199 Carters Ridge Road Lot 8Day.
2016
WARNING: THIS IS NOT A SURVEY
All data Is provided as Is withootivarranty or guarantee of any kind either expressed w Implied Including but not limited to the
Implied "nantles of merchantability or Nitrous; tura particularuse. Ali user, of Davie Counys GIs visindle shall hold harmless the
County at Davie, North Carolina, Its agents, consultants, contractors or employees horn any and all claims or causes a action due to
or Msing out at the use or Inability to use the GIs data provided by thlsmbsft
Parcel Information-
nfbimationParcel
ParcelNumber:
K809OA0008
Township:
Fulton
NCPIN Number:
5777403218
Municipality:
Account Number.
82519882
Census Tract:
37059-804
Listed Owner 1:
POORE HARRY T
Voting Precinct:
FULTON
Mailing Address 1:
199 CARTER'S RIDGE RD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE
COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-7301
Voluntary Ag. District:
No
Legal Description:
LOT 8 CARTERS RIDGE PHASE I
Fire Response District:
FORK,
Assessed Acreage:
0.92
Elementary School Zone:
CORNATZER
Deed Date:
1212003
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
005290091
Soil Types: PaD,PcB2,PcC2
Plat Book:
0007
Flood Zone:
Plat Page:
065
Watershed Overlay:
DAVIE COUNTY
Building Value:
173566.00
Outbuilding & Extra
Freatures Value:
17430.00
Land Value:
14400.00
Total Market Value:
205390.00
Total Assessed Value:
205390.00
Davie County,
NC
All data Is provided as Is withootivarranty or guarantee of any kind either expressed w Implied Including but not limited to the
Implied "nantles of merchantability or Nitrous; tura particularuse. Ali user, of Davie Counys GIs visindle shall hold harmless the
County at Davie, North Carolina, Its agents, consultants, contractors or employees horn any and all claims or causes a action due to
or Msing out at the use or Inability to use the GIs data provided by thlsmbsft
DAVIE COUNTY HEALTH DEPARTMENT
` a Environmental Health Section /f%l
` P. O. Boz 848/210 Hospital Street �/
Mocksville, NC 27028
' (336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003025 Tax PIN/EH #: 5777-40-3218
Billed To: Jarvis Kennedy Custom Home, LLC Subdivision Info: Carter's Ridge Lot # 8 .
Reference Name: Location/Address: Carters Ridge -27028
Proposed Facility: Residence Property Sizer see map
ATC Number: 3648
**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 1 I 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 #Baths_
Dishwasher Garbage Disposal: ❑ Washing Machine,12� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #SeatsIndustrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD)(/ Site: New.trlWRepair ❑
System Specifications: Tank Size t.GAL. Pump Tank GAL. Trench Width-7,6Rock Depth 10 Linear Rae
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED E
FINISHEDGRADE. ****NOTICE: Contact a representative of the Dav
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day
IV -ell
FILTER. RISER(S) IF 6 " BELOW
Ith Department for final inspection of this
inn elephone # is (336)751-8760.****
Environmental Health Specialist's Signature: aj/� // Date: Z ,q
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT l'
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Moelcsville, NC 27028
(336)751-8760
Account M 990003025 Tax PIN/EH #: 5777-40-3218
Billed To: Jarvis Kennedy Custom Home, LLC Subdivision Info: Carter's Ridge Lot # 8
Reference Name: Location/Address: Carters Ridge -27028
Proposed Facility: Residence Property Size: see map
ATC Number: 3648
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, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONS UCTION IS VALID FOR A PERIOD OF FIVE YEARS.
dal Health Specialist's Signature: Date:
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.
0�- -11
Septic System Installed By:
Environmental Health Specialist's Signature: 4-%� / Date: -a -:z -
DCHD 05/99 (Revised)
'WhIC ION IVII SITE EVALUATION/IMPItOVLAILNT PERVII I'& ATC
CPN „ avie County Health Department
nvil-onmenta/Hea/t/lsection
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
***IDIPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL T1IE REQUIRED
INFORMATION IS PROVIDED.Refer to the INFORMATION BULLETIN for instrucl-iollu.
1. Name to be BilledTAVtj /`�Na/ED CiAi TxAI I'iG�MiS/t�LL Contact Person _ MAAk_!Af V6
Mailing Address 4315 SDlFrc fGPR7 R9 }tome Phone 3 3 L 311 Lrs-i
-r�, � l
City/State/ZIP witis �*N oLc �1n ID4 11 ISL r�'1Business Phone. 333
2. Name on Permit/ATC if Different than Above - ___...... .......,.___. .,
Mailing Address
City/State/Zip
3. Application For: ;C site Evaluation ❑ Improvement Permit/ATC ❑ 3301-11
r
4. system to service: 5( House ❑ Mobile Home ❑ Business ❑ Indust-ry ❑ Other
5. Type system requested:A Conventional ❑ conventional modified. ❑ innovative
6. If Residence: It People 3 it Bedrooms 3 I! Ba1-hrooliw
ADiahwasher ❑Garbage Disposal Washing Machine
7. If Business/Industry /Other: verify type
4 Commodea
It showers
IF FOODSERVICE: 8 Seats
❑Basement/Plwabing ❑Dasciment/No Plumbing
It People II Siuks
It Urinals It Water Coolurs
Estimated Water Usage (gallons pet day)
B. Type of water supply: ❑ County/City IK Well ❑ Conunulity
9. Do you anticipate additions or CIp:Il1SIOnis orlllc facikity tilis systelll is ililelided to scrve? ❑ Yes VJ No
If yes, Meat type? I
***1A1110RTANP** CLIENTS 111USTCOMPLETE TIIE IMQUIRED PROPERTY INFORMA'T'ION REQUE'STE'D
BELOW. Either a PLAT or SITE PLAN MUST BESUBAIIT'TED by ilia client ss•itli l'IIIS AI'1'LICA'I'I ON.
Properly Dimensions: 79 s< 11!Sr )< 019 X L7
Tax Office PIN: A 1 % -T79 o3 a 1
Property Address: Road Name _
CiIy/Lip'M,Z.&K% Ake- -m-Y
If in a Subdivision provide li formation, as follows:
Na111C: Ci•ll7�RS Ptl.eCs�
Section: Block: Lot:
WRITE DIRECTIONS prem hluelisville) hi I11(ol'hat'I' 1':
to \'EASt
O1� Ce•��•�R\d C.11RT�zs
t••cJc O�•.+ c \t �� � O�
Ss -e,
Date Monte corners Gagged: ILD
This is to certify that the information provided is correct to the best of my knowledge. I understand that any perwil(s)
issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the iuroruimioll
submitted in this application is falsified or changed. 1, also, understand that 1 am responsible for all charges incurred from
this application. I, hereby, give consent to (fie Autliorizcd Representative of lilt Davie County IIC:d(il DCpar(umu(
to en(cr upon above described property located ill Davie County and oss•ued by
to conduct all testing procedures as necessary to determine the site suitability. _-
DATE \jL�a� SIGNATURE
T111S AREA MAYBE USED FOR DRANVING YOUR SITE PLAN (Include all of the following: Existing and proposed
properly lines and dimensions, structures, setbacks, and septic locations).
Sign given Account No. O of
Reviser! DCHD (05/03 p —„�-�z� Invoice No.
i
J M
1
Parol 56.02 1
Tax MoD K-7
Timothy R. Latham 1
D.B. 178 - 001
'+cel 58
Map K-7
Yba �'. Seaford
3 99 - 814
Pamel 56
Tax MOP K-7
George T. Grubb
D.B. 58 - 004
N 18.58'05"E
P
N 05'35'20'W
237.76'
/// P
N 28'7.4,5E
207.45'
N 36'22'00"W 40.65'
N 58'06'10"E 66.79`
N 00'25'45"W 32.77
N 47-50'25"E 28.96,
F
N 10`54.48"W 79.77',
N 17'50'45"W 49.51',
N 46.35'25"E 38.32\
Seaford Road
( W R/W See Deed Book 139-630)
9112
RA"
TANGIM
LENGTH
DELTA
'DECREE
C-1
342.34'
90.07'
171.14'
29'28'48"
16.44.1 C"
C-2
342.34'
3919'
70.12'
11.44'10"
16.44'10"
C-3
380.48'
8024'"
197.40'
2{ 338,30"
1St53.40"
C--4
380.48'
30J9'
iM.14'
1!'88'00"
13$3'40"
C-43
25.00'
11.19'
21 AY
4!'11.25"
229.11'00"
C-9
50.00'
55.90'
94.11'
96'22'45"
tt4.35.30"
C-7
50.00,
28.87-
52.39'
60'00'00"
Pooe.ex,y
n
C-6
50.00'
28.87'
52.36'
60'00.00"
114-35'.30"
.-9
50.00'
28.87'
3206'
60'00'00"
114'35'30"
-10
25.00'
11.19'
21.03'
48.1.25"
229.11.00"
-1
25.00•
11.10'
21.0.3•
46011'25"
229.11'00"
-12
50.00'
28.22'
51.39'
Sa.cmcn.,
....,. c.�...,
FUTURE DEVELOPMENT
Randall Keith Carter
D.B. 112 - 347
d�
Pomel 19.01
Judy P. Brmdray
D.B. 107 - 300
N 83`-48 50.W
y V l v
Totot 190.07
CHORD
CH.BEARING
xM T 11 rt.- is aErcac To .9'r aeeaaxn..et
NIGHTS a WAY M eaCaM mIOR To lte e11C M TRI,
174.20;
N 18.53'56"E
70.00
N 39.30'25"E
THic .untr ::.u.ac'r ro rrr r.cts nut 9'r rt oi.c�
168.90'
N 32.04'15"E
.xo .can.n Tina .uaoi. nm nw.iaaen 10 r u o 7-
99.82'
N 10.48'30"E
20.41'
S 69601'40"W
xo Ha ixa.T.t rasric moria m S`Tl ..E Lo nl
74.54'
N 88'52'40"W
1. rEaT a Teu rwra.lr.
50,00'
N 08.41.20'V
50.00'
N 51'18'40"E
-`GENE
50.00'
S 68'41'20"E
R/w - Right -or -Wo C.,.,
20.41'
S 62'47'00"E
UP - EA.IMg won Ptp. GE,�,.
20.41'
N 69'01:40"E
w°" R'n°' _ Lq. e
P+
Pooe.ex,y
n
n --
__J
.� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION—_2L_ LOT_
4 Soil/Site Evaluation
APPLICANT'S NAME' `l'/S' DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE -�7/ Ae
SUBDIVISION r ROAD NAME
Water Supply:
On -Site Well
Community
Public 4%
Evaluation By:
Auger Boring
Pit
Cut
Texture group
Consistence
FACTORS
1 2 3 4 5 6 7
Landscape position
,L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
r
Structure
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:
LONG-TERM ACCEPTANCE RATE: !
REMARKS:
Landscape Position 4
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
ist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
Wet
i NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky
NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic
EVALUATION BY:
. OTHER(S) PRESENT:
fa1. a A1-03
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 (0190)