238 Meadow Glen LnDavie County, NC
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Alldataisprovided 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
NCor arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D20000003814
Township:
Clarksville
NCPIN Number:
5812044186
Municipality:
Account Number:
51684370
Census Tract:
37059-801
Listed Owner 1:
MOORE DAVID C
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
234 MEADOW GLEN LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-5883
Voluntary Ag. District:
No
Legal Description:
5.006 ac Meadow Glen Ln
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
5.01
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/1997
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001980779
Soil Types:
MnB2,MdB,MdD
Plat Book:
11
Flood Zone:
Plat Page:
21
Watershed Overlay:
DAVIE COUNTY
Building Value:
89400.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
37630.00
Total Market Value:
127030.00
Total Assessed Value:
127030.00
E@1
Alldataisprovided 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
NCor arising out of the use or Inability to use the GIS data provided by this website.
,9 Axe
AUTPOR1ZATION NO' '17 DAVIE OUNTY HEALTH DEPARTMENT
t Environmental Health Section PROPERTY INFORMATION
Permittee's ., P.O. Box 848
Name: _ �, s , °4 -`i_ t%- Mocksville, NC 27028 Subdivision Name:
Directions to property: �� t f`' i�� �, Ir 2 rgPhone # 336-751-8760 Section: Lot: '`a '
AUTHORIZATION FOR
WASTEWATER'f
SYSTEM CONSTRUCTION Tax Office PIN:# A
i _ n
C+)t_' `fit 5AC-,�1t�:
Road Name: ip:
**NOTE** 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.
(In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
\,�tr IS VALID FOR A PERIOD OF FIVE YEARS.
N�vfk-bN 14 N F kTt IS UED
**NOTE** 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.
(In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENViRONhtNtAt kEALTH SPECI��I�T DATE ISSED
AU_T_Ht1q'ZATION NO -178
9 DAVIE
OUNTY HEALTH DEPART
NT
7PROPERTY
i Environmental Health Seci
INFORMATION
Pentittee–,
P.O. Box 848
Name:
Mocksville, NC 27028
Subdivision Name:
Directions to property:
L 4.-
Phone # 336-751-8760
*10W
Section: Lot:
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:#
SYSTEM CONSTRUCTION
"&_-rVip:_2r10
k,; L
Road Name:—/
**NOTE** 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.
(In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENViRONhtNtAt kEALTH SPECI��I�T DATE ISSED
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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)
***NUF10E*** TH1S PE MFF 1S SUBJEU1" 1'U REVUUA71UN 11' Sllh
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL'HEALTH SPECIALIST DATE E ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE f 1 OJ J* BEDROOMS - # BATHS # OCCUPANTSZ GARBAGE DISPOSAL: Yes or4o—)
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE-�f 6df� - TYPE WATER SUPPLY ry DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �Oy GAL. PUMP TANK i GALL. TRENCH WIDTH ROCK DEPTH �,� LINEAR Fr. 30 c7c7
OTHER
. 1 t
REQUIRED SITE MODIFICATIONS/CONDITIONS: ^jI rJ S-Tn L L OON)�t U oe Kt _L -1p OFF 1A (DOSZ. it E=s 101 o K
L l
IMPROVEMENT PERMIT LAYOUT
FrOa,-
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
Mc7Aa�tL
O`PL. L-- 7-e d T—
,x
T
I
AUTHORIZATION NO. OPERATION PERMIT BY: / DATE: r3
"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 05196 (Revised)
DAVIE
OUNTY HEALTH DEPARTMENT
'
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pertpitfee's t.,
r
Name:.
,
Subdivision Name
Directions to property:
g %r t._, ? . `
'; Section: Lot:
IMPROVEMENT. F
PERMIT Tax Office PIN.#
ji
Road Name. 11.1.�Zrp• Z r
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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)
***NUF10E*** TH1S PE MFF 1S SUBJEU1" 1'U REVUUA71UN 11' Sllh
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL'HEALTH SPECIALIST DATE E ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE f 1 OJ J* BEDROOMS - # BATHS # OCCUPANTSZ GARBAGE DISPOSAL: Yes or4o—)
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE-�f 6df� - TYPE WATER SUPPLY ry DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �Oy GAL. PUMP TANK i GALL. TRENCH WIDTH ROCK DEPTH �,� LINEAR Fr. 30 c7c7
OTHER
. 1 t
REQUIRED SITE MODIFICATIONS/CONDITIONS: ^jI rJ S-Tn L L OON)�t U oe Kt _L -1p OFF 1A (DOSZ. it E=s 101 o K
L l
IMPROVEMENT PERMIT LAYOUT
FrOa,-
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
Mc7Aa�tL
O`PL. L-- 7-e d T—
,x
T
I
AUTHORIZATION NO. OPERATION PERMIT BY: / DATE: r3
"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 05196 (Revised)
APPUC4T10N FOR SITE EVALUATION/IMPROVEMENT PERMIT & A IJ
O
Davie County Health Department
Envimmenta/Health Section
P.O. Box 848/210 Hospital Street NOV -4
Mockoville, NC 27028
(336) 751-8760 _-.-.,. .,..�.,T., uCA1T11
***ZMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE -REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed A. �,C
!tailing Address -ff 38/jX" aQ, (9—��l//2�( �•�t �1�2 e
city/state/ZIP /�/mC✓i;Slif/ ll° /y�.C.%D�
Z. Name on Ptrmiit/ASC if Different than Above
Contact person
Home Phone
Business Phone
Mailing Address City/state/Zip
3. Application For: WSite Evaluation 0 Improvement Permit/ATC 9-16oth
4. system to service: int House 0 Mobile Home 0 Business ❑ Industry ❑ Other
5. If Residence: # People # Bedroo= 3 # Bathrooms
WDishwasher 0 Garbage Disposal WNashing Machine 0 Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # sinks
# Commodes # showers
# Urinals # Nater Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City 0 Well 0 Community
e. Do you anticipate additions or expansions of the facility this system is Intended to serve? ❑ Yes . MNo
If yes, what type'
***IMPORTANT•** CLIENTS AIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Fro a Dlmens onsa s UO .'L ",J C2E s
p rty � wRl'rE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Ofrlce PIN: # SA.la - n V- A1iD-71�0o0 O)lfwY 6a/ Al A 4 ageiY
Property Address: Road Name A3J? I,FT OA/ 1-/-&e7-t10 faee1f *,e APwv<
City/Zip / sdi , /�G a7c�8 ew 1"eAPou) ae&v /-Z !a!o 0'=*
CGCG Z>e- S4 c . T cry' o
If in a Subdivision provide information, as follows: � � OF cae- Og sfic , B azg 0A1
.Si,aG D F /�lza�'Ea- T/'.
Name: MIe. F l U V "
Section: Block: Lot: 2�18 Date Property Flagged:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any perml;'(s)
issued hereafter are subject to suspension or revocation, if the site plans or Intended use change, or If the information
submitted in this application Is falsified or changed 1, also, understand that I ant responsible for all charges incurred fram:
this application. I, hereby, give consent to the Authorized Representative of the Davi—County ealth Department
to enter upon above described property located in Davie County and owned by ,
to conduct all testing procedures as necessary to determine the site suitability-. '
DATE 44.- d - g X SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. 6&�
Invoice No. 3 '�-0
Parcel 27
Lowell Reavis
D.B. 86 - 355
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Parcel 27 '•� �`
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Carl Richard Reavis Y)�
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Parcel 38.03
2S6'
22.957 ACRES \
Fred 16 124
141
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7
Parcel ,.8.01 o p0, S -
Stephen S. Rich _ }�
5 \ S \ D.B. 17 - 715
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15. 02 ACRES
\ 1 IN
SS'�►---__ _ �JPond
p8• � i' /
I�S66 •F if! S>J•7
9,z N �5�\ (approx. location)-!' !�N
��6J• a/// 74• £. 4J9625 f
7.0061, ACRES
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DAVIE COUNTY HEALTH DEPARTMENT RR
Environmental Health Section SECTION LOT �u
Soil/Site Evaluation
APPLICANT'S NAME C-4 DATE EVALUATED
__1141 1�
b
PROPOSED FACILITY VA Voss PROPERTY SIZE �4c,&s CC 1-<-
SUBDIVISION ROAD NAME Migaw bLe?_%
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Z — Pit
Public
Cut
FACTORS
1
2
3 4 5 6 7
Landscape position
L
Sloe %
G
Zo
HORIZON I DEPTH
p - (o
Texture groupr
C_
Consistence
Structure
$ 1e-
G�
Mineralo
/: I
I:
HORIZON II DEPTH
. 2tq
Texture group
c-
L
Consistence
Structure
/
S13tC
l<
Mineralogy
HORIZON III DEPTH
2 -
2%
Texture group
Consistence
Structure
e
Mineralogy
HORIZON IV DEPTH
Texture groupU�-
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
p.4 I
D
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: 0'
REMARKS: > 11 /Z < < I ✓14e .
LEGEND
DCHD (0I-90)
Landscape Position
EVALUATION BY: X lan, 1'
OTHER(S) PRESENT:
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
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