148 Jim Frye Rd Datvie County, NC Tax Parcel Report I'6 Thursday,September 29, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H90000000101 Township: Shady Grove
NCPIN Number: 5799158863 Municipality:
Account Number: Census Tract: 37059-804
Listed Owner 1: Voting Precinct: EAST SHADY GROVE
Mailing Address 1: Planning Jurisdiction: Davie County
City: Zoning Class: DAVIE COUNTY R A
State: Zoning Overlay:
Zip Code: Voluntary Ag.District: No
Legal Description: 2.27 AC OFF PEOPLES CREEK Fire Response District: ADVANCE
Assessed Acreage: 1.85 Elementary School Zone: SHADY GROVE
Deed Date: 8/2014 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009651059 Soil Types: PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 219790.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 40050.00 Total Market Value: 259840.00
Total Assessed Value: 259840.00
I,v All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
9 "' F Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
NC County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
00 N�4 or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a _
Sanitary Sewage Systems Permit Number
Name ,Ci46r��/j'�` . ` / % / natA i'- N2 7098
Location
Subdivision Name Lot No. Sec. or.Block No.
Lot Size House Mobile Home —T Business Speculation
No. Bedrooms No. Baths fe No. in Family —
Garbage Disposal YES ❑ NO p' Specifications for System:
Auto Dish Washer YES 4 NO ❑ ,. k"
Auto Wash Ma^.hine YES [tj NO ❑
Type Water Supply �'��
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
permit b
Improvements pe y
*Contact a representative of the Davie County Health Depa Kent for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. phone Number 704-634-5985.
Final Installation Diagram: stem Installed by
1� 0
l
Certificate of Completion v Q%�! Date3
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT -RECE
ISO
Davie County Health Department APR -• b 1993
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit R uested By T/7/�-�� fcl_,,e
Mailing Address }C
• 0
C� �f�L
Home Phone / /q 9Y�— 263 Business Phone 5;4p1�e
2. Name on Permit if Different than Above �A
3. Application/Permit for: ❑ General Evaluation ❑ Septic Tank Installation
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine
No. of Bathrooms e2 ❑ Dishwasher
c�
Dwelling Dimensions- Z0 2 O A,-/00 %•FT ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type x//4
No. of People Served 1-114 No. of Sinks
No. of Commodes No. of Urinals All
No. of Lavatories 1q1.4 No. of Water Coolers
No. of Showers J(4: Water Usage Figures
7. Type of water supply: ❑ Public k Private ❑ Community
8. Property Dimensions 27 o Ar.'s Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ;9,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: c�Q� 7`7`✓ � /
This is to certify that the information provided is correct to the st of my knowledge, an :I understand I am responsible for all charges
incurred from t i application.
na - - �3
DATE -NATURE
CONSENT FOR SITE EVALUATION TO 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)
l�tit o
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS. PERMIT
d tff/� Davie County Health Department
Environmental Health Section
y P. O. Box 665
4 )k JG Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
x-61- ; 066b bAa(\8I/Ij
Home Phone
1. Permit Requested By—[:,-,o L Business Phone
2. Address v v 6e AJ,C
3. Property Owner if Different than Above
Address
4. Permit To: a) Install �r Repair
b) Privy Conventional ther Type
Ground Absorption f_
c) Sub-Division Sec Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
6. a}If house or mobile home, state size me-and number of rooms.
House Dimensi ns ��0
Bed Rooms Bath Rooms 3 Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes .3 urinals garbage disposal
lavatory 3 showers 3 washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes 11_'�No
9. a) Property Dimensions 3 00 X 3 (08
b) Land area designated to building site Fre N -j—
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? At M .
What type?
This is to certify that the information is corr to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD(6-82)
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102. . P. 399 23 3 east of Q, of S.a�t g I sDL _ .._. '` _ '_ .ea
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3/4"j.on found ►iW r eloas�c-d by N-C O.6.T ► 60'5.20 14' soil road
( 1. 2' W03t of tine ) — ��a nr T
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(2 67' vest of line )
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• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME /r//ac/%d l DATE EVALUATED
ADDRESS PROPERTY SIZE J�
PROPOSED FACIILTY /��ry LOCATION OF SITE TO :
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Ll_-' Pit Cut
FACTORS 1 1 3 4
Landscape position
Slope % — ^
HORIZON I DEPTH `
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group _
Consistence
Structure ;6f
Mineralogy I• �s
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: ,QP I1
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(01-901
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Davie County Valtl De artment
and .*one Xealtli Ayency
210 HOSPITAL STREET/P.O.BOX 668
MOCKSVILLE.N.C. 27028
PHONE:(704)634-5985
June 30, 19.92
Bobby Hardin
c/o Potts Realty
F. 0. Box 11
Advance, NC 27006
Re: Site Evaluation
Frye Road — Site 3
Dear Mr. Hardin:
As requested, a representative from this office visited the aforementioned
site on June 29, 1992. The site was found provisionally suitable for the
installation of a ground absorption sewage system.
If. you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr. , R.S.
-Environmental Health Section
RH/wd
Enclosure