�- Q 6 - 7 / 8' 7.0 3 k14 Ca, -,4 Zs,, /,.,,,, , .rZy Property Address: Road Name t�/ .�P�� �p n d/� City/Zip (� M . �. Yr. C _ 2 7 o6 % " u 'g-, /,d o f If in a Subdivision" provide Information, as follows: Name: CFiM*y Coun-F Section -Block: Lot: 3 Date Property Flagged: 1 /02 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 is tris application I.- :abilled ar chr;b_d. I, also, understand that I am respsns23Ft jar cK caxrges Incurred from this application. 1, 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 conductt all testing procedures as necessary to determine the site sui bifity. DATE ///.� ::' • �- 3 — II n SIGNATURE 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). I Date(s)- EHS: Revised DCHD (07/99) Site Revisit Charge Notification Date: Account No. "Z 'tea -2 Invoice No. 0�45�— APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &ATC Davie County Health Department Environmental Heath Seef ion P.O. Box 848/210 Hospital Street JUN 2 3 1999 + Mockeville, NC 27028 �! (336)751-8760 EWVIItOi::iFlJll,lNE.!dlil-- V U DAVIE CU14TY ***ZWCRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. -Bass, to be Billed contact Parson l/. -&e -- Mailing Address f ,0 Ute. L) ,.7'none Phons, O " y/" -7O City/state/zIP �. :.-r,C. f Pi. L V ? ol e> Business none 2. Bane on Pezmit/ATC if Different than Above Mailing Address City/statenip •• 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC fr�th e. Systen to Service& P�House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms �3 # Bathrooms 2.... ❑ Dishwasher ❑ aarbage Disposal O Washing Machine O. Basement/Plumbing O Basement/Bo Plumbing 6. I! Business/Industry/others Specify type # People # sinks # Commodes # Showers # Urinals # water Coolers IF FOODSERVICE: # Seats Estimated Seater Usage (gallons per day) 7. Type of water supply: ❑ County/City ❑ Well ❑ Community S. Do you anticipate additions or expansions of the facility this system Is Intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTRESR!YnE R by the client with THIS APPLICATION. ItaO 3�oKi �,(a>tS Property Dimensions: %f '�C� WRITE DIRECTIONS (from Moclwllle) to PROPERTY: Tax Office PIN: # 5 7 7 5�- Q 6 - 7 / 8' 7.0 3 k14 Ca, -,4 Zs,, /,.,,,, , .rZy Property Address: Road Name t�/ .�P�� �p n d/� City/Zip (� M . �. Yr. C _ 2 7 o6 % " u 'g-, /,d o f If in a Subdivision" provide Information, as follows: Name: CFiM*y Coun-F Section -Block: Lot: 3 Date Property Flagged: 1 /02 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 is tris application I.- :abilled ar chr;b_d. I, also, understand that I am respsns23Ft jar cK caxrges Incurred from this application. 1, 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 conductt all testing procedures as necessary to determine the site sui bifity. DATE ///.� ::' • �- 3 — II n SIGNATURE 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). I Date(s)- EHS: Revised DCHD (07/99) Site Revisit Charge Notification Date: Account No. "Z 'tea -2 Invoice No. 0�45�— *i{0 Nv VI. j''., S/ r LST �7 f' Y • �+� I � qO '� +BI xB9 i®) SRN • � .tH 51p L � o / 17 ^61 I3oGAc2ES P12FA°5,7G-ig . *i +v • FT, I m • N I EF15E M LA IOLi.07o7Al_.. r / O 1 U SCFLF A DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION" PROPERTY INFORMATION Account #: 989900562Tax PIN/EH M 5778-06-7187.03 Billed To: Gray Carter Subdivision Info: Carters Court Lot # 3 Reference Name: Gray Carter Location/Address: Williams Road -27006 Proposed Facility: Residence Property Size: 320x100x300x Date Evaluated: Z1� Water Supply: Evaluation BY:. On -Site Well Auger Bonn gg.. Community, -Pit .. Public 2,>': Cut.: FACTORS 1 ' _ 2."": 3 q 5 (,. 7. Landscape position .... _ ._.., - Slope % G HORIZON I DEPTH Texture group Consistence Structure' EVALUATION BY: ' l�Y o✓(�/ OTHER(S) PRESENT: 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 ... m VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm i1'et' NS -Non sticky ', SS - Slightly stickyS - 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)