251 Bear Creek Church Rd, Lot 1 Davie County,NC Tax Parcel Report Tuesday, October 18,2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: E20000002814 Township: Clarksville
NCPIN Number: 5811378818 Municipality:
Account Number: 4397050 Census Tract: 37059-801
Listed Owner 1: BARNETT GARY Voting Precinct: CLARKSVILLE
Mailing Address 1: 251 BEAR CREEK CHURCH RD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOT 1 ANGUS ESTATES Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 1.78 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 1/1996 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001850004 Soil Types: MnC2,MnB2
Plat Book: 0007 Flood Zone:
Plat Page: 068 Watershed Overlay: DAVIE COUNTY
Building Value: 57300.00 Outbuilding&Extra 20270.00
Freatures Value:
Land Value: 25270.00 Total Market Value: 102840.00
Total Assessed Value: 102840.00
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, impgedwarntiaes ofmerohantablllty orfitness 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 orcauses of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
0
DAVIE COUNTY HEALTH DEPARTMENT
" IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT 'rEcdC�
**NOTE** This improyement 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)
1,0A X
NAME PROPERTY ADDRESS _1 (JL E
�_RC._X�.4yt-C - �� DA
LOCATION to I N — I� Gh Q_�1. .
SUBDIVISION NAME N v s ' s Amies LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE . tVTme # BEDROOMS t BATHS �_ i OCCUPANTS 4 GARBAGE DISPOSAL: Ye No
C
COMMERCIAL SPECIFICATIdNr,,fACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yep/No
LOT SIZE s t.sa fYPE�WATER SUPPLY,,: DESIGN WASTEWATER FLOW (GPD) NEW SIE I'/ REPAIR SIE
SYSTEM SPECIFICATIONS: TANK S1ZE1 .'GAL. PUMP TANK GAL. TRENCH WIDTH : ROCK DEPTH ���', ,LINEAR FT. 4D�1
OTHER
•q. _ tee.. ,'.:'. 1
REQUIRED SITE MODIFICATIONS/CONDITIONS:"';-"X,.,
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE RM.OR THE INTENDED USE CHANGE. YOUR-WASTERWATER SYSTEM CONTRACTOR T : '
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. Y•a «y,
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Q.V). `N�, '`\\o tsna
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Ccs
T
IMPROV T PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:N-1:30 P.M. ON'THE'DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION NO. OPERATION PERMIT BY T/QI,C(� DATE &?/v2/9r
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 10/95
` `' �r;•',� ��; ;_ Davie County Health Department
ENVIRONMENTAL HEALTH SECTION f
P.O. Box 665
Mocksville, N.C. 27029
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
S.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental HealthSection,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.***
Q AUTHORIZATION NUMBER
NAME M' v O. DATE I l Na
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATIONVs
,,a
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
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** OTICH•+f THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS
ENVIROMEM(TRL HEALTH
SPECIALIST' DATE
DCHD 10/95
' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P
Davie County Health Department
Environmental Health Section DEC Q '
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By y v hP-
Mailing Address 7� Dear mon �� Home Phone (n �1 c�SQ�
1 I U �SU j I I /1 702 Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation aseptic Tank Installation Permit
4. System to Serve: ❑ House I Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision - Section_Z Lot #
e ❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms a_ Washing Machine
No. of Bathrooms L9"/Dishwasher
Dwelling Dimensions lQ O X ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
i
No. of People Served No. of Sinks
I
No.of Commodes No. of Urinals
r
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
f:
7. Type of water supply: Public ❑ Private ❑ Community
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes -ErNo
i
If yes, what type? i
t
f
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
PROPERTY INFORMATION REQUIRED:
f
Directions to Property: Tax Office PIN # (( I {'
Road Name tr l Y Pe_I< Ch.
r
Lox # (if available)
Teed' City mock-so;
I
i
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am res nsi a for all charges
incurred this p)II ation.
IJI
I A
I
ATE SIGNATURE
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I
CONSENT FOR SITE EV LUAON TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fand
ECK ONE: I OWN the property. ❑ 2. 1 DO NOT OWN the property.
cked Box#2, the rest of this fo m MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability r a ground absorpti sewage treatment
ystem.
TE SIONATURE
DCHD(1193)
'-` ' ` • DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation p
NAME , �� \__6 DATE EVALUATED
ADDRESS PROPERTY SIZE 4f�
PROPOSED FACIILTY �' w' ` ` LOCATION OF SITE
Water Supply: On-Site Well _ Community Public
Evaluation By<_rr-_ , Auger Boring LI-1- Pit Cut
FACTORS 1 2 3 4
Landscape position S -5 S _
Slope % �rU�" b_S'0 Sr-J5�
HORIZON I DEPTH 12" I l �)'' )5(
Texture group CL C L C L C
Consistence -1- FFA =Y
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC C C C-
Consistence Z i
Structure V
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS s s s S5 5 ^
RESTRICTIVE HORIZON —
SAPROLITE —
CLASSIFICATION S S S S
LONG-TERM ACCEPTANCE RATE 3
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERMpACCEPTANCE RATE: `3 OTHER(S) PRESENT: Wo WA
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 :lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vf--.-y 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
3C-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(01-901
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UROW..........................................certi that this latwas drawn 'North Carolina,.......................County
UBDIVISION PLAT APPROVAL
under my supervision from an actual survey made under my supervision(deed description
recorded in Book....� r .....................................Page349r,...,
plat meets the recording requirements of the Subdivi- 1,,I,,,,,,,,,,,,,I 35c) (other): I,a Notary Public of the County and State aforesaid,certify at
County and.it applicable,that a G.RAQY...(,..7.UTTEROW..................................aRegisteredLand ..
that the boundaries not surveyed are clearly indicated as drawn from Information found in
s been issued by the Division of Highways pursuant to Book.................................................Page.....................;that the ratio of precision as Surveyor,personally appeared before me this day and acknowledged the
to b
1 the General Statutes,State of North Carolinathat this
calculated Is 1:..2„2.r,OQQ,,,,,,,,,,,,,: plat was prepared in accordance with G.S. execution of the foregoing instrument.Witness my hand and official stamp or This
47.30 as amended.Witness my original signature,registration number and seat this let seal,this.......Itt...............................day of.p.e.cembst........,79 95............. Pro
ay of.....................................................19:................. day of.......... prone er...................A. 19Q- A
C/��/ Notary Public
1� vMy commission expires......................
DIRECTOR OF PLANNING (Seal or Stamp) er'
Seal or Stamp
CARS
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246.66 BOIL
246.67 I
493,33 total
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