383 Armsworthy Rd, Lot 11 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E70000011111 Township: Farmington
NCPIN Number: 5861741960 Municipality:
Account Number: 82531314 Census Tract: 37059-803
Listed Owner 1: MACDONELL STUART J Voting Precinct: SMITH GROVE
Mailing Address 1: 829 CORNATZER RD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20-S
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOT 11 ARMSWORTHY ACRES Fire Response District: SMITH GROVE
Assessed Acreage: 0.89 Elementary School Zone: SHADY GROVE,PINEBROOK
Deed Date: 11/2009 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS
Deed Book/Page: 008120620 Soil Types: Gn132,GnC2
Plat Book: 0007 Flood Zone:
Plat Page: 186 Watershed Overlay: DAVIE COUNTY
Building Value: 230980.00 Outbuilding&Extra 6260.00
Freatures Value:
Land Value: 40000.00 Total Market Value: 277240.00
Total Assessed Value: 277240.00
101
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.
. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boa 848/210 Hospital Street
Moeksville,NC 27028
(336)751-8760
✓�)93 l2 su>014h l2
Account #: 990001084 Tax PIN/EH#: 5861-74-8864.11
Billed To: Countrytime Houses Subdivision Info: Armsworthy Acres Lot#11
Reference Name: David Black Location/Address: Baltimore Road-27006
Proposed Facility: Residence Property Size: 298'X 101'
ATC Number: 2962
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 I 1 of
G.S.Chapter 130A,Wastewater Systems, Section.1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTE WATE TRUC ION IS VALID F R A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date: 7 (p C/Z
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 guarantee that the system will function satisfactorily for any
given period of time.
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Septic System Installed B :
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Environmental Health Specialist's Signature: ,D Date: e /
DCHD 05/99(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section s / ��6
• ' P.O.Boa 848/210 hospital Street
• Mocksville,NC 27028
• (336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001084 Tax PIN/EH#: 5861-74-8864.11
Billed To: Countrytime Houses Subdivision Info: Armsworthy Acres Lot#11
Reference Name: David Black Location/Address: Baltimore Road-27006
Proposed Facility: Residence Property Size: 298'X4ff 11 V
**Nslmprove�me
OTES*Thi nt/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 #Bedrooms #Baths
DishwasherrJ 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 C. Design Wastewater Flow(GPD) S16D Site: New• Repair❑
i
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width 92a" Rock Depth /$' Linear Ft Zo
Other:
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 installation. Telephone#is(336)751-8760.****
Environmental Health Specialist's Signature: /,�Zz2Date: �`7� �� v
DCHD 05/99(Revised)
APPLICATION FO SITE EVAUUATION/IMPROVEMENT PERMIT&ATC '
Davie County Health DepartmentAM 4
Envlrlvnmental Health Section
P.O. Box 848/210 Hospital Street
C Mocksville, NC 27028 EiiVi};i1 1Si,:1i1,1 Wt Nlhl
` (336)751-8760 _ It{1V f 0111oly ,. 7.
_...._._
***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 /
/
Mailing Address
Z`J Home Phonq ��
City/State/ZIP Business Phone
2. dame on Permit/ATC if Different than Above y
Mailing Address -1-A J4 L City/state/Zip
3. Application For: Uefi"ie Evaluation ❑ Improvement Permit/ATC ❑ Both
4. system to Service: House D Mobile Home ❑ Business [1 Industry n Other
5. If Residence: # People # Bedrooms 13 # Bathrooms
11 Dishwasher II Garbage Disposal 11 Washing Machine II Basement/Plumbing 11 Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
I Commodes I Showers # Urinals 4 Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City ❑ Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes 0440
If yes,what type?
***IAfPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
FLOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
1.2-, K.°X IN
Pr erty Dimensions: t A/e�'cT WRITE DIRECTIONS(from Mocksvilie)to PROPERTY:
Tax Office PIN: #J K61-7e FeCy xsyf j 7
Property Address: Road Name
City/Zip�d U f"'�` - C2Q - WL f
If in a Subdivision provide information,as follows: AJ �1(G
Na
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 ibis application Is falsified or changed. 1,also,anderstand that 1 am responsible for all charges incurred from
this application. I,hereby,give consent to the Authorized Representative of the Davie County Ilealth Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to dei rugine the st bili
DATE _ t3 t 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
r{ LI) �,{ Date(s):
7j► 5, °�,�s�j �^L°5 i) Client Notification Date:a5� .�b fsJv EBS:
i
L) /
I C Account No. " l
Revised DCHD(07199) �d �� < < t Invoice No.
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• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990001084 Tax PIN/EH#: 5861-748864.11
Billed To: Countrytime Houses Subdivision Info: Armsworthy Acres Lot#11
Reference Name: David Black Location/Address: Baltimore Road-27006
Proposed Facility: Residence' Property Size: 298'X 101' Date Evaluated:
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 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: eq
LONG-TERM ACCEPTANCE RATE: l 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
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 05/99(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
P. 0. Box 848/210 Hospital Street
Courier #09.40-06
Mocksvilie, NC 27028
Phone #: (336)751-8760
June 8,2000
Mr.Jerry Couch
115 Potters Lane
Mocksville,NC 27028
Dear Mr. Couch:
This letter is to confirm our conversation on June 6,2000 regarding Lots 10, 11 and 12 in
Armsworthy Acres.
Based on the proposed street location, it would be beneficial in regard to septic system repair space
to Cul-De-Sac the street off Baltimore Road at the creek. This would add an additional 50 feet to
Lots 10, 11 and 12 that front Armsworthy Road.
If you have any questions feel free to call our office at 336-751-8760.
_Sincerely,
Robert B.Hall,Jr., R.S.
Environmental Health Specialist
RBH/mp
Enclosure(s)
.... DA'VFE C'QUYn' 'li LTH DEPARTMF.N T>h,. .. .. .
ENVIRONMENTAL HEALTH SECTION
P. 0. Box 848/210 Hospital Street
Courier #09-40-06
Mocksville, NC 27028
1777.w.. ..�..� Phone"i;# :(336)757 8760.
April 1,2003
Mr.Jerry Couch
115 Potters Lane
Mocksville,NC 27028
Dear Mr.Couch:
This letter is in regard to lots 10, 11,and 12 in Armsworthy Acres located on Armsworthy
Road in Davie County.
All 3 lots are classified provisionally suitable for the installation of septic tank systems for 3
bedrooms,however,lot number 12 will require a panel reduction system and a pump.
If you have questions please feel free to call this office.
S' c rely
Robert B.Hall,Jr.,R.S.
Environmental Health Specialist
RBH/df
CC: Paul Willard
D APP N FOR SITE EVALUATION/IMPROVEMENT PERhIlT&ATC
$ 2001 Davie County Health Department
Eni ironmenfa/Heaft Section
`,. .0. Box 848/210 Hospital Streetxp"S&/&71/
RONM�T�H Mocksville, NC 27028 ;O �c3
EN`S ��E�pUN� (336)751-8760
IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PRO DED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed / Contact Person Q
Mailing Addreas 4y Home Phone
City/state/ZIP �G ! ' "� y1 LGL' /V lam: Business Phone 1' .�7 fir
2. Name on Permit/ATC if Different than Above
Mailing Address City/state/Zip
3. Application For: ite Ev luation ❑ Improvement Permit/ATC ❑ Both
a. System to service: Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People _ # Bedrooms � # Bathrooms
❑ Dishwasher arbage Disposalasbing 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 Usage (gallons per day)
7. Type of water supply: 0--County/City ❑ Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes
If yes,what type?
***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: E DIRECTIONS(from Mocksville)to PROPERTY:
Tax Office PIN: #
Property Address: Road Name /, s1 v,
City/Zip
If in a Subdivision provide information,as follows: f l?/`?S wD p4 711 q—,-3
Name:
Section: Block: Lot: zr 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 itse 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 flealth 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 suita '
DATE SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE P elude all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
�� ( ! Client Notification Date:
L 7
S 7 / EHS•
Account No. 0 a
Revised DCHD(07/99) Invoice No.
J