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175 Charlotte Place Lot 63Davie County, NC Tax Parcel Report Thursday, December 8, 2016 [all All data is providedas is withoutdy or guarantee of any Nod eller expressed or Implied including but not gmlted to the Davie County, Implied wemznties of membantabillty or fitness for a particular umAu users of Davie Couty's GIS website sham hold harmlessthe County of Davie, North Carolina, lis agents, consultants, contractors or employeesfrom any and ag dalms or causes of action due to NC or aching out of the use or inability to use the GIS data provided by this webclte WARNING: THIS IS NOT A SURVEY Parcel Information. 155 - Parcel Number. D703OA0014 160 -- = 5862855500 Municipality: Account Number. I 123 Census Tract: 37059-802 Listed Owner 1: GREENE JOSHUA DAVID Voting Precinct: SMITH GROVE Mailing Address 1: 175 CHARLOTTE PLACE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 -139 NC 166 Zip Code: 27006-0000 137 51 140 '% Fire Response District: SMITH GROVE Assessed Acreage: 0.8.0 Elementary School Zone: PINEBROOK 5 712011. I Middle School Zone: NORTH DAVIE -__171 008630312 Soil Types: GnBZGnC2,ChA Plat Book: 0005 Flood Zone: Plat Page: 007 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra 135138 Land Value: O 179 f^208 125 'Cv 175 136 W 176 eQ 202 ' vw 130 U 191 r' 196 1 22 i r 173- ,- , 199 �rQ 174 180 165 _ 189 172 172 [all All data is providedas is withoutdy or guarantee of any Nod eller expressed or Implied including but not gmlted to the Davie County, Implied wemznties of membantabillty or fitness for a particular umAu users of Davie Couty's GIS website sham hold harmlessthe County of Davie, North Carolina, lis agents, consultants, contractors or employeesfrom any and ag dalms or causes of action due to NC or aching out of the use or inability to use the GIS data provided by this webclte WARNING: THIS IS NOT A SURVEY Parcel Information. - Parcel Number. D703OA0014 Township: Farmington NCPIN Number. 5862855500 Municipality: Account Number. 8300465 Census Tract: 37059-802 Listed Owner 1: GREENE JOSHUA DAVID Voting Precinct: SMITH GROVE Mailing Address 1: 175 CHARLOTTE PLACE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District No Legal Description: LOT 63 CREEKWOOD ESTATES SECTION TWO Fire Response District: SMITH GROVE Assessed Acreage: 0.8.0 Elementary School Zone: PINEBROOK Deed Date: 712011. I Middle School Zone: NORTH DAVIE Deed Book IPage: 008630312 Soil Types: GnBZGnC2,ChA Plat Book: 0005 Flood Zone: Plat Page: 007 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all All data is providedas is withoutdy or guarantee of any Nod eller expressed or Implied including but not gmlted to the Davie County, Implied wemznties of membantabillty or fitness for a particular umAu users of Davie Couty's GIS website sham hold harmlessthe County of Davie, North Carolina, lis agents, consultants, contractors or employeesfrom any and ag dalms or causes of action due to NC or aching out of the use or inability to use the GIS data provided by this webclte DAVIE COUNTY ENVIRONMENTAL HEALTH 11�( P.O. Box 848/210 Hospital Street �" 11, Mocksville, NC 27028 111 (336)753-6780/Fax # (336)753-1680 OPERATION PERMIT Account #: 990005709 Billed To: Anthony Scott Reference Name: EXPANSION Proposed Facility: Residential ATC Number: 5792 ' i Tax: PiNiEH'#: 5862-85-5500 Subdivision Info:: Creekwood 2 Lot # 63 a. LocatioriiAddres5': 175 Charlotte Place -27006,. Property Size: 0.810 Acre **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. + System Type:_ S.T. Manufacturer %5 � Tank Date Tank SizeAK �„--IK Pump Tank Size System Installed By:P(' (S2 E.H. Specialist: L' ate: AV// GPS Coordinate: DCHD 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospitil Street Mocksville,NC 27028 (336)753-6780 /Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account M 990005709 TaxPIN,EH#: 5862-85-5500 Billed To: Anthony Scott "'Subdivision Info-! Creekwood 2Lot #63.: .•-:..s.: R-1 icic, N;, Reference Name: EXPANSION -Loc aalitiniiAiddres5: 175 Charlotte Place -27006 l.c. :x:':'=_i Proposed Facility: Residential- Property;Sizia: 0.810 Acre SiteType: ONew DRepair)(Expansion ATC Number: 5792 **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article I I of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms #people BasementO Basement plurnbingD Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility)_ ----� Lot Size Type of Water Supply: XCounty/City DWell OCommunityWell System Specifications: Design Wastewater Flow (GPD) yTTank Size GAL: Pump Tank GAL. Trench Width 3(o Max. Trench Depth36 Rock Depth,"/ Linear Ft-162�.'26 -% _ -- M Skated in 15A NCAC 18A.196G(5) Site Modifications/Conditions/Other: OCCepted Systems may also be used 12,dachii Contact the Davie County Environmental Health Section for final inspection of this,system between 8:30 — 9:30a.m.on the day of installation, Telephone # (336)751-8760. -vi done rwi k it Aiac cut 3 1 �(y LA Environmental Health S DCHD 11/06 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P.O. Box 848/210 Hospital Street uNgEYI- Mocksville,NC 27028 t/U F J (336)753-6780/Fax(336)753-1680 BY N '?3 201j Application For: D Site Evaluation/Improvement Permit O Authorization To Construct O Both Type of Application: ONew System ❑Repair to Existing System p' b`xpansion/Modification of Exis ste Facil ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED a INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name Hn% Address _L City/State/ZIP Name on Permit/ATC if Different than Above Mailing Address Contact Person /" Lrge" -- Home Phone T Business Phone 3310 Ar- 7 - q 9G 9 PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. hicluded: D Site. Plan OPlat(to scale) (Permit is valid for 60 months with site an, no expiration with complete plat.) Owner's Name f�/ LI A. S'od Phone Number33 -,o,, Owner's Address Sa e City/State/Zip Property ACity-9d—VA&9- Lot Size Tax PIN# Subdivision Name(if applicable) Section/Lot# f/03 Directions To Site: If the answer to any of the following questions is "Yes",supporting documentation must be attached: Are there any existing wastewater systems on the site? _Yes /No Does the site contain jurisdictional wetlands? _Yes %No Are there any easements or right-of-ways on the site? _Yes !No Is the site subject to approval by another public agency? _Yes iNo Will wastewater other than domestic sewage be generated?//0 '/_ Yes �No IF RESIDENCE FILL OUT THE BOX BELOW ul 3 bf %OD In # People I #Bedrooms # Bathrooms Garden Tub/Whirlpool OYes P+ts Basement: OYes LRI-o Basement Plumbing: ❑Yes B?db IW0EelMNDRI 111WE" aI_arL61111 UIIIW W-10.4 0-3:0 Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes #'Showers' ` # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: ]Conventional ❑Accepted DInnovative ❑Alternative DOther, Water Supply Type: County/City Water D New Well 1. DExisting Well O Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? D Yes D No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating d flagging or sjaking cility location, proposed well location and the location of any other amenities. ;;MM D ' �� Site Revisit Charge Property o s oro ner's legal representative signature Date(s): Client Notification Date: EHS: Sign given UYes DNo Account # 0 Revised 11/06 Invoice# 7i1i2 DAVIE: COUNTY HEALTH DEPARTMENT i-,� L/' ice' :u 711-j-1. . ' (Septid Tank) Improvements Permit and Certificate of Completion ' .(Ground Ab sorption' Sewage Disposal System - G.S.' Chapter 130 -Article 13C) OWNER OR CONTRACTOR DATE PERMIT LOCATION 8101 - M 1834 S.R. NO. SUBDIVISION. NAME LOT NO. z SECTION OR BLOCK NO. HOUSE © MOBILE HOME U BUSINESS U 2 '11'' House Trailer 800 Gal. 400 Sq.. Ft. NO. BEDROOMS ✓ NO. BATHROOMS d Two Bedroom House 800 Gal. 600 Sq., -t. GARBAGE DISPOSAL UNIT YES ED NO .� Three Bedroom House 900 Gal. .900 Sq..Ft. AUTO. DISHWASHER.;_ YES Q' NO [3Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. ,WASH. .MACHINE YES Cr NO [:3/` C �, ! 6v✓ �Lf r" SITE SUITABLE YES,-.jErN0. ❑ SIZE OF TANK gal: i 3 . �SD.x NITRIFICATION FIELD sq. ft. DEPTHOF '1.STONE ,IN LINES: WATER SUPPLY: Individual ❑ Public ❑ ..... IMPROVEMENTS PERMIT BY T L46 CI INSTALLED BY CERTIFICATE OF COMPLETION By = Date 6 (8/16/73) *Construction"must,.comply with.a other applicable State and local regu ations LOT AREA 0 .,. ,... , DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT•INFORMATION 5862-1 0BRTY INFORMATION Account #: 99 005709 Tax PIN/EH #: Billed To: Anthony Scott Subdivision Info: Creekwood 2 Lot # 63 Reference Name: EX13ANSION Location/Address: 175 Charlotte Place -27006 Proposed Facility: Residential- Property Size: 0.810 Acre Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut ;,k FACTOPS 1 1 2 3 4 1 5 6 7 Landscape osition 25 Slope % n HORIZON I DEPTH Texture grou L Consistence Structure MineralogyI:1 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 ACCEPT kNCE RATE 3 SITE CLAS SIFICATION EVALUATION BY: IYGLtJ LONG-TERM ACCEPTfi NCE RATE: ,3 OTHER(S) PRESENT: REMARKS: Landscape Position LEGEND R - Ridge S - Should ,,r L -Linear slope FS - Foot slope N - Nose slope CC - Concave slope Texture V - Convex slope T - Terrace FP - Flood plain H - Head slope S - Sand LS - Loam sand SL - Sandy loam L - Loam SI - Silt SICU- Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC -Silty clay C - Clay . CONSTSTF.NCE .. _. - Moist VFR - Very friable F Friable FI - Firm VFI - Very fain EFI - Extremely firm' 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' Mineraloev• 1:1, 2:1, Mixed Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thicmess and inches from land surface Saprolite - S(suitable), U( nsuitable) Soil wetness - Inches fron L land surface to frm.water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable , PS(provisionally suitable); U(unsuitable) f TAR - T nno_tnrm 'arrrnt nrr rata - pal/daWft) TI Tvi\ n<rne DAVIE: COUNTY HEALTH DEPARTMENT -75 C �a Y 10* �>�: (Septic Tank) Improvements Permit and Certificate of Completion Sewage(•GFound�AbsorpLt.ion•Dispo/al System - G.S. Chapter 30 -Article 13C) OWNER OR CONTRACTOR /'T d �� C �fytdjt l�0' DATE / Q PERMIT LOCATION D/ N? 1834 S.R. NO. SUBDIVISION NAME LOT NO. �c,`; SECTION .OR BLOCK N0. HOUSE- MOBILE HUMS U BU51NE55 U - - - - � House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS .3 NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO Er Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES d NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES Q NO ❑ SITE SUITABLE YES M NO ❑ 'SIZE OF TANK gal. X NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN" LINES: WATER SUPPLY: Individual ,. cuNTy. Public ❑ IMPROVEMENTS PERMITBY/�-1CttQ�% nn❑ f 4t r, l�G�.io, INSTALLED BY G/ y Ja (8/16/73) *Construction mu LOT AREA th i other applicable State and local regulation DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 MOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits �and/or Site Evaluations NAME S U 6� O'er—DATE ISSUED S 7 ADDRESS�pa) 1 �✓&�Ji PERMIT NO. ,C Explanation of charge % c�Yl✓iL1r2w d�� X.6f �� 3 A240UNT DUE 6,i SANITARIAN PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEAENT.