642 Fred Lanier Rd Lot 3 Davie County,NC . Tax Parcel Report Friday, December 30, 2016
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FRED LANIER RD
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WARNING: THIS IS NOT A SURVEY
I, Parcel Information
Parcel Number: G200000083 Township: Calahaln
NCPIN Number: 5719390106 Municipality:
Account Number: 8302022 Census Tract: 37059-801
Listed Owner 1: LINK DONNA GOBBLE Voting Precinct: NORTH CALAHALN
Mailing Address 1: 148 JOHN SNIDER ROAD Planning Jurisdiction: Davie County
City: LEXINGTON Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27292 Voluntary Ag.District: No
Legal Description: LOT 3 JOE GOBBLE S/D Fire Response District: CENTER
Assessed Acreage: 1.09 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 3/2013 Middle School Zone: NORTH DAVIE
Deed Book/Page: 009190115 Soil Types: MnC2
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:
9tI� 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
��UN� NC or arising out of the use or Inability to use the GIS data provided by this websIte.
DAVIE COUNTY ENVIRONMENTAL HEALTH
f' P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760 Fax#(336)751-8786
OPERATION PERMIT
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility:' Residence Property Size: 1 ac
ATC Number: 4558
**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. Tank Date �' Tank Size-:g=-0
Pump Tank Size .J
System Installed By: 0 b LLAa E.H. Speci e:
................ ..... .... .........
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DCHD 11/06(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760 Fax#(336)751-8786
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account M 990003257 Tax PIN/EH#: 5719-29-9196.03
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility: Residence Property Size: 1 ac
ATC Number: 4558
**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 FIVE YEARS. This ATC is subject to revocation if site plans,plat or
the intended use change.
Residential Specification:Building TypeAt—Dozo #People --& #Bedrooms 3 #Baths .2
Basement w/Plumbing:T Basement/No Plumbing
Commercial Specification:Facility Type #People #People/Shift #Seats
Lot Size .I k Water Supply esign Wastewater Flow(GPD)3+Cite:New✓Repair
System Specifications:Tank Size IM�GAL.Pump Tank—GAL.Trench Width 3-�'Trench Depth ' r^�
Rock Depth_�tJ,,,A 'Linearr Ft,3Ca'
Other:
Required Site Modifications/Conditions: JNAMIL– � I Rte" U.-SS
Contact the Davie County Environmental Health Section for final inspection of this system between
8:30–9:30a.m.on the day,of installation. Telephone#(336)751-8760.
utas -
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Environmental Health SpecialiL 4 Date: I =>
DCHD 11/06(Revised)
_ a
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
" Environmental Health Section Moil 4 fe
P.O.Box 848/210 Hospital Street j
Mocksville,NC 27028
ItLn2 0 2006 '°' (336)751-8760/Fax 6)751-8786 (�
-For;--.f]-Sit aluat on/Improvement Permit Authorization To Construct(ATC) /Both
ENVIRONMENTAL HEALTH
LICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name to be Billed �. Contact Person
BillingAddress / Home Phone 1tJ 2_ -
9/ � l
City/State/ZIP 2, Q 2 Business Phone 3.7E - y S-S•- 2-2- ,�L
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.
(Permit is valid for 6 mon with site plan,no'expiration with co Pete pl ) /
Street Address_= j "� City� d� G ax PIN# 7 j oZ g cf ) q b
Subdivision Name pG o 6 6 tEQd J 1S)o>J Se do o # TS 2- Lot Size 1 A C.--
Directions To ite: 0 q
/?7u /
Date House/Facility Corners Flagged
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? Dyes kf Po
Does the site contain jurisdictional wetlands? Dyes Rf4o
Are there any easements or right-of-ways on the site? Dyes Rf4o
Is the site subject to approval by another public agency? Dyes ErflTo
Will wastewater-other than domestic sewage be generated? Dyes Pf o
IF RESIDENCE FILL OUT THE BOX BELOW
#People 3 #Bedrooms 3' #Bathrooms , Garden Tub/Whirlpool ❑Yes Leo
_ Basement: Dyes RNo Basement Plumbing: ❑Yes Colo
IF NON-RESIDENCE FILL OUT THE BO BELOW
Type of Facility/Business �? otal Square Footage of Buildin #People
# Sinks - #Commodes #Showers #Urina
Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY:: #Seats
Type system requested: VConventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type: R 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 I;rRo
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. 1 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 determinecom fiance with applicable laws and rules on the above described property located in
-^ Davie County and owned by
l5�ke" Site Revisit Charge
Property owner's or owner's legal representative signature
Date(s):
Client Notification Date:
Date EHS:
Sign given Dyes ❑No Account# 3�
Revised 2/06 'P�2G1t�T Invoice#
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3
Reference Name: Location/Address: Fred Lanier Road-2//7028
Proposed Facility: Residence Property Size: 1 ac Date Evaluated: �l��drb
itIz' ou
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 4 5 6 7
Landscape position
Slope% "7-4p
HORIZON I DEPTH —
Texture group SIC_
Consistence i SV
Structure / 3 X
Mineralogy
HORIZON H DEPTH IL42
Texture group S;C-fi
Consistence S
Structure b3
Mineralogy -
HORIZON III DEPTH 7t l� Zf
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS --
RESTRICTIVE HORIZON
SAPROLITE t le
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE .3
SITE CLASSIFICATION: EVALUATION BY-
LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT:
REMARKS:
7 Y
_ 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
TENCE
MQ1St
VFR Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm
33�' t
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 05105(Revised)
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DAVIE COUNTY HEALTH DEPARTMENT
�r. Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990003257 Tax PIN/EH#: 5719-29-9196.03
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3
Reference Name: Location/Address: Fred Lanier Road-27028
Proposed Facility: Residence Property Size: 1 ac Date Evaluated: / h
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 ^7
Texture group aLl
Consistence
Structure
Mineralogy ,
HORIZON II DEPTH
Texture groupG
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
COY—
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
j Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE '
SITE CLASSIFICATION: �S EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: e �0 OTHER(S)PRESENT:
n it
REMARKS: �'1� SJ 14U L ew I t0
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
met
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)
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Co 1.994 Acres +f- 1,472 Acres /- 1,117 Acr s +/- 1.098 Acres 1/- 1.696 Acres +f-
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Improvement Permit
August 22,2006
Mr.Joe Gobble
911 Sheffield Road
Mocksville,NC 27028
Re: Joe Gobble Division Lot#3
Tax PIN#5719-29-9196.03
Dear Mr. Gobble,
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 11 of G.S.Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if
site plans or the intended use change.
System To Serve: AeSJdM CeWastewater Design Flow(GPD):Zu Q Valid: 05Ycars 9?<oExpiration
System Type: DConventional Peccepted DInnovative DAlternative ElOther
Site Modifications/Permit Conditions:
Site Plan
00,
E
tonmental Health Specia] ate
i.p.letter 7
1/Y1•1L' <.V V l\1 1 111:jllx J 111"A:IA Al\11t11J1\1
• Environmental Health Section
-,: ••' P.O.Boz 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
**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 #People 3 #Bedrooms 3 #Baths CV,
Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size I tAl.r{i Type Water Supply& Design Wastewater Flow(GPD) W O Site: New Repair❑
tl _
System Specifications: Tank Size�GAL. Pump Tank GAL.f Trench WidthJt0 Rock Depth N Linear Ft.���'
Other: A C C ep i IZ/, f UCC lel C�(b1r1"S�S VY�
Required Site Modifications/Conditions: KQgp I Ol O� SOCC' �n -b S+al.+�l�,
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
system between 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.****
� l.cS10 min.
U4�
:9 w
NV
Environmental Health Specialist's Signature: AA A Date: Aq,2—bp
DCHD 05/99(Revised)
V 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#: 5719-29-9196.03
Billed To: Joe Gobble Subdivision Info: Joe Gobble Division Lot#3
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 11 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: ew ❑Repair ❑Expansion Permit Valid for: ❑5 Years Z<o Expiration
Residential Specifications: #Bedrooms _#Bathrooms 2 #People Basement❑Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Faci/litb
Design Flow(GPD):lz Type of Water Supply: 2KUnty/City ❑Well ❑Community Well
0
Site Modifications/Permit Conditions:
SgemT2e LTAR
InitialU
Repair
Site Plan
f
Environmental Health Specialist Date
i.p.11-06