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157 Carters Ridge Road Lot 5Tlav;r r..n„nty NC Tax Parcel Rennrt Wednesdav- November 9. 2016 185 169 QUO \ 1% �t 145 170 [Oil AlldataIsprovidedasi, without vwrtanty or guarantee of anyldnd dMerexpressed orlmplied Indudinp but not limited to the Davie County, Implied wammles of merchanlabllky wiliness for a padRularusa. Ali users of Davie Couny+s GM webatte shall hold harmless the county a Dante, North Caroline, he agents, consultants, contractos or employees from any and ag daims orcauses of action due to I NC oradsing outoftheuse orinabilhyto use the GISdata provided bythlswebslte WARNING: THIS IS NOT A SURVEY 1'arcelInfotmathon W,] Parcel Number: K8090A0005 Township: Fulton NCPIN Number: 5776490952 Municipality: Account Number: 82514829 Census Tract: 37059-804 Listed Owner 1: WRIGHT STANLEY A . Voting Precinct: FULTON Mailing Address 1: 157 CARTERS RIDGE ROAD 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 Description: LOT 5 CARTERS RIDGE PHASE 1 Fire Response District: FORK Assessed Acreage: 0.91 Elementary School Zone: CORNATZER Deed Date: 6/2000 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 003360284 Soil Types: PaD,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 065 Watershed Overlay: DAVIE COUNTY Building Value: 148330.00 Outbuilding & Extra Freatures Value: 5460.00 Land Value: 14400.00 Total Market Value: 168190.00 Total Assessed Value: 168190.00 [Oil AlldataIsprovidedasi, without vwrtanty or guarantee of anyldnd dMerexpressed orlmplied Indudinp but not limited to the Davie County, Implied wammles of merchanlabllky wiliness for a padRularusa. Ali users of Davie Couny+s GM webatte shall hold harmless the county a Dante, North Caroline, he agents, consultants, contractos or employees from any and ag daims orcauses of action due to I NC oradsing outoftheuse orinabilhyto use the GISdata provided bythlswebslte l le p "tz. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie Coun Health Department J e� Enviroeo ntal Health Section /t�� �1d0 O. Box 848If� IE 1� I s`�/e� I • S� 1 0Mocksville, NC 702 yet' D �rU�`i 10 3> 634-8 L ***IMPORTANT**** QAl THIS AlykICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFOT N IS PROVIDED �a vAv s e Name to be Billed, eG / %/i��/J/G.%G 1L ''Contact Person ,/ // G,KIO_ 7-,E& Mailing Address W&aac`f+4.It ' ^ s9 Home Phone 991i'- -7��� City/Statemp .4y 1/A mee' N P. 2 7 o vL, Business Phone Name on Permit/ATC if Different than Above Mailing Address City/State/Zip Application For. 14 Site Evaluation [ ] Improvement Permit & ATC [ ] Both System to Serve: j7Q House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other Z` Lc� T If Residence: # People # Bedrooms,- # Bathrooms_ [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing If Business/Other: Specify type # People *Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) Type of water supply: [ ] County/City K Well [ ] Community Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes X No If yes, what type? PROPERTY INFORMATION REQUIRED:*** IMPORTANT*** tkEY AQtOF THE PROPERTY MUST BE SUBMITTED WITH T APPLICATION. Property Dimensions: 6!Z-A4f0 (ice O S!2 FT. � WRITE DIRECTIONS (from Trp TO PROPERTY - Tax Office PIN: # K " pan �" 57 AST) Property Address: Road Name SL-A &c2a /26r190 ; %%c�{/7 City/Zip — 42144/ c� Gt_ F7' o m /2ced /P.yj: If in Subdivision provide information, as follows: iGcFi o v sr11�a /IC ,gyp /e,4 Name: (2-44 7,,yZ'!5 /Rich& ; Ar7B2 C/Ln35/w!C 1��'6'6Ac Section: % Lot #: z. FT , c his is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are ibject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or fanged. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized epresentative of the Davie County Health Department to enter upon above described property located in Davie County and owned tofonduct all testing proce ures�as,necess* to de)ermine the site suitability. ATEJO O wised DCHD (06-96) - 1115 ARLA AbIJ BE USED f -01t DIMIV1N07 I/Otllt SITE ft,tN: 3-2`i•4Y Ll�l • 7 �9 V� OCT 1 3 199 'I ***IMPORTANT**** QAl THIS AlykICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFOT N IS PROVIDED �a vAv s e Name to be Billed, eG / %/i��/J/G.%G 1L ''Contact Person ,/ // G,KIO_ 7-,E& Mailing Address W&aac`f+4.It ' ^ s9 Home Phone 991i'- -7��� City/Statemp .4y 1/A mee' N P. 2 7 o vL, Business Phone Name on Permit/ATC if Different than Above Mailing Address City/State/Zip Application For. 14 Site Evaluation [ ] Improvement Permit & ATC [ ] Both System to Serve: j7Q House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other Z` Lc� T If Residence: # People # Bedrooms,- # Bathrooms_ [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing If Business/Other: Specify type # People *Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) Type of water supply: [ ] County/City K Well [ ] Community Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes X No If yes, what type? PROPERTY INFORMATION REQUIRED:*** IMPORTANT*** tkEY AQtOF THE PROPERTY MUST BE SUBMITTED WITH T APPLICATION. Property Dimensions: 6!Z-A4f0 (ice O S!2 FT. � WRITE DIRECTIONS (from Trp TO PROPERTY - Tax Office PIN: # K " pan �" 57 AST) Property Address: Road Name SL-A &c2a /26r190 ; %%c�{/7 City/Zip — 42144/ c� Gt_ F7' o m /2ced /P.yj: If in Subdivision provide information, as follows: iGcFi o v sr11�a /IC ,gyp /e,4 Name: (2-44 7,,yZ'!5 /Rich& ; Ar7B2 C/Ln35/w!C 1��'6'6Ac Section: % Lot #: z. FT , c his is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are ibject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or fanged. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized epresentative of the Davie County Health Department to enter upon above described property located in Davie County and owned tofonduct all testing proce ures�as,necess* to de)ermine the site suitability. ATEJO O wised DCHD (06-96) - 1115 ARLA AbIJ BE USED f -01t DIMIV1N07 I/Otllt SITE ft,tN: 3-2`i•4Y Ll�l • 7 �9 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_/_ LOT- Soil/Site Evaluation APPLICANT'S NAME �iJa�TCK DATEEVALUATED PROPOSED FACILITY PROPERTY SIZE %,1V0_ SUBDIVISION ROAD NAME Water Supply: On -Site Well Community Public _11.117 Evaluation By: Auger Boring - Pit / Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH a pr Texture group Consistence r Structure /G 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 SITE CLASSIFICATION: f' LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: OTHER(S) PRESENT: 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 -,Siltyloam . 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 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(01-90)