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145 Redwood Drive Y-Lot 4As Davie County, NC f Tax Parcel Report Wednesday, January 4, 2017 All data Is provided as is without warranty or guarantee of any kind 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 c'pCN.� NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: K5070A0016 Township: Mocksville NCPIN Number: - 5747225839 Municipality: Account Number:- 82524475 Census Tract: 37059-805 Listed Owner 1: DIXON LORI M Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: C/O THEBEAU & ASSOCIATES PA Planning Jurisdiction: Davie County City: HUNTERSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 28078-0000 Voluntary Ag. District: No Legal Descriptions LOT 4A SOUTHWOOD AC REV Fire Response District: JERUSALEM Assessed Acreage: 0.69 Elementary School Zone: CORNATZER Deed Date: 5/2005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: - 006080864 Soil Types: GnB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 188 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value • Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data Is provided as is without warranty or guarantee of any kind 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 c'pCN.� NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENTs- Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990003383 Tax PIN/EH #: 5747-22-5867.04 PH �e�u,".Dar• Billed To: Pinnacle Housing Group,Ltd Subdivision Info: Southwood Acres Lot # 4 Reference Name: Location/Address: Redwood Drive -27028 Proposed Facility Residence Property Size: see map ATC Number: 4083 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 WASTEWAT5F CONSTRRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. �c0, j� �� � S Environmental Health Specialist's Signature: )ate: _7 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 give► period of time. , a ' N mL + OKS' c ho . its 1 �o Septic System Installed By: Environmental Health Specialist's Signature: Date: 2- 7"0 DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT, Environmental Health Section ; P. O. Boz 848/210 Hospital Street I, Mocksville, NC 27028 / (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003383 Billed To: Pinnacle Housing Group,Ltd Reference Name: Proposed Facility Residence Tax PIN/EH #: 5747-22-5867.04 PH Subdivision Info: Southwood Acres Lot # 4 Location/Address: Redwood Drive -27028 Property Size: see map ATC Number: 4083 **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 _:�7— Dishwasher: }� Garbage Disposal: ❑ Washing Machine: P1,10" 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: Newer Repair ❑ System Specifications: Tank Siz%a,-AL. Pump Tank GAL. Trench Width Rock Depth 1vi� ` Linear Ft�M Other: Required Site Modifications/Conditions: �%j/7jr ble rl' IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVEE FINISHED GRADE. ****NOTICE: Contact a representative of the av system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the ay f LTER. RISER(S) IF 6 " BELOW th Department for final inspection of this Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: Date: ' �! DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Cha ter 130a P P Sanitary Sewage Systems Permit Number Name �ri �r-, , .:' ✓'c, ; , / , c'` /,'- Date ,� . Y' =%�{N2 8159 Location` Subdivision Name Lot No. ��✓ `. ` Sec. or Block No. Lot Size �'%'''-V--- House ��� Mobile Home —_—_ Business -- Industry No. Bedrooms ,•, F-- No. Baths '�—_ No. in Family — Public Assembly Other Garbage Disposal YES ❑ NO Q'� Specifications for Sy N to Auto Dish Washer YES T NO ❑� �� �' ,• ;4..:. Auto Wash Ma,:hine YES NO ❑ r Type Water Supply f' ff This permit Void if sewage system described below is not Installed witoip 5)years from date of issue. This permit is subject to revocation if site plan or the intehded use ch nge ATTENTION: YOUR SEPTIC SYSTEM CONTR , OR MUST SEE THIS PERMITJLAYOUT BEFORE INSTALLING THIS SYSTEM. - r Improvements permit by %— *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by _ Certificate of Completion _ __ Date _ 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME�i"/i ADDRESS PROPOSED FACIILTY ALL-( DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring l Pit gltf:� Cut FACTORS 1 2 3 4 Landscape position ,L L Slope % aL HORIZON I DEPTH Texture group.0 Consistence Structure Mineralogy HORIZON II DEPTH Texture group 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: XV,/Z 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 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department ,p ,lamEnvironmental Health Section P. 0. Box 665 dope Mocksville, NC 27028 1 1 !o / sD 1. Application/Permit Requested By �C°r�-�� - Mailing Address ?�r% ee!2 J Home Phone 7/!Z 6; Business Phoned 2. Name on Permit if Different Pan Above 3. Application for: 4. System to Serve: House General Evaluation _,ZT`Spptic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Indust ❑ Other ❑ Unknown ,�/ / _ 5. If house, mobile home: Subdivision XZZ00 Section Lot # - / 0 fps' ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms 2-11Washing Machine No. of Bathrooms Z 2" Dishwasher Dwelling Dimensions 301E / q ov S T ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. ,of Water Coolers Water Usage Figures 7. Type of water supply: Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor ���� G��.� ✓ 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Er 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. a Directions to Property: q A This is to certify that the information provided is correct to the best incurred from this application. TA DATE and I understand I am responsible for all charges c SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 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 and disposal system. DATE SIGNATURE DCHD (1/93) )TD NO VEM5E-R 1977 , 2A ore 6 e �UR✓E- �IEO BY 9 45, Z f �ICHARO C. CURRENT °9 FEG NO L 756 3, N �• DROPER T Y OF w. 1 iENORIX 8 CORRIHER ON,57R-UCT-ION CO. C), GO AE 5 0 0 �2 `"►� �Cp�Jge9 ryA 61 012 6 Q�,•o � 6 pp` V mom. 2 ,� sr y � 00 �0 , •ao :CONTROL move IENr No. 990 ri ' i . )R-lh CARUtrNA, �Qv.f .tvlY ' / the 0.• 0'90 9C+ � v h:..,yof Ii HEREBr CERriFr rH.4r THE WATER SUPPLY / on the �uw mu ".u'rt an S���� U - t,�A`t 1 2.2Q05 CATION FOR SITE EVALUATION/INIPROVE&IENT PERAIIT & ATC Davie County Health Department EnvirwmentaiHeaith Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***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 )l Contact Person bQ/lci Mailing Address F Ac -4-i CCc3•S f Home Phone / G? City/State/ZIP k / n `0-1 C I/ L &J -/J Business Phone �' 910 2. Name on Permit/ATC if Different than Above Mailing Address L Cit /State/Zip 3. Application For: Site Evaluation Improvement Permit/ATC ❑ Both 4. System to Servicer❑House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: ❑ Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedrooms # Bathrooms Qbishwasher ❑Garbage Disposal Shing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: It Seats Estimated Water Usage (gallons per day) 8. Type of water supply: ounty/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes g-lq-o- If yes, what type? ***LTiPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eitlier a PLAT or SITE PLAN hfUST BE SUBA11rT D by the elicit w)tli TILTS APPLICATION. Property Dimensions: /:2� WRITE DIRECTIONS (from Mocksville) to PROPERTY: "yz- 5� Tax Office PIN: fl S7 �7" �67 Property Address: RoadName CL k o 00"( City/Zip If in a Subdivision provide information, as follows: Namc: Section: Block: Lot: Date lionie corners flagged: 3 This is to certify that the information provided is correct to the best of my knowledge. I understand that any perniit(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 nm responsible for all charges incurred fi•vnl this application. I, hereby, give consent to the Authorized Representative of the Davie County I1calth Deparhnent to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE & y/ 4 ) SIGNATURE, TIIIS AREA MAY BE USED FOR DRAWING YOUR SITU PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). 7 Sign given 7 Revised DCHD (05103 Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No.y —3 Invoice No. J r-3 0 APPLICATION FOR SITE EVAWATION/IMPROVEMENt PERMIT & ATC Davie County Health Department Environmenta/Health S ydWon P.O. Box 848/210 Hospital Street Mockaville, NC 27028 1 4 (336)751-8760. STH ***nWCRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE N�COUNjy INFORMATION IS PROVIDED. `MReffeer� to the INFORMATION BULLETIN for �Lnatruct 1. Name to be Billed\ V 1(Q�,1 �)/'\,` Contact Parson M l [ �y Mailing Address _a(-7 U 6�2,ti ��CC�1 L „( kg— Boma Phone ('� ye C��j (/ City/state/EIV Sy\\\e *`-"k-- 2- L� Business Phone / S�'�y�� � / `D �� l� 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: Sita Evaluation ❑ Improvement Permit/ATC ❑ Both 4, system to Service: 6"House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If - Residence: � Residence: # People # Bedrooms # Bathrooms _ [�Disbwasher 0 garbage Disposal washing Maabine O Bassmsnt/Plumbing ❑ Basement/No Plumbing 6. If Business/industry/other: specify type # Commodes # showers # Urinals # People # sinks # water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. L Type of water supply: R 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 MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensiods: W n D !I K 100 X a Q � WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Ofiiee PIN: # 5 9 "19a" .-s 9 L % ,� p D Property Address: Road Name %- i'01Z J �lye- k.1 City/Zip 0 j If in a Subdivision provide information, as follows: \ Name: � Ck � � `� C � � � Cg � S PC ' S1�a�� og �vft�,u.4t`ro✓ Section: 6 Block: --f---- Lot: ! Date Property Flagged: PeR Cts vc-(C-) 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 Da v e County N alth Depart ent to enter upon above described property located in Davie County and owned by \4-V\. to conduct all testing procedures as necessary to determine the site suitability. DATE l n� % 3- 0 f SIGNATURE 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. / �7 7;r - Revised DCHD (07/99) Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001796 Tax PIN/EH #: 5747-22-5867 Billed To: Mackie McDaniel Subdivision Info: Southwood Acres sec2b Blk yLot 4 Lo Reference Name: Location/Address: Redwood Drive -27028 Proposed Facility: Residence Property Size: see map Date Evaluated: Water Supply: Evaluation By: On -Site Well Auger Boring Community Pit Public Cut FACTORS 1 2 3 4 r 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group 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: EVALUATION 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 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 05/99 (Revised)