251 Gordon Dr Lot 3 Davie County,NC Tax Parcel Report Tuesday, January 3, 2017
162, 168 .176 '184 192 210 212 220
134
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129 267 299
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: D7010B0003 Township: Farmington
NCPIN Number: 5862449842 Municipality:
Account Number: 60099500 Census Tract: 37059-802
Listed Owner 1: REECE JAMES BART Voting Precinct: SMITH GROVE
Mailing Address 1: 251 GORDON DRIVE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: LOT 3 GORDON HEIGHTS Fire Response District: SMITH GROVE
Assessed Acreage: 1.17 Elementary School Zone: PINEBROOK
Deed Date: 12/1999 Middle School Zone: NORTH DAVIE
Deed Book I Page: 003220635 Soil Types: GnB2
Plat Book: 0007 Flood Zone:
Plat Page: 085 Watershed Overlay: DAVIE COUNTY
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 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 aldaimsorcauses ofacUondue to
NC or arising out of the use or Inability to use the GIS data provided by this website.
V71 —
j DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section pl
' P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990000856 Tax PIN/EH#: 5862-541854
Billed To: Bart Reece Subdivision Info: Gordon's Heights Sec.1 Lot#3
Reference Name: Bart Reece Location/Address: Gordon Drive-27028
Proposed Facility: Residence Property Size: 1.357 Acre
ATC Number: 2236
**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 M• Moms #People I #Bedrooms 3 #Baths 2—
Dishwasher:
Dishwasher: Garbage Disposal: ❑ Washing Machine: ��Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type /�- #People #People/Shift #Seats Industrial Waste: ❑
Lot Size 7 Type Water Supply Ct AftY Design Wastewater Flow(GPD) -3ba Site: New 0---R—epair❑
System Specifications: Tank Size,p2 GAL. Pump Tank GAL. Trench Width-3io Rock Depth� Linear Ft.—,-3DU1
Q
� l
Other: /X Pi►gJT�o� ��T)W$-TALL- U*-/3 —1 O.C .
Required Site Modifications/Conditions: %TALI, .) C614 IC O t? . 1./nk5� S'044-
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
syste een 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.****
i A x. I to'
20'
n
a
Environmental Health Specialist's Signature Date: �� 8
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 #: 990000856 Tax PIN/EH#: 5862-54-1854
Billed To: Bart Reece Subdivision Info: Gordon's Heights Sec.1 Lot#3
Reference Name: Bart Reece Location/Address: Gordon Drive-27028
Proposed Facility: Residence Property Size: 1.357 Acre
ATC Number: 2236
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 WASTEWA O N IS ID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date:
&12
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.
-UY 02
7� �
� T
Septic System Installed By: c J 1M
Environmental Health Specialist's Signature: Date: 121 1c,b9
DCHD 05/99(Revised)
r "• i APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC
Davie County Health Department D
' Enidrunmenfof Hee/th Section
P.O. Box 848/210 Hospital Street Mf 2 9 mg
Mocksville, NC 27029
(336)751-8760
ENVIRONMENTAL HEALTH
***n1P0RTANT*** THIS APPLICATION CARDIO? >B+ PRO SMW UNLESS ALL THE QU
INFORMATION IS PROVIDED. /Refer to the INFORMATION BULLETIN for instructions.
1. (tame to be Billed 910 rt ReeGP' Contact Person
Mailing mess 103 K4c, L o e Bane Phone 9q!&-7k23
cit3r/8tat4/sxP Mrk' 1)161e. X16 2702$ Business Phone
2. base on pezait/ATC i! Different than Above
Mailing Address c
-i
/ty/state/alp
8
3. Application For: ❑ Site evaluation Improvement Permit/ATC ❑ Both
4. System to Service: ❑ House I dMobile Home ❑ Business ❑ Industry ❑ Other
S. If Residence: # People # Bedrooms # Bathrooms Z-
@'Dishwasher ❑ Garbage Disposal Vvashing Machine a sasesent/Plumbing a Basemant/No Plumbing
6. If Business/Zndustsy/Other: Specify type # People # sinlm
# Commodes # Shovers # Urinals # Yater Coolers
IF FOODSERVICE: # Seats Estimated Rater Usage (gallons per day)
7. Type of water supply: County/City ❑ Well ❑ Community
a. Do you anticipate additions or expansions of the facility this system Is intended to serve? ❑Yes 9/No
If yes,what type?
***IMPORTANT***CLIENTS MAST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: OS-17 a c WRITE DIRECTIONS(from Mocicsville)to PROPERTY:
Tax Office PIN: # 2 -54 1'1A Rvl'' - 71el
Property Address: Road Name Go f&/I Or �40� �i�-�- - /�
city/zip 111 ad s V I L, #6
If In in a Subdivision provide information,as follows:
Name: 60rd6 lle i�Zlls
Section: Block: Lot: Date Property Flagged: /'q.-30
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 ant responsible for all charges incurred flour
this application. I,hereby,giveconsent to a Authorized Representative of the Davie County Health Department
to enter upon above described property ed In Davie County and owned by
to conduct all testing procedures as n to determine the site suitability.
DATE 1� 2 //�
IGNATURE ,CJA4e-.,-
THIS AREA MAY BE USED FOR DRA G SITE PLAN(Include all of the following: Existing and proposed
property lines and dimensions, stract: bac and septic locations).
Site Revisit Charge
Date(s).
i
Client Notification Date:
�S:
150 Account No.
Revised DCHD(07/99) Invoice No.
too //`i*
2623 t,teslt!1:'c + Jt
dried
Date
II�A1MwIlrr �,` X1 c
'0%*,� .. .., • O f t
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el 59
s^nL - James David Ellis
Lot 14 ?y 2G'3 v D.B. 76-510
Fox Meadow I , '
P.B. 4- 134 . , ,,,,. .0
watrol comer �i I
S 82 59'25"E S 05619'07"W
43.58' EIP 14.28'
S 87.00'0 ES 181.18'
90.59'
MP 90.59'
S 84°55'5-209.21'
107.91'
101.31'
le Lakey
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1 . 189 Acres 1 .273 Acres 1 .357 Acres 1 . 126 Acres 1 .008 Acres
1.053 to R/W 1.141 to R/W 1.211 to R/W 1.005 to R/W 0.933 to R/W
i �� ►STM -�
HIP shed
1 1
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W 1op.96' �lv
s 1' • 'V
�To bo CWWddto N.C. �`OT
o) V
o (6
20' asphalt 84.93-
'o ^ /R** found 1.3 Parcel 43
6.1Q •p8'45"w 00 -
00 �-s �9 00 zo Saundra Jolly
D.B. 128-321
N 76• EIP 82°16'20.W NOTE THIS PLAT IS SUBJECT TO ANY EASEWN
5306'55 . RIGHTS OF WAY OF RECORD PRIOR TO THE DATE
Parcel 44 -
Piet, APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &ATC
Davie County Health Department
�� Environmental Health Section
l � P.O. Box 848
" v NG Mocksville,NC 27028 y
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
,//��
1. Name to be Billed /" A7//y 11,1G'1r r,r7, Contact Person is/C 5 7A.✓C Lam/
Mailing Address_/0 o CAmA,ei a<g- Pte.& CCt),,,47 Home Phone
City/State/Zip 6:414-15 7D.✓ - t�'f .� Z��[' -3 Business Phone Lo y ., 7 Z
�.
2. Name on Permit/ATC if Different than Above 54 177,4�-
Mailing Address City/State/Zip
3. Application For: Site Evaluation [ ]Improvement Permit&ATC [ ]Both
4. System to Serve: [ )House [ ]Mobile Home [ ]Business [ ]Industry [ ]Other YMAIU zF,,k 7-c.11t e
5. If Residence: #People #Bedrooms #Bathrooms [ )Dishwasher[ ]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: County/City [ ]Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes L4410
If yes,'what type?
L-ITIlE1� A PLAT OR SZTL PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT***A`FLAT OF THE PROPERTY MUST BE
A ct c_ 5.,7-S5 (f SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 'WRITE DIRECTIONS(from Mocksville)TO PROPERTY:
Tax Office PIN: # S-0!o _ / ,p0 ,� S
Property Address: Road Mame 5-7u,t iJanel 2 aN0 IS D e-.r✓n C'� /Y'*!-&,/ti v d
City/Zip Al.C- ; _ll�1)4 -1 A.1,0!2 ?,, r_c,,r�v./
If in Subdivision provide information,as follows: 6
Name: 7v.r ham,,�, rS ��sfi/�72-
Section: f Lot#: r3 4B
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 - C,4 - to conduct all testing procedures as necessary to determine the site suitability.
DATE -L 1- SIGNATURE-----r
Revised DCHD(06-96)
TIIZS -lkE•l .11-kil PF USED fhlt DRAIVINcI l/0111t SITE PLAN:
1. !•
�DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION--,/—LOT,,
Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY+ � / / PROPERTY SIZE
SUBDIVISION �rT7d� ��i� yf ROAD NAME
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 f ®r
Texture group L''
Consistence r-
Structure �C
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: J 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(01-90)