161 Cedarwood Place Lot 5Davie 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: THIS IS NOT A SURVEY
Parcel Information
J7080B0005 Township: Fulton
5768107328 Municipality:
82528374 Census Tract: 37059-804
LOVE BENJAMIN R Voting Precinct: FULTON
161 CEDARWOOD PLACE Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 5 HERITAGE OAKS PHASE ONE
0.68
6/2007
007190444
0007
005
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 8r Extra
Freatures Value:
Total Market Value:
9Dl� 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 merchantabigty or fitness for a particular use. Au 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
�NC or arising out of the use or Inability to use the GIS data provided by this website
i
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760 l I
IMPROVEMENT/OPERATION PERMIT
Account #:
990000970
Tax PIN/EH #:
5768-10-7328.05
Billed To:
Perry Washington
Subdivision Info:
Heritage Oaks Sec.1 Lot # 5
Reference Name:
Perry Washington
Location/Address:
Cedarwood Place -27028
Proposed Facility:
Residence
Property Size:
See Map
qTC N,,nbr: 2311
**NOTE** is 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 it #People #Bedrooms #Baths
Dishwasher: M— Garbage Disposal: ❑ Washing Machine: 0— 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 Size,/" GAL. Pump Tank GAL. Trench Width 3L Rock Depth 1� Linear Ft �0
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) 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.****
r
Environmental Health Specialist's Signature: / e Date:
DCHD 05/99 (Revised)
0
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street
Moclksville, NC 27028
(336)751-8760
Account #: 990000970 Tax PIN/EH #: 5768-10-7328.05
Billed To:
Perry Washington
Subdivision Info:
Heritage Oaks Sec.1 Lot # 5
Reference Name:
Perry Washington
Location/Address:
Cedarwood Place -27028
Proposed Facility:
Residence
Property Size:
See Map
ATC Number: 2311
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 WASTEWATE CO `ST�RUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date: J
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. /11-�
Septic System Installed By:
11:"a cacti
Environmental Health Specialist's Signature : Date:
DCHD 05/99 (Revised)
�r APPUCATION FOR SITE EVAUJATION/IMPROVEMENT PERMIT & A
Q1� Davie County Health Department
C v�� Environmental Health Sb on FEB z 2000
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028 ENVIRONNIENTAL HEALTH
(336) 751-8760 DAVIE COUNTY
***ZHPCRTANT*** THIS APPLICATION CUMOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Milled N Contact Person
Hailing Address f Home rho---Q/�� �Z
City/State/ZIP �/Business Phone 3 `'��
2. Name on Permit/ATC it Different than Above fi'k� i
Wailing Address ,d to City/state/Zip :4-4 S
3. Application For: ❑ Site Evaluation /❑ (Improvement Permit/ATC ❑ Both
a. system to service: House ❑ Mobile Home Business ❑ Industry ❑ Other
5. �If Residence: # People ��_ /// s Bedrooms _ 3 # Bathrooms
Dishwasher G Garbage Disposal C((iiasbiug Machine 0 Basement/Plumbing U Basement/No Plumbing
6. /If Business/Indus. Atry/Others Specity `typee •ppp (�+ # People #i Sinks C l D
#! Commodes ���}— #? showers 6 Urinals # Mater Coolers
IS FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City ❑ Well
e. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yesio
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 61- SZ,)( l ?4w 474 )s^ � X I9%-W'RITE DIRECTIONS (from Mocluville) to PROPERTY:
Tax Office PIN: # .67 �o /D %.2 �', U 7 le`{ g- Q �s�- }� LIC K; t _
T. 4 r- - ;,,ln }�,i,�l. e a A�
Property Address: Road Name G�
City/Zip Ayooct'/4-
If in a Subdivision provide information, as follows:
Name: e!'r ��(i UG 00 kS
Section: Block: Lot: r
Date Property Flagged: U� - 0�^ ab
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 esponsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Represen a of the D vie County Health Depar eat
to enter upon above described property located in Davie Cc nd ownedby
to conduct all, testing procedures as necessary to determine;ie site itabili )
DATE 02 -9 " 1D 6 SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR
property lines and dimensions, structures, setbacks, a
Revised DCHD (07/99)
of the following:
Site Revisit Charge
Date(s):
Client Notification Date:
I EUS:
Account No. ��o
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Invoice No. Z , / . EZ
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:REEK SURVEYING, INC.
5 East Venter Street Est.
I/• u:ington, N.C. 27292
(336) 248-8704
1.
Lot 4
%•l0 . 0 - '-;O
W
Legend:
Symbols used, it location of such is required in this survey.
Ac. Acres
MEL Minimum Building Line
Bldg. Building
M.H. Manhole
BIC Back of Curb
NGS National Geodetic Survey
Ch. Chord
NIP New Iron Pipe
C.M. Concrete Monument
ML NtghtLight
Conc. Concrete
NTS Not to Scale
CP. Computed Point (Not Sell
PB. Plat Book
UG Curb and Gutter
PG. Page
QL Center Line
P/O Part Of
Cu/v. Culvert
P.P. Power Pole
DB. Deed Book
Ret. Retaining
DR. Drive
RR Railroad
E1P Fasting Iron Pipe
R/W Right of Way
Esmt Easement
SFR Single FamiyResidenoe
F/P -Edge of Pavement
Sq Ft. Square Feet
F.H. Fire Hydrant
—U— Utility Line
NOTES:
SkTIE" PLArC
C6oue-toA 79 S�iFOP,RI/fiCIO�
TA\-, t( V -F OM Pg '1 PCT 5i
PLAT OF SURVEY FOR:
SCALE: \„ G &AQ DRAWN 6r \.-Dw
DATE: \/%O/co I I
REVISED
FuLTOt'C Township, DAVM County, North Carolina
DAVIE COUNTY HEALTH DEPARTMENTS
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY
Water Supply: On -Site Well
DATE EVALUATED a
PROPERTY SIZE
LOCATION OF SITE
Community
Public L1___
Evaluation By: Auger Boring Pit i/ Cut
FACTORS
1
2 3 4
Landscape position
L—.
L
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
116
Texture groupC
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: �/i
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY: e "GL
OTHER(S) PRESENT:
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 -Finn 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
5C --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