152 Dare Ln Davie County, NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E60000005306 Township: Farmington
NCPIN Number: 5851781653 Municipality:
Account Number: 5070000 Census Tract: 37059-802
Listed Owner 1: BARNHARDT STEVE LEWIS Voting Precinct: SMITH GROVE
Mailing Address 1: 152 DARE LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-6789 Voluntary Ag.District: No
Legal Description: 9.24 AC RAINBOW RD Fire Response District: SMITH GROVE
Assessed Acreage: 9.17 Elementary School Zone: PINEBROOK
Deed Date: 11/1993 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001710234 Soil Types: SeB,EnB,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 332690.00 Outbuilding&Extra 38300.00
Freatures Value:
Land Value: 78470.00 Total Market Value: 449460.00
Total Assessed Value: 449460.00
161 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
Permittee DAVIE COUNTY HEALTH DEPARTMENT >{I
Name: 60 V,11 n + GI's Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property: I t f U Mocksville,NC 27028 Subdivision Name:
all
// ,,/� Phone#:336-751-8760
17l.`e. Gia ! G Section: Lot:
AUTHORIZATION FOR
l G H WASTEWATER Tax Office PIN:# ! i—l- � _ Ile 3-:3
SYSTEM CONSTRUCTION /S_Z
AUTHORIZATION NO: 002777 A Road Name:d� �"°1 Zip: 17vpG
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
*NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
EN t{ONMENTALffEALTff-SPFCIAI IST "DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE ouS#BEDROOMS 1 #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
by / r
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3U ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
� tf r ell _
- � � of t#7 ti
00 r� a� ell,
RO°� NTS
bp
Lam- C, f✓!S
X � J
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U
a rew d Q
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: 44 r or
l CIA
'w
Q
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 1 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.
DCHD ozoz(Revised) !t?�� l%��0 �' :7;E VO;0 P '� .
- = - J,C- I i _ �. r+" t _ .�.w "1,mss., ,. ;, '`•1 ., ..Y>.� • -t :'.
Al
PerRu :•��,, 'DAVIE COUNTY HEALTH DEPARTMENT i
' `F'y 0 c.r 'Environmental Health SecgoGn��'�� � PROPERTY INFORMATION
Name < 1� c' �'� _
- P.O. Box 848
Directions to property:' ( ���� Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
f r,i . �, ..- ,G/t, �.,�. G�• yG Section: Lot:
s AUTHORIZATION FOR
WASTEWATER °
SYSTEM CONSTRUCTION
�' Tax Office PIN:# 5a
1��`
AUTHORIZATION NO: 002777 A Road Name: �`'" � Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance-with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
sc �
-V*NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
--1.I$VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST ATE ISSUED "
RESIDENTIAL SPECIFICATION:BUILDING TYPE `'"S#BEDROOMS #BATHS #OCCUPA GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE _ #PEOPLE #PEOPLE/SH� I_F r #SLATS ' INDUSTRIAL.WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPQ)~ NEWS REPAIR Sri'$/ t,-
SYSTEM
,SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK _GAL. TRENCH WIDTH 31— ROCK DEPTH \LINEAR FT,//
OTHER J
REQUIRED SITE MODIFICATIONS/CONDITIONS: CIA
24 If C
�
IMPROVEMENT PERMIT LAYOUT
(. + R
u , �f � 1� '�•
rJ Cj U --
IVA
r�C,` � ��•`r-. • �(G l. is_r
i
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:
pe
d
1 r� 1 �• n'���y f
1
l O�.
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: e.-
"THE ISSUANCE OF THIS OPERATION PERMrr SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE l l OF G.S.CHAPTER 130X,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BETAKEN ASA '
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF.TIME.
DCHD 02102(Revised) �frl l Z O1&
bAC
IE COUNTY HEALTH DEPARTMENT Uld wcs
Environmental Health Section 14 V i C. !-�h
PO Box 848/210 Hospital Street
Y. Mocksville,NC 27028
67
Phone: (336)751-8760 l
` - ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT❑ REMODELINGLe! RECONNECTION ❑
Name: e Vt'- sc, r n 1c,r J4 Phone Number:3 -<�c��' 9�o (Home)
Mailing Address: /E . cjtx(c' ` cs h C� ��( "� 5 V25, (Work)
Detailed Directions To Site: iJ Le- G« � ��� h ' ., L C'�"/ C�
R1 T
1,g_
Property Address
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: S-L v e- i-7 n rA t w(44 'l7— R�C:(� _ Type Of Dwelling: Z;i+s -
Date System Installed(Month/Day/Year): t y Number Of Bedrooms: Number Of People--
Is The Dwelling Currently Vacant? Yes❑ No X If Yes,For How Long?
Any Known Problems?Yes❑ No�< If Yes,Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: �`"' Number Of People:
Requested B Date Requested: il��
(Signature)
For Environmental Health Office Use Only
Approved ErlDisapproved ❑
Comments:
75-%-t, -P
Environmental Health Specialist ,!i% -. Date
'"The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a
guarantee(extended or limited)#iat the on-site wastewaters system will function properly for any given period of time.
Payment Cash❑ Check Money Order❑ # �f A72Alf-
.
$ Date: Q
Paid By: Received By: ,Q r
Account #: Invoice #:46717
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 990002868 Tax PIN/EH#: 5851-78-1653
Billed To: Steve Barnhardt Subdivision Info:
Reference Name: Location/Address: Rainbow Road-27006
Proposed Facility: Residence Property Size: see map
ATC Number: 3535
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 ,BARS.
Environmental Health Specialist's Signature: 7�;Zleezl Date: C(�
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
given period of time.
L
IS
i
. �t9
2-D
Septic System Installed By: (Lq+JSP v
Environmental Health Specialist's Signature: Date:
DCHD 05/99(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boz 848/210 Hospital Street / LI
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT Q�
Account #: 990002868 Tax PIN/EH#: 5851-78-1653 V"
Billed To: Steve Barnhardt Subdivision Info:
Reference Name: Location/Address: Rainbow Road-27006 n1�
Proposed Facility: Residence Property Size: see map
ATC Number: 3535
**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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
Dishwasher:�Garbage Disposal: ElWashing Machine,-oO"-- Basement w/Plumbing: 13Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow(GPD) Site: New❑ Repair❑
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width Rock Depth Linear Ft. evp
Other: �(,G�/t�Cl/ii 11,011 e — �' `�S- 16,
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPVee
FF T FILTER RISER(S)IF 6"BELOW
FINISHED GRADE. ****NOTICE: Contact a representativee un Health Department for final inspection of this
system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m. o i st lation. Telephone#is(336)751-8760.****
y�
Environmental Health Specialist's Signature: Date:
DCHD 05/99(Revised)
PP N FOR SITE EVALUATION/IMPROVEAIFAT PERM
200 ' Davie County Health Department
Environmenta/Hea/th Section �U�
.0. Box 848/210 Hospital Street 3 1
pAVIECOUNTY
QMROh" OUNTY LtH Mocksville, NC 27028
(336)751-8760 ; FNV►RONMIMAC
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL ED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN forinstructions. J� 1
1. Name to be Billed e-Ve 8Q rC,r fi, Contact Person,IC//_v-p,- d r
t/ f/Mailing Address T C'� 11 l !� Home Phone 3 3 /EZ
N 1
City/State/ZIP I ` h l C Business Phone S'I`w 33
�2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
«3- Application For: n Site Evaluation ❑ Improvement Permit/ATC ❑ Both
`4. system to service: E House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
L_,5. Type system requested: 6Q Conventional ❑ conventional modified ❑ innovative
,6. If Residence: # People _ # Bedrooms # Bathrooms _
Wl ,.hwasher ❑Garbage Disposal M ashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type # People 11 Sinks
It Commodes # Showers # Urinals If Water Coolers
IF FOODSERVICE: #�Seeaats Estimated Water Usage (gallons per day)
N
�8. Type of water supply: l County/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes
c�
If yes,what type?
***IMPOCOAiPLETETHE REQUIRED PROPER•1'Y INFORMATION IREQUES'I'ED
BELOW. Either a PLAT or SITE PLA LUST BESUBAIITTED by the client with'1'111S APPLICATION.
Property Dimensions: / �-TE DIRECTIONS(from Alocksville)to PROPERTY:
Tax Office PIN: #5251 — 715 - 1( 53 Tctk(-- Mwy /58 Ad✓nn CQ. -ic,
__--Property Address: Road Name pca i h�o uI oh+ Ac;,n boy,) Ad. T1114-d cj�r�
le-f+ he-1vieen -9e o?�
City/Zip VA.h Ove /'oa �n l
If in a Subdivision provide information,as follows: Qn j r �o rlcs o n 10--P4. P/bP(-r l y
Name: s a v�" i It �C b .7tAp,
(:.orncis etre Mnr4e ,n 6�"flnJC'
Section: Block: Lot: ate home corners flagged: // -7-2G- Zoo 3
lfawr,yroNgl, lyi�G,v�ccL,wi�� Carahyc ♦'u.�„
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 ant responsible jar all charges incurred ft•unt
this application. I,hereby,give consent to the Authorized Representative of the Da is County Icalth eparit 1 u(
to enter upon above described property located in Davie County and owned by eve
to conduct all testing procedures as necessary to determine the site suita 'lily.
DATE :7 7 —ZO 6 3 r--�IGNATURE _
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed
property lines and dimensions, struct V,,setbacks, and septic locations).
t Site Revisit Charge
n}�A� Datc(s):
6H N.
Client Notification Date:
/V� Vol(- L EBS•
05
h F
Sign given Account No. c� b
�/
Revised DCHD(05/03 P�.} u°���- `0� � Invoice No, c�
aT[-A Ch � +
0
3 -
0
I
IVAN D. ADAMS
IDB. 137 PG. 267
•� wtld
S 67.43.19" E - •b
C,l 973.06 N 88.13' 8" W
(y O 90 428.63 wa� N BILLY F. WES
DB. 58 PG. 17;
$ .AREA 92241 ACRE$ 6
co alp
tea'''
�m�m h° w ARNOLD D. SMIT
6 s? 4 3 g5 a N I DB. 78 PG. 105
33
LLIAM J. HARTLEY O a 95p6e 6 •a n N 86.835'OP E
DB. 103 PG. 840
•i --. r w•se•w
bb GQ4• u aa�aaaa�
d 69.46'OI" E `
o ,t11•P ap R r 916.36
o .b. ao eiLe i.0• --—•
8JOANN C. CO
DB. 117 PG. 7,
`O d,0,` uN 363J4375.86
P�•lea"� °--5 89.43'36" W 0
y gyp,0� iaE> 5 89.45'39' W 6
4 yy W J
6 0 F
'•1'sJ.2ia Jg .�'4 0 '�
,o
aip 33•*2•TOTq� �°' o ti S 69.18'26" E
h .p o v- 142.66
'9�J5 •ip �tJ O „
.1p5 66.48'IS" X30 E– H
�.
347)3 .1pA� 330.23 TOTAL •a. p .1
O ��N 62.13.18" W °o tl•m
2s.o9
_
504)4
IO `4)
Orip
AREA•5.331 ACRES � ryi
J V, ryP CCy AREA•5.503 ACRES
f W 607.73 TOTAL ;
J
m� .1pap N 66.56'29"W P v o
- a 580.04 27.69 622.34 TOTAL 0�•
c ; .1bNp
—S 88.56'29" W b: LEE JUDITH WARD -
o ^ WP 27.69 794.65 aP w DB. 99 PG. 54
z O 3 O
om
l
AREA•5.001 ACRES S
o AREA•5.894 ACRES
N •
alp ' 1405.49 .
, aW
�—S 88.56'29" W 1405.99 TOTAL
IJ.C. BEAUCHAMP, HEIRS I
I
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
a Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990002868 Tax PIN/EH#: 5851-78-1653
Billed To: Steve Barnhardt Subdivision Info:
Reference Name: Location/Address: Rainbow Road 27006 7
Proposed Facility: Residence Property Size: see map Date Evaluated: "'���J
Water Supply: On-Site Well Community Public e/
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
HORIZON I DEPTH % e
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence r. l
Structure
Mineralogy
HORIZON III DEPTH V
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)
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