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154 Oakshire Court Lot 48Davie County, NC, Tax Parcel Report 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: `PHIS IS NOT A SURVEY Parcel Information J7080B0048 Township: Fulton 5768202100 Municipality: 82526755 Census Tract: 37059-804 MACONOCHIE RICHARD J Voting Precinct: FULTON 154 OAKSHIRE COURT Planning Jurisdiction: Davie County MOCKSVILLE Land Value: Total Assessed Value: NC 27028-0000 LOT 48 HERITAGE OAKS PHASE TWO 0.68 7/2006 006721009 0008 139 Zoning Class: DAVIE COUNTY R-20 Zoning Overlay: Voluntary Ag. District: No Fire Response District: FORK Elementary School Zone: CORNATZER Middle School Zone: WILLIAM ELLIS Soil Types: GnB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market 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 or fitness for a particular use. All users of Davie County's GIS website 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 no p t� NC or arising out of the use or inability to use the GIS data provided by this website. f . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002904 Billed To: Jeff Raynor Reference Name: Proposed Facility Residence ATC Number: 4146 Tax PIN/EH #: Subdivision Info: Location/Address: Property Size: 5768-20-3337.48 JR Heritage Oaks 2 Lot # 48 154 Oakshire Court -27028 see map 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 C STRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: ;;, ��� &S—, , may also 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 System ,' b in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of t me. Septic System Installed By: !L Environmental Health Specialist's Signature: Date: V4S� DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section . , P. O. Bog 848/210 Hospital Street�j _ S Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002904 Tax PIN/EH #: 5768-20-3337.48 JR Biiled To: Jeff Raynor Subdivision Info: Heritage Oaks 2 Lot # 48 Reference Name: Location/Address: 154 Oakshire Court -27028 Proposed Facility Residence Property Size: see map ATC Number: 4146 **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: ❑ Washing Machine: Pr-.*, 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) Site: New Repair ❑ . System Specifications: Tank Siz�Of10GAL. Pump Tank GAL. Trench Width�"Rock Depth � Linear Other: AM etnted cl.cpted Systems may also be us© Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - FINISHED GRADE. ****NOTICE: Contact a repres system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:I r D EFFLUENT FILTER. RISER(S) IF 6 " BELOW Odvie County Health Department for final inspection of this day of installation. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: zzj Date: 0170,000, DCHD 05/99 (Revised) • APPLICATION FOR SITE EVALUATION/IMPROVEMENT PER A Davie County Health Department Environmental Hea/t/y Section JUL 1 2005 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ENVIROWENTALIiEglt}I DAVIE C0UNly ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for `instructions. 1. Name to be Billed �yt e -K 1��r[+-1r4/arL Contact Personyc/`* (2A.1,1tty Mailing AddressL(20 j�& T/AlSk'%A DfL Home Phone 3366.63 4 /N City/State/ZIPUk (AA�' At(- .22- 7 71 Business Phone '334.'ZctO-p %CIV 2. Name on Permit/ATC if Different than Above 61yy-c Mailing Address Vr�r{�7r.. City/State/Zip 3. Application For: ❑ Site Evaluation Lyi2mprovement Permit/ATC ❑ Both 4. System to Service: ariiouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: 2 Conventional ❑ conventional modified ❑ innovative paccepted 6. If Residence: # People --��^� # Bedrooms � _ # Bathrooms 95ishwasher ❑Garbage Disposal MIashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /other: verify type # People # Sinks ^ # Commodes '# Showers '- -- # Urinals ---- # Water Coolers IF FOODSERVICE: t#,,Seats 8. Type of water supply: L7eaCounty/City Estimated Water Usage (gallons per day) ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ***IMPORTANT'k** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORNIATION REQUESTED BEL01V. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the dicnt with THIS APPLICATION. Property Dimensions: & Z 7<%3b T ZU 7— WRITE DIRECTIONS (from Mocksvillc) to PROPERTY:` Tax Office PIN: # 4 S 32 ,$ �� lU ifFt►'t/?/%t��i 0�/C,J� ���/� Property Address: Road Name �c57 OW51tlRFi at JL-7 G4 `t,�/V .•'TG��a! /t'7, (, city/zip filbueivlk 0&4rip?-uR-le Lia' If in a Subdivision provide information, as follows: 0JA-1 Name: mkflZlyr Section: _ Block: Lot: � Date home corners 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 ani res amble for al charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Da un . Ith Department to enter upon above described property located in Davie County and owned by Z to conduct all testing procedures as necessary to determine the site suitabiliy 1. DATE 7-19-Vf SIGNATURE Afff— 1� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN 661fide all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Sign given Revised DCHD (05103 Datc(s): EHS: A, Account No. t) Invoice No. � sfff 336-940-60lq 15 4 o6eYtke coax -Aauoutic, fNc 5? 13 f 64 owsolLa cOUVIT LOT14 4� 040,KV CM q 0 1 /V ' ' 1 DAVIE COUNTY HEALTH DEPARTMENT t Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED 7"/� -& PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community Public C ---- 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 group Consistence i 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: 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+--. -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