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109 Oakshire Court Lot 37I Davie County. NC Tax Parcel Report Tuesday. January 10. 2017 S HAiEL�VVOOD DR S HAZED,VOOD DR I ' I I 108 U w Cf cr; G 120._ WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J7080B0037 Township: Fulton NCPIN Number: 5768204721 Municipality: Account Number: 82525295 Census Tract: 37059-804 Listed Owner 1: HARDIN STEVEN CLARK Voting Precinct: FULTON Mailing Address 1: 17 WOOD DUCK CT Planning Jurisdiction: Davie County City: HILTON HEAD Zoning Class: DAVIE COUNTY R-20 State: SC Zoning Overlay: Zip Code: 29928-0000 Voluntary Ag. District: No Legal Description: LOT 37 HERITAGE OAKS PHASE TWO Fire Response District: FORK Assessed Acreage: 0.80 Elementary School Zone: CORNATZER Deed Date: 10/2005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006320122 Soil Types: GnB2 Plat Book: 0008 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability orfftness for a particular use. All users of Davie County's GIS webaite shall 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 na UN�� NC or arising out of the use or Inabiifty to use the GIS data provided by this website. Account #: 990003451 Billed To: Edward Yeager Reference Name: Proposed Facility Residence ATC Number: 3958 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 i (336)751-8760 Tax PIN/EH #: 5768-10-9770.37 EY Subdivision Info: Heritage Oaks Lot # 37 Location/Address: 64E.-27028 Property Size: 3/4acre 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 CONSTR CTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Ax [ Date: / '`b , - 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. �G �2 01) ,D r' r Septic System Installed By: Environmental Health Specialist's Signature:'// Date: DCHD 05/99 (Revised) ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003451 Tax PIN/EH #: 5768-10-9770.37 EY Billed To: Edward Yeager Subdivision Info: Heritage Oaks Lot # 37 Reference Name: Location/Address: 64E.-27028 Proposed Facility Residence Property Size: 3/4acre ATC Number: 3958 **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 #People_ #Bedrooms #Baths_ Dishwasher: Garbage Disposal: El Washing Machine; Basement w/Plumbing: O Basement/No Plumbing: El Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: Lot Size Type Water Supply_ Design Wastewater Flow (GPD) Site: NewRT�-Repair 13 System Specifications: Tank Size GAL. Pump Tank GAL. Trench Widtlr�Y� Rock Depth Linear Other: Required Site Modifications/Conditions: 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 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** le Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUATION/IhiPROVFAIENT PERMT �J! Davie County Health Department EnvironmentaiHeaithSection JAN P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 i±'.VlR244f�ACA ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRE INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for //instructions. 1. Name to be Billed �_l��r�2t1 ��}?�� Contact Person Z�L� arfLrl �6+C'Cxf��� ,a,1 ¢ 'T Mailing Address {d_,�'b� L/)L'kW1 ���1!�1` P'7 Home Phone 3L- �cC �rw�3�Y .City/State/ZIP - uxlr' , vg 1� 1 d Business Phone 32;1 — Z? `5 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip•- 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. system to Service: 19 House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: C- Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedrooms # Bathrooms _ 2 (Dishwasher ❑Garbage Disposal Mashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) s. Type of water supply: 0 County/City ❑ Well ❑ Community 9. Do you anticipate additions or cspatlsioiis of the facility this system is intended to serve? ❑ Yes MNo If yes, what type? ***IATPORTANT*** CLIENTS AfUST COMPLETE TIIE REQUIRED PROPERTY INFORMATION REQUESTED BELOIV. Either a PLAT or SITZ PLAN AfUST BE SUBMITTED by the client witli TIIIS APPLICATION. Property Dimensions: Acca— 7r1 Tax Office PIN: l/ 2j�(p l�-jy — �77y 3 Property Address: Road Name City/Zip a Rr'V 1", l Li; . N L If in a Subdivision provide information, as follows: Name: ftd_f_fi tT 3% Section: Block: Lot: 2 WRITE DIRECTIONS (from Mocksville) to PROPERTY: a i Date home corners flagged: - tp - pS 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 lam responsible for all charges incurred frons this application. I, hereby, give consent to the Authorized Representative of the Davie County IIealth 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 suitab' DATE '7 SIGNATURE TRIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include1 o the following: Existing and proposed property lines annd dimensions, structures, setbacks, and septic locations). Sign given Revised DCHD (05/03 Client Notification Date: EHS: Account No. Invoice No. �� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME zy " A", " � Cq ADDRESS PROPOSED FACIILTY 40' 1-776 DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pity/ Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Y �' Texture group Consistence 1 Structure lG S J/ - Mineralogy Mineralo 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: SPS EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 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 .lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V l�.-y 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 3C -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