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245 Feezor Rd, Lot 5 s Davie County,NC Tax Parcel Report Wednesday,December 21, 2016 257 z r Of 245 W LL 227 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J416OA0005 Township: Mocksville NCPIN Number: 5727867798 Municipality: Account Number: 74253300 Census Tract: 37059-801 Listed Owner 1: TULBERT JOE FRANKLIN Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 245 FEEZOR ROAD Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028-4150 Voluntary Ag.District: No Legal Description: LOT 5 FAITIE BOWLES Fire Response District: MOCKSVILLE Assessed Acreage: 1.66 Elementary School Zone: MOCKSVILLE Deed Pate: 8/1994 Middle School Zone: SOUTH DAVIE Deed Book/Page: 001760071 Soil Types: PcC2,RnD,ChA Plat Book: 0006 Flood Zone: Plat Page: 054 Watershed Overlay: MOCKSVILLE Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: All data Is provided as Is without warranty or guarantee of any Idnd 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 webs@e 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 NCor 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 Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990000677 Tax PIN/EH#: 5727486-7798 Billed To: Joe&Shelia Tulbert Subdivision Info: Fattie Bowles Lot#5 Reference Name: Shelia Tulbert Location/Address: Feezor Road-27028 Proposed Facility: Residence Property Size: 1.740 Acres ATC Number: 2119 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction of aseptic 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 S PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People `l #Bedrooms #Baths Dishwasher: Garbage Disposal: ❑ Washing Machine: ❑""—Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ` 71--he Type Water Supply Design Wastewater Flow(GPD) Site: New Repair 173 System Specifications: Tank Size ys p ,&,�GAL. Pump Tank GAL. Trench WidthjZ�� Rock Depth.,� Linear FtJD1� Other. Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPR V FFLUENT FILTER RISER(S)IF 6 BELOW RADE. ****NOTICE: Contact a representati th Davie County Health Department for final inspection of this en in.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m. a day of installation. Telephone#is(336)751-8760.**** Itdl- ti 1• 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 #: 990000677 Tax PIN/EH#: 5727486-7798 Billed To: Joe&Shelia Tulbert -Subdivision Info: Fattie Bowles tot#5 Reference Name: Shelia Tulbert Location/Address: Feezor Road-27028 Proposed Facility: Residence Property Size: 1.740 Acres ATC Number: 2119 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 WASTEWATE ONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: 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 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. ,r (2mo '3aQ-+OAV An11L ►s /)PV ^ OJT 6� D(7 /Un Septic System Installed By: Environmental Health Specialist's Signature: �r�G �� ?� Date: 2 DCHD 05/99(Revised) • f2 17 n:91 N FOR SITE EVALUATION/IMPROVEMENT PCIMIT&ATC L5 11 V Davie County Health Department Environmental Health Section 151999 P.O. Box 848/210 Hospital Street JUL Mocksville, NC 27028 (336)751-8760 ENVIRONMENTAL HEALTH H-19-APPILICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. '_Refer to theINFORMATION BULLETIN for instructions. 1. Name to be Billed �e Sk p Q=1 I_`-N p v+ Contact Person she t C: Mailing Address 9(Y� P V Some Phone City/state/ZIP Mf1C S�J1—h)c- C-roag Business Phone 33 Vo /J//1- q CA I 2. Name on Permit/ATC if'Different than Above /���6"Tc �/^ (Ot���/ �� 1 Mailing Address City/state/Zip ffe4 Re-4 3. Application For: 'Site Evaluation 0 Improvement Permit/ATC 0 Both 4. Syztem to service: Ar House ❑ Mobile Home 0 Business 0 Industry ❑ Other 5. If Residence: # People # Bedrooms 3_ i Bathrooms 0' a% Dishwasher 0 Garbage Disposal Washing Machine JF Basement/Plumbing 0 Basement/No Plumbing S. 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: .1X County/City ❑ Well 0 Community 9. Do you anticipate additions or expansions of the facility this system is Intended to serve? ❑Yes )(No 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: WRITE DIRECTIONS(from Mockss`ville)to PROPERTY: Tax Orl G� ��i� b� I�O.t2�� Office PIN: Ge 6 c s�a 7.. - 7'9 9 0 'KY`I,Q V,r'0y Property Address: Road Name r-"O'p2 or Qna City/Zip mpLS Qt1P, KCaloa$ r,P, ec x -4N If in a Subdivision provide Information,as follows: Q Name: Section: Block: Lot: C Date Property Flagged: This Is to certify that the information provided Is correct to the best of my knowledge. I ui<:1,.,1"stand that any permit(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use cia&- e,or if the information submitted in this application is falsified or changed. I,also,understand that I am responsible rjr all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davie Cour'`^Health Department to enter upon above described property located in Davie County and owned by '(,de to conduct all testing procedures as necessary to determine the site suitability. DATE�'_ � c� . 1�I SIGNATURE 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 x40 Date(s): ryos�I Are Client Notification Date: ?sy6 EHS• �oxco � l,�f��•�s e t,$wc k 5 Account No. ZZ Revised DCHI)( 7/ 9) Invoice No. syr. 31� _ • 35FF slf ac Z / �•CPAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ` t �j( \ Davie County Health Department nEnvironmental� V' ental Health Section / P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By � Y��l�s �� Mailing Address o//L'/-z, /-11^ �„r- ' Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: 0--G-eneral Evaluation ❑ Septic Tank Installation 4. System to Serve: Ouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision '9i`� u�),r Section Lot # ❑ Basement/Plumbing No.of People Cl BasemenVNo Plumbing No.of Bedrooms ❑ Washing Machine No.of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 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 ❑ No If yes,what type? '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. Directions to Property: o Al— This is to certify that the information provided is correct to the best of my knowledge, and i understand I am responsible for all charges incurred from this application. DATE n MO NATURE CONSENT FOR SITE EVALUATION IQ BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(12.90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME /Q,' Y''c' S(/SOc✓1Ps DATE EVALUATED ADDRESS PROPERTY SIZE 4 ZZO t!fe PROPOSED FACIILTY LOCATION OF SITE �PZOr it Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS I 2 3 4 Landscape position Sloe Z .51 HORIZON I DEPTH Texture group ,L Consistence Structure Mineralogy HORIZON II DEPTH L r /Z'9 Texture group if, Consistence x1e_ 10� Structure S' 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: EVALUATED 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 Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic I 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 Mi neralojty 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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MOMMEMS on Now EMMEMMEMEM ■■MMM■■MMMMMMMMMMMMMMM.M■■MMMMMMMMMMMMMM.�� ■ME■NEN MMOM MMEM ■■■S■■M.MSMS.■...■S.■OMMS■■MSM■■ ..■MS■■..MSS.SMSM...SM.■■■. .■O■ ■E■■■.■.■■MS..S.■■..M■MOS■SMS■■S�■■S■■■.■.■S■SNM■ES....O.MM.E..■ ■■.■S■■.MSM..MSMS■■.■.M..■■■■.ONM■■MM..■ ■N■S■S.M■■N.SS■.MSM..■ ■M.S■■..MSM...MMEMM.■.M.■...M.MM.....SM.■ H.M■■S.■MSM.M.MMEMMMOS■ ■■OMMS.■S..S■■■MSMS■ ■MM■MMSM.MSS.f\■MM...SE.S.■M.MM.SSSSSSMM.SSMS■ .■.M.M.■.EM■......MMC.M.E■■MM.■. �■MMM■..........■............... ...................................... ........................... ..................■............................................... ■.. ■E..■..■■.■.■..M..■.■.■...■ ■....■S.M■SMMS.M..S.■SM■..■MMS.■ ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account M 990000677 Tax PIN/EH#: 5727-86-7798 Billed To: Joe&Shelia Tulbert Subdivision Info: Fattie Bowles Lot#5 Reference Name: Shelia Tulbert Location/Address: Feezor Road-27028 Proposed Facility: Residence Property Size: 1.740 Acres 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: 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 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) 7 Power. 5(111 !_!rilin 1 iris. „• .. Clcnnnt,na, N( !7.W.' August 25, 1999 N•1 r..lntr'Tolbert 132 Godbey Road klucksville,NC 27028 Sub;ect: LineIndcxNo.: 4M1077 Line Name: Mocksville Main to Energyunited EMC Del. 14 I k-ar Mr.'Tolbert: Duke Power Company will not object to a solid sewer line as long as there are no distribution boxes installed within the right of way limits and our guidelines are followed. Duke Power Company will nttl be held liable for any damages to the sewer line. I f you need additional information,please contact me at 336-917-2113. Sincerely, Eddie Hilton Right of Nay Specialist lil 1:1,I)a