139 North Hazelwood Drive Lot 11Davie County. NC
Tax Pnrr.Pl RPnnrt
Tuesday, January 10, 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: THIS IS NOT A SURVEY
Parcel Information
J7080B0011
Township:
Fulton
5768114185
Municipality:
CORNATZER
82530133
Census Tract:
37059-804
QUANCE JONATHAN D
Voting Precinct:
FULTON
139 NORTH HAZELWOOD DRIVE
Planning Jurisdiction:
Davie County
MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-20
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 11 HERITAGE OAKS PHASE ONE
0.68
9/2008
007710517
0007
005
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
Gn132
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
9tmrAAll
Davie County,
data Is provided as 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
NCor
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
ALIZAT'_•ONNO1,337 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name; 01A)a � CO Mocksville, NC 27028 Subdivision Name: I Ara5 OAKS
Phone #: 704-634-8760
Directions to property: �I ' Section: Lot:
AUTHORIZATION �I FOR
j ���7�tC�- �- (Ates, 'i C)� WASTEWATER Tax Office PIN:# 516%,
,- _
SYSTEM CONSTRUCTION
Road Name: )A - L t Jtxa l�ip:�t7
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
1VIRON AlyliIE�LTH SPECIALIS DATE ISSifED
33 7' DAVIE COUNTY HEALTH DEPARTMENT
; I IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
e40�
ame: - Subdivision Name:
Directions to property: Section: _ Lot:
/ IMPROVEMENT
PERMIT Tax Office PIN:
s �t L�c�j-. '`.. 5
Road Name �'�� ? .Zip. �+ C-•,� �`
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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) -
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONkENTAL•HfI ALTH SPECIALIgT_ DATE ISSUED .
r INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE IW�6 # BEDROOMS —,a,—# BATHS OCCUPANTS GARBAGE DISPOSAL: Yes o(No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
1
LOT SIZE ��UlY TYPE WATER SUPPLY LC'j? 1jTgDESIGN WASTEWATER FLOW (GPD NEW SITE ' REPAIR SITE
2OC> +
SYSTEM SPECIFICATIONS: TANK SIZE�GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ! LINEAR FT. -3°
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: Ir,) LIAL Z)A Co -+-3-1!D04 VE - ✓ l JTI M. kJ EU—_ I Pof.tDY U S
IMPROVEMENT PERMIT LAYOUT
Icr�/K'L� IC/Z �i
-lc:v `
!av'
I�
� 2s
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT `v
INSTALLED BY:
AUTHORIZATION NO. /3-32 OPERATION PERMIT BY: lla'`f DATE: V '�
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
DCHD 05/96 (Revised)
1.
2
3.
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &
Davie County Health Department
Environmental Health Section
P. O. Box 848
Mo10728
- 78
4. System to Serve:
5. IIfResidence:
rd Dishwasher
6. If Business/Other:
# Commodes
If Foodservice:
2f/'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
# People # Bedrooms # Bathrooms G� &
❑ Garbage Disposal Or Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
7. Type of water supply:
Specify type
# Showers
# Seats
a County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes a, --N-
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PXjWT= THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: j�
Tax Office PIN: # 7 1
Property Address: Road Name��C'
1
City/Zip
1
1
If in Subdivision provide information, as follows: 1
�/Liri�Gc�S 1
Name: 1
�^ 1
% 1
Section: l Lot #: 1
1
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
4n Lash
-,D��64�,
;I -e
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
as necessaryto determine the site suitability.
DATE 4 `��U -qy SIGNATURE
Revised DCHD (06-96)
0 to conduct all testing procedures
1J.OU MAY USE THE $ACK Of THIS FORM FOR DRAWING YOUR SITE PLAN.
%75,1-ATl6
09
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS "e COPS , •'Vil—
Name to be Billed
ALL THE REQUIRED INFORMATION IS PROVIDED.
Contact Person ��.e CYL✓�C
Mailing Address
t/ V v I' Z 12 (%
Home Phone 336 / qX-1G 7�
City/State/Zip
/�c• S %dam• /iJ �.
%�'�� Business Phone -7
DIame on Permit/ATC if Different than Above Some
Mailing Address
savi e
City/State/Zip
Application For:
❑ Site Evaluation
Improvement Permit & ATC ❑ Both
4. System to Serve:
5. IIfResidence:
rd Dishwasher
6. If Business/Other:
# Commodes
If Foodservice:
2f/'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
# People # Bedrooms # Bathrooms G� &
❑ Garbage Disposal Or Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
7. Type of water supply:
Specify type
# Showers
# Seats
a County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes a, --N-
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PXjWT= THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: j�
Tax Office PIN: # 7 1
Property Address: Road Name��C'
1
City/Zip
1
1
If in Subdivision provide information, as follows: 1
�/Liri�Gc�S 1
Name: 1
�^ 1
% 1
Section: l Lot #: 1
1
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
4n Lash
-,D��64�,
;I -e
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
as necessaryto determine the site suitability.
DATE 4 `��U -qy SIGNATURE
Revised DCHD (06-96)
0 to conduct all testing procedures
1J.OU MAY USE THE $ACK Of THIS FORM FOR DRAWING YOUR SITE PLAN.
%75,1-ATl6
09
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,) !
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/
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LOT 30
SITE DATA
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EROSION CONTROL PLAN
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( UPTOIJ & 7=50CWIC77, F.A.
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LOT 30
SITE DATA
_
230.w
IJWrAR R. IN M YMCM 0030• :
_
MMM= RDCRIATION - CAIN DI IJ[V OF LAID (0.944 AC)
Ib ,
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- ... ..
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• I �-- . _
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SGILE. HERITAGE OAKS
1' 100' (PHASE 1)
1DCATtm IN rULM TVP.. DATR CO. P.0
O.KR-OMLOPE9 sw[T7
P[1ASON3: !T �1WOi R A61 Oeloa
FRY Y 54 WEST I
LDaNCTON. NC 27292 (704) 249- 8672
( UPTOIJ & 7=50CWIC77, F.A.
EN';INEERS-PI_ANNE-S-SJRvEYORS
WTO
WSN-iALEA, NORTH CAMIL NA
910 —723 -:4!9 _
,-__----
a1•wR rr wYr. sIR+vL�CO r '•9. _Traaer.T N:J
DcsrNrn m oc UATE 9/6:16 11 IC914_9611
• y DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
1
ADDRESS
PROPOSED FACIILTY
411
DATE EVALUATED /-I- &
PROPERTY SIZEf1G
LOCATION OF SITEslC_
Water Supply: On -Site Well _ Community Public [/
Evaluation By: Auger Boring Pit_ - _ Cut
FACTORS 1 2 3 4
Landscape position
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupG
Consistence i
Structure Jy
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION AA
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: _ EVALUATED BY: C�
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
Twvtttr^
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• --.-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
Mineralomy
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