254 Davie Farm Trail t
Davie County,NC' Tax Parcel Report Monday, September 26, 2016
281 �1
11 rt
(rf/1 1
i 254
82
WARNING: THIS IS NOT A SURVEY
w.. .__ Parcel Information - _.,.. . ., ....._. . _.
Parcel Number: 120000000612 Township: Calahaln
NCPIN Number: 5708785688 Municipality:
Account Number: 82514322 Census Tract: 37059-801
Listed Owner 1: MCCALLISTER PAULA Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 254 DAVIE FARMS TRAIL Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 5 AC OFF GODBEY RD Fire Response District: COUNTY LINE
Assessed Acreage: 5.25 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 11/1999 Middle School Zone: NORTH DAVIE
Deed Book/Page: 003180444 Soil Types: EnB,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 129340.00 Outbuilding&Extra 3090.00
Freatures Value:
Land Value: 37890.00 Total Market Value: 170320.00
Total Assessed Value: 170320.00
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.
.i
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760 G Dq✓1 C 'TL--j rM 5
Account #: 989900646 Tax PIN/EH#: 5708-78-2467
Billed To: Paul McCallister Subdivision Info:
Reference Name: Paul McCallister Location/Address: Godbey Road-27028
Proposed Facility: Residence Property Size: 5 Acres
ATC Number. 2102
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 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-MNO WAY be taken as a guarantee that the system will function satisfactorily for any
given period of time. \ !�
�s
ED
Is
Septic System Installed By: J
Environmental Health Specialist's Signature: Date: 6
DCHD 05/99(Revised)
DAVIE COUNTY HEALTH DEPARTMENT �j ;7
Environmental Health Section
P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT .3:
Account #: 989900646 Tax PIN/EH#: 5708-78-2467
Billed To: Paul MCCailister Subdivision Info:
Reference Name: Paul McCallister Location/Address: Godbey Road-27028
Proposed Facility: Residence Property Size: 5 Acres
ATC Number. 2102
**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 TILS PERMUT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type # #People #Bedrooms #Baths 2—
Dishwasher: Garbage Disposal: 0 Washing Machine: Basement w/Plumbing: Basement/No Plumbing: 13
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:
Lot Size Type Water Supply glc// Design Wastewater Flow(GPD) Site: New m Repair El
System Specifications: Tank Size DO GAL. Pump Tank GAL. Trench Widtl��Rock Depth Linear Ftjye
Other: �Bb
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6"BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County 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.on the day of stallation. Telephone#is(336)751-8760.****
J
Ve
w41�-7 15, e
fo
Environmental Health Specialist's Signature: Date:
DCHD 05/99(Revised)
APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&AT
(� <� Davie County Health Department
v� 1 L Envirvnmenta/Hea/tfi Section
P.O. Box 848/210 Hospital Street `W 2 8 IM
Mockaville, NC 27028
(336)751-8760 ENVIRONMENTAL HEALTH
DAVIE COUNTY
***II4PORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Re er,-.tDot�he INFORMATION BULLETIN for instructions.
1. Rama to be Billed ���^^` �`�/► � cis„J4v Contact Person
Mailing Address / //�,, 1 Rose phone
City/state/ZIP �SGi�`C Business phone
2. Name on Permit/ATC if Different than Above
Mailing Address3// 6111,fir L 1/ City/state/Zip 4f /o&
3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC Both
4. system to service: tyHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If idence: # People # Bedrooms # Bathrooms
Dishwasher ❑ Garbage Disposal ashiag Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/other: specify type # People # sinks
# Commodes # showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Us-age (gallons per day)
7. Type of Mater supply: ❑ County/City J-Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes 06
If yes,what type?
***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 14QeS 1 / vd WRITE DIRECTIONS(from MockrAlle)to PROPERTY:
Tax Office PIN: # (0q 4-0 6eOP I 22&jae
Property Address: Road Name n pn- 6-'Owi�ec, AyA 00<
city/zip
If in a Subdivision provide information,as follows: D a �
Name: PR• I+� aN l
Section: Block: Lot: Date Property Flagged:
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 am responsible for all charges Inured from
this application. I,hereby,give consent to the Authorized Representative of the Davie County Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as
necessary to determine the site suitability.
DATE�/ (� ~ old` / 7 SIGNATURE
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).
Site Revisit Charge
Date(s):
rr"v " Client Notification Date:
/ e EEa:
11
Account No. 4� /
Revised DCHD(07/99) , Invoice No. F13
100 0100 200 300
uS Qa
r
—� GRAPHIC SCALE.— FEET
Ir
�
Truct of
oo M
owner unknown hl Rector
i
D.E3. 199-003
rwU.
S 06.3320 W D.B. 113-758
LEGEND
Jerry SwicegoodRnr
-Cantor L=
POld1191WI17 Lips
.°i
Parcel 6CA-CrM.T%dAMM
P J-F+t of
1� MP-R&-.Wv/exavic Pipe y�r-!iY,!!Eaw'+w
o Jerry Swicegood ow- y.�a
. g cw—oomgw;+P•w r
M ACRES D.B. 193-361 1 - trAtw,; ��'
(n ,, 5.000 A � .
')y d.m.d.
co NO
C
1�5� 1 =
H la•?9. 93.18' - 137.86• _ —
�`'�°�-N 6* '.50"E _Nob�2s_3sw - Preliminary
--- --- Plat For I
Parcel 6 P.A. and Joy McCallist r
z` Brenda Holbrook Wells
Page =58
D.B. 191 -385 Portion of Deed Book 113,
.:
Part of Parcel 6, Davie County Tax Mnp
z I, C. Ray Cates, certify that under my direction and SCALE COUNTY STATE DATE
MTL 1,
of TNIt LLA
, �u nrt saxes ANr , ApREL1ENTs, os
Uls uper v I s I on,
this map was drown from an ac t ua i field t„ t00' Catahain Davie North Carolina OB-0:
� fAfrt d 10Y OT Mm =as TO TN[ T. survey.
C. Ray Cates dbe Kc
SJRNEY@: 119 Depot Street
TN=s SWAM a WAAM To AMT IACTI THAT wT t[S cr THIS DT A t=iL CRC NC 27028 iWP ti
no AMAUU TITU WAAOft NOM F MIMM TO 1t At THIS pATt. �IOCkaYUle,
.-r`, gym° P hone ( 6 7 1-3735 t 080E
� :: Registered Land Surveyor L-2623 LSA Fax `_ 6 7 {-2750
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900646 Tax PIN/EH#: 5708-78-2467
Billed To: Paul McCallister Subdivision Info:
Reference Name: Paul McCallister Location/Address: Godbey Road-27028 /,,
Proposed Facility: Residence Property Size: 5 Acres Date Evaluated: ��S- �
Water Supply: On-Site Well �'Community Public .
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position L
2—
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 /� r
SITE CLASSIFICATION: f✓ EVALUATION BY: �CY�
LONG-TERM ACCEPTANCE�RATE:// OTHER(S)PRESENT:ir�Lt,
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
Mineraloav
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
DCHb (Revised 05/99)
■■■■■■■■■■■■■■■■N■■■■■■■■■■■■■■■ ■■■■N■N■■NO■■■■■■■■■EE■■■■ RENEE
■■■■■■■N■N■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■ NONE
■■EEEREEENEs■■E■■■■■■■■■■■■■■■■■■REEF■■■■E■■■■E■■E■EEEE■■■E�iie ■O■
REREFEREEE■■■■■■■EEEE■■E■■E■■■■■■■■■■E■E■■■E■■E■N■N■e■■■N■■N■■N■■■
■E■■■■■EEE■■■N■■■■■■■■■■■■■■■■■■EE■e■■■■■■■■tE■E■e■■■■■■sE■■■REE■■
■■■EER■■EE■E■■■E■EEE■■E■Es■t■E■■�EN■■EEE■■■■■N■EEEE■E■■■E■■■■N■E■
■■N■■■EE■■E■EEN■■E■NEE■■E■■t■■■■■N■■ERN■■■■■■E■■■t■■■■■N■■■■■■■■E■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■E■■EEE■■■EE■■N■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■e■■■■■■N■■■■■■■■■N■■
■■■■■■E■■■■E■■■■E■■■■■E■■■■■■■■■■■■■■■■■■■E■■E■■■■■■■■■NONE■■■NE■■
■E■EER■ENE■■■■■■■■■■E■■■■■■■■■■■■■■ERRE■■■■■■N■■■■■■■■N■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■EE■E■■EEE■E■EN■E■E■E■EEE■■■■■■■■E■■■■■■E■EE■■■E■■■■■■EEE■■N■■
ERRE■■EEE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■N■■■■■■■■■■■■■■■■N■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■��.._..SEN■■■■■■■■■■■■■N■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■ ■■■■■■■■■��■■■■■■■�N■■■■■■■■■■■■■
■EEEE■■EE■■■■■■ERE■E■E■■■Ei�t■■N■EEE■■EE■■EE�i■■EE■■■e�■■■■■E■■■■■■■
■■E■■■■■E■■■E■■■■EEE■■■E■■i�■■■EEE■■■■■E■■EE�i■EEE■■EEr�■■tE■■■■■■EE■
■EEE■■■E■■t■E■ENEE■■■EEE■■■t■■■■■■NESE■■■■E�iE■■E■■■■�■N■■■■E■■■■E■
MENNENMEMEMEMOMEMEMEMEMEMUMMEM MEMNON EMMONS
■■■■■■■■ERRE■■■N■■■■■■N■E■.===i��/■■E■■■iii■■■■■■■■■■■■■■■■■■■■■■N
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■■EN■■■■■■■■■■■■■ERE■■■
REFEREE■NEN■■EEE■■■■E■■NEE■■E■■■■■��EN■■■EEEEEEN■■■■■N■tEEEN■■■NN■
■■■■■■■■■N■■■■■■■■■■■■■■■■■■■■■■■■■ERRE■■■■N■■■■N■■■■■■■■■■■■■■■■■
■■■■■EE■■E■E■E■■■■■E■EEE■■■■■■■■■■■■■E■■■■■■■■■■■■■■EN■■■■■■■■■■■■
■■E■■■N■■■■■E■EE■■■■E■■EEE■tEN■■EEE■EN■■■EEER■■FEN■■■■■■■E■■■■■■■■
■E■■ENE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■N■■■■■■■■■■■■
■NEE■■EEE■■■■■■E■E■■EE■■ENENE■EE�iEE■■t■E■■■■ERE■E■■■■■■■■E■■■■■E■
■■■EEER■EEE■■EE■E■NEE■■■■■■■E■■■■■■■■EE■■EEE■EE■■■EEEE■tEEE■■■EE■■
■■NEE■■■EEE■■■■■■■■E■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■EE■■■■■E■■■■■■
■■■■■■■■EEEEEE■■■■E■■■■■■EEE■■■■■EEEEEt■EEE■■E■■■■■EE■■■EEE■■■EEE■
ERRE■EEE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■N■■■■■■■N■■■■■■■■■■■■NESE■■■
■■SRS■■■■■■ERE■N■■■■S■■■■■■■■■■■�■■■E■■■■ENE■■■E■■■■■■■■■S■■■■■■■
■■■■■■■■■■■■■■■■N■■■■N■■■■N■■■N■ ■ERRE■■■■■■■■■N■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■S■■■■■■■■■■■■ERE■■■E■■■N■■■■■S■■■S■■■
■SSS■SSESSSESSSSSS■NESE■■ES■■■■■�i■■SEESSSSESES■SNSSE■■■■■S■■■SEN■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■ERRE■■■■■■N■■■■■■■■■■■■■SS■■S■■■■■NEE■
Record Book 3 r l page 39/
Exhibit"A"— Hedrick
Lying and being in Calahan Township,Davie County,North Carolina and beginning at a
%a inch existing iron rebar,said existing iron rebar being the Northeasternmost corner of
Dwayne S.Cookson and wife,Teresa L.Cookson,DB 187,page 80,Tax Map I-2,Tax Lot
6.03 and being the Southwesternmost corner of Brenda H.Wells,DB 196,page 229,Tax
Map I-2,Tax Lot 6.10 and being the Northwestern corner of the within described
property,thence with said Wells line South 81 degrees 13 minutes 10 seconds East,
• 676.28 feet to a''/2 inch existing iron rebar by 2 inch existing iron rebar witness iron and
being located in the western line of Louise G.Allen and husband,S.Buren Allen,DB
109,page 751,Tax Map I-2,Tax Lot 8;thence with said Allen line South 01 degrees 16
minutes 35 seconds East,319.31 feet to a found 5/8 inch bolt with square head,said bolt
being the.Northeasternmost corner of Jerry F.Swicegood and T.Kyle Swicegood,DB
191,page 385,Tax Map I-2,Tax Lot 6.09;thence with the said Swicegood line North 81
degrees 14 minutes 50 seconds West,708.61 feet to a found 5/8 inch bolt with square
head,said bolt being located in the Eastern line of said Dwayne S.Cookson and wife,
Teresa L.Cookson;thence with said Cookson line North 04 degrees 31 minutes 20
seconds East,315.62 feet to the POINT AND PLACE OF BEGINNING AND
CONTAINING 5.00 acres more or less and being Tax Lot 6.08,Tax Map I-2 as surveyed
by Stone Land Surveying Company on November 12,1999. See Deed Book 193,page
361,Tax Map I-2,Tax Lot 6.08.
Subject to reserved easement as set forth in DB 193, page 363.
Also conveyed is a non-exclusive access easement as set forth
in DB 193, page 363, Davie County Registry.
•
s