823 Liberty Church RdDavie. County, NC
Tax Parcel Report 0331 Monday, October 3, 2016
No
WARNING: THIS IS NOT A SURVEY
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
or arising out of the use or Inability to use the GIS data provided by this website.
Parcel Information
Parcel Number:
D20000005102
Township:
Clarksville
NCPIN Number:
5812408467
Municipality:
Account Number:
8303651
Census Tract:
37059-801
Listed Owner 1:
BIRDSONG BILLY
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
823 LIBERTY CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
Legal Description:
2.504 AC LIBERTY CHURCH
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
2.37
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
6/2014
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009610444
Soil Types: MnC2,MnB2,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
86830.00
Outbuilding & Extra
Freatures Value:
3780.00
Land Value:
23550.00
Total Market Value:
114160.00
Total Assessed Value:
114160.00
No
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
K
,/3 ,
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater IIx
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)
NAME .� @��� i ��u t vA s o r3 q PROPERTY ADDRESS I jq - r- q- A Qi1 U re h. �rCL. DATE E' i' - V I6
LOCATION G 0 I N �� Ott �a- �. a ' g .� n C."
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE S \�- t*- # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes NO
COMMERCIAL SPECIFfCATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:'Yes/No
LOT SIZE •� `� f TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 31 GC) NEW SITE V' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �0 O GAL.,PUMP TRI#( GAL. 'TRENCH WIDTH _� ROCK DEPTH LINEAR FT . -
SYSTEM
k
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY C�
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:N-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
IO
9`b
Dfl
AUTHORIZATION N0. --7 OPERATION PERMIT BY A4/ DATE 1 /f
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 10/95
O
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665 —
Mocksville, N.C. 2702 _ 1 p
dU.O q,-61-96
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.**
` r AUTHORIZATION NUIXR
NAME
DATE J r� 07� �j�' 0312).!
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
ffWICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE
DCHD 10/95 ,,.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
IE OWE
MAY - 2 192G D i
1. Application/Permit Requested By 1 )
Mailing Address 7q4j
�jHome Ph470q) qqJ-% /6 7
Business Phon6]ot/134N(n(p
2.. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation idSeptic Tank Installation Permit
4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
No. of People 2
No. of Bedrooms . )
No. of Bathrooms
Dwelling Dimensions CN
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks _
No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures
7. Type of water supply: Q'Public ❑ Private
8. Property Dimensions � �� Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If vPc_ what tvna?
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
❑ Yes 12 -No
❑ Community
*NOTE: Improvements Permits shall be valid dopM from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: aD Lool nota -4,\
1 o Lj bf C Ao r(n Pood - 0 (y) I
Qn cl e,5 1,4 Alec Le -F+
PROPERT11 IN>`ORMATI1ON REQUIRED:
Tax Office PIN: # J
PROPERTY ADDRESS, as follows:
-101
Road Name: i,/,e,-&, C LA)
City: 12�rk/Cal>-Up
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective 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 application.
6e
^ / DATE fC,- [ -�SICTURE
CONSENT FOR SITE EVAL AJrJ TION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I 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 (1193)
SEE
MAP
E -2
~, DAV I E COUNTY, N.C.
TAX MAPS
_CALE__]"=_4o�_ _
REVISIONS I DATE
CD
MAP D-2
N0.
• DAVIE COUNTY HEALTH DEPARTMENT
" Environmental Health Section
Soil/Site Evaluation
NAME T51; 4�
ADDRESS �� S
PROPOSED FACIILTY \ ` �C) WT'Q
DATE EVALUATED J Z
PROPERTY SIZE Q�'s
LOCATION OF SITE
Water Supply: On -Site Well _ Community Public
Evaluation Byq�-tL Auger Boring Pit Cut
FACTORS
1
2 3 4
Landscapeposition__
s'
-s
Sloe %
e> - SO
O -$
HORIZON I DEPTH
&J,
4
Texture group
Consistence
Structure
2
Mineralogy
HORIZON II DEPTH
Texture group
Q—
Consistence
es-
Structure
Structure
Q.
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S
�S
RESTRICTIVE HORIZON
SAPROLITE
--
—
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: `�' EVALUATED BY: \S-�
LONG-TERM—ACCEPTANCE RAT' 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 <;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+ ---y 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
3C --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 wateC 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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. •
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By` i�A//
Mailing Address Home Phon(n 0(- L1 q p- �1 )11)y2
myoy 'dof o�� O o Business Phon �r7�1 o �^ 2-, (DID_
2. Name on Permit if Different than Above
3. Application for: a eneral Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
[V Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
No. of People
No. of Bedrooms •�
No. of Bathrooms
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Sinks
No. of Urinals
No. of Water Coolers
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
V Washing Machine
❑ Dishwasher
❑ Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: Q'Pub�c El Private
8. Property Dimensions etO -10 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
EYNo
❑ Community
`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: �--,4-6
6 (4 �-c Gam. X • a
�� ►� elf be��de �. �.
This is 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 application.
DATE o SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. Q/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 D vie Coun H alth 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.
k — 2- 2 9.z' %, Z0,
DATE ,7 SIGNATURE
DCHD (1193)
�>DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
' Soil/Site Evaluation
NAME i
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well — Community Public
Evaluation By: Auger Boring L/ Pit Cut
FACTORS
1 2
3 4
Landscape position
L
L
Slope R
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
C
Consistence,—
Structure
S
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: /_�5 EVALUATED BY: 'A" `,L
LANG -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 :lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+: -y 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
3C --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 Nealfk Department
and Nome :fealtFi Ayency
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
July 11, 1995
Jack W. Birdsong
448 Fred Lanier Rd.
Mocksville, HC 27028
Re: Site Evaluation
Liberty Church Road - 2 1/2 Acres
Dear Mr. Birdsong: .
As requested, a representative from this office visited the aforementioned
site on July 3, 1995. Based upon the information provided on the application
for site evaluation and after the evaluation was completed, the site was found
to be provisionally suitable for the installation of an on-site sewage disposal
system.
If you have any questions, please feel free to contact this office.
Sincerely,,
,�a'lo ��O(e
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure(s)