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174 Spring Valley Lane Lot 11Davie County. NC Tax Parcel Report Wednesday, November 9, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner t: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS IS NOT A SURVEY Parcel Infonnation 170000004304 Township: Fulton 5778056819 Municipality: 82517388 Census Tract: 37059-804 TRIVETTE CANDY WILLIAMS Voting Precinct: FULTON 174 SPRING VALLEY LN Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006-7054 Voluntary Ag. District: No LOT 11 CARTERS COURT Fire Response District: FORK Land Value: Total Assessed Value: Davie County, NC 6.98 Elementary School Zone: CORNATZER 8/2001 Middle School Zone: WILLIAM ELLIS 003840395 Soil Types: WeC,WeB,PcB2,RnD 0007 Flood Zone: 084 Watershed Overlay: DAVIE COUNTY 185390.00 Outbuilding & Extra 7400.00 Freatures Value: 43290.00 Total Market Value: 236080.00 236080.00 All data Is pnnAded as Is "bout warranty or guarantee of any kind either expressed or Implied Including but not limped to the Implied warrardes of merchantability or tineas for a particular use. All users of Dante County's GIS website shall hold harmless the County of Dade, North Carolina, Its agents, conwhnds, contractors or employees horrr any and all claims or causes ol action due to or anteing out of Me use or Inability to use the US data pmWded by this website. DAVIE COUNTY HEALTH DEPARTMENT ATC Number: 4351 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER C N TRU TION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: 66 CERTIFICATE OF COMPLETION Environmental Health Section **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit P. O. Box 848/210 Hospital Street .1900 "Sewage Treatment and Mocksville, NC 27028 given period of time. (336)751-876[) Account #: 990003920 Tax PIN/EH #: 5778-05-6819 Billed To: Candy Trivette Subdivision Info: Carters Court Lot # 11 Reference Name: Candy Trivette Location/Address: Williams Road -27006 ATC Number: 4351 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER C N TRU TION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: 66 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 I 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. / A�� 1 �Q to- u Septic System Installed By:/C/�CL� Environmental Health Specialist's Signature : ��E Date: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 848/210 Hospital Street Mocksville, NC 27028 J b (336)751-8760 IMPROVEMENT/OPERATION PERMIT Y� Account #: 990003920 Billed To: Candy Trivette Reference Name: Candy Trivette Proposed Facility: Residence Tax PIN/EH #: 5778-05-6819 Subdivision Info: Carters Court Lot # 11 Location/Address: Williams Road -27006 Property Size: 6.73 N Off.C'� s4mrprovemLt/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. 1 JA Residential Specification: Building Type f ##People —4— 7' 7' #Baths Dishwasher: Garbage Disposal: 11�Washing Mach ine:.O/Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: FacilityType #People #People/Shift#Seats Industrial Waste: ❑ Lot Size Type Water Supply A*& Design Wastewater Flow (GPD) 1,�P Site: New Repair ❑ System Specifications: Tank Size,1d61dCiAL. Pump Tank GAL. Trench Width c� 'Rock Depth Io% Linear Ft.,F&4C Other As stated in 15A NCAC 18A.1969(5� aeepte�S��--em�ma, ats ha uca Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) 1F 6 " BELOW FINISHED GRAD. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 83 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)75I-8760.**** Environmental DCHD 05/99 (Revised) loo eofe r� Specialist's Signature: /-�� Date: c� APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax 336)751-8786 Application For: 0 Site Evaluation/Improvement Permit Authorization To Construct(ATC) 0 Both '*'IMPORTANT' THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed C 0AL4 W , - �'r %V 24c­�-e Contact Person 1, p yam& 'T i vc* 't Billing Address ?PNCC u- 64 i E Home Phone S- - City/State/ZIP RAym % 4 . Nr C a-1ciok Business Phone b 10q- Name on Permit/ATC if Different than Mailing Address rKV.rhK I Y NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 months withsite plan, no expiration with complete plat.) Street Address e-Fi \4i ,\I ane► S Lead. City Tax PIN# 577? -05-919 Subdivision Name ('arterq Cour k Section/Lo-t# lk Lot Size Directions To Site: Fieri. 5nrlt-1S'% b%i-VnetA ae nNieu-f 'la „n If- ?rn 3iirt'0.oa.d Date House/Facility Corners Flagged '3 •e'iI- b Lb 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? ❑Yes E!�10 Does the site contain jurisdictional wetlands? ❑Yes 11 o Are there any easements or right-of-ways on the site? ❑Yes 6NO Is the site subject to approval by another public agency? ❑Yes allo Will wastewater other than domestic sewage be generated? ❑Yes 044o IF RESIDENCE FILL OUT THE BOX BELOW #People L1 # Bedrooms #Bathrooms 3 Garden Tub/Whirlpool YYes ONo Basement: OYes )i(No Basement Plumbing: ❑Yes PlWo 140 Sats IF NON -RESIDENCE FILL OUT THE BOX BELOW 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: Yconventional ❑Accepted ❑Innovative []Alternative ❑Other Water Supply Type: 0 County/City Water XNew Well []Existing Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes If yes, what type? ,l'('No 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 application is 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 to determine compliance with applicable laws and rules on the above described property located in Davie County and owned by CcLr%Aj C" �) Site Revisit Charge Property owner' r1r owne s legal representative signature Date(s): 3 a 1 0 4 Client Notification Date: Date EHS: Sign given ❑Yes ONo Account # J9N Revised 2/06 Invoice # l_ �;a {•'i"�,1 r:x. AIMS yq�1!r�' ! r • li•. � s _,��.. _..ar...� .4I� vfLJir�A� 1 - 3. �Ibbylr. �re.��rea �--o�a�ton (,Near- N��s Ahem Page 1 of 1 �'irat IH Y S �•�� Second FIoor - 4 8 S Sq • �r�r. Total t�ntsh�C� cL\ckA httD:Hsdx.roktech.net/imajes/Davie1660102OB630.jpg 3/20/2006 APPLICATION FGR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department �p elh� Environmental Health Secrion ` l JUN 2 3 1999 i P.O. Box 848/210 Hospital Street N Mockaville, NC 27028 I (336) 751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALT. THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Hama to G Billed 11,12^Contact Paxson Mailing ]Address � Q � L{- Z,f yyvj � /J Home Phone City/State/ZIP ��y—ry��L % /� r��F �j '� O'6 / Business Phone Name on Permit/ATC if Different than Mailing Address City/state/Zip J. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC 4-goth 1. system to sar,.ioa: Ik House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other .i. If Residence: t People t Bedrooms -3 # Bathrooms 2-- 11 II Diahwashar 11 Garbage Disposal II Washing Machine II Basement/Plumbing 11 Basement/No Plumbing i. If Business/Industry/Other: specify type R Commodaa U Shoaars d Urinals ✓1 People 1 sinks t Water Coolers Ik FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City ❑ Well ❑ Community B. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORT�INT*** CLIENTS At UST COMPLETE TH E REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. 7 cro j, 15 Property Dimensions: %G ,-, e WRITE DIRECTIONS (from Mockrville) to PROPERTY: Tax Office PIN: # j 7 7 si' - U E - %/ � V Property Address: Road Name 7,t/ (,Cl� tepid City/Zip ( 11 C_ 2 2 ob L, If in a Subdivision provide information, as follows: Name: CAetLrs Cour l Section: Block: Lot: zo J1 ' nq)'.�, ILL Date Property Flagged: 7 ' X02 - ! '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 sat:r,Etted :a .::is �o,pGca o : i� `a?..=.I:xd ar chs :bei? !, also, urder[nnd thal l cr. rr.:F.:ns.3Ce j; . c : e.i.:rges in:urred 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 conduct all testing procedures asnecessaryto determine the site suityibiIR E,d/z DAT',1 3 - �/ / 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). Site Revisit Charge Client Notification Date: EHS: Revised DCHD (07/99) Account No. —44'-� Invoice No. _� w ry,�N N,t,, �----- _---_, EFlSEMgw'Y LA pd ;" RQFA z:5, Z.J c o O U DAVIT. COUNTY HEAL'I'll DEI'AR'1'MEN'1' Environmental Health Section SoiVSite Evaluation APPLICANTINFORMATION Account #: 989900562 Billed To: Gray Carter Reference Name: Gray Carter Proposed Facility: Residence PROPERTY INFORMA'T'ION Tax PIN/EH #: 5778-06.7187.08 Subdivision Info: Carters Court Lot Location/Address: Williams Road -27009 Property Size: 7 - 8 Acres Date Evaluated: -Z&* Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut SITE CLASSIFICATION: r' LONG-TERM ACCEPTANCE RATE: C/ REMARKS: EVALUATION BY: �v/ 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 Moist CONSISTENCE 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 N-Qte5 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 rale - gal/day/ft2 U,HD (Revised 05/99) 3 4 5 6 7 Landscape position j SIS % Hr)RIZON I DEPTH Texture group1 Consistence Su ucture Mineralogy HORIZON 11 DEPTH Texture group Consistence Structure Mineralogy HORIZON 111 DEPTH Texture group Ccasistence So ucture Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: r' LONG-TERM ACCEPTANCE RATE: C/ REMARKS: EVALUATION BY: �v/ 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 Moist CONSISTENCE 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 N-Qte5 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 rale - gal/day/ft2 U,HD (Revised 05/99) = i 1 4Ail T ) r 0 mP M- 71 it WN �TOO ; i.•��a +.' 1. nr, \� * ilr �. � x� , 1 !�