630 Fred Lanier Rd Lot 2 Davie County,NC Tax Parcel Report Friday,December 30, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G200000082 Township: Calahaln
NCPIN Number: 5719298176 Municipality:
Account Number: 8301569 Census Tract: 37059-801
Listed Owner 1: JOE V GOBBLE FAMILY LLP Voting Precinct: NORTH CALAHALN
Mailing Address 1: 148 JOHN SNIDER RD Planning Jurisdiction: Davie County
City: LEXINGTON Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27295 Voluntary Ag.District: No
Legal Description: LOT 2 JOE GOBBLE S/D Fire Response District: CENTER
Assessed Acreage: 1.42 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 11/2012 Middle School Zone: NORTH DAVIE
Deed Book/Page: 009080669 Soil Types: MnC2,MdD
Plat Book: 0009 Flood Zone:
Plat Page: 050 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
161 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
N`-'('� or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760 Fax#(336)751-8786
OPERATION PERMIT
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.02
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#2
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility: Residence Property Size: 1 ac
ATC Number: 4629
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type:.S.T.Manufacturer SONP Tank Date (�--7 Tank Size W61140
Pump Tank Size V
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System Installed By: I 1N E.H. Special( te. D �
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DCHD 11/06(Revised)
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'• DAVIE COUNTY ENVIRONMENTAL HEALTH Pat
P.O. Box 848/210 Hospital Street
Mocksville,NC 27028 �I
(336)751-8760 Fax#(336)751-8786
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.02
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#2
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility: Residence.. Property Size: 1 ac
ATC Number: 4629
Site Type: eNew ❑Repair ❑Expansion
.I
**NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Specifications: #Bedrooms 3 #Bathrooms 2- #People 3 Basement❑ Basement plumbing❑
Non-Residential Specifications: Facility Type #People-# Seats
Square Footage(or Dimensions of Facility)
Lot Size 1.47&UJ6 Type of Water Supply:.RC ounty/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow(GPD)�Tank Size<LX9GGAL.Pump Tank GAL.
Trench Width r' Max.Trench Depth?>Z!' Rock Depth� Linear Ft. ":�' �
1 ' - /� 1
Site Modific tions/Conditions/Other: o I1 O Kam
n ,S Q W Ay
Contact the Davie Coun y Environmental Hea th Section for final inspection of this system between
to5� 8:30-9:30a.m.on the day of installation. Telephone#(336)751 8760.
llm� ,r
VAI"I
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Environmental Health Specialist Date
0 it
APPLIC
N FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
L; ' I yE Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville,NC 27028
]uation/Improvement
(336)751-8760/Fax(336)751-8786
llrl
A Permit . P Authorization To Construct(ATC) /Both
***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name to be Billed AAe , Contact Person_
Billing Address // Home Phone ��6- '`12 -
City/State/ZIP 2, a Z g Business Phone 336 -3 S-S- 22 ,1i�
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION
NOTE: A survey'plat or site plan must accompany this application. fe
(Permit is valid-for 6gmont with site plan,no expiration with com Tete p'll /
Street Address y� City Oz �J� Tax PINq# 7� �. I,4
Subdivision Name pt✓ 0 6 6 E 0+4 1,S)0-J Se do # 4 TS 2- Ll Lot Size 1 A L-I--
Directions To ite:
,i,C /
Date House/Facility Corners Flagged--7— /2'- 061
If the answer to any of the following questions is"yes",supporting documentation must be attached.
Are there any existing wastewater systems on the site? ❑Yes Rf�o r�
Does the site contain jurisdictional wetlands? ❑Yes Rlqo
Are there any easements or right-of-ways on the site? ❑Yes P14o
Is the site subject to approval by another public agency? ❑Yes Quo
Will wastewater-other than domestic sewage be generated? ❑Yes P<
IF RESIDENCE FILL OUT THE BOX BELOW
#People _� #Bedrooms � #Bathrooms 7, Garden Garden Tub/Whirlpool ❑Yes Cho
_ Basement: ❑Yes RNo Basement Plumbing: ❑Yes PNo
IF NON-RESIDENCE FILL OUT THE BO BELOW
Type of Facility/Business` _ otal Square Footage of Building #People
#Sinks #Commodes #Showers #Urinafd
Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: #Seats
Type system requested: N(Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type: [County/City Water ❑New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes V90
If yes,what type?
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that
any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if
the information submitted in this application is falsified or changed. I understand that 1 am responsible for all charges incurred
from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to
conduct necessary inspections to determine compliance with applicable laws and rules on the above described property located in
Davie County and owned by ���
Joe— Site Revisit Charge
Property owner's or owner's legal representative signature
Date(s):
7_ 1,9- O 6 Client Notification Date:
Date EHS:
Sign given ❑Yes ❑No Account# 22,57
Revised 2/06 Invoice# 6��
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Streets
Streets
Railroad
Ponds
Streams
\
Parcels
-5 ft
cels
00 0 200 400 600 Feet
Printed: May 31,2006
-------- -- -----
Tri 1-
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Double-W /
Existing \ i Tree I;ne
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Mobile Home \ � Proposed � Propo��d
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4 Aerial Power Lines Aerial Power Lines I v Aerial Power Lines
Tax Lot 53
Q1 i_',1---------- --- ------- - ! ---- --- Tax Map G-2
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-2 I Tree Line '- ---- - - - - - - -- - - ---- -- P
� i Tree Line �1/� �1���� vrvs5rv�i�s L�iia-tlsi Church
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^1 1.994 Acres +/— i 1 i 1 /_
--- '.472 Acres +%— 1.1 17 Acres +/- .Q9$ Aures +; 1.696 Acres
231.78' 97.15' 100.13' 206.3W -- -
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Draugiiton
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990003257 Tax PIN/EH #: 5719-29-9196.02
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#2
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility: Residence Property Size: 1 ac Date Evaluated: lO`,3/Vl6
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 2-Y
Texture groupS�
Consistence ' S
Structure C t i A4 k
Mineralogy
HORIZON II DEPTH f" r" -N
Texture group C C a5
Consistence
Structure
Mineralogy 1. "
HORIZON III DEPTH e lew/-
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION 77 77S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: ,J OTHER(S)PRESENT:
REMARKS: 7��7�llLR!-L/��-`��r�7/�//I//�r/�/��1�!y r��t�/Jl'•��'J ���i9/L'
Landscape Position LEGEND
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
fet
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 05/05 (Revised)
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Davie County Environmental Health
_ P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751,8760/Fax(336)751-8786
IMPROVEMENT PERMIT
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.02
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#2
Address: 911 Sheffield Road Location/Address: Fred Lanier Road-27028
City: Mocksville Property Size: .1 ac
Reference Name:
Proposed Facility: Residence
**NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An
Authorization To Construct a wastewater system must be obtained from this office prior to the
construction/installation of a wastewater system or the issuance of a building permit(in compliance with
Article I I of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to
revocation if site plans,plat or the intended use change.
Permit Type: 016 ❑Repair ❑Expansion Permit Valid for: ❑5 Years.0 o Expiration
Residential Specifications: #Bedrooms :3 #Bathrooms 2 #People —Z Basement❑Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Design Flow(GPD) _ Type of Water Supply: 26unty/City ❑Well ❑Community Well
Site Modifications/Permit Conditions: b x-� 01
System Type LTAR
Initial 0
Repair 015
ite Plan ) Lia G .
d �
.C7
Entironmental Health Speciali Date
i.p.11-06