265 Deacon Way Lot 11 t
Davie County,NC Tax Parcel Report Monday, December 19, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K5030A0011 Township: Mocksville
NCPIN Number: 5747561425 Municipality:
Account Number: 82523936 Census Tract: 37059-805
Listed Owner 1: STRICKLAND ROBERT Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 265 DEACON WAY Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5182 Voluntary Ag.District: No
Legal Description: LOT 11 DEACONS RIDGE Fire Response District: JERUSALEM
Assessed Acreage: 3.53 Elementary School Zone: CORNATZER
Deed Date: 2/2005 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 005920189 Soil Types: WeB,EnB,MsC,CeB2,MsD
Plat Book: 0006 Flood Zone:
Plat Page: 060 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9tt� 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 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
NCor arising out of the use or inability,to use the GIS data provided by this website.
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AUTHORIZATION NO: Q DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's_ P.O.Box 848
Flame: Mocksville;NC 27028 Subdivision Name: 1200
-99
Phone#:704-634-8760
Directions to property: sCcA�js"�1c i Section: / Lot:
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:#
SYSTEM CONSTRUCTION
Road Name: W Zi
.**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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.190Q Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEAL4fi SPECIALIST_ DATE ISSUED
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T :bAVIE COUNTY HEALTH DEPARTMENT
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.�,,,s • - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittees...
Name: Subdivision Name: GAO
,jrections to property: Section: / Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# 'r
Road Name0Z: t7. '
**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.
RESIOENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS '1' GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE PA" TYPE WATER SUPPLY e` DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH.�[�,ROCK DEPTH /F LINEAR FT. 60�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYO � J
I4?e L✓�t Ing /y+�S/.
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dD �1 S��/��
b
"CONTACT A REPRESENTATIVE OF THE DAVIE CO HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON NLEPHONE#IS(704)6348760.
OPERATION PERMIT
S M INST ED
tl�
AUTHORIZATION NO. < OPERATION PERMIT BY: � '/ DATE: J6,�Ilw
"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 05/96(Revised)
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µ 'bAVIE.COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permltfee's.
- lame: Subdivision Name: (' 4
Directions to property: Section: ! Lot: l
E14PROVEMENT
PERMIT Tax Office PIN:#
Road Name:
**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)
r p• ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEAISfH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
y, INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE f" #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE '''` TYPE WATER SUPPLY /170 DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE"GAL. PUMP TANK GAL. TRENCH WIDTH J/ ROCK DEPTH /7"LINEAR Fr. /^ ^
OTHERa'Yt'
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOr
d,D
**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.OND�OF INSTAL N. PHONE#IS(704)634-8760.
OPERATION PERMIT
YS INST D
t
t(� ,
b 7�� A�
AUTHORIZATION NO. / OPERATION PERMIT BY: DATE:
**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 05/96(Revised)
i
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &ATC _
' Davie County Health Department 22-"-
' Environmental Health Section l5
P.O. Box 848 D
Mocksville,NC 27028 APR I
M (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES
THE REQUIRED INFORMATION IS PROVIDED.
' 1 `HO 0 Contact Person A
1. Name to be Billed f�..t ��'2,��inn_ � lg�, ►QUI°- ��>>f
Mailing Address—!A.100 na' (�0 4h Home Phone !Ain— qo�r0-- 1�Ct k r]
City/State/Zip u Business Phone Q— vl — , a��`7�_
2. Name on Permit/ATC if Different than Above
i
Mailing Address City/State/Zip
3. Application For: [ ] Site Evaluation [,J19p-rovement Permit&ATC [419oth
4. System to Serve: [QJ4 6use [ ]Mobile Home [ ]Business [ J Industry [ ] Other
5. If Residence: #People #Bedrooms #Bathrooms _ [ ishwasher[ ]Garbage Disposal
[fishing Machine [ 1 Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other:Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: unty/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [L4.Ne-
If yes,what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT***AOF THE PROPERTY MUST BE
SUBMITTED WITH �APPLICATION.
Property Dimensions: S_A1L � WRITE DIRECTIONS(from�Vlocksville)TO PROPERTY:
Tax Office PIN: #f-
Property Address: Road Name .20- d
City/Zip �� 0
If in Subdivision provide information,as follows:
Name: _ L ,
uSection: Lot#: '
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 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 determine the site suitability.
DATE SIGNATURE
Revised DCHD(06-96)
THIS AREA MAY BE USED FOR DkAWINC� YOUR SITE PLAN:
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APPLICATION FOR SITE EVALUATIONAMPROVEMENT PE
Davie County Health Department 0
�0 Environmental Health Section D
P.O. Box 848 MAR 1
1997
Mocksville,NC 27028
�- ,fie . �?
y� P ^���� (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed Q W cP ootP Contact Person
Mailing AddressV Home Phone
City/State/Zip ZZOC L4-k II& 4/�e PI)OU Business Phone
i 2. Name on Permit/ATC if Different than Above
Mailing Address / City/State/Zip
3. Application For: Si a Evaluation [ ]Improvement Permit&ATC [ ]Both
4. System to Serve: [ House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other
5. If Re 'dence: #People _ #Bedrooms #Bathrooms 1/6ishwasher[ ]Garbage Disposal
Washing Machine /Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other: Specify type #People #Sinks #Commodes
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply:/ounty/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ]Yes 1/0 o
If yes,what type?
EITHER A PLAT OR SITE PLA
PROPERTY INFORMATION REQUIRED:***IMPORTANT***&JE+j6TXOF THE PROPERTY MUST BE
SUBMITTED WITH T S APPLICATION.
Property Dimensions: A.-aCON7 / WRITE DIRECTIONS(from ocksville)TO PROPERTY:
i
Tax Office PIN: #
Property Address: Road Name j-)qn"ON
City/Zip v` y OIL, N) C ;
If in Subdivision provide information,as follows: t
Name: _ eoL e) 2 dG i
t
Section: Lot#:
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 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 testi g rocedures a essar etermine the site suitability.
DATE—;N1 SIGNATURE
Revised DCHD(06-96)
THIS AREA MAY $E USED FOR DRAWINC7 YOUR SITE PLAN:
I �
DAVIE COUNTY HEALTH DEPARTMENT
4y
Environmental Environmental Health Section
Soil/Site Evaluation
NAME %;; ``.��,n .l DATE EVALUATED- -
ADDRESS V PROPERTY SIZE 11'PlA1% -
PROPOSED FACIILTY '� LOCATION OF SITE
Water Supply: On-Site Well Community Public L/
Evaluation By: Auger Boring Pit rr--� Cut
FACTORS 1 2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence r
Structure S' T 77-7
Mineralogy
HORIZON III DEPTH
Texture group rD 111
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: J P OTHER(S) PRESENT: 7 /
REMARKS: -sr'r /fi•g� A 1 �� '.Va��f.�� S-is-�.�. ,`j
hilt
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(01-901
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1
Davie CountJ Heafth
Department
and Come Heafth Agency
Environmenta(Heaf&Section
' P.O.Box 848/210 Hosprm STREET
I COURIER#09.4-06
MOCKSVILLE,N.C.27028
i
PHONE:(704)694-8760
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March 26, 1997
Jerry Sricegood _
' 854 Valley Rd.
Mocksville, NC 27028
i
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Re: Site Evaluation
Deacons Ridge I/Lot 11
i Tax PIN: #5747-56-1425
Dear Mr. Sricegood:
As requested, a representative from this office visited the aforementioned
i site on March 24, 1997. Based upon the information provided on the application
for a site evaluation and after the evaluation vas completed, the site vas
found to be provisionally suitable for the installation of a modified,
oversized on-site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
{ Robert B. Hall, Jr., R.$.
Environmental Health Section
RH/vd
Enclosure(s)
-1
Cf -
,1
' Davie County Health Department
and Home Heafth Agency
Environmenta(Heafth Section `
P.O.Box 848/ 210 HOSPITAL STREET
COURIER#09-4-06
MOCKswLLE,N.C.27028
PHONE:(704)634-8760
September 2, 1997
Jurney Construction Co.
460 Savannah Lane
Kernersville, HC 27284
Re: Septic System
Deacons Ridge/Lot 11
Dear Contractor: "
On August 28, 1997, this office inspected the septic tank system that
serves the house located on •lot 11 in;,Deacons Ridge in Davie County.
To function properly, all surface water must be diverted off the septic
system. The way the lot is now graded, water is being directed across the
drainfields. A drainage swag or ditch needs to be placed along the right
property line to prevent surface water..`,from draining across the system.
If you have questions, feel free. to call our office.
i
Sincerely, I r
Robert.H. Hall, Jr. , R.S.
Environmental Health Specialist
RH/wd
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