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242 Hidden Valley Lane Lot 10Davie County, NC t Tax Parcel Report Tuesday, January 31, 2017 WAKNIING: TH1,151VU'1' A SURVEY Parcel Information Parcel Number: G3140A0010 Township: Mocksville NCPIN Number: 5729183736 Municipality: Account Number: 82515595 Census Tract: 37059-806 Listed Owner 1: PRIESTLEY JAMES M Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 242 HIDDEN VALLEY LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: TRACT 10 HIDDEN VALLEY SECTION TWO Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 4.67 Elementary School Zone: WILLIAM R DAVIE Deed Date: 9/2000 Middle School Zone: NORTH DAVIE Deed Book / Page: 003440882 Soil Types: WeC,PcC2,ChA,CeB2 Plat Book: 0006 Flood Zone: Plat Page: 118 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: F-01- All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shag hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT 46" Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001266 Tax PIN/EH #: 5728-18-3736.10 Billed To: James Priestley Subdivision Info: Hidden Valley Lot # Tract 10 Reference Name: James Priestley Location/Address: Hidden Valley Lane -27028 Proposed Facility: Residence Property Size: 5.133 Acres ATC Nu�pb?r: 2479 **NOTE** This mprovement/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 1 �• (1� #1People J� #Bedrooms #Baths �- Dishwasher: 6711" Garbage Disposal: ❑ Washing Machine: ® Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 5 + ACVJEn�,Type Water Supply� `�' Design Wastewater Flow (GPD) Site: New 0'/ Repair C3 System Specifications: Tank Size VDO GAL. Pump Tank 1 C00GAL. Trench Width Rock Depth Other: to.,-) —16-C>V Required Site Modifications/Conditions: 01. " r 1 $ Linear Ft. 2y0 a� W IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 k 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.**** M o;V2 1O Q ��Z, Environmental Health Specialist's Signature:Date: / DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001266 Tax PIN/EH #: 5728-18-3736.10 Billed To: James Priestley Subdivision Info: Hidden Valley Lot # Tract 10 Reference Name: James Priestley Location/Address: Hidden Valley Lane -27028 Proposed Facility: Residence Property Size: 5.133 Acres ATC Number: 2479 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 COT CTIO IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur 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. WELL. tJc7c � ,�S�til►.� t d Q0 `j CA rvto,� sot►�'r QPP O.E7Y� Septic System Installed By: r N1l9 Environmental Health Specialist's Signature Date: / 14)ID DCHD 05/99 (Revised) APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Davie County Health Department Env/ronmenta/Hea/ffiS;e i do P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)7k-8-160 ID L -M R 0 V F A 3 2000 ",.� „"•. .illi ***XBPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer t e INFORMATION BULLETIN for instructions. 1. Name to be Bill 1 \ \ Contact Person Mailing Address �p Home Phone _ VU City/state/ZIP y Business Phone 2. Name on Permit/ATC if Differ nt than Above Mailing Address :Zrovement /Zip 3. Application For: ❑ Site Evaluation Permit/ATC ❑ Both 4. system to Service: ❑ House B/Mobile Home ❑ Business ❑ Industry ❑ Other S. Zf Residence: # People _..� # Bedrooms_ # Bathrooms_ Dishwasher ❑ Garbage Disposal L9'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Water supply: ❑ County/City 211 ell ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 91, If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQ!JESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMI17ED by the client with THIS APPLICATION. Property Dimensions: �� 13 3 flat WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # C� Property Address: Road Name v t C Zq4 E Ci /Zip C ki V SIe �►� .T. If in a Subdivision provide information, as follows: Name: C0114t' 7� Ila Section: Block: \ b Lot: 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 am responsible for all charges incurred from 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 procedures as necessary to determine the site suitability. DATE ���'�CIO SIGNATUR ,-A THIS AREA MAY BE USED FOR DRAWING YOUR STTE PLAN (Include all of the following: Existing and pri6posed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/99) Site Revisit Charge Date(s): Client Notification Date: EHS• Account No. LC21 19;; Invoice No. t1 06 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & Davie County Health Department u„, Environmental Health Section 1�1Hf 12000 P. O. Box 848 Mocksville, NC 27028 ENVIRON10VJTAL HEALTH It"= DAVIE COUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ,mss: lye uexe -r-r' Contact Person '5'a M E Mailing Address / 0 r/ g i / 4a, N P Home Phone C/ 9,9# 7 17 City/State0p OG S Vi 11 e C 'I go va Business Phone 2. Name on Permit/ATC if Different than Above Ya M 6' Mailing Address S %M 0, City/State/Zip 3. Application For: )2( Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other. 5. If Residence: # People A # Bedrooms 3 # Bathroomsoe 19 Dishwasher ❑ Garbage Disposal Qg Washing.Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City W/Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes CR' No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A Pk*ftW THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: Z3 A 1 WRITE DIRECTIONS (from Tax Office PIN: # ��%'�. is t - 3 736 _ 1 Mocksville) TO PROPERTY: i 60/ N_ �-.anl Cc He Property Address: Road Name i' d d d N �& rr 1 !/ L Ct ly e 1 Citymp /Inc -s Lei %1P X 7018 1 1 ' If in Subdivision provide information, as follows: 1 Name: kid r4 e )y 11a /I&%/1 1 LoG 1 ” 1/g/ i - Section: t #: / 0 1 1 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 am responsible for all charges incurred from 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 j�UT e IVIV P_ f r a 611 to conduct all testing procedures as necessary to determine the site suitability. DATE _5 • /— 0 O SIGNATURE v L� Revised DCHD (06-96) �.� C•`� Mv, ycG.v� G�u�t .�•%LI/L✓ � � i� cei YOU MAY USE THE BACK OF THIS FORM FOR DRAWING YOUR SITE PLAN.64 �� �ydy AhM & aROWN 04 11 PG, 113 2w2r 9 1029A %W I 30Q 00 sxse `14037 1. 4JWS'-3.7 MROWN 04 11 PG. 115 low= 0 1! k AREA 5J30 ACRES ; �� 3 w5rrr f —i�� ^lj AREA • 5J30 ACRES (p,*Wo few) v - 60 EASEMENT 117 VM TY EASEMOff ter_ smwx.=,Oz,� o 340.44 (sewo k"I Ta or gr rr ff 330AS 295" =Xr—UTL—rTT—U—SEMElff 490 ACRES v M 3ir mr or w' 4L POW • 71Mcr 0 71Mcr & AREA 5J33 ACRES AREA a 5J33 ACRES TPACr 7 AREA a 5J33 ACRES was 19556" %W) 'I, 40 6 (L C6 TrAcr m AREA a 3J26 ACRES % �� � `� �� � F4sFM tiT 60 N� 01.4 kft :(557A 0 FAS OLLY W. TRWETTE D4150 P66 631 140OAQ Wdl s W 3,V 07- C L79 m w:w or, iv: f I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 989900214 Billed To: Eugene Bennett Reference Name: Eugene Bennett Proposed Facility: Residence PROPERTY INFORMATION Tax PIN/EH #: 5728-18-3736 Subdivision Info: Hidden Valley Sec.2 Lot # 1 Location/Address: Hidden Valley Lane- 028 Property Size: 5.133 Acres Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut SITE CLASSIFICATION: C52 EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: S� REMARKS: 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 W. VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm i 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 HORIZON I DEPT Consistence ���Il�il� / Ill��r�• .I HORIZON II DEPTH -�•11' r Texture group Consistence eAM 5��M HORIZON III DEPTH fll• nilI 12MiZMI -M Omn, SM Z =142-4 owl U ISE OEMWINi_XNAR ]� ...i nmfflw �1i7 Consistenceri..�ff IINK 'L�� ffy�MOM MUM- IV DEPTH Texture - ConsistenceHORIZON SAPROLITElarectime SITE CLASSIFICATION: C52 EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: S� REMARKS: 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 i 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) ■ ■ OMENS ■■■■■ OMENS ■E■■■ ■■M■■ ■■■■■ ■■■■■ ■■■E■ ■■■E■ ■■■M■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■Mees■■■■■Mee■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■e■■ee■■ee■■■eeeae■■■■eee■■ee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Mee■■■■■■■■■■■E■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■E■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■e■■■e■■■■e■■ee■eet■■ee■■e■ MENEM MENNENMENNEN MAMMON ■■■■■■■■■■■■■■■■■■iii■■■■■■■■ ■■■■■■■■■■■■■■`�71■■■t■■■■■�■■ ■■■■■■■■■■■■■■■■■■■■ ■r��1■■■■■ ■■■■■■■ \■■■■M■ ■■■■■■■ ■■MEMO■ ■■M■■■■ ■■■■■■■ M■■■■■■ NEON NEON MEMO ■I ii ON on ME Davie County Nealth Department Environmental )Yealth Section PO Box 848 / 210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 May 18, 2000 Mr. Eugene Bennett 107 Nail Lane Mocksville, NC 27028 Re: 2 Site Evaluations -Hidden Valley Lot #10-5.130 Acre Tract Lot #11-5.130 Acre Tract Tax PIN #: 5723-18-3736 5729-28-3456 Dear Mr. Bennett: As requested, a representative from this office visited the above site(s) on May 17, 2000. Based on the information provided on the Application for Site Evaluation(s) and after the evaluations were completed, the sites were found to be provisionally suitable for the installation of on-site sewage disposal systems. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct the appropriate application must be completed in full and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at (336)751-8760. !4Sincerely, L; �� Jeff G. Beauchamp, R.S. Environmental Health Section enc(s)