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183 Palomino Road Lot 3Davie County, NC I Tax Parcel Report Thursday. January 26. 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: TtllS 1S NOTA SURVEY Parcel Information H9090A0003 Township: 5789757094 Municipality: 82528305 Census Tract: SUTTON TIMOTHY T Voting Precinct: 183 PALOMINO ROAD Planning Jurisdiction: ADVANCE Zoning Class: NC Zoning Overlay: 27006-0000 Voluntary Ag. District: TRACT 3 HIDDEN MEADOW Fire Response District: Land Value: Total Assessed Value: 5.14 Elementary School Zone 6/2007 Middle School Zone: 007170336 Soil Types: 0007 Flood Zone: 238 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Shady Grove 37059-804 EAST SHADY GROVE Davie County DAVIE COUNTY R -A ADVANCE SHADY GROVE WILLIAM ELLIS PcB2,PcC2,ChA DAVIE COUNTY .rk 9 h�v`iA All data is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limked to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �7 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to gouty �� 1\ C or arising out of the use or Inability to use the GIS data provided by this webske. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002855 Tax PIN/EH #: 5789-75-7094 Billed To: Cambridge/Isenhour Homes Subdivision Info: Hidden Meadow Lot # 3 0k11SS64j'II) .€;ierence Name: Mike Sloane Location/Address: Palomino Road -27006 r � oposed Facility: Residence Property Size: 5.122 Acres ATC Number: 3520 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 .190 atment and Disposal Systems). THIS AUTHORIZATION FOR WASTE C ION I ALI FOR A PERIOD OF FIYE YE S. Environmental Health Specialist's Signature: e: 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 N W Y be taken as a guarantee that the system will function satisfactorily for any given ertod of time. Via. Vfjol IT P'l1 _ M Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) '-WK_ 10--/a r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002855 Billed To: Cambridge/Isenhour Homes Reference Name: Mike Sloane Proposed Facility: Residence d /-z-?'O� Tax PIN/EH #: 5789-75-7094 0Subdivision Info: Hidden Meadow Lot#305Sha �-V) `�3 ocation/Address: Palomino Road -27006 Property Size: 5.122 Acres ATC Number: 3520 **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 0Nr-,Z-,- #People :5 #Bedrooms q #Baths 3, J Dishwasher: G3/ Garbage Disposal: 121" Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #S�e)attss Industrial Waste: ❑ `S Lot Size ' 1L ype Water Supply (k--LLDesign Wastewater Flow (GPD) _ I r AV Site: New Repair ❑ System Specifications: Tank Size -1(. 0GAL. Pump Tank GAL. Trench Width Rock Depth Z Linear Ft.C� Other:) LJ � Q 11 I (�r� i I t,)25i 4V— L) Jj Ism 9 O.0- - m,-) j . Required Site Modifications/Conditions: I �� LL. 0,) ?-4E lac� Oa -L-, GC-" Q , IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOT CE: o act a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. o 9:30 .m. 1: 0 p.m. to 1:30 p.m. on the day of installation. Teleph ne # is (336)751-8760.**** -P7-ue,1 1 A FoaD Lla•1u`S G 4 bQ- �� c �4 ao-sE, Environmental Health Specialist's Signature: DCHD 05/99 (Revised) 11) -'L 5y >236' 'Date• A!2w 5WSTL711� 07--Z/2003 16:46 KT ISENHOUR CONSTRUCTION COMPANY 4 7518786 N0.18? 1702 cul, 07 03 1,2:55p davie oounty tnvhealLh 336 751 9786 pO2 A1'111-ti:AT(ON FOR SITE GVALUATIONJURPROV1161ENT I'LltMtl' & NI't% Davin County Health Department EgY/lr�rri�anenta/Herd/moi seetivn P.O. !tax 840/210 BQSV:Lttal StXoet Mockov111e, nC 27028 (336)7$1-8760 f e*XAFJV0R7'AIYT•++ THIO AI?PLXC&TXC 7 CANY407- DT PROCESSLD UNLESS JILL VIR lZ&QLrIRED ZNFORrA►TIOW is PROVIDDU. Refer to the INFOR�W-ATZ01t DVLLETXW for inctrua:L•iono. i. Naac to be D111cd ��I ` DV" LS _J1[, Con COCC Pnrnon Q �[�I),` stai1inD addroao 3� I t N' O St1� t� HOMO Dpgno C1ir/3Lato/iZr W - S N 1. C.� 0 UUala J7 phone 2. Mase OA Aerw1!/ATC 1t D11torani than, Abown M413ing Addreas ciittyy/statq/LLD ...._—.__ ....._._. 3_ Appilearloa pore �L3 SILO Evaluation tib 2mprovamont Penktit/ATC CI duel! 4. ajyoem to SOrvico: tV U.Ne ❑ Mobile Home Q Duainoaa CI Todunt:ry Q OL -)101- S. TYRO oyetm roqu.nted: INKCouventlonal ❑ conventional moditiod Q lanovacive G_ ,I�,C�Raaidegce: � 1 Peop2:� �� _ 4 Hodroomp � 0 Datl,tOonu 3 ,�� _ . L4DSolaraoher 11d4erbap. aiopss•1 ()?Iraelalnp Dcaonlno QHesouonC/rlumUln� C76aa o/aen C/Ho t•iv�aui q7 7. It nuIIihooc/Znduotrr /Other: verity Lypo_ # coomodoo N Me -ore IF POODSXXV:rCE: tt Beata. e. Typo of .racer a-pply: C3 Coul:ty/cl.ty 1t People U Dinka __•, e Urinal• it Nater coaturu Batimated Wator Usage (gallons par nay) &Kwell ❑ Cotntttunity Mo a. Do you anttctpAta oeditlone or expunmous urtht facility rids slytttu is 1NIrnrJcr! to scra•u*Y Q Yea If yes, what type? `111AW04tTAfVT"• CWCIY'f::AtUS� UELOW. EAther o PLATor Srl'E PLAN Properly bimeucions: Ta: Office PIN: , Property Address: Road !Paine City/Zip THE /C6Q(IXED PROPURTY IN ORAIATION IiL'Qill_1't'1;11 ifut a Subdivision provide lniormatic•a, oe fullom: Name: C.LiC 4A1 frlLt �oW _ Section. Block: _ L.ot:.�_ WRITL UtR40*1014S (Yvon, H•Iuelzi.•illu) to 1'1lU/'iat'Pl': Hwy, -ISR -42 901's f a.k t: JPJ _ Din Mt ykn tl... tit (LLe-,- 4f t.4i 00(— Gl-ds-6" �{'t't� er>< �/�CCGt. illtl�eu► L /'b+� � A. 1Vt"t . Dotc hotuc corners il:aggodi S This is to certify that the tnfornsatlolt provided is correct to Ilse best of my knowledge. i uatdcrstam) [hut away perraait(s) issued Acreafter arc subject to calslirlisio,t or revocation, If the site plana or intended use chmal:c, or it the iuformatlou submitted in this applicalion is falsllivd •,r chanced. I, rasa, rNrdorsuurd lint l eras re3pvtlsiblc fear till clowV4v hicure-rel finis this applicw!/orr. 1, hereby, rive couseur is IlleAalborizcd Representative of the Do is uuil t�c fltil ue),uru:,wn to enter upon above described prupu•ty located ia1 Darie Couply and ....../ld.l�– iu Cunduct all testing procedures its ticccisary to deturtn(ae the sttC suilablilt naTIlS�DATE7 slctvarultZ THIS AREA MAY DE USED FOR DRAWING YOUR SITE PLAN (Iududc all of tho tuliowmig: L>;WI,zg and propusod property lines and dinionslotts, structyru:, setbacks, and scpue locations). Site Revisit Charge Dnlc(s): _ — ClicutNotiflcatiuu batt: Sirb'jvtD�–� Account No. Revised 1aC1ID (05/03 Invoice No. 0 70,C04 pip PK S 4453'44" 65-53' Centerline of Road is Property Line.---__ rK 61 1)6'2x'27" 50,00, PAOT 3 5. IFAOT 3 5. 1221 :,4C:RE'-5:: c 06!26'27-' -,., X29.65' �,;CT 4 5. OL -t ACRES 0 3 IL4 LU CO 13 tr) 7� T..+. r m z a: 0 0 U) C-4 0 z r) 0 :K D z Ln a) 3 OD 0) 3 . • • � _ Pel o _�� _ o- ,..� FOR SITE APP / in Ir G . ..,� IJCli71l)f� �IALUA�iDVFtiiPROVEniiJllw 1�[ii IIT .Sc AT 1S Davie County Health Department 11 JLC Environmental Health Section P.O. Box 848/210 Hospital Street DEC , Mocksville, NC 27028 (336)751-8760 RO ..— ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE UNIy INFORMATION IS PROVIDED. Refer to the INFOORMATION BULLETIN for instructions. 1. Name to be Billed M JLr Y-VJ0(F1 'Al J( ef't'. Contact Person ) Mailing Address )96. / , Home Phone I to - Ie 1 fl f City/State/ZIP �� 1%"M LE Z7 2�(0 Business Phone a 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: P --site Evaluation ❑ Improvement Permit/ATC Il Both 4. System to Service: /House ❑ Mobile Home ❑ Business Ll Industry I] Other 5. If Residence: # People # Bedrooms L4 # Bathrooms —S Dishwasher CI Garbage Disposal CI Washing Machine Ll Basement/Plumbing II Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usa a (gallons per day) 7. Type of water supply: ❑ County/City v Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUE'ST'ED BELOW. Either a PLAT or SITE PLAN QMUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: ° �WRITE DIRECTIONS (front Mocksville) to PRON-'IR 1'1': CG 22 Tax Office PIN: # Property Address: Road Name City/zip 27ypCP If in a Subdivision provide information, as follows: Name: P2 eP/Ps CK. ScL'T . Section: Block: Lot:05 Date Property Flagged: 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 I an: responsible for all charges incurred f om 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 —7•procedures as necessary to determine the site suitabi it . 1I2 !. 0 )ATE I 0( 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). �n� �0 V� i Ll MAY - 8 ,20 02 I ENVIRONMENTAL HEALTH DAME COUNTY Revised DCHD (07/99) Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No.73 / Invoice No. ]L `7 6 d `' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002073 Tax PIN/EH #: 5789-83-2266.03 Billed To: Norman Building Subdivision Info: Peoples Ck. Farm Lot # 03 Reference Name: Location/Address: Peoples Creek Rd. -270P6 Proposed Facility: Residence Property Size: see map Date Evaluated: -7 2 Water Supply: On -Site Well / Community Wald"- ` Public Evaluation By: Auger Boring 5 Pit -**' Cut FACTORS 1 2 3 4 5 6 7 Landscape position (� Sloe % 5 (O HORIZON I DEPTH p •- _ J Texture group_ it -- Consistence Consistence SS Structure UL Mineralogy` HORIZON II DEPTH ,2 J Texture group Consistence 5 Structure e c Mineralogy HORIZON III DEPTH 2 3 Texture group G k Consistence $S Structure 1L Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS Z2 RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION •S LONG-TERM ACCEPTANCE RATE I 'C? SITE CLASSIFICATION: Es EVALUATION BY:l%��1"�I> LONG-TERM ACCEPTANCE RATE: 0.3 — OTHER(S) PRESENT: `��^�� n r X A n vc . <") 'h-1 k %A -r tTY `t4� �� / PlJ 1 _ �'x-n cY- 4 r" • �t W 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 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 05/99 (Revised) 193 L3 S 45'28'35" E 126.70' L4 S 65'18'47" E 109.98' L5 S 08'58' 16" E 53.54' I 744.07' N 06'29'26" E 1313.73' L6 S 82'39'38" E 44.67 L7 S 35'13'55" E 108.74' —`+ L8 S 63'48'43" E 76,51' I r L9 S 43'26'30" E 127.50' N I \ Centerline of Creek 569.66' \ is Property Line. I (For Tracts 1 do 2) y /IPF e \ / Stoma LJ TRACT 2= � � O CO 5.487 ACRES/' �,o v 00 (16 OP � G� L5 1 T -Iran GQI Found \.O Q W Of O- r � CO S 06'26'27" W 65p.0 No a, o CO �1 T -Iron Found TRACT 3 5.122 ACRES C v N S 44'53'44" E CO6'26'27" W 65.53' 729.65'