737 Crescent Drf
Davie County, NC Tax Parcel Report e 1i� Tuesday, September 27, 2016
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141
Davie County, NCImplied
WARNING: THIS IS NOTA SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcel Number:
J10000002905
Township:
Calahaln
NCPIN Number:
4797797561
Municipality:
Account Number:
8302457
Census Tract:
37059-801
Listed Owner 1:
US BANK NATIONAL ASSO
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
4801 FREDERICA STREET
Planning Jurisdiction:
Davie County
City:
OWENSBORO
Zoning Class:
DAVIE COUNTY R -A
State:
KY
Zoning Overlay:
Zip Code:
42301
Voluntary Ag. District:
No
Legal Description:
7.155 AC RIDGE RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
5.99
Elementary School Zone:
COOLEEMEE
Deed Date:
5/2016
Middle School Zone:
SOUTH DAVIE
Deed Book/Page:
010170570
Soil Types:
PcC2,CeB2
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
63360.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
52780.00
Total Market Value:
116140.00
Total Assessed Value:
116140.00
141
Davie County, NCImplied
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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 or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
�• Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990003228 Tax PIN/EH #: 4797-79-7561
Billed To: Bob's Home Place Subdivision Info: 1737 d t,&se nl/ v12.
Reference Name: Location/Address: Cresent Drive -27028
Pro osed Facility Residence Property Size: 7.155 acres
ATC Number: 3775
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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: /( Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completio ha\\aantee
e system described on Improvement/Operation Permit
has been installed in compliance with Article 11 er 130A, Section .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAY be taken that the system will function satisfactorily for any
given period of time.
Septic System Installed By: p
Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
Z. — 13- dY
1
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #:
990003228
Billed To:
Bob's Home Place
Reference Name:
Proposed Facility
Residence
Tax PIN/EH #: 4797-79-7561
Subdivision Info:
Location/Address: Cresent Drive -27028
Property Size: 7.155 acres
Coe,
ATC Number: 3775
**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 /%L I7 #People #Bedrooms #Baths
Dishwasher Garbage Disposal: ❑ Washing Machin Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industri13Jal Waste:
Lot Size Type Water Supply Design Wastewater Flow (GPD) � Site: New, Repair ❑
System Specifications: Tank Size✓ GAL. Pump Tank
Other:
Required Site Modifications/Conditions:
GAL. Trench Width --�-7�Rock Depth � Linear FU?�U
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contar resentative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or I:Op p.rk t 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
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Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
I� SAY 1 22004
ENVIRONMENTAL
ON FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ArNo
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Properly Dimensions: -7- / -.5-C
Tax Office PIN: # y -7 9 % -:2 9 - -7 5 (r?
Property Address: Road Name.ae—sco /,*D,,
City/Zip
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
r y0 L3. +0 EX 4- RD;) (Hw�toy� fni
f iGhA cif Q Xl Qn 1 toi4e 4o `-.d(1 F d.
1J I
PX- Z.!(p ZJ• J Cre.Scer\4 dr-
Date
r
Date home corners flagged: 51/a16q
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. 1, also, understand that I am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the avie County Health Department,
to enter upon above described property located in Davie County and owned by'JCQe 4-1(UCW h1Q,IC.i
to conduct all testing procedures as necessary to determine the site suitability. T�-�
DATE Io1�t �Li SIGNATURE ��(%� u kl.l'
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).
N
Sign given
Revised DCHD (05/03
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No.
Invoice No.
* S APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1.
Name to be Billed Qo S Q9
Contact Person lh �elf e)
Mailing Address 1% 0 _ ) CL{{5 HA LJgl
6I Home Phone
City/State/ZIP y()P-t�i� 1 1 LC t4C
Business Phone
Name on Permit/ATC if Diifferent thanAbove
Mailing Address I I.7 I �� I`C,
City/State/Zip �1 ACI); I le �, o�
3.
Application For->6Site Evaluation
❑ Improvement Permit/ATC ❑ Both
4.
System to Service: ❑ House Mobile
Home ❑ Business ❑ Industry ❑ Other
5.
Type system requested: Conventional
❑ conventional modified ❑ innovative
6.
If Residence: # People
# Bedrooms_ # Bathrooms 0—
❑Dishwasher ❑Garbage Disposal bl�rashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7.
If Business/Industry /Other: verify type
# People # Sinks
# Commodes # Showers
# Urinals # Water Coolers
IF FOODSERVICE: # Seats
Estimated Water Usage (gallons per day)
8.
Type, of water supply: ❑ County/City
Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ArNo
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Properly Dimensions: -7- / -.5-C
Tax Office PIN: # y -7 9 % -:2 9 - -7 5 (r?
Property Address: Road Name.ae—sco /,*D,,
City/Zip
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
r y0 L3. +0 EX 4- RD;) (Hw�toy� fni
f iGhA cif Q Xl Qn 1 toi4e 4o `-.d(1 F d.
1J I
PX- Z.!(p ZJ• J Cre.Scer\4 dr-
Date
r
Date home corners flagged: 51/a16q
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. 1, also, understand that I am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the avie County Health Department,
to enter upon above described property located in Davie County and owned by'JCQe 4-1(UCW h1Q,IC.i
to conduct all testing procedures as necessary to determine the site suitability. T�-�
DATE Io1�t �Li SIGNATURE ��(%� u kl.l'
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).
N
Sign given
Revised DCHD (05/03
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No.
Invoice No.
GROUP
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os.� h RE 7.155 AC.
A �2 (INCLUDE 157 & 1159 R/w) "�
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MOBILE HOME [XI STINZ y 72.13 52.82
IRON PI'S � S 44.50'30' E - ej
S 02'44'58' V 87.01
pR.vE 5610
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;.I.P 6�R� BENT R/R SPIKE
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g P MARY A. CAM
\ ExISTiNG / o b" / D.B. 202 PG.
r t IRO•`. PIN S 82-36'46' E�>. N rn
i � 389.46
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1 I *Oi;Btl R; Gr. ` CXISTING
i w]BIt E r+uME / IRON PIN
MICHAEL B. STEWART
D.B. 169 PG. 532 F°
AC. ; D.B. 320 PG. 417
MARK N. THORNE
tw) f l
D.B. 59 PG. 381
CD, a D.B. 45 PG. 194
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APPLICANT INFORMATION
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
Account #: 990003228
Billed To: Bob's Home Place
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By:
PROPERTY INFORMATION
Tax PIN/EH #: 4797-79-7561
Subdivision Info:
Location/Address: Cresent Drive -27028 /
Property Size: 7.155 acres Date Evaluated:G�—
J
On -Site Well Community.
AugerBoring Pit -
Public
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope %
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:
G -
LONG -TERM ACCEPTANCE RATE:
EVALUATION BY: ,z 2�
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)
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