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1028 Eatons Church Road Lot 2Davie County, NC Tax Parcel Report Tuesday. November 29. 2016 WAKNMG: THlb IN f40T A bUKVEY Parcel Information Parcel Number: D3120A0002 Township: Clarksville NCPIN Number: 5822620583 Municipality: Account Number. 71130000 Census Tract: 37059-801 Listed Owner 1: STEWART ROGER Voting Precinct: CLARKSVILLE Mailing Address 1: 1028 EATONS CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-4741 Voluntary Ag. District: No Legal Description: LOT 2 COUNTRYSHIRE WAY Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.05 Elementary School Zone: WILLIAM R DAVIE Deed Date: 2/1994 Middle School Zone: NORTH DAVIE Deed Book / Page: 001720710 Soil Types: Mr132 Plat Book: 0006 Flood Zone: Plat Page: 051 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: E@1 Davie County, NC All data Is provided a Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Cardin, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Moeksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001363 Tax PIN/EH #: 5822-62-0583 Billed To: Roger Stewart Subdivision Info: Country Shire Way Lot # 2 Reference Name: Randy Miller Location/Address: Eaton Church Road -27028 Proposed Facility: Residence Property Size: 1.2 acres **NOT) * i�iIsgmpr2527 ei nt/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 0& #People -.2— #Bedrooms -2 #Baths .V - Dishwasher: ;9 Garbage Disposal: ❑ Washing Machine Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size (.' Type Water Supply_ Design Wastewater Flow (GPD) c� Site: New Repair ❑ System Specifications: Tank Size/ GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width��t Rock Depth � Linear Ft(_?Of)1 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " 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 173-0`p. the day of installation. Telephone # is (336)751-8760.**** O Environmental Health Specialist's Signature: Date:�� ZL 20 y DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001363 Tax PIN/EH #: 5822-62-0583 Billed To: Roger Stewart Subdivision Info: Country Shire Way Lot # 2 Reference Name: Randy Miller Location/Address: Eaton Church Road -27028 Proposed Facility: Residence Property Size: 1.2 acres ATC Number: 2527 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 WASTEWA C NSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: , 5�1 Date: X9'1,7'eb 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 1 of .S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY t en a guarantee that the system will function satisfactorily for any given period of time. Sir �P rn �o�Q Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMI77ED by the client with THIS APPLICATION. Property Dimensions: f , I GG rt S Tax Office PIN: # S V%, l 2— duyc-L 0523 Property Address: Road Name _ &A �o ti' City/zip i i IOc 1) 14 If in a Subdivision provide information, as follows: Name: C'0041`4 S � f Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: 0 i u R, oi, G4, qkirl 5 L paj R-., r -- Date Property Flagged: S " 0 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 s ' ability. DATE O^ (� " SIGNATURE 00,0'." qzdl. 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 Date(s): Client Notification Date: EHS: Account No. Revised DCHD (07/99) Invoice No. APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Hea/Ifi Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT HE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed O 5 'tic - Contact Person j S�1GJ ISL Mailing Address �J ICp�IIl L O- Home Phone City/State/ZIP Y rSLA W— 'Z]2 -q'4 Business Phone p U��c' A 1 all& 2. Name on Permit/ATC if Different than Above J (J)A Mailing Address City/state/Zip 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. system to service: A House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other Bathrooms S. If Residence: # People # Bedrooms_ # V Dishwasher ❑ Garbage Disposal 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 ❑ 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 MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMI77ED by the client with THIS APPLICATION. Property Dimensions: f , I GG rt S Tax Office PIN: # S V%, l 2— duyc-L 0523 Property Address: Road Name _ &A �o ti' City/zip i i IOc 1) 14 If in a Subdivision provide information, as follows: Name: C'0041`4 S � f Section: Block: Lot: WRITE DIRECTIONS (from Mocksville) to PROPERTY: 0 i u R, oi, G4, qkirl 5 L paj R-., r -- Date Property Flagged: S " 0 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 s ' ability. DATE O^ (� " SIGNATURE 00,0'." qzdl. 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 Date(s): Client Notification Date: EHS: Account No. Revised DCHD (07/99) Invoice No. JSPORTATIO FINAL SUBDIVISION PLAT APPROVAL I Prgdy I.... TiAterow _ .... _ _ ..... ce{ HWAYS This s to certuty that this plat meets the recording requirements of the Subdivision this map was drawn from (an actual survey made by me) (deed descnpnon rec ION AD Davie County and, if applicable, that a ceruh- Book . .166 ............. ......: Page ......770 ... ..... . Book... . ... .......... . I Page ..... .. ...... .etc.) (other); that the error of closure as calculated by latrtu CERTIFICATION cafe of approval has been issued by the Division of Highways pursuant to Article departures s 1: ................20,000......... . ..... .. _ ........ ..... , that the bound 7, Chapter 136 of the General Statutes, State of North Carolina. surveyed are shown as broken lines plotted from information found in Book........ Page .... .. _.. that this map was prepared in accordance with G.S 47 30 as a R Trns the - day of _ 19 Witness my hand and seal this _......4.... .... day of. FEBRUARY... A.D.,tg (Surveyor's Seal) .._................ ... ........... __ ._ __. _... ... SURVEYOR l y DIRECTOR OF PLANNING NORTH CAROLINA - DAVIE COUNTY W. A. BECK ' PAVED DB, 47 PG, 271 DB. 112 PG, 73 trol nor 351.64 S 85° 35' 02'• E 676.51 TOTAL nip 196.60 nip eip '6017 control corner nip 185.65 } IrIIIt PAA pq4YwA -4 7196 "' 93 AREA =1.250 ACRES �Mti G? 2O o \ \ v AREA =1.234 ACRES 4 (� ctiU 2s/se \ �° /AREA =1.520 ACRES o ° AREA =1.821 ACRES R a r \ p \\ 2 P.K. 32 P.K. \ \ ' \ Irl,' J �� eip °' /46co 69 °° ) \ h0 Q \ a' nip 6933 \� � n 2300 a O 7oP.K. e33 ys>6 a ILLIAM R. CUNNINGHAM o °' `� S°, go• AQ DB. 167 PG. 118 M �4p. ° P.K. A �o� o \ 9�Q o Al niP 3 13-C), ^i/V Sq. �vF AY P.K. \ 30 S 85' AR ai lye /6S \w � AREA = L295 ACRES ,,� \�, a3 ,olw oO o° nip A -1ag3 CO N 9193 h \ /r \ N� AREA =1.513 ACRES \ 79103 d f h \ 181.93 eip 170.52ti S 83° 09' 21" E- n� 486.10 a 656.62 TOTAL N 83° 09' 21" W nipl- ri ARFNIrr• T le r! 1. Application/Perm Mailing Address APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department�(� W Environmental Health Section 6 W3 P. O. Box 665 MAR 1 Mocksville, NC 27028 Home Phone Y11 1� 7 2 T Business Phone A&- -I- 00- i 0 _ 2. Name on Permit if Different than Above 3. Application/Permit for: LZ General EvaluatiorN ❑ Septic Tank Installation 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown r e 5. If house, mobile home: Subdivision ,L! Section Z Lot # 2 No. of People _ No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: Vllpl'ublic ❑ Private ❑ Community 8. Property Dimensions 1-2 G Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: � • 6 a/ /plain - a w This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. , DAf E" ' SIGNATURE CONSENT EQ@ SITE EVA6UATION TO BE DONE QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1, I OWN , the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment If disposal system. DATE SIGNATURE bcHD (12.90) r ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY ,�` �s e ��/ ` LOCATION OF SITE ✓� � ��i � Water Supply: On -Site Well Evaluation By: Auger Boring Community Public Pit Cut FACTORS 1 2 3 4 Landscape position G ,L Sloe HORIZON I DEPTH " Texture groupL Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG Consistence 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: EVALUATED BY: 21al LONG-TERM ACCEPTANCE RATE: L/ OTHER(S) PRESENT: 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 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(01-901