234 Deerfield Dr Davie County,NC Tax Parcel Report a "33 Monday, September 26, 2016
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.w�. Parcel Information
Parcel Number: B60000001803 Township: Farmington
NCPIN Number: 5853575522 Municipality:
Account Number: 51559330 Census Tract: 37059-802
Listed Owner 1: MONEY RICKY E Voting Precinct: FARMINGTON
Mailing Address 1: PO BOX 51 Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0051 Voluntary Ag.District: No
Legal Description: 8.128 AC OFF ARROWHEAD RD Fire Response District: FARMINGTON
Assessed Acreage: 8.12 Elementary School Zone: PINEBROOK
Deed Date: 2/1998 Middle School Zone: NORTH DAVIE
Deed Book/Page: 002000329 Soil Types: AaA,GnB2,GnC2,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 261310.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 98240.00 Total Market Value: 359550.00
Total Assessed Value: 359550.00
t v All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 +,•F 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 Davis,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 wobsite.
� 1
- DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
P.O.Boz 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 990000967 Tax PIN/EH#: 5853-57-6506
Billed To: Rick Money Subdivision Info: rV
Reference Name: Rick Money Location/Address: Deefeld Drive-27028
Proposed Facility: Residence Property Size: 9 Acres
ATC Number: 2336
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 WASTEW O ON IS V ID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signatur Date: �D
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 m will function satisfactorily for any
given period of time.
I —".s L_I.JvS Nb i
A
5D
S
2J
Septic System Installed By: E
Environmental Health Specialist's Signature: D)e-. 1.4
DCHD 05/99(Revised)
DAME COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boa 848/210 Hospital Street
r Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990000967 Tax PIN/EH#: 5853-57-6506
Billed To: Rick Money Subdivision Info: 23q
Reference Name: Rick Money Location/Address: Deerfield Drive-27028
Proposed Facility: Residence Property Size: 9 Acres
TTT *Nub
2336
**NO mpromeent/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 �"005r- #People #Bedrooms 3 #Baths
Dishwasher: e Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing:
RTI-
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Q ;QHS Type Water Supply 1h�EXL-_ Design Wastewater Flow(GPD) Site: New ER'*' Repair❑
System Specifications: Tank Size IWOGAL. Pump Tank GAL. Trench Width Rock Depth IZ' Linear Ft. C4C&
Other: y p5p&hjc,� ymxcS
Required Site Modifications/Conditions: O•J Csy.7Tb.�2, t�� � � �Qi`"� -) -,�(ll ge-T—
wo ea-
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 K 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 installation. Telephone#is(336)751-8760.****
4JPN I-2D
C
Environmental Health Specialist's Signature: ►�V d�
DCHD 05/99(Revised)
� DAME COUNTY HEALTH DEPARTMENT O
Environmental Health Section
• P.O.Boz 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990000967 Tax PIN/EH#: 5853-57-6506
Billed To: Rick Money Subdivision Info: 231
Reference Name: Rick Money Location/Address: Deerfield Drive-27028
Proposed Facility: Residence Property Size: 9 Acres
**NOTI * iIsbgmprov3 m6ent/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 f O c)Sv #People #Bedrooms 3 #Baths 3
Dishwasher: m Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing:
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply QV-LL- Design Wastewater Flow(GPD) 7--foQ Site: New In"' Repair//❑
System Specifications: Tank SizeI�GAL. Pump Tank GAL. Trench Width�' Rock Depth 17- Linear Ft.7�'
Other: 3 �s—���-a I mss;A� L',
Required Site Modifications/Conditions: L Q('L- r)A ep,")V Q , ��1�iP �r`�' 1•)ELL-,�lVa-T 5 �
4
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S)IF 6 K 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 installation. Telephone#is(336)751-8760.****
\
12
AR403d
t� 7410
'/
�Q Enver nm 1 Health Sp iali Signator : Date: `C �a
DCHD 05/99 evised)
2W
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PER fiC
Davie County Health Department
Environmental Health Section
0 P.O. Box 848/210 Hospital Street JAN 3 1 2000
Mocksville, NC 27028
(336)751-8760 ENVIRONh1ENTAL HEALTH
DAVIE COUNTY
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed /C /� / "��/J Contact Person
Mailing Address �Co � � Home Phone 5
City/state/ZIP' v Business Phone
2. Name on Permit/]MTC if Different Abow
Mailing Address City/ tate/Zip -- --//
3. Application For: it Evaluation vellm"p-rovement Permit/ATC
rU.Scth
s. system to Box-vice: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
S. If Residence: # People Q' # Bedrooms 3 f Bathrooms
❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Buainess/Industry/Other: specify type / # People M sinks
# Commodes # showers i Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usa (gallons per day)
7. Type of Water supply: ❑ County/City Well ❑ Community
a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes ao
If yes,what type?
***IMPORTAA7***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN
GM�UST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: / �� ' WRITE DIRECTIONS(from Mocksville)to PROPERTY:
Q
Tax Office PIN: # 7J Jr 3 �� l0 5� god
Property Address: Road Name
City/Zip
If in a Subdivision provide information,as follows: /fir f
Name:
Section: Block: Lot: Date Property Flagged: ,� — ",21 DOd
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 1 am responsible for all charges incurred 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 3 SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Inde a of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. �?
�161
Revised DCHD(07/99) Invoice No.
- - -- -
C. TOD NAYLOR
D.B.137 .
eo
p
R.'CKY E.INCNEY
D.B.146 P 171
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S FRED A.
a y� D.B.149 PG. .
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Y 1
h9
/10 ,
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ELMER G. ALLEN
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• _ D.3,l59
PG. 38l
rDA M M 311
' Davie County_-Cealth Department
and -Come Health,Agency
Environmenta(Heafd Section
P.O.Box 848/210 HosarTAL STREET
COURIER#09-4-06
MOCKswuE,N.C.27028
PHONE:(704)634-8760
October 29, 1997
Rick Money
266 Deerfield Dr.
Mocksville, PJC 27728
Re: 2 Site Evaluations
Deerfield Drive
Tar. PIN: #5853-57-6506
Site 1 — 4.55 Acres
Site 2 — 2 Acres
Dear Client (s) :
As requested, a representative from this office visited the aforementi ;:ied
sites on October 8, 1997. Based upon the information provided on the
application(s) for site evaluation(s) and after the evaluations were corple%',
the sites were found to be provisionally suitable for the installation of an
on—site sewage disposal system on each site.
Before any pernit (s) can be issued the appropriate application(s) must be
filled out and the house/mobile hone location(s) staked off.
If you have any questions, please feel free to contact tf�is office.
Sincerely,
Jeff Beauchamp, R.S.
Environmental Health Specialist
JB/wd
Enclosure(s)
cc: Zoning Office
DAVIE COUNTY HEALTH DEPARTMENT
• • Environmental Health Section SECTION LOT
- Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY CJs C PROPERTY SIZE
SUBDIVISION ROAD NAME
Water Supply: On-Site Well. L.-�Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position 4—
Slope
Slo %v 5t��
HORIZON I DEPTH 0,41 — y
Texture grou
Consistence
Structure 5 < k
MineralogyI• ( 1:
HORIZON II DEPTH s:;4,9
Texture group
Consistence • $
Structure 3 g
Mineralogy1;
HORIZON III DEPTH
Texture group
Consistence
Structure Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION tJS
LONG-TERM ACCEPTANCE RATE '� Q
SITE CLASSIFICATION: lr� 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
ist
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(01-90)
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f
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
` Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990000967 Tax PIN/EH#: 5853-57-6506
Billed To: Rick Money Subdivision Info:
Reference Name: Rick Money Location/Address: Deerfield Drive-2702
Proposed Facility: Residence Property Size: 9 Acres' Date Evaluated: Z 22 v7
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position �-- L
Slope% (i2p
HORIZON I DEPTH O' Co 0 ,
Texture group5e-- G�. GC_
Consistence SS 5f C=C55-5f P-55SP
Structure c_CZ cam- G2
Mineralogy t; ( I;1 1 1
HORIZON II DEPTH z 2,
Texture. rou G
Consistence
Stricture 554-
Mineralogy
5(-
Mineralo
HORIZON III DEPTH 22
Texture group +
;Consistence (:
Structurek
'Mineralogy
HORIZON IV DEPTH 3
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: Ps EVALUATION BY: l?,",
LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: �"�r =- U--/►")
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 2L'
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
r-
Mineralogy
1:1,2:1,Mixed
Notes
Horizon depth-In inches
Depth of fill-In inches
Restrictive horizon-Thickness and inches from land surface `J
Saprolite-S(suitable),U(unsuitable)
Soil wetness-Inches from land surface to free water or inches from land surface to soil colors wit chroma 2 or less
Classification-S(suitable),PS(provisionally suitable),U(unsuitable) j� /
LTAR-Long-term acceptance rate-gal/day/ft2 U ��
DCHD 05/99(Revised)
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