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245 Creekwood Drive Lot 4q Davie Countv. NC IN Tax Parcel Report , , 5 l 237 Tuesday. December 13. 2016 Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all WARNING: THIS IS NOT A SURVEY All date is provided"Is withoutwarranty orguarsrtee of any kind either"pressed or Implied including but not limited to the Implietlwarnntlesofinerchantabiigyormnessforapamcularuse.NIusersofDavieCounty'sGl5websiteshallholdhamlesathe CountyofCaWa, North Carolina, Its agents, canstMantscontractorsoremployeesfrom any and all c aims or causes oraction due to or arising out orthe use or Inability to use the Ga data provided by this websNe. Parcel Number. D7030B001D Township: Farmington NCPIN Number: 5862848791 Municipality: Account Number. 82530947 Census Tract: 37059-802 Listed Owner 1: BOLLINGER MARK RANDAL Voting Precinct: SMITH GROVE Mailing Address 1: 245 CREEKWOOD DRIVE 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 4 CREEKWOOD ESTATES SECTION TWO Fire Response District: SMITH GROVE Assessed Acreage: 0.46 Elementary School Zone: PINEBROOK Deed Date: 7/2009 Middle School Zone: NORTH DAVIE Deed Book / Page: 007990260 Soil Types: GnC2,PcC2 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 Davie County, NC. All date is provided"Is withoutwarranty orguarsrtee of any kind either"pressed or Implied including but not limited to the Implietlwarnntlesofinerchantabiigyormnessforapamcularuse.NIusersofDavieCounty'sGl5websiteshallholdhamlesathe CountyofCaWa, North Carolina, Its agents, canstMantscontractorsoremployeesfrom any and all c aims or causes oraction due to or arising out orthe use or Inability to use the Ga data provided by this websNe. t1. i+' Pertrattee s 'DAVIE COUNTY HEALTH DEPARTMENT Nam I:J lP\f\C 1 . t• L I jai(`—t.:L. Environmental Health Section `PROPERTY I�FORMATIONjKjft P.O. Box 848/� I Directions to property: I `fC . ') .v . 4" K Mocksville, NC 27028 Subdivitiion Name: t �`�:La ` Phone #:336-751-8760 L Section:Lot: / AUTHORIZATION FOR - l.�t�- WASTEWATER, ' x i - SYSTEM CONSTRUCTION Tax Office PIN:# AUTHORIZATION NO: 002654 . A Road Name-_2qp ftp t 1: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Env ronmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office whenapplying for Building Permits. 'e"., (In compliance itch Article I I of G.S. Chapter 130A. Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) { , J ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A'PERIOD OFFIVE YEARS. - ' ENVrRONMArL H .H SPtdALI T;. DATE ISSU D - RESIDENTIAL SPECIFICATION: BUILDING TYPE ILD -Li # BEDROOMS __`5 # BATHS 2 # OCCUPANTS 2 GARBAGE DISPOSAL, Yes or No COMMERCIAL SPECIFICATION:- FACILITY TYPE # PEOPLE _ # PEOPLEISHIFT _ # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE '\G TYPE WATER SUPPLY r' FSIGN WASTEWATER FLOW (GPD). NEW SITE - REPAIR SITE !� SYSTEM SPECIFICATIONS: TANK SIZE - GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTHLINEAR FT. 2 S' OTHERrIE�C 2-�^2r"�iliGT/lv� - REQUIRED SITE MODIFICATIONS/CONDITIONS - �TJ. (TALL, ON) ( tnl�(til�h. KL"t%r 'J UFF /7UVSG fGttl� IUpFF U L 1,,3L - IMPROVEMENT n1t:IMPROVEMENT PERMIT LAYOUT 1 ,Z "�0 s ID AMAX -VW CA fin( .t 9 ��� L1n1tS .h u Lj1 - Sou 17 Y �►� �Io� ��' 1 f J ' 4WE r -,;F_wsrlJt-q 150' X 5to' Y-24" FAl b - FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751.8760. OPERATION PERMIT -- --' - SYSTEM INSTALLED BY: - - - - AUTHORIZATION NO. OPERATION PERMIT BY: - ` DATE: - - **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT -THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION. 1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL WO NO BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCyDM102 s�i:,u> _ Anal#.-?9.Pg - T11/nino_- p -'Irl � r '�,' 1 • .. . � i �� WIT DA 1E COUNTY HEALTH DEPARTMENT ATION �I5/O L Name. i {\t'�.l�` e i _ L.l.•it� _rj, l�,.� Environmental Health Section j PROPERTY INFORM(� P.O. Box 848 F Directions to property: ' l C." L il.<.'' I Mocksvillg NC 27028 ' r ,. Subdivision Name — IL:.k� 1 Phone #: 336-751-8760 Section: r. Lot: --; ^ AUTHORIZATION FOR , r,l:.:r;„44JI,j�t.,, 1 :•I `,,._ WASTEWATER z' * 'SYSTEM CONSTRUCTION; , Tax Office PIN:# - '002664 A Zipi`)` AUTHORIZATIO **NOTE** This Authoritation for Wastewater Systein,Construction MUST BE ISSUED by the Davie County Environmental Health Section prior "•(o issuance ofany Building Permits. This Fom✓Authoriialion Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �., •r'•'%, `�; t . t,>. - L IS VALID FOR A PERIOD OF FIVE YEARS. A ._.. ENVIRONME �T '�L HEATH SPECIALIST DATE/� ` RESIDENTIAL SPECIFICATION: BUILDING,TYPE i ILL: •L iBEDROOMS �_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No . " COMMERCtALSPECIFICATION: FACILITY TYPE 1# PEOPLE # PEOPL&SHIFT # SEATS INDUSTRIAL WASTE: Yes or No F ff1f LOT SIZE i- 4`�-rt" TYPE WATER SUPPLY' %vnt•i (DESIGN WASTEWATER FLOW (GpD)NEW SITE REPAIR SITE ✓• ,! SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH^' A LINEAR FT, . OTHER L' .L�`1•:�-�li�.�lt^� S�{�TLf`�\ I`. I`'lG I�Lii lV r�) >'•C�!t REQUIRED SITE MODIFICATIONS/CONDITIONS: IIJ CTf�L"L. Jtj t'n Lgal, A"', -Ir 1 i vl l f n.Ilt�. IMPROVEMENT PERMITLAYOUT U` l W t..42 - „, � . „ . 115' ; '� �,_,_I • Fia,W���.E hp EXIST lj4q Tim urt l l i POR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30'- 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. - OPERATION PERMIT - - SYSTEM INSTALLED BY: 7� % � 1 j • 1 r 1 r AUTHORIZATION NO. OPERATION PERMIT BY: DATE: ' **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I I 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. ttTlD 02102 (ttevisw)1a_ AM -i i+#.��L�g'? _,,,;',:i� .,. 1 Tel VA inn -0...* -V77 ltd+ YY►rss•�L [ r� maaK- dy"!- Qwe h.► In1°' 1^1 O�IA<w - o, oQ L�t►n►+ewo 2761 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME 641ohe'hU. CckjnA&) -?tA3 hdK_ PHONE NUMBER 3901 - I L IE ADDRESS—2-4S- Gltt aaD 1)rfte� SUBDIVISIONNAME GLeGKwoaD T Aduar"_ n_r 2.2 e o6 LOT # DIRECTIONS TO SITE TO I - IN -dfF fin- J. Le-{ 1� ?11 fh�a i/L2c�GumQ - DATE SYSTEM INSTALLED/ ?� NAME SYSTEM INSTALLED UNDER Hjy awl TYPE FACILITY' n NtCt, NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED L TYPE WATER SUPPLY CO • SPECIFY PROBLEM OCCURRING StJnPu� T DATE REQUESTED 6-22-oc4 INFORMATION TAKEN B This is to oartify that the information provided is correct to the beet of my knowledge, and that I understand I am responsible for all chargee incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGE ftev. Ila DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion .. (Ground Absorption.Se�wage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR_ i�rU tCh "i +�• DATE �' 11a `77 PERMIT, LOCATION cS f1 A_r. nit. w�. lr S.R. NO. _ SUBDIVISION NAME (Ato tAjc 4 LOT NO. SECTION OR BLOCK NO. £I0. BEDROOMS 3- NO. BATHROOMS a� GARBAGE DISPOSAL- =UNIT YES Er' -NO ❑ AUTO. DISHWASHER., YES e!]� NO ❑ AUTO. WASH. MACHINE YES EJ NO ❑ SITE SUITABLE -YES Fj� NO ❑ SIZE OF.TANK gal. NITRIFICATION FIELD.. sq. ft. DEPTH:OF,e.STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY ?i �'1L. 3b 1573 House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House' 100 Gal. 1200. Sq. Ft. r ev O. :�r9r;.e 7'� ',{ ^ �✓J` % Ax�r�� d%its - �)(-3x a`f S INSTALLED BY CERTIFICATE OF COMPLETION BY 4'�' Date (8/16/73) *Construction must comply with alY other applicable State and local regulations LOT AREA DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation "P1,1CANT rnFORMATiOx PROPERTY INFORMATION Account #: Tax PIN/EH #: Billed To:; Subdivision Info: Reference Name: Location/Address: Proposed Facility: Property Size: Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 2 3 4 5 .6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group r-.. Consistence Structure Mineralogy HORIZON III DEPTH Texture groupL Consistence Structure Mineralogy HORIZON IV DEPTH Texture group. Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON :-- SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE 0. _ SITE CLASSIFICATION: 10 LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND. Landscape Position v' 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 EVALUATION BY: OTHER(S) PRESENT: 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 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) 11 1 P-001%"6 i • r 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 MAb ('rN,,ij W ;, 0 A DATE ISSUED ?-/1-77 ADDRESS(� a P,4 j, C, 1 pQ Q,, PERMIT N0. Explanation of charge :r r.art_ez AMOUNT DUE 1 a SANITARIAN ,ila PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.