155 Laurens Ct, Lot 7 Davie County,NC Tax Parcel Report Tuesday, October 18,2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number.. E70000011107 Township: Farmington
NCPIN Number: 5861754080 Municipality:
Account Number. 8305244 Census Tract: 37059-803
Listed Owner 1: BRUCH JAMES R Voting Precinct: SMITH GROVE
Mailing Address 1: 155 LAURENS COURT Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20-S,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: LOT 7 ARMSWORTHY ACRES Fire Response District: SMITH GROVE
Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE
Deed Date: 7/2015 Middle School Zone: \AnLLIAM ELLIS
Deed Book/Page: 009940545 Soil Types: Gn132,GnC2
Plat Book: 0007 Flood Zone:
Plat Page: 186 Watershed Overlay: DAVIE COUNTY
Building Value: 257340.00 Outbuilding&Extra 4470.00
Freatures Value:
Land Value: 50000.00 Total Market Value: 311810.00
Total Assessed Value: 311810.00
Ag data is provided as Is without warranty or guarantee of any ldnd 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 websfte shall hold harmless the
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County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
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�'oON� 1\C or arising out of the use or Inability to use the GIS data provided by this website.
APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&
' Davie County Health Department 4
Environmental Health Section AM
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028 ENyi 1)T! L STH
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for i struct s.
1. Name to be Billed �` ? Contact Person i / /�► j
y
Bailing Addraa• � .[, C/ Home Phone ��• �4! Q
City/state/ZIY -e Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address Shy/"(� City/state/Zip
3. Application For: ite Evaluation 0 Improvement Permit/ATC 0 Both
4. system to service: House 0 Mobile Home ❑ Business n Industry n Other
5. If Residence: 1 People ! Bedrooms 13 # Bathrooms _ZL
II Dishwasher 11 Garbage Disposal 11 Washing Machine 11 Basement/Plumbing 11 Basement/No Plumbing
6. If Business/Industry/Other: specify type # People N sinks
/ Commodes / showers # Urinals / Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City 0 Well 0 Community
a. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes
If yes,what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
PropertyDimensions: ► - WRITE DIRECTIONS(from Mocksville)to PROPERTY:
Tax Office PIN: # f—;y?PC y( 'Gj� syf`
Property Address: Road Name
City/zip U��1/t^� ,� 27d
If in a Subdivision provide information,as follows:
Na
Section: Block: I ot: � 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. 1,also,understand that I 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 determin'a th s TE su' bili
DATE 3�� ' NATURE
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):
Client Notification Date:
�U
EHS•
Account No. U g`l
Revised DCHD(07/99) Invoice No.
t f •• , DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION__/ LOT
Soil/Site Evaluation
APPLICANT'S NAME l f�lC � DATEEVALUATED Il`77 ✓
PROPOSED FACILITY PROPERTY SIZE �-
SUBDIVISION Gl/6�g' ROAD NAME
Water Supply: On-Site We 11 Community Public il�
Evaluation By: Auger Boring Pit Cut
FACTORS 1 " 2 3 4 5 6 7
Landscape position L
Sloe%
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
Consistence '
Structure S i
Mineralogy ,• /
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLFM
CLASSIFICATION 97 1 U
LONG-TERM ACCEPTANCE RATE W . 3
SITE CLASSIFICATION: / EVALUATION BY:
fee
LONG-TERM ACCEPTANCE RATE:. OTHER(S)PRESENT:
REMARKS:
L ND
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
Mineraloev
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)
i
3 A e I OF n*20'ORM+AGte
M0TC.t {iMeRi FROM TPAONf3
:. .
PANT FOR
WO °L Lo 2.T)4 rrar+j� `6 7
- RICKY GORDON ARMS c o T cF Lo c
c NOT vEG By
DB tIf PG 502 R rami r c RICK)
HTY
a I NOTE LOTS:t0-12 mE SEtIL W. 66
t n
OgINER y BE RES K �L ►nTE<Hrs dant VEM T
PUBLIC VATER LIRE TIMI% w a0000' I
ILL
RESPONSIBLE, 4CoaF>t
011tt WELL. s�so se s. ee zs 1404 Tt� TW
of
LOT 7: NCTE THIS
T,ENi,t f-0Oi,tDE PER"! sTw iS►�F�
FGLLoxs naE _rlrs cau� 1 otvEa oPr+etr I cotIttv"r I s Z R'
E7tISTtVO DRA{NAGE EAiEt£1tT �10 ro POOVI*FOR COM*C I�'r to 51;PPLY. AL1
O t LIA,
ON Of its E)(ISTING DITCH. roRt R0. TREATP+ENT '
123&78' (total lots 1.9.8.7.10._Www E
d. r/r) aiuia
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10
lo� 40534 >}q�ar� Feet 7 1 F DB 72 PG 4
' U. _ LR.:. 31223 sgaRr •1 i 30156 tq�are feet! f. core f
F--... a j. �.... 0.69 acres~. I 30tSb sq
Z a, LRs• O
Da 14 PG 500
m �r ® =lil +. �. •`r JAI
is ai a► r -- I.Ra. sx ao• R_
Q ; Z ' 40311 sgrare fest
uIue�s cast IwKu u• PA,een nsnr
of — 3!533 s yore feet +es
q J E s 1100 00'E t9dEh__ si RFi
< sl E-
Uj
_ - 40412 iqucr. d ;,l1=3 � _ -33227 squarfeet ~= 30156 sgdore feet6 square f e
EMTM
f r,ras i a7 oa I.is.
►237.07' Iror� tors 2 3.a,51Y;
NOTE HATCHED AREA DEPICTS-Tt'f SEPTIC WAIA AREA r +rte x t
{ I FOR LOT 7 RESERVED 04 LOTS It a 12. THIS EASET NT C-EXTEWS
FLXL
SO• wEEST OF THE EASTER'! LIES F02 LOT 11 b 12 14 THE FOAL
WIDTH
1tib DOVER
OI.1TOT SIZEbOF05.6TvTvf REPAIR AREA 15 SOP�0205TT
u I THtS EI�SEMENT IS SET OtiT'A3 ,^,tRECTEG BY Tif DAYIE Ca. tEALTH DEPT
NOTE AN b' PIPELINE EASEtJERI 15 RESERVED OVER THE EASTERN LINE
OF LOT IO 6 11 TO REACH T{� AREA RESE3YED FGR T SEPTIC
# 7.
-LEACH FIELD HELD AS A REPAIR AREA FGR 7 S FOR
a ( SAID EASEMENT EXTENDS 10897' I OF LOIS 10 11RAS�SHOMI�OT l E.� TRACT FOR
THEN PARALLELS THE ERSTE V C
DAVID BLACK A ERRY COUCH
I 456666 square feet
ROBERT L. SPILLMAN
DB Nt PG 517 (Including Area in.right-of-say)
` 10.48 acres
Y.yl� I - -
Ttx. L1•HD C�ESCR I BED I N OB :2 PG 452 6 r ►a FE T
_ tiC:E ` "„� .G, 5,7c �5 }S 2a8 SP.,...E E•
;=; NOTE: THIS SURVEY CREATES A SL�ctelSlGN C* - _
TO C Lt s 1H
• :w THIS PROPERTY .OTS 9 EXCEED (LOTS LITH PUBLIC HATER
DB III PG 500.tN �. OF ARE `t0 tIETLANNDS LOCATED ON TH S PR Z?N1hG GROI-
- I MONIMENIS 'KITH BUT tOT FUBL{C-SEVER. LOTS 10-12 EXCEED 40.000
THIS LAND IS NOT LOCATED IN A FEMA FLCCD r+sl-'UID ZCi>tE. SOFT •0 CCWLY 11TH ZONING ORDINANCE FOR LOTS
WHOU T PUBLIC WATER OR SERER FACILITIES
DAVIE COUNTY HEALTII DEI'ARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
;•Account #: 990003504 Tax PIN/EH#: 5861-74-8864.07
Billed'.To:, James Brult Subdivision Info: Armsworthy Acres Lot#07
Reference Name: Location/Address: Laurens Court-27006
Proposed.Facility: Residence - Property Size: see map Date Evaluated:
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS l 2 3 4 5 6 7
Landscape position
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: 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
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)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boz 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003504 Tax PIN/EH#: 5861-74-8864.07
Billed To: James Brult Subdivision Info: Armsworthy Acres Lot#07
Reference Name: Location/Address: Laurens Court-27006
Proposed Facility Residence Property Size: see map
ATC Number: 4015
**NOTE** This Improvement/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 & #People f? #Bedrooms (--? #Baths
Dishwasher:/1 Garbage Disposal-,0' Washing Machin Basement w/Plumbingee Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size 0,32,&0 Type Water Supply Design Wastewater Flow(GPD) Site: New 2 Repair❑
System Specifications: Tank Size �DGCrAL. Pump Tank AD GAL: Trench Width'/Rock Depth,, Linear Ft,-?jD
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RIS IF 6 u BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Dep t or final inspection of this
system between :30 a.m.to 9:30 :m. or 1:00 p.m.to 1:30 p.m.on the day of installatio h e#i (336)751-8760.****
dil
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Environmental Health Specialist's Signature: Date:
DCHD 05/99(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
� P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 990003504 Tax PIN/EH#: 5861-74-8864.07
Billed To: James Brult Subdivision Info: Armsworthy Acres Lot#07
Reference Name: Location/Address: Laurens Court-27006
Proposed Facility Residence Property Size: see map
ATC Number: 4015
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: A/15 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 1 of G. ap er Section.1900"Sewage Treatment and
Disposal Systems,"but shall in NO WAY as a guarantee that t e system will function satisfactorily for any
given period of time. II
�B
Septic System Installed By:
Environmental Health Specialist's Signature: Date: 0 J
DCHD 05/99(Revised)
j
07
PPUCAT(ON FOR SITE EVALUATION/IMPROVEMENT PERMIT
Davie County Health Department v
9�
Environmental Health Section
1 P.O. Box 848/210 Hospital Street FEB
Mocksville, NC 27028 8 2005
(336)751-8760
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***IMPORTANT*** THIS APPLICATION CANNOT BE .PROCESSED UNLESS ALL TH1y
INFORMATION .IS PROVIDED. Refer to pthe INFORMATION BULLETIN for instructions.
1. Name to be Billed ..1 f9 M '%i lZ'_ / fi Gtr!/✓ Contact Person
Mailing Address 7 Vit* 44-) for, Home Phone3_�1'
City/State/ZIP Business Phone 7 9 3 f.�l>%z,"
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ❑ Site Evaluation U Improvement Permit/ATC ❑ Both
4. System to Service: X House ❑ Mobile Home ❑ Business ❑ Industry 13 Other
5. Type system requested:CZ Conventional ❑ conventional modified ❑ innovative
6. If Residence: # People :F # Bedrooms # Bathrooms s�
I�fDishwasher Garbage Disposal Washing Machine .Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
8. Type of water supply ?�;,;"County/City ❑ Well ��'T�,Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes t5NO
If yes,what type?
***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: j;,t WRITE DIRECTIONS(from Mocksville)to PROPERTY:
Tax Office PIN: # ifs l 7 ��$ �. b 1 ✓� Ie-
Property Address: Road Name 4 F!i
-v
City/Zip
If in a Subdivision provide information,as follows: �--
Name: 1,9R en
Section: Block: Lot: '07 Date home corners 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 ani 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 Z —`��' ' k.,r SIGNATURE
7
THIS AREA MAYBE 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):
Client Notification Date:
EHS'
Sign given f� � 7 � Account No.
Revised DCHD(05/03 Invoice No.
r l '
�I, it
December 14,2000 I
DEC s
1 8 LOGO k
David Black
Country Tyme
5094 Styers Ferry Road
Lewisville, NC 27023
Re: Soil/Site Evaluation
On December 13,2000, 1 preformed a preliminary soil/site evaluation of Lot 7,Armsworthy Acres
Subdivision, (.73 acres),on Baltimore Road in Davie County. The purpose was to determine the feasibility
of a septic system for a 3-bedroom home on the lot.
Preliminary Findings
Most of the lot had expansive day minerology except for the area on the front right of the lot, shown on the
map. Colored surveyor's ribbons with corresponding hole numbers and soil information were tied by each of
these backhoe pits. The area perimeter was marked with yellow ribbons.
A blue ribbon by a pit indicates 36"to 48"of provisionally suitable soil at that pit. A yellow ribbon indicates
24"to 36"of provisionally suitable soil at that pit. A pink ribbon indicates less than 24"of provisionally
suitable soil at that pit.
The soil within the provisionally suitable perimeter had 0"to 6"of day loam texture soil on the surface. The
consistence was friable and the structure was subangular blocky. The subsoil had a day texture. The
consistence was firm and sticky and plastic. The structure was mostly angular blocky. The day minerology
was slightly expansive. Small amounts of saprolite were found in the subsoil beginning at 9"to 18"beneath
the surface. The soil depth over day loam texture saprolite(SAP)ranged from 30"to 48". Soil wetness
(SW)conditions were found at 28"beneath the surface at pit 4. Unsuitable(U) saprolite was found at 30"at
pit 5, 32"at pit 2,34"at pit 1 and 48"at pit 3. Pit 1 was unsuitable due to expansive day minerology(EXPC)
at 9"below the surface.
The area within the marked perimeter appears to be large enough for a 25%reduction initial system at a
.275 gal/sq.ft/day long-term acceptance rate(LTAR). Due to the shallow depths(28"to 32') over unsuitable
soil characteristics,the system would need to be shallow placement with a 15"trench depth. The drainfield
would need a 6"to 9"thick soil cap and would require a pump. A provisionally suitable area for repair
system was not found on the lot and would need to be in a easement area on another lot or adjacent
property. .
The front building line should be a minimum of 15'from the down hill edge of the perimeter area if a crawl
space foundation is used or 25'if a basement foundation is used. These setbacks will satisfy the state
sewage system rules and allows adequate area for sidewalks,front steps and surface water diversion away
from the house. The driveway should run within the left 20'of the lot past the perimeter area. The perimeter
area is very limited;hence the need for a space reduction initial system and offsite repair system and the
area should not be crowded or disturbed during construction.
If you have any questions regarding the preliminary soil/site evaluation or report contact me at(336) 761-
8184.
Sincerely, ^
Richard Farris, RS
Licensed Soil Scientist#1132