106 Kennen Krest RdDavie County, NC Tax Parcel Report Wednesday, October 12, 2016
WARNING: THIS IS NOT A SURV�Y
:, , __
Parcel Information
Parcel Number: D50000009201 Township:
NCPIN Number: 5842754733 Municipality:
Farmington
Account Number: 36596600 Census Tract: 37059-802
Listed Owner 1: HOLMES MARK A Voting Precinct: FARMINGTON
Mailing Address 1: 106 KENNEN KREST ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: .598 AC BOBBIT RD Fire Response District:
Assessed Acreage: 0.53 Elementary School Zone
Deed Date: 1/1900 Middle School Zone:
Deed Book / Page: 001840853 Soil Types:
Piat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value: 259450.00 Outbuilding & Extra
Freatures Value:
Land Value: 17300.00 Total Market Value:
Total Assessed Value: 277830.00
°���°'F Davie County, �
�'o�,N�c� NC
No
FARMINGTON
PINEBROOK
NORTH DAVIE
Mr62
DAVIE COUNTY
1080.00
277830.00
411 data Is providud as fs without warranty or guaronteu of any klnd either expressed or Implfed Including but not Ifmlted to the
mp�ied warranties of inerchantability or fitness for a paRicular use. AII users of Davie Counry's GIS rmbsite shall hold harmless the
�ounty of Davie, North Carolina, its agents, consultants, contractors or employees from any and a�l clalms or causes of actton due tc
�r arlsing out of the use or fnability to use the GIS data provfded by this website.
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- `� DRUIE COUNTY HERLTH DEPARTMENT
• ' IMPROVEMENT PEAMIT and �ERATION PERMIT
It�RDVEMENT �RMIT
*+�NUTE�+� This�i�prove�ent per�it DDES NOT authorize the construction or installatian of a septic tank syste� or any Naste►+ater
syste�. RN AUTHORIZATION FOR NA5TENATER SY5TEM CDNSTRUCTI�1 �ust be obtained fro� this Depart�ent prior to the
construction/installatian of a syste� or the issuance of a building per�it.
tIn co�pliance ►+ith Article 11 of 6.S. Chapter 1�A, WasteNater Syste�s, 5ection .1900 5ewage Treat�ent and Disposal Syste�s)
t�ME �I.%�f1 r � �o frn ,�� PRD�ERTY RDDRE5S �l� l�Ui��� � . � / � � p DATE ? ' 1 l.
LOCATION �/S� /��1.� ��, �
SUBDIVI5IDN NA� LDT NlA4BEA SEC. /6LDCi( NlA�1BER
RESIDEMTAL SPECIFICpTION: BUILDING TVPE %��r�r,� # BEDR�MS �� BATHS �5�,� � 0('.CIIPANTS ,� 6ARBAAC,EE DISPOSAL: Yes/�
COMMERCIAl. SPECIFICATION: fACILITY TYPE �I PEDPLE # PEDPLE/SHIFT # 5E�T5 INDUSTRIRI. NASTE: Yes/No
LOT SIZE � TYPE WATER SUPPLY ��_ DESI6N V�STEWATER FLOW {GRU) � I�W SITE t/'� REPAIR SITE
5Y5TEM S�CIFICATI�IS: TANK SITE �(Z 6RL. WJMR TANK 6AL. TRENCH WIDTH �� !�K DEPTH �J� LINEAR FT. �Q�
OTHER
, RE(N.IIRED SITE MDDIFICATIONS/CONDITIDN5:
*+��THIS PERNIT IS SUBJECT TO REVOCATION IF SITE PI.ANS OR THE INTENDED USE CHANGE. Y�JR WASTERWATER SYSTEM CONTRACTOA MUST
SEE THIS PERMIT BEfORE INSTALLING THE SYSTEM.
i
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IptF'RDVEMENT PERMIT BY ,, �
�*CONTACT A RfPRESENTATIVE � THE DAVIE C�JTY NEALTH DEPARTMENT FOA FINAL INSPECTIDN OF THIS SYSTEM E�ETWEEN �
8:30-9:30 A.M. OR 1:�-1:30 P.M. ON TFIE DAY OF INSTALLATI�M. TELEPHONE � IS t704) 634-87E0.
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OPERATION PERMIT �� SY�STEM INSTpLLED BY � ��
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AUTHORIZATION N0. d �7 9
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DPERATIDN PERlIIT BY �• DATE �d -I � �'
�*THE ISSIIANCE DF THIS OPERATION PERMIT SHALL INDICATE TF�T THE SYSTEM DE5CRIBED ABOUE HAS BEEN It�STALLED IN COh�LIi�ICE WITH
ARTICLE 11 OF G.S. CHAPTEA 138A, SECTIOt�I .19� "SEWF�'iE TREATMENT AND DISP05AL SYSTEMS', BUT 5NALL IN NO YAY BE TWtEN AS A
6'UARAMTEE TF�T THE SYSTEM WILL Fl.AJCTION SATI�ACTORILY FOR RMY 6IVEN PERIOD �' TIME.
DCHD 10/95
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,. -r��� ,, � ' Davie County Health Departient �
" � ENUIR�JMENTflL HEflLTH 5ECTION
_ �
�r" . �'' P.O. Box 6b5
.+� _
' ."" � Mocksville, N.C. 270�8
, � . . � .. , � ..« •f , r .. ..
AUTHORI2RTION FOR WASTE{�TER SYSTEM CWSTRUCTI�M!
tIssued in co�pliance with Article 11 of
G.S. Chapter 130fl, Wastewater 5y�te�s?
✓�✓/� 1U
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�+�*This Ruthorization Far Wastewater 5yste� Construction �ust be issued by the Davie County Enviran�ental Health 5ection prior to
issuance of any Building Per�its. This For�/Authorization Nu�ber should be presented to the Davie Caunty Building Inspections
Office when applying for Auilding Gereits.**+�
,� Rl1THORIZATION KMBER
NRME � t�'/'/'E��l �//91/� �' "�7�1�—.��-/Z'- DATE � �S -�� �"�'A � ;,; '± � �
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NA�E �N IlPROVQENT PERMIT (If different than abovel �,9�%� —.J'�a�;�,✓ c' �
SI7E LOCATION �/l�: i �'' ~ ��
C0�l�ENT5/IX]MNITIONS ON AUTFIDRIZRTI�I TO LXlN5TRUCT LIASTEURTER SYSTEM
- ' �1DTICE�+ THIS AUTHORIZRTIDN FDR 5TEWATER 5Y5TEM CDN5TRUCTIDN I5 VALID FOR R PERIDD OF FIVE (5) YEARS.
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ENVIRON�FNT�L I�ALTH SPECIALIST DATE
DCHD 10/95
. . ,
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
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FEB 2 8 19�5
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1. Application/Permit Requested By /���� j��/h'1�� SH�r�r�� ����5 �UlIG��I� '
Mailing Address ��c� S• t�l'����'.�y� tj% ��tG� � Home Phone ��� �� ��i f
,�'-E��'��1��'�«,%�� /�/.�s ?�?:k`r Business Phone /l� ��G' ���-�
2. Name on Permit if Different than Above .sl`���2��� ��u'�l�/c.J
3. Application for: ❑ General Evaluation �Septic Tank installation Permit
4. System to Serve:
❑ Business
� House
O Industry
5. Ii house, mobile home: Subdivision
No. of People %
No. oi Bedrooms '�
No. of Bathrooms ���
Dwelling Dimensions
O Mobile Home
❑ Other
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. oi Sinks
No. of Commodes
Nb. of Lavatories
No. of Showers
No. of Urinals
No. oi Water Coolers
Water Usage Figures
O Place of Public Assembly
O Unknown
Section Lot #
❑ BasemenUPlumbing
❑ Baser'nenUNo Plumbing
(�Washing Machine
�Dishwasher
O Garbage Disposal
7. Type of water supply: �Public ❑ Private ❑ Community
� � � � /�/ ,�^
8. Property Dimensions ZZ9� �B -S`l. �'% -S� t! -(�g y0 Sewage Disposal Contractor !^//�J�f '�' f�/Gl�TJf �iZ
�9�.oz ', — i2s. �3 � �
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? p Yes o
If yes, what type?
'NOTE: Improvements Permits shall be valid irom date issued. Improvements Permits are subject to
' revocation, if site plans or the intended use change. Efiective October 1, 1989.
Directions to Property:
�r�y �s� r� y��y �ve iu��� ��-
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Tax Off ice PIN: # ��� -7,5- i�°J(�,�
PRO�'EnTI� AbbRESS� as ,follows:
Road Name: ��o���r �D
cLt�: -�f}RrniNG7�N ��Jn�SI�iP
SU$MIT A PLAT WIZH THIS APPLICATION.
IZevisions e,f,fec{-ive October 1 � 1995.
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this pplication. j
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DATE SIGNATURE
CONSENT FOR SITE EVA�UATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. I OWN the property. O 2. I 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 oi the Davie ounty Health Department to nter upon above described
property located in Davie County and owned by ,(� 1% ✓Gi� �/�IIPS
to conduct all testing procedures as necessary to determine said site's suita ility for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (1/93)
SIGNATURE
�
hts is to certify th�t thi� property IS NOT locntcd in n SPE L ll HAGA A r �� � y..: .. ... .,.
(�nuZing �nd.Urbnn Devclopment, Community Pancl # s�aao8 -�25 c, for �A��E ���*�f N.C., datcd R��•�Z • i7•93
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END
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• � C A�so LNow�1 AS Rait�so►�J Ro�►D �
Boundary Survey. Map
For:
MARK HOLMES
And Wife
NANCY HOLMES
Fnrmington Township,
Davie County, North Carolina
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NIP � New hon Ptpe
EIP' ExbAr� Ira+ Plp
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fIS � LhdrbK han Sute
E.o.a I:io,oee+
A & M SERVICES
Land Surveying and Drafting Services
217 Beeson Court KcrncrsviUc, NC 27284
. Tcicphonc (910) 99G-5869
Sc+kl'- 4oI D�u DEcgMBER 2, ��i45
•2G os� sQ. F'T. TaAcr - Poar�oN oF
•.DEEo R�ck 53, P4cE 385
•'Te�c MAv D•5. Poer�oa o� Le7 92
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��-� Y APPL CATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
� �
�� j��/95
�����
/ --
��' r/ � D� � Davie County Health Department �j; �
� . � I� �� � Q Environmental Health Section �t������
�� G�i � o� P. O. Box 665 «"
l� 7i �� �iI• Mocksville, NC 27028 � J�����!}
� � �S � p � �Q
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r� �
1. Application/Permit Requested By ' : �� '
Mailing Address
���
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve:
p Business
[� General Evaluation
C�iouse
❑ Industry
5. If house, mobile home: Subdivision
No. of People i
No. of Bedrooms � �
l
No. of Bathrooms � �
Dweiling Dimensions �•.� CD� � �/ � � I � � //
" ❑ Septic Tank Installation Permit
❑ Mobile Home
❑ Other
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
n
No. of Sinks
No. of Urinals
No. of Water Coolers
❑ Place of Public Assembly
❑ Unknown
Section Lot #
C1�BasemenUPlumbing
❑ BasemenUNo Plumbing
�ashing Machine
Dishwasher
? ❑ Garbage Disposal
lOt
�
No. of Showers Water Usage Figures
7. Type of water supply: Public "�Q�� ����`� O Private ❑ Community
� 0 oov s '
8. Property Dimensions � �•"� a Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes �
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:
Ce o ( �
�� ��� � ���
�c r� �`m'
� " �1 C� E�5 �' �j �� �rn-� � Y���_ � \G�
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This is to certify that the information provided is correct to the
incurred from this plication. �
/�-���5�
DATE �
7 I�j
� ��bCk
—�+V� )�.�,L`�� �� �
,`/ �r�?T 1'1G' Q'
--. ___1..._ 7
my knowledge, and I understand I am responsible for all charges
�
SIG
CONSENT Q$ITE EVALUATION TO BE DONE ON AB VE DESCRIBED PR PERTY
MUST CHECK ONE: ❑ 1. I OWN the property. 2. I 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 tre avie County Health D partment to enter upon above described
property located in Davie County and owned by �� ��r' f�� l� 1 ria
to conduct all testing procedures as necessary to determine saidsite's suitabiliry for a ground absorption sewage treatment
and disposal system.
�� � a�-�� , �
DATE SIGNATURE
DCHD�(1/93)
(
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�
0
• � . � DAVIE COUNTY HEALTH DEPARTMENT
� : �', . ' � , Environmental Health Section
• " Soil/Site Evaluation
NAME ��'" /�%Jr� DATE EVALUATED / `��%7
ADDRESS PROPERTY SIZE ����
PROPOSED FACIILTY � j'd'� P LOCATION OF SITE _�D��' ��
Water Supply: On-Site Well Community Public �
Evaluation By: AugerBoring Pit Cut
FACTORS 1 2 3 4
Landsca e osition
Slo e 7.
HORIZON I DEPTH ' ' lD ` � �
Texture rou L L �G
Consistence
Structure
Mineralo
HORIZON II DEPTH � `' " � �-
Texture rou C
Consistence � � 7'�'�
Structure i %� /l �9 �/
Mineralo `r � p "�
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASS.LFICATION
LONG-TERM ACCEPTANCE RATE , A, 7 �, �
SITE CLASSIFICATION: EVALUATED BY: _�
LDNG-TERM ACCEPTANCE RATE: i� OTHER(S) PRESENT:
REMAR KS:
LEGEND
Landscane Position
R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope
CC-Concave slope CV-Convex slope T-Tenace 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-Mgular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mi neralogy
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 wate�' 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 .1�ealffr� �e artmerrt
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� and .�ome .�ealt`i �. yency
210 HOSPITAL STREET I P.O. BOX 665
MOCKSVILLE. N�C. 27028
PHONE: (704) 634•5985
July 7� 1994
Mark & Nancy Holmes
c/o Gilmer H. Ellis
1736 Farmington Rd.
Mocksville, NC 270�8
Re: Site Evaluation
Robbitt Raad
Dear Mr. & Mrs. Holmes:
As requested, a representative from this office visited the aforementioned
site on July 1, 1994. Based upon the information provided on the application
for a site evaluation and after the ev�luation was completed, the site was
fo�and to be provisionally suitable for the installation of a modified,
aversized on—site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
�������� �
Robert B. Hal l, ,7r. , R. S.
Environmental Health Section
RH/wd
Enclosure