WQ0041560_Application (FTSE)_20200310

Allied Design, Inc.
CIVIL ENGINEERING ❖ LAND SURVEYING
Firm LicenseNo.: C-1891 NC Department of
Environmental Quality
Received
April 6, 2020 APR 0 9 2020
Winston-Salem
Justin Henderson Regional Office
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
SUBJECT: FAST TRACK SEWER SYSTEM EXTENSION
SMOKERISE LANE SANITARY SEWER EXTENSION
ADI PROJECT: 19-050
Please find enclosed:
1. A check in the amount of $480.00 for the application fee.
2. Two copies of the completed "Fast Track Sewer System Extension Application".
3. A copy of the Certificate of Public Convenience and Necessity.
Should you have any questions, please contact me at [phone].
Sincerely,
Steve M. Causey, P.E.
4720 KESTER MILL ROAD WINSTON-SALEM, NORTH CAROLINA 27103
Phone: [phone] -% Fax: [phone]

Ir,SZ0 7C- e Ve
L` I )ZoZ0
STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A
DOCKET NO. W-354, SUB 292
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
CAROLINA WATER SERVICE, INC OF NORTH CAROLINA
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide sewer utility service
in
BREYERTON AT ABINGTON SUBDIVISION
Forsyth County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 3`d day of June , 2009.
NORTH CAROLINA UTILITIES COMMISSION
Gail L. Mount, Deputy Clerk

State of North Carolina
DIN �Nn% Department Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources (1 I] / FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 16)O q'St u (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Carolina Water Service. Inc. of NC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ® Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Bryce Mendenhall per 15A NCAC 02T .0106(b)
Title: Vice President of Operations
4. Applicant's mailing address: P.O. Box 240908
City: Charlotte State: NC Zip: 28217•
5. Applicant's contact information:
Phone number: [phone] Email Address:
II. PROJECT INFORMATION:
1. Project name: Smokerise
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Forsyth
4. Approximate Coordinates (Decimal Degrees): Latitude: 36. 16027' Longitude:-80.093065'
5. Parcel ID (if applicable): 6877-79-1077
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Steve M. Causev License Number: 19701
Firm: Allied Design, Inc.
Mailing address: 4720 Kesler Mill Road
City: Winston-Salem State: NC Zip: 27103-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Abington Permit Number: NCO060461
Owner Name: Carolina Water Service, Inc. of NC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: _ inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
NC Department of
Environmental Quality
Received
j
`1
APR 0 9 2020
Winston-Salem
Regional Office
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
N Yes ❑No ❑N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV I been attached?
❑ Yes NNo NN/A
3. If the Applicant is a Home/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes NNo ❑N/A
4. Origin of wastewater: (check all that apply):
N Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes N No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(fl)
Daily Design Flow a."
No. of Units
Flow
Single Family Residential home
120 gal/bedroom *3 bedrooms =360 GPD
5
1,800 GPD
gal/
GPD
gal/
GPD
gat/
GPD
gat/
GPD
gal/
GPD
Total
1,800 GPD
a See 15A NCAC 02T O114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1 800 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

V►L GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 486 SDR-35
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) —02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - I5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g) ® Yes ❑ No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305(f) or (2), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) [:]Yes ❑ No ®N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with I SA NCAC 02T, the
and Force Mains (latest version), and the Gravity Sewer Minin
�1 .
If No, complete and submit the Variance/Allemafive
review. Anoroval of the request is reauired orior i
2. Professional Engineees Certfi�ication:
tc
(Professional Engineer's name from Application Item III.
has been reviewed by me and is accurate, complete and consistent with the i
engineering calculations, and all other supporting documentation to the best r
of my knowledge the proposed design has been prepared in accordance
Minimum Design Criteria for Gravity Sewers (latest version), and the Minims
of Pump Stations and Force Mains (latest version). Although other professio
submittal package, inclusion of these materials under my signature and seat
have judged it to be consistent with the proposed design.
as
(VADC 10- 14) and suppo#ing documents for
that jhis application for
amation supplied in the pl s, specifications,
ay knowledge. I further at test that to the best
h the applicable regulatio is, Gravity Sewer
Design Criteria for the Fa t-Track Permitting
s may have developed cert tin portions of this
nifies that I have reviewe I this material and
NOTE — /n accordance with General Statutes 143-215.6A and 143-215.6E any person who knowing) makes any false
statement, representation, or certification in any application package shall b guilty of a Class 2 misde eanor, which may
include a fine not to exceed S 10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and
3. Applicant's Certification per I SA NCAC 02T .0106(b):
1 J
Mendenhall, VP of
(Signature Authority's name & title from
has been reviewed by me and is accurate and complete to the best of my knot
this application are not completed and that if all required supporting docum
application package is subject to being returned as incomplete. I understand
discharge system to surface waters or the land will result in an immediate cult
injunctive relief, and/or criminal prosecution. 1 will make no claim against the
of this permit be violated. I also understand that if all required parts of this al
all required supporting information and attachments are not included, this
incomplete.
N CA
dtj;•'••�"GIN4
F1, M
that
ge. I understand that
tion and attachments
any discharge of was
nent action that may
package are not cc
n package will be
NOTE — In accordance with General Statutes 143-215.6A and 143.215.6B� any person who k
statement, representation, or certification in any application package shall ilty of a Class 2
include a fine not to exceed $10,000 as well as civil penalties up WS25,0 et iolation.
Signature:
Date:
application for
I required pans of
not included, this
ter from this non-
ide civil penalties,
should a condition
apleted and that if
-etumed to me as
makes any false
rnor, which may
FORM: FTA 04-16 1 1 Page 5 of 5

x.. N
w
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Carolina Water Service, Inc. of NC
Project Name for which flow is being requested: Smokerise lots 8-12 (5 Lots)
More than one FTSE niay be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Abington
b. WWTP Facility Permit #: NC0060461
AR flows are in MGD
c. W WTP facility's permitted flow 0.200
d. Estimated obligated flow not yet tributary to the W WTP 0.03960
e. W WTP facility's actual avg. flow 0.123
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.001800
0.1644
82.2%
I1. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the W WTP:
(A)
(B) (C) (D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Pump Average
Approx. Not Yet Total Current
Station Station Firm Daily Flow**
Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt),
Avg. Daily Daily Flow, Obligated
Available
Number) No. MGD MGD
Flow, MGD MGD Flow
Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the flrm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the W WTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Abington
Downstream Permit Number: NC0060461
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Bryce Mendenhall certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
WwhsM+�pJ aywunaemNi
J Bryce MendenhaII0
ON L=U3 W=Menik 3uWpe UNl O"L+Mre WaIrBWue.IrcdNC. LN-J &yo Mar-0vMll.
d �
SECVmaFn:330
Signing Official Signature Date
VP of Operations
Title of Signing Official
Page 2 of 6
FTSE 10-18

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'a.!'- Cats of P *04 Carolina
Atililiats Commission
APPENDIX A
DOCKET NO. w-3541 SUB 46
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
Know All Men By These Presents, That
CAROLINA WATER SERVICE INC. OF NORTH CAROLINA
is hereby granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water andSewerutility service
in
ABINOTON SUBDIVISION
Forsyth County, North Carolina
subject to such orders, rules, regulations, and
conditions as are now or may hereafter be lawfully___
made -by -the -North -Carolina -Utilities -Commission.
�CISSUED BY ORDER OF THE COMMISSION.
(SEAL)
This theay of July 1986.
NORTH CAROLINA UTILITIES COMMISSION
e e e Clark
TOTAL P.01

North Carolina Department of Transportation
Planning Department/Review Officer
Surveyor Certification for Closure
Surveyor Certification for Subdivision
Forsyth County Register of Deeds
D%V%S%On of Highways
Final Subdivision Plat Approval
PP
L, WAYNE T. certify that this plot was drawn under
WAYNE T. S/MS Registered Land Surveyor, Number L-3582
indicated by X,,•
Plat Registration
Proposed Subdivision Road Construction
This is to certify that this plot meets the recording requirements of the Unified
actual in
supervision from an actual survey mode under my supervision (description recorded in
s
Book Page Plat Book Page if
certify to one or more of the following as an
z a. That this plot is of a survey that creates a subdivision of land within the area
c
Filed for registration at ' �J o'clock M.
Standards Certificate
Development Ordinance Subdivision Regulations for Winston-Salem/Forsyth County
Deed 2635 , J067 or , applicable);
of a county or municipality that has an ordinance that regulates parcels of lend,;
Forsyth
that the ratio of precision as calculated is 1:10,000+; that this plat was prepared in
G.S. 47-JO as amended. Witness my original signature, registration
_ b. That this plat is of a survey that is located in such portion of a county or
municipality that is unregulated as to an ordinance thot regulates parcels of land;
I Day 2007
/ l.i� t �Cec% Review Officer of County, certify
accordance with
C. That this is of a survey of an existing parcel or parcels of land;
This the of
Approved I
that the map or plot to which this certification is affixed meets all statutory requirements
number and seal:
plat
_ d. 7hat this plat is of a survey of another category, such as the recombination of
C_
r T-�^•^-'�
for recording. n '% /J
Approved "( Z /"�+/
�.
nI_^ �.x
Signature atl7 �-'1Nt/re9 L-,J'.JSZ
existing parcels, o court -ordered survey or other exception to the definition of
a subdivision;
able to this surveyor is such that l am unable to make
_ e. That the informationtito
and recorded in Plat Book J.J Page
i it 'EA a ah
Filing Fee Paid.• �I Register of Deeds
District Engineer
/^�� � �
This th4:; /Y-1, Doy of 2007
Director of Planning/Review Officer
rveyor Registration Number
oral
a determination to the best of my professional ili(y' as to provisions contained
best
in a. through d. bove.
P
BY.-,
�-�--�
-tom
This the Si Day of [j GW `y 2007
.�.�
This the � Day of /� J
J -! 7 2007
Signature L-3582
9 Lu.YY6Q_.
Assistant/ eput
Forsyth County, North Carolina
i't Y
Forsyth County, North Carolina
Forsyth County, North Carolina
Surve Registration Number
y Forsyth County, North Carolina
Forsyth County, North Carolina
N
20
rn
d I
0_ N
d^ I
M
ai o
aL_
wo
a_
AREA SUMMARY (PRD)
/ LOTS: 64_00%
COMMON AREA: 20.73%
TOTAL AREA: 700%
mI
cC qMl
m
RIa
THE HOMEOWNERS ASSOCIATION
DOCUMENTS WITH COVENANTS AND
RESTRICTIONS ARE RECORDED IN DEED
BOOK , PAGE
U
\
� 31
m !
rrRt��•
\
V o I
S85'55'02"E _�
N
1,
N SIX ON
SECTION SIX (REVISED)
P/L
/
u? 1741.52'(TOTAL)(NTS
W ,3 W
P.B. 33, Pg. 126
75. DO'
W W
_ !'.] _
50.00'
I
70.47
~ 565�44'
�`` S8555'02"E --
-�
J
EASEMENT 117.46
_
3/4
\ �FIP
201.00' E P
�-, r
Note: This plat is subject to any
Easements, Agreements, or
Rights -of -Way of record prior
to the date of this plat, which
was not visible at the time of
my inspection.
LEGEND
EIP - Existing Iron Pipe
NIP - New Iron Pipe
EPI - Existing Pin Iron
NPI - New Pin Iron
CM - Concrete Monument
EIR - Existing Iron Rod
RCP - Reinforced Cone. Pipe
CMP - Corrugated Metal Pipe
FH - Fire Hydrant
UP - Utility Pale
L/P - Light Pole
TP - Telephone Pole
MH - Man Hole
NTS - Not to Scale
PP - Power Pole
UST - Underground Storage Tank
-P- - Overhead Power
R/W - Right -of -Way
PA - Property Line
C/L - Centeriine
WV - Water Valve
WM - Water Meter
GV - Gas Valve
CB - Catch Basin
GI - Grate Inlet
YI - Yard Inlet
CO - Clean Out
OH - Overhang
EP - Edge of Pavement
FC - Face of Curb
S.E. - Sight Easement
-G- - Burled Gas
-BE- - Buried Electric
-BT- - Buried Telephone
TAX LOT 206, BLOCK 5419
LLOYD E. LYONS
D.B. 1374, Pg. 1719
PLAT SIGNOFF
FORS OUNTY HEALTH DEPARTMENT
These lots a evaluated in accordan
NCGS Article 11 Chapter 130A gc+Q t
1901-196 of Title 1 E�
Administrative Code by
Department Improvemei
have been issued f e
on each lot ca a ob
Forsyth Cc Health
BA of the NC
County Health
.s or denial letters
clfic information
I contactinq the
Health Specialist
1
J 1
S86_55'02"E
THE UNDERSIGNED HEREBY ACKNOWLEDGE THAT I AM (WE ARE)
THE OWNERS OF THE PROPERTY SHOWN AND DESCRIBED HEREON
AND THAT I (WE) HEREBY ADOPT THIS PLAN AND SUBDIVISION
WITH MY (OUR) FREE CONSENT AND HEREBY DEDICATE
TO PUBLIC USE AS ROADS, STREETS, AND EASEMENTS FOREVER
ALL AREAS SO SHOWN OR INDICATED ON SAID PLAT.
OWNERS SIGNATURE
DATE: _.LLB /
OWNER/DEVELOPER:
CALMIT PROPERTIES
935 E. MOUNTAIN ST., SUITE H
KERNERSVILLE, NC 27284
PHONE: [phone]
CONTACT: LARRY CALLAHAN
`340` \
TABLE PROVIDED BY FORSYTH COUNTY TAX DEPARTMENT
BLK
LOT
MLOT
PIN
STNUM
STNAME
STTYPE
5419L
036
36
6877-68-6890.00
7111
SMOKERISE
LN
1790
BONITA
CT
5419L
037
37
6877-68-7666.00
1770
BONITA
CT
5419L
038
38
6877-68-8666.00
1775
BONITA
CT
5419L
039
39
6877-68-9713.00
1785
BONITA
CT
5419L
040
40
6877-68-9802.00
1795
BONITA
CT
7119
SMOKERISE
LN
5419L
041
41
6877-78-0820.00
7135
SMOKERISE
LN
1796
CATRINA
WAY
5419L
042
42
6877-78-0731.00
1792
CATRINA
WAY
5419L
043
43
6877-78-1605.00
1788
CATRINA
WAY
5419L
044
44
6877-78-3695.00
1781
CATRINA
WAY
5419L
045
45
6B77-78-3721.00
1789
CATRINA
WAY
5419L
046
1 46
6877-78-2719.00
1 1793
1 CATRINA
WAY
7143
1 SMOKERISE
LN
5419L
047
1 47
6877-78-2873.00
7147
1 SMOKERISE
LN
5419L
0008
1 B
6877-78-1956.00
TAX LOT 102, BLOCK 5419
AUBREY K. LINDSEY AND WIFE
JESSIE M. LINDSEY
D.B. 1374, Pg. 1712
LINE TABLE
LINE
BEARING
I DISTANCE
L1
N85'55'43"W
33.10
L2
SO4'03'25"W
25.00
L3
N04'03'25"E
24.98
L4
N04'04'17"E
13.31
L5
N04'04'58"E
24.28
SMOKERISE - SECTION ONE
P.B. 27, Pg. 69
NOTES:
1. TOTAL SITE AREA = 23.625 Ac.t (BY COMPUTER CALCULATION)
2. TOTAL AREA IN NEW PUBLIC R/W = 3.607 Ac.f
3. PRESENT ZONING: RS-20 (PRD)
4. ALL AREAS SHOWN HEREON ARE BY COMPUTER CALCULATION
5. TOTAL NUMBER LOTS: 49
6. SUBJECT PROPERTY IS NOT LOCATED WITHIN A PUBLIC WATERSHED
7. A PORTION OF THE SUBJECT PROPERTY IS IN A SPECIAL FLOOD HAZARD AREA AS
DETERMINED BY U.S. DEPT. OF HOUSING AND URBAN DEVELOPMENT AND SHOWN ON
FEMA FLOOD INSURANCE RATE MAP PANEL NUMBER 37067CO186 H,
EFFECTIVE DATE:OCTOBER 20, 1998.
8. ALL DISTANCES SHOWN HEREON ARE HORIZONTAL
GROUND DISTANCES.
9. IRON PIPE AT ALL PROPERTY CORNERS, UNLESS OTHERWISE NOTED HEREON.
10. SUBJECT PROPERTY WILL BE SERVICED BY PUBLIC WATER.
VANCE RD.
6
w
z
w
G y
CT rOG f 2
n
ci
/ I cx ��ROKMOpR .a4`��F,
SITE
VI
CURVE TABLE
CURVE
DELTA
LENGTH
CHORD
CHORD BEARING
Ct
42'37'16"
66.00'
64.49'
N72'45'39"E
C2
32'51'11"
79.54'
78.46'
S67'53'31"W
C3
9'45'10"
P8.
23.61'
23,58'
S89'11'42"W
C4
64'01'58"
139.70'
132.54'
S27'57'35"E
C5
6'46'39"
20.70'
20,69'
S56'35'14"E
C6
27'56'59"
85.37'
84,52'
S39'13'25"E
C7
12'30'04"
175.00'
38.18'
38.11'
S18'59'54"E
C8
40'06'36"
125.00'
87.51'
85.73'
N39'55'16"W
C9
18'02'44"
175.00'
55.12'
54,89'
N50'57'12"W
C10
26'29'53"
175.00'
80.93'
80.21'
N28'40'54"W
C11
19'29'21"
175.00'
59.53'
59.24'
N05'41'16"W
C12
34'54'55"
50.00'
30.47'
30.00'
S21'31'44"W
C13
34'54'55"
50.00'
30.47'
30.00'
S5626'39"W
C14
53'23'13"
50.00'
46.59'
44.92'
N7924'17"W
C15
127'18'41"
50.00'
111.10'
89.61'
N10'56'40"E
C16
70'31'44"
25.00'
30.77'
28.87'
N39'20'09"E
C17
9'27'14"
250.00'
41.25'
41.20'
N81'l1'25"W
C18
12'39'05"
250.OD'
55.20'
55.09'
N70'08'15"W
C19
17'21'59"
175.00'
1 53.04'
52.84'
N72'29'43"W
C20
31'55'31"
50.00'
27.86'
27.50'
S20'02'44"W
C21
34'54'55"
50.00'
30.47'
30.00'
S53'27'57"W
C22
41'18'38"
50.00'
36.05'
35.27'
N88'25'17"W
C23
40'58'29"
50.00'
35.76'
35.00'
N47'16'43"W
C24
57'50'23"
50.00'
50.47'
48.36'
NO2'07'43"E
C25
43'33'47"
50.00'
38.02'
37.11'
N52'49'4B"E
C26
70'31'44"
25.00'
30.77'
28.87'
N39'20'50"E
C27
48-11-23"
25.00'
21.03'
20.41'
N20'00'43"W
C28
38'22'49"
50.00'
33.49'
32.87'
S24'55'00"E
C29
52'59'57"
50.00'
46.25'
44.62'
S20'46'23"W
C30
51'56'17"
50.00'
45.32'
43.79'
S73'14'30"W
C31
47'10'04"
50.00'
41.16'
40.01'
N57'12'20"W
C32
63'28'37"
50.00'
55.39'
52.60'
N01'52'59"W
C33
22'25'01"
50.00'
19.56'
19.44'
N41'03'50"E
C34
48*11'23"
25.00'
21.03'
20.41'
N28'10'39"E
C35
16'48'54"
350.00'
102.72'
102.35'
S08'13'02"E
C36
B'55'55"
350.00'
54.56'
54.51'
S21'05'27"E
C37
8'36'53"
250.00'
37.59'
37.55'
S21'14'57"E
C38
21'06'01"
250.00'
92.07'
91.55'
S06'23'30"E
C39
29.42'54"
200.00'
103.72'
102.57'
N10'41'57"W
C40
6'59'45"
400.00'
48.84'
48.81'
N22'03'32"W
C41
10'31'17"
400.00'
73.45'
73.35'
N13'18'01"W
C42
10'07'00"
400.00'
70.63'
70.54'
NO2'58'53"W
C43
10'03'13"
400.00'
70.19'
70.10'
N07'06'14"E
C44
8'02'52"
500.00'
70.23'
70.17'
NOB'06'24"E
C45
113301"
550.00'
14.88'
14.88'
SO4'51'29"W
C46
6'29'51"
550.00'
62.37'
62.34'
S08'52'55"W
C47
3'44'54"
350.00'
22.90'
22.89'
S10'15'23"W
C48
18'25'16"
225.00'
72.34'
72.D3'
S73'01'21"E
E49
1'28'23"
200.00'
5.14'
5.14'
S6432'54"E
C50
20'37'56"
200.OD'
72.02'
71.63'
S75'36'04"E
O 5081
FINAL PLAT FOR
BREYERTON
(SHEET 1 OF 3)
BEING A DIVISION OF TAX LOT MC
TAX BLOCK 5419
KERNERSVILLE TOWNSHIP,
FORSYTH COUNTY, N.C.
DATE: MAY 16, 2007 SCALE: 1"= 60'
Graphic Scale
0 30 60 120 180
lineal
PREPARED BY
TRIAD LAND SURVEYING, P.C.
935 EAST MOUNTAIN STREET, SUITE H
KERNERSVILLE, N.C. 27284
TEL: [phone]
Book 53 Page 73

North Carolina Department of Transportation Planning Department/Review Officer Surveyor Certification for Closure Surveyor Certification for Subdivision Forsyth County Register of Deeds
Final Subdivision Plot Approval WAYNE T. S/MS Registered Land Surveyor, Number L-3_582
Division of Highways pp 1, WAYNE T. SIMS certify that this plat was drawn under my Plat Registration
Proposed Subdivision Road Construction This is to certify that this plot meets the recording requirements of the Unified supervision from an actual survey made under m supervision (description recorded in I certify to one is more survey
y (allowing as Indicated by on X, 9
q Y P ( P o. That this lot is of o surve the creates a subdivision o/ land within the area `
Standards Certificate Development Ordinance Subdivision Regulations for Winston-Salem/Forsyth County Deed Book 2835 , Page 3087 or Plot Book Page , if applicable); of a county or municipality that has an ordinance that regulates parcels of land; Filed for registration at 7,:0 `l o'clock M.
that the ratio of precision as calculated is 1:10,000+; that this plat was prepared in _ b. That this plat is of a survey that is located in such portion of a county or
I '�a�-� f_; r.C•ed Review Officer of Forsyth County, certify accordance with G.S. 47-30 as amended. Witness m original sr nature, registration municipality that is unregulated as to an ordinance that regulates parcels of land, �.,q,,�
Y9 9 This the Day of VI/I Vr(JCA" 2007
/•�� number and seal: C. That this plat is of a survey of er existing parcel the
parcels of land.,
Approved ��� / 2� that the map or plat to which this certiricotion is affixed meets all statutory requirements _ d. That this plat is of survey of another category, such as efi recombination of { -14
1 existing parcels, acourt-ordered survey or other exception to the definition of and recorded in Plat oak ,/ Page T
V"yn� for recording. �•
District Engineer - gA)� L-3582 o subdivision; q EA /daH
�' 4J/ - f/n Signature 1����� _ e. That the information best
able to this surveyor is such that / am contained
to make F7Ing Fee Paid. I Register of Deeds
Approved C /`�"�1 o determination to the best of my professional bility as to provisions contained
Director of P nning/Review Officer S rveyor Registration Number in a. through d. ove. ��
This th�ay of 2007 9 g : _
This the t l Da of 6 CT. 6 Ci 2007 Signature L-3582 y x
Y This the �Day of J'/�/ 2007 g surve Registration Number Assistant/G pu
Forsyth County, North Carolina Forsyth County, North Carolina Forsyth County, North Carolina y Forsyth County, North Carolina Forsyth County, No Carolina
VANCE RD.
cwao
'n �✓ G� XDeportment.
SION PLAT SIGNOFF
AREA SUMMARY (PRD) = OUNTY HEALTH DEPARTM APPROVAL z
THE HOMEOWNERS ASSOCIATION
LOTS: 6400% DOCUMENTS WITH COVENANTS AND __ SEAL = ots a evaluated in ace once with the w
COMMON AREA: 20_73% RESTRICTIONS ARE RECORDED IN DEED = a Ir3582 =E = rticle 11 Chapter 13 and Rules Ctf to Y
SUBDIV. STREET DEDICATED: 15_27% 3 6 of Title 1 sub pter 8A of the NC NTID
BOOK _____, PAGE _____. n .•d'w c Cf c
N TOTAL AREA: 100% 'a;�.yd $ trative Code by syth County Health o uto 8t4C
�i/?o. rrrrr""""'��s�xS�`CJ�Q� entissued Improve
each I tnt Pe its-ocifacninto, at,
c2 ial letters iz O� R0KM0pR
m I r LG+ 5�"\�lot c be obtained by con ting the UT. \t.
0'cy / I '�('W/ tt111111pp\\0� C y Health Department.SITEmental Health Specialist Date VICINITY MA o�
d FW- 307 \ 309 �y �oi I \ NOT TO score
a_ F ABINGTON � 4
W.'-Zvi I I SECTION EIGHT / \
.13' W W P.B. 34. Pg• 162 1 335
PA � i V) ABINGTON I � 0, l'� \
1 /2" / SECTION SIX (REVISED) Imo. 0E---
89' 42.80 l 67.36 EIP $85'55'O2"EIP2^ 1/2^ P.B. 33, Pg. 126 '�`(�II m ,� \
0.69 EIP EIP I V 2 1 N SJ 3.33' 25.98 44.71' 38.35 32.34' S7.56 1/2-
EIP 1741.52'(TOTAL NTS)
t 1/2" EIP 0.25' n l
70.69 )( SOUTH OF P/L u? w l w
13.73' 141.38' 75.00' N rl�
50.00' 70.47' S85'55'02"E
e _
r' I S95'44'09"E-� = 117.46' In: 3/4" �- I 2C
4^p m Q ^ _ �/L EASEMENT n to I J _ _ _ \ h; :EIP
g lino ai no O Q I 15' WATER ONE -'
g m pi n v 1 I� EASEMENT PER \
2,000 S.F.t 7 a of 3 I D.B. 2751, PG. ^
0.275 Ac.t fi' 12,000 S.F.t I 12,000 S.F.t 6 tO Ce 12,000 S.F.f I� 00 3571 ¢ S53.25- \
l,! 0.275 Ac.t I 0.275 Ac.t ' 12,000 S.F.t 5 m _ 0.275 Ac.t I r' I 0 33.20'
w
:ro W 0.275 Ac.t 12,000 S.F.t 4 m of 0 I V ,3
° ro 0.275 Ac.t W 12,000 S.F.t I 3 I o ^ io TABLE PROVIDED BY FORSYTH COUNTY TAX DEPARTMENT
12,000 S.F.t i uy
to P p o 0.275 Ao.t 0.275 Ac.t 1 141.38' _.N85'55'02"W I ` �I 48 ( P
.,z z z o o u1 I m �i 13,273 S.F.t ^ ` 0 TAX LOT 14B, BLOCK 5419
' z o 0 co io Iro ro a c rn 0.305 Ac.t � 49 '�J CAROLINA WATER SERVICE, INC.
z o 2 I -,�W 13,868 S.F.t c�v,
I z 12,000 S.F.t D.B. 1841. Pg.
70.69' - - - - - - v o I 'v $ I u 0.318 Ac.t ^ I ti TRACT TWO) 93
' 7D.69' - - - - - 10 UTILITY EASEMENT 0 D.275 AC. f I Y :}
S85'55' 70.69' 70.69 ` - ._ - - - `r `� o 0
� 02"E 70.69' 70.69'-----_--- z--- I z o I o
70.69' - - - '^, z , o
o �1 785.46'(TOTAL) 141.38_- - r r E �` x70' S.E. o
"-Ox70 S..0
SMOKERISE "
N85'55'02"W LANE
_ 90.00'
1' UTILITY - - -" - - - - 141_7fi - 7100. so' Pu9uc R/W C48 4SE
EASEMENT'' '- - - - . ,. W 360.41'
(TOTAL) 04g i 3j4^
s._ _'�3.06_ N85'55'02"W EIP
u1 ^ - - ` - 79.95' C50 S85^55'02"E 21
-+ �I 3 10 UTILITY EASEMENT - - - - - 757.40 �0 3�• '
3 10 23 Im o a u�il on 3 - 7p Wit- _ 3 1ox7o 19
22 12,479 S.F.t I z ,o w �.E cv. ti
2,000 S.F.t 0.286 Ac.t I u! I 28 r m J r� in C �h• �'L•
U) 12,272 S.F.t o o 'n �l 18 0"l' 6
7.275 Ac.d: o. Mp r , I\ 0.282 Ac.t 01 oo a 30 i / G'LO q o I un<N fqs M _:�` C17 N85'55'02"W
ENT, ;-
rn rn 12,000 Ac.± / �t u/ I 58.06 J 10'x70' S.
+ 121.74' [ [� 0.275 Ac.t rL V / / F - -
�N85'S5'02"W ( l`1 �a� 29 / G (v O I 3 ox70 SE. 3
1 7 "t1
u 103.77' 6 12,285 S.F.f Sit ,W ll� r°'1 I 35 fin' , ,`ro
fl� I� i w IN I S8TOS'09"E -- 0.282 Ac.t 18, O'1T52� I v '�I I 12.000 S.F.t ` "m1 / C' o o
24 ro �.) r�` o o� 116. I U '`I 0.275 Ac.t :1't7 +I / rr+ o
7i2 12,500 S.F.t \� `�. v vN / noi, 1 � n0, � : '�I t` u / C`t C I pl
'Oo 0287 Ac.t O / C; O i : M o ¢ l h
/
�r!ro ,.51 �\ 7 C50 / 12,5827S.F.t h(b \�c`,`T Gr1'1 Ss 94 'N o'y U rV I
2.39' tir, 3 ASR,i• 0.289 Ac.t _ ! a31 \ C22 / S4g0F CS
S85'
7N 15,057 S.F.t
0.346 Ac.t
c) /
in Gi
_ 25 CV o
v S
O � 16� 14,039 S.F.t rn 26 n�i .5"). Zr,)1 0 o S�S`87 'y C74
0.322 Ac.t �J 14,039 S.F.t ^ ,p A 2ASd8• ��ry •�
0.322 Ac.t 32
ro 14,009 S.F.t 34-.^
I:ro N 7Bj_ N ," 0$69 0.322 Ac.t ! 12,0033S.F.t \ 15,693 S.F.t ,r;�•y� N
w ifl poo r�X' 1
187.33' rn � �� �O 0.275 Ac.t
2404.44 T07 r. LU W ( AL)(NT$) 153.88' ,.'ryti rt
W - W
in in146.89'
�- N85'50'30"W 61.23'
� 166.34'
Note: This plat is subject to any TAX LOT 206, BLOCK 5419
Easements, Agreements, or LLOYD E. LYONS �'�;�'.
Rights -of -Way of record prior D.B. 1374, Pg. 1719 ,2$!.•�-�ti
to the date of this plat, which
was not visible at the time of 1/4
t�f� o, �J ".�":�
my inspection. THE UNDERSIGNED HEREBY ACKNOWLEDGE THAT I AM (WE ARE)L�S h�..- NOTES:
LEGEND THE OWNERS OF THE PROPERTY SHOWN AND DESCRIBED HEREON 1. TOTAL SITE AREA = 23.625 Ac.f (BY COMPUTER CALCULATION)
. EIP - Existing Iron Pipe R/W - Right -of -Way AND THAT I (WE) HEREBY ADOPT THIS PLAN AND SUBDIVISION 2. TOTAL AREA IN NEW PUBLIC R/W = 3.607 Ac.f
. NIP - New Iron Pipe PA - Property Line WITH MY (OUR) FREE CONSENT AND HEREBY DEDICATE 3. PRESENT ZONING: RS-20 (PRD)
. EPI - Existing Pin Iran CA - Centerline TO PUBLIC USE AS ROADS, STREETS, AND EASEMENTS FOREVER 4. ALL AREAS SHOWN HEREON ARE BY COMPUTER CALCULATION
. NPI - New Pin Iron WV - Water Valve ALL AREAS SO SHOWN OR INDICATED ON SAID PLAT. OWNER/DEVELOPER: 5. TOTAL NUMBER LOTS: 49
. CM - Concrete Monument WM - Water Meter CALMIT PROPERTIES 6. SUBJECT PROPERTY IS NOT LOCATED WITHIN A PUBLIC WATERSHED
. EIR - Existing Iron Rod GV - Gas Valve
. RCP - Reinforced Conc. Pie . CD - Catch Basin 935 E. MOUNTAIN ST., SUITE H 7. A PORTION OF THE SUBJECT PROPERTY IS IN A SPECIAL FLOOD HAZARD AREA AS
. CMP - Corrugated Metal Pepe GI - Grate Inlet /�/ KERNERSVILLE, NC 27284 DETERMINED BY U.S. DEPT. OF HOUSING AND URBAN DEVELOPMENT AND SHOWN ON
. FH - Fire Hydrant YI - Yard Inlet ----- - UP - Utility Pole CO - Clean Out PHONE: [phone] FEMA FLOOD INSURANCE RATE MAP PANEL NUMBER 37067C0186 H,
. L/P - Light Pole OH - Overhang CONTACT: LARRY CALLAHAN EFFECTIVE DATE:OCTOBER 20, 1998.
. TP - Telephone Pole EP - Edge of Pavement --_------_ ----------------------- 8. ALL DISTANCES SHOWN HEREON ARE HORIZONTAL
. MH - Man Hole FC - Face of curb GROUND DISTANCES.
. NTS - Not to Scale S.E. - Sight Easement OWNERS SIGNATURE 9. IRON PIPE AT ALL PROPERTY CORNERS, UNLESS OTHERWISE NOTED HEREON.
. PP - Power Pole G- - Buried Gas
. UST - Underground Storage Tank -BE- - Burled Electric �� % 10. SUBJECT PROPERTY WILL BE SERVICED BY PUBLIC WATER.
. -p- - Overhead Power . -BT- - Buried Telephone DATE:,' 11. SEE SHEET 1 OF 3 FOR LINE AND CURVE TABLES
BILK
LOT
MLOT
PIN
STNUM
STNAME
STTYPE
5419L
001
1
6877-69-4057.00
1815
CHIPCHASE
RD
5419L
002
2
6877-69-4051.00
1821
CHIPCHASE
RD
7094
SMOKERISE
LN
5419L
003
3
6877-69-3044.00
7074
SMOKERISE
LN
5419L
004
4
6877-69-2084.00
7064
SMOKERISE
LN
5419L
005
5
6877-69-2014.00
7054
SMOKERISE
LN
5419L
006
6
6877-69-1044.00
7044
SMOKERISE
IN
5419L
007
7
6877-69-0064.00
7034
SMOKERISE
LN
5419L
DOB
8
6877-69-0004.00
7024
SMOKERISE
LN
5419L
023
23
6877-68-0845.00
7035
SMOKERISE
LN
1890
MOULTRIE
CT
5419L
024
24
6877-68-0729.00
1880
1 MOULTRIE
CT
5419L
025
25
6877-68-0677.00
1870
MOULTRIE
CT
5419L
026
26
6877-68-1687.00
1875
MOULTRIE
CT
5419L
027
27
6877-68-2744.00
1885
MOULTRIE
CT
5419L
028
28
6877-68-2834.00
1895
MOULTRIE
CT
7055
SMOKERISE
LN
5419L
029
29
6877-68-3822.00
7075
SMOKERISE
LN
5419L
030
30
6877-68-4835.00
7095
SMOKERISE
UN
1827
CHIPCHASE
RD
5419L
031
31
6877-68-3795.00
1833
CHIPCHASE
RD
5419L
032
32
6877-68-4647.00
1839
CHIPCHASE
RD
5419L
033
1 33
6877-68-5637.00
1836
CHIPCHASE
RD
5419L
034
1 34
6877-68-6720.00
1830
CHIPCHASE
RD
5419L
035
1 35
6877-68-6832.00
1824
CHIPCHASE
RD
#05081
FINAL PLAT FOR
BREYERTON
(SHEET 2 of 3)
BEING A DIVISION OF TAX LOT 14C
TAX BLOCK 5419
KERNERSVILLE TOWNSHIP,
FORSYTH COUNTY, N.C.
DATE: MAY 16, 2007 SCALE: 1"= 60'
Graphic Scale
0 30 60 120 180
OOM
PREPARED BY
TRIAD LAND SURVEYING, P.C.
935 EAST MOUNTAIN STREET, SUITE H
KERNERSVILLE, N.C. 27284
TEL: [phone]
FAX: [phone]
Book 53 Page 74

North Carolina Department of Transportation Planning Department/Review Officer Surveyor Certification for Closure Surveyor Certification for Subdivision Forsyth County Register of Deeds
Division of Highways Final Subdivision Plat Approval J. WAYNE T. SIMS Registered Land Surveyor, Number 1-3582
PP 1, WAYNE T. SIMS certify that this plat was drawn under my certify to one or more of the following as indicated by an X; Plat Registration
Proposed Subdivision Road Construction This is to certify that this plat meets the recording requirements of the Unified supervision from an actual survey made under my supervision (description recorded in Z a. mat this plat is of a survey that creates a subdivision of land within the area 11,,G
Standards Certificate Development Ordinance Subdivision Regulations for Winston-Salem/Forsyth County Deed Book 2635 , Page J087 or Plat Book Page , if applicable); of a county or municipality that has on ordinance that regulates parcels of land; Filed for registration at 71: V J o'clock P M.
that the ratio of precision as calculated is 1:10,000+; that this plat was prepared in _ b. That this plat is of a survey that is located in such portion of a county or ��1T
Review Officer of Forsyth County, certify accordance with G.S. 47-30 as amended. Witness my original signature, registration municipality that is unregulated as to an ordinance that regulates parcels of land., This the Do of t/(j�TJ j' 2007
Approved / I. that the map or plat to which this cerfiRcalion is affixed meets all statutory requirements number and seal:- C. That this plat is of a survey of an existing parcel or parcels of land;
y
_ grz_ 777/ Re d. That this plot is of a survey of another category, such as the recombination of ` 2
for recording. existing parcels, o court -ordered survey or other exception to the definition of and recorded in Plat Book -J✓ Page District Engineer n a subdivision; 9
g Approved QU !�/'� � Signature ��' L-.3582 _ e. That the information available to this surveyor is such that / am unable to make QKn Or• Oh
PP 9 �'IAtD Y Filing Fee Paid: 2J-Diekiefie�l'e ,
Director of Planning/Review Review Officer a determination to the best of my professional ability as to previsions contained 9 /1 Register of Deeds
This the p�7Day of , 2007 9/ urveyor Registration Number in o. through d. bove. /d.. n Q, • r, I / (]
This the ! ff Day of OGf.%er 2007 /(y mt4y g Q.g,�(Z '1 BY., t '1�•(,C,9dssisto'�/�
This the Day of 2007 Si nature � L-3582
Forsyth County, North Carolina Survey r Registration Number Assistant/L� p�
Forsyth County, North Carolina Forsyth County, North Carolina Forsyth County, North Carolina Forsyth County, NDRI/ Carolina
NOTES: p\\ /rf///7 VANCE RD.
1. TOTAL SITE AREA = 23.625 Ac.t BY COMPUTER CALCULATION \�� �1' b BDIVISION PLAT SIGNOFF
1 AREA SUMMARY (PRO ( ) �� �'tx Ol ///
1 2. TOTAL AREA IN NEW PUBLIC R W = 3.607 Ac.f� .``ggSSlOr',�/��� FORS OUNTY HEALTH DEPARTMENT ROVAL C3
LOTS: 6400% /
\ \ COMMON AREA: 2073% 3. PRESENT ZONING: RS-20 (PRO) g oQ9 "f''�'= w These lots a evaluated in accord a with the Of
1 SUBDIV. STREET DEDICATED: 1% 4. ALL AREAS SHOWN HEREON ARE BY COMPUTER CALCULATION NCGS Article 1 Chapter 130A d Rules z
1. TOTAL AREA: L% 5. TOTAL NUMBER LOTS: 49 = = SEAL = = 1901-196 of Title subch er SA of the NC w
i ABINGTON 6. SUBJECT PROPERTY IS NOT LOCATED WITHIN A PUBLIC WATERSHED = '_ L-3582 = r'M Administrative Code by h County Health cL r„ Y
1 551 SECTION 14 7. A PORTION OF THE SUBJECT PROPERTY IS IN A SPECIAL FLOOD HAZARD AREA AS a :r• Q•� "�I ai Department Improveme P its or denial letters 1„ FNR/DG Q
1 `� P.B. 39. Pg. 70 DETERMINED BY U.S. DEPT. OF HOUSING AND URBAN DEVELOPMENT AND SHOWN ON %,�'1'd �� /� a have been issued f each lot. ecific information a Cr e �o B(,qC THE HOMEOWNERS ASSOCIATION FEMA FLOOD INSURANCE RATE MAP PANEL NUMBER 37067CO186 H, %'fO `�` ``I a k
\\ RESTRICTIONS DOCUMENTS ITH COVENANTS AREBOOK RECORDED INDEEDg. ALL EFFECTIVE
DISTANCES•�HOWtJ HECTOBER RON ARE HORIZONTAL 'x� .�trrrf1""C�1\\\s��\\ t~� Forsyth Cou ca Health Department.
Depardtmento cting the n RD.'UOOR
GROUND DISTANCES, llllllllllI01%\\ '�I _ _ Z c
9. IRON PIPE AT ALL PROPERTY CORNERS, UNLESS OTHERWISE NOTED HEREON. I W D Ironmental Health Specialist Date SITE oy�
10. SUBJECT PROPERTY WILL BE SERVICED BY PUBLIC WATER. I I `, a / / r'•f-yF�
�I o
11. SEE SHEET 1 OF 3 FOR LINE AND CURVE TABLES I I r e, VICINITY MAP P
'1 3/4. / 3/4" ABINGTON r V
j� EIP SECTION EIGHT 303\ / 3D1 NOT To u \ EIP / 192.8_ ' S85'S5'02"E-� P.B. 34. Pg. 162
\ / I I m
5/ 307
\ 1" EIP 31
I I
.90I 301 30\
0.15SOUTH l
i 1741.52' TOTAL NTS OF PA 3 4" ABINGTON
1 3(4" EIP 0. 38' ) / 1/2" EIP 2.30' Lu I`? W I I SECTION EIGHT
'� _ _ NORTH OF P L / P.B. 34, P 162
N ` ( / / SOUTH OF PA _ 175.71' _ _ _ 49.73 EIP I NORTH IO FP/L a: :C 9` m O \ / ! 1_1 12.5' PRIVATE DRAINAGE EASEMENT -I 56.32 �� V) 1/2'
tiN 1\i 11 11' I i 0 12 �0 �I 0.263 i 85.05 27.89' 42.80 67.36 EIP 1/2'
p ^ 12.368 S.F.t 0 rob ' ( 70.69 EIP
0.284 Ac.t I0 p -yam- C' I J i I 3.33' 25.98' 44.71' 38.3E
M�
Z I� ^I 11 * 0 i
Oj •• j APPROXIMATE LOCATION OF 100 YEAR FLOOD I J� OD 0
a L��1 i I '` \ LINE AS SCALED FROM F.E.M.A. FLOOD \\ .�- 177.68, N I 1 .276 Ac.± la I t(0
INSURANCE RATE MAP f/37067CO186 HN8555'O2"y.J °.276 AC.f ro
of Q 1. ` \ \.. EFFECTIVE DATE: OCTOBER 20, 1998. \
a- \ .•� \ \ W I ^ t
zo
a\ \ \ \ �uMi o 13 C' 9 : i� m o^i
\ \ \ o I S85'55'02"E-- 12,000 S.F.t !) 8 7 O on
\ Us \ \ \ \ v ^ 12.392 S.F.t W. 1 141.58' 12.000 S.F.t •-
\ '\ 0 0.284 Ac.t 11 12.000 S.F.t
1 v 0.275 Ac.t 1 6
\� Ao' I '` \ \ z / (a I w 0.275 Ac.t W 0.275 Ac.t ' 12,000 S.F.t
_C W 0.275 Ac.f
12,C
174.73' N85'55 0 / ao v . ,o yo w co Ld
0.2
i 1 A \m 2"W 12,292 S.F.t 't o !!0 o P !n
i \ 96. o\ ..¢per a0 \ �/ 0 0.282 Ac.t 00 o 1;z o o
14
III Nt�oo N Ii ji \\F.�rc'-,p�„\�\y\��T•f-9s. \ \\+ \\ \ 90�'.ri\,A���\Po`Z�y"�\ �N ^ I I1 U�nF ---_-
iIl\�
taJ
------ z0
12.000 S.F.t 149.5 -
ff 0.275 Ac.t
1 70.69, 10- TILTY EASEMENT
70.69' 70.69 85'55'02"E 70.69'Sa9t 170.1a'-N8555'02"W
z<-F 7C
1SMOKERISELANEPUBLIC R/W
.N !\ \ e9Y2�2� \\ oo �\ N I 375.21'(TOTAL)-iljan
0\ \ •i- oers \ 0 15 v; _ _ _74_3.45'_ _ .N85'S5'
o�r0 '� \•.\ �c� \ �. 12,000 S.F.t I r a _ _ 90.00• 02W
n 92�G S.
COMMON o 0.275 Ac.t N uII
0 \ of 10' 5LITI' EASEMENT % 1 - - - 1. - - �70-
1 141.76 � :
OPEN SPACE z \ I �y 'I I uT - - 1 !'T 3 10'x�o'
N A /Cal \ I co ar242,502 S.F.t 21 0 L0
5.567 Ac.f \74.7- o o nt ro
0.310 Ac.t 23 0I55502W ,..
--
0 22 �. , 12.479 S.F.t I Z 10 1
N J \ 16 0-\ 0 12,000 S.F.t ur / 0.286 Ac.t
\ \ - \\ 12,000 S.F.t cv 0.275 Ac.t o'! r 1
APPROXIMATE LOCATION OF 100 YEAR FLOOD \ �•\ 0.275 AC.t
LINE AS SCALED FROM F.E.M.A. FLOOD \ \ \ �, ! p1..,.� S85'55'02"E rn ; / 'S C
INSURANCE RATE MAP //37067CO186 H. ` l J
EFFECTIVE DATE: OCTOBER 20, 1998. \ \ \ 121.64' S I 121.74'-N85*55'02"W 0i�
\ \ \ \ 17 .44' _-N85'55'02..W s2
NO
24 r0� o c,
20
.Z N• �- I \ n \ 72 I 12,500 S.F.t V v /
13.033 S.F.t p
I \
O 0.287 Ac.t
tL j 0.299 Ac.t C`jl /
12,000 S.F.t \ 1oM10 \ C0
3
/ S85'S0'30"E Nry�
CONTROL 0.275 Ac.t \ \I 172.39'
S
R
CORNER / l /r / Zo
/ 3/4" / m J i LA
EIP / J 1 0 I �. ,� 1a 25 N F
_ t I 0 19 0l+n �60 14,039 S.F.t 26
�' / 486.00, a -/- u ^'
/ / J 25' PRIVATE ACCESS EASEMENT -I 14,508 S.F.t r-i` ! 0.322 Ar
r / 2404,44'(TOTAL)(NTS) I ry TO COMMON AREA I I 0.333 Ac.t N'
165.27' so.00'0#i`D 5081
N85 5o•30"W 155.75' Tn FINAL PLAT FOR
n
Note: This plat is subject to any I \` I �3 „� `. TABLE PROVIDED BY FORSYTH COUNTY TAX DEPARTMENT M`N l7REYERTON
Easements, Agreements, or ` �'� 4q %fill/// I :1I
Rights -of -Way of record
prior
to the date of this plat,
which
was not visible at the time of
\
my inspection.
.1
I
1
THE UNDERSIGNED HEREBY ACKNOWLEDGE THAT I AM (WE ARE)
LEGEND
THE OWNERS OF THE PROPERTY SHOWN AND DESCRIBED HEREON
. EIP - Existing Iron Pipe
. R/W - Right -of -Way
AND THAT I (WE) HEREBY ADOPT THIS PLAN AND SUBDIVISION
NIP - New Iron Pipe
PA - Property Line
WITH MY (OUR) FREE CONSENT AND HEREBY DEDICATE
EPI - Existing Pin Iron
. NPI - New Pin Iron
C/L - Centerline
WV - Water Valve
TO PUBLIC USE AS ROADS, STREETS, AND EASEMENTS FOREVER
. CM - Concrete Monument
Will - Water Meter
ALL AREAS SO SHOWN OR INDICATED ON SAI➢ PLAT.
EIR - Existing Iron Rod
GV - Gas Valve
RCP - Reinforced Cone. Pipe
. CMP - Corrugated Metal Plpe
CB - Catch Basin
GI - Grate Inlet
FH - Fire Hydrant
YI - Yard Inlet
- --- - -------
UP - Utility Pole
CO - Clean Out
. L/P - Light Pole
. ON - Overhang
. TP - Telephone Pale
EP - Edge of Pavement
----------------------------------------
. MH - Man Hole
FC - Face of Curb
. NTS - Not to Scale
S.E. - Sight Easement
OWNERS SIGNATURE
. PP -Power Pole
. UST -Underground Storage Tank
-G - Burled Gas
Electric
-BE- - BuriedElectric
. -P- -Overhead Power
-BT- -Buriedd Telephone
DATE; - -----
TAX LOT 206, BLOCK 5419
LLOYD E. LYONS
D.B. 1374, Pg. 1719
OWNER/DEVELOPER:
CALMIT PROPERTIES
935 E. MOUNTAIN ST., SUITE H
KERNERSVILLE, NC 27284
PHONE: [phone]
CONTACT: LARRY CALLAHAN
BILK
LOT
MLOT
PIN
STNUM
STNAME
STTYPE
5419L
OOOA
A
6877-58-3827.00
5419L
009
9
6877-59-9024.00
7014
SMOKERISE
LN
5419L
010
10
6877-59-8021.00
7004
SMOKERISE
LN
1779
GLEN RIDGE
DR
5419L
011
11
6877-59-8028.00
1783
GLEN RIDGE
DR
5419L
012
12
6877-59-6009.00
1786
GLEN RIDGE
DR
5419L
013
13
6877-59-6002.00
1780
GLEN RIDGE
DR
5419L
014
14
6877-58-6905.00
1774
GLEN RIDGE
DR
5419L
015
15
6877-58-6808.00
1768
GLEN RIDGE
DR
5419L
016
16
6877-58-6821.00
1762
GLEN RIDGE
DR
5419L
017
17
6877-58-6744.00
1756
GLEN RIDGE
DR
5419L
019
19
6877-58-8698.00
1751
GLEN RIDGE
DR
5419L
020
20
6877-58-8766.00
1757
GLEN RIDGE
DR
5419L
021
21
6877-58-8824.00
1765
GLEN RIDGE
DR
7005
SMOKERISE
LN
5419L
022
22
6877-58-9833.00
7015
SMOKRISE
LN
w ]w (SHEET 3 of 3)
1� BEING A DIVISION OF TAX LOT 14C
TAX BLOCK 5419
KERNERSVILLE TOWNSHIP,
FORSYTH COUNTY, N.C.
DATE: MAY 16, 2007 SCALE: 1"= 60'
Graphic Scale
0 30 60 120 180
Ell
PREPARED BY
TRIAD LAND SURVEYING, P.C.
935 EAST MOUNTAIN STREET, SUITE H
KERNERSVILLE, N.C. 27284
TEL: [phone]
FAX: [phone]
Book 53 Page 75