388 Fork Bixby RdParcel #: J80000000401
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Parcel #:780000000401 Account #:80401060
Owner Information Tax Codes
ISECARVER ROBERT C & WISECARVER WANDA C - COUNTY TA975 US HIGHWAY 64 EAST �ADVLTAX
EADVLTAX -FIRE TAX
OCKSVILLE NC 27028
uildin :
Property Information
Township
Land (Units/Type): 3.050 AC
Address: 388 FORK BIXBY RD
FULTON
35,71
arket:
465,57
Deed Information
Local Zoning
Pate: 04/1999 Book: 00211 Page: 0584
Plat Book: Page:
Legal Description
PIN
0.057 AC FORK BIXBY RD
5778317747
Property Values
uildin :
349,35
00001111
BXF•
80,51
nd•
35,71
arket:
465,57
ssessed:
465 57
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00211 0584 04 1999 WD Unqualified Vacant 0
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41`�-Vxit�`
Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1468630 9/28/2016
1 AUTHORIZATION NO: 2 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee'~ Y91.��� P.O. Box 848
Namb: air`= ,fit i�..{ry 1t` Mocksville, NC 27028 Subdivision Name:
A Phone # 336-751-8760
Directions to property: Section: Lot:
` AUTHORIZATION FOR
WASTEWATER : �r� • I°;,•t
SYSTEM CONSTRUCTION Tax Office PIN:_.#- -7 -' -{ j�/�} J/ - ' •-- -f
Road Name ��"eti,:/, f,�f �p -�� �
**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.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
"1 C•�r'�u y' i�t'�` f % r /`,' -IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
i IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permlttec' d� Y ..
.Name: 1 d yam- f f` �Sllbdivision Name:
' `�^°
Directions to property: �" �.,t,a/r �<�• Section: Lot:
. , IMPROVEMENT
PERMIT Tax Office PIN:#-`�`
Road Name: Zip " /e : a
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH' SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 41— # BATHS # OCCUPANTS j _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
i
LOT SIZE S, TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 1,�an GAL PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.V I CJ
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLUERT 'FIUrE1T11 St I,SER(S) IF 5" BELMI FIRIS11ED GRADE*
r.
r -
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT
w SYSTEM INSTALLED BY:
^
N
tib �
sr
aodr
AUTHORIZATION NO. 2QZ7 OPERATION PERMIT B DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT SYSTEM DESC ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TRE A ENT 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 05,96 (Revised)
• APPIICMION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC C O 15
Davie County Health Department a
Environmental Health 5bWon I 0 1999
P.O. Box 848/210 Hospital Street M.A R
Nocksville, NC 27028
(336) 7S1-8760 ENVIROt4h9ENTAL HEALTH
DAVIE COUNTY
***ZMPORTANT*** THIS APPLICATION CANNOT 8E PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Dame to be Billed Ro8eprr W i SC cgPL) et'e contact Person Wobelz7'//+�/ SEC//,£WW --
4 Hailing Address dt975' lf.S.• f�/,Y 6y,6� come Phone 336 -99W - L/ 7417
city/state/LIP /714ce5vluP AI -C 2-'76Z? Business Phone 336 Ws'-eelo
Z. name on Permit/AIC if Different than Above
Hailing Address City/State/Lip
3. Application For: ASite Evaluation ❑ IMrov+ement Permit/ATC lY Both
4. system to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
s. If Residence: # People r # Bedrooms # Bathrooms 2 �v
XDishwasher 0 garbage Disposal O washing Machine q Basement/Plumbing 0 Basement/no Plumbing
6. If Business/Industry/other: Specify type `" # People # Sinks
# Commodes # Showers # Urinals # Nater Coolers
IF FOODSERVICE: # Seats Estimated slater Usage (gallons per day)
7. Type of water supply: County/City 11 well ❑ Commmity
e. Do you anticipate additions or expansions of the facility this system Is intended to serve! ❑ Yes No
U yes, what type..
***IMPORTANT*** CLIENTS AtUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PIAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 3, -o57
Tax Office PIN: # "3 I —5 6 0 ,
Property Address: Road Name o19,u r%l)cnX
City/Zip 2! '700(n
If In a Subdivision provide information, as follows:
Name:
WRITE DIRECTIONS (from Mocicville) to PROPERTY:
6y E Z Fo,Pt FIXe 1PPT. Tww•
LJ
c, Fay./ 4 �z 4 e y
Section: Block: Lot: Date Property Flagged: '7 /
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 act responsible for all charges Incur ed frost
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 *Y'
to conduct all testing procedures as necessary to determine the site suitability.
t
DATE 3 -�o - 99 SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the follotring: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
A ele,)
Account No.
Revised DCHD (07/98) Invoice No.
I
t
t E*ISTING IRON
2-39' TO rENTER_..
S 85.3E
S 85.3
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D.B. 174 P !
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AREA = 39.189 ACRES
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT.
Soil/Site Evaluation
APPLICANT'S NAME sr'� ✓er
PROPOSED FACILITY /"`r
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring V'_ Pit
DATE EVALUATED e_.7_ .3/ 2&
PROPERTY SIZE `"'-Ac
ROAD NAME . .���`Y'h U
Public
Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
„G
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: &�z
OTHER(S) PRESENT:
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
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