132 Peeble Valley Way Davie Codnty, NC Tax Parcel Report Tuesday, November 8, 2016
.a +•i; ' nk`.t '+b.t y �a 'S+-++it ` 1 .'
. �' f � a: .��t .s - %"v�S aaY ,i ..i'. rt•`'r+l� f �,.. ��..�, d�g+l .
itRrs +til t 'S F 14t `irW
�y � • Sx, - � a * yo a�,�1 sl t, r_rk.".0 pv
F
165 .
x,_ - wQY 132 25
YsY x4�y 155
Stix' � • ,� �tii._ > '�C '
Alm
WARNING: THIS IS N01 A SUR\'EN
Parcel Information
Parcel Number: F800000143 Township: Shady Grove
NCPIN Number: 5880186049 Municipality:
Account Number: 82524138 Census Tract: 37059.803
Listed Owner 1: WILSON JEFFERY ALLEN Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 132 PEBBLE VALLEY WAY Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-6743 Voluntary Ag.District: No
Legal Description: 3.742 AC OFF POTTS RD Fire Response District: ADVANCE
Assessed Acreage: 3.75 Elementary School Zone: SHADY GROVE
Deed Date: 312005 Middle School Zone: WILLIAM ELLIS
Deed Book IPage: 005980665 Soil Types: PaD,PcC2,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 46240.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 54470.00 Total Market Value: 100710.00
Total Assessed Value: 100710.00
Q i.V IB
[ANdIra Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, wa_..is ofmerchanlabllity or giness/oraparticubr use.All usersof Oavie County's GlS website shall hold harmMssNa
1�(� of Uavle,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
•` g out of the use or Inability to use the cls data provided by this website.
P1.v +,,,„„e.
AUTHORIZATION NO: O T O Z .:DAVIE.COUNTY HEALTH DEPARTMENTiQ/f1,
' Environmental Health Section' PROPERTY INFORMATION
Permittees+ P.O.Box 848
Name rGlMocksville,NC 27028 Subdivision Name: r
,;_ Phone#:704-634-8760
Directions to property:. : cf Section: Lot:
AUTHORIZATION FOR t Q
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
Road Name: (ti�' Zip: 04 p 66
**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 Fonr/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 1 l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
f ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
`> v�� ����� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
+ '.rr iri i?i•."5't^, C`GrOAr
CG �! v
DAVIE COUNTY HEALTH DEPARTMENT
t #" IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perm�itteel's=
�, r
Name: lr r_ 14,11 }' Subdivision Name:
+ Directions to property: "'"" _ Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# )
Road Names , Zip: A;"
**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)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE 4711' #BEDROOMS -sem #BATHS _#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE;! #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZES TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)� NEW SrrE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE��GAL. PUMP TANK GAL. TRENCH WIDTH ?l ROCK DEPTH / LINEAR FT. !o
OTHER _
REQUIRED SITE MODIFICATIONS/CONDITIONS:
•r
IMPROVEMENT PERMIT LAYOUT „
**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(704)634-8760.
OPERATION PERMIT n� /9
SYSTEM INSTALLED BY: /i'B D e
738 P"/P�oii.�.� mel
�Udl Q
D
pd p t
AUTHORIZATION NO. 0 OPERATION PERMIT BY: (a�\r�JV DATE:
**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 05/96(Revised)
f
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT R Q V IE
QDavie County Health Department
11 Environmental Health Section
P.O.Box 848 Jr[FEB 1 81997
Mocksville,NC 27028 Z
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed C7 �f 1 i FV19 N S Contact Person
Mailing Address 6 V�l //A1I vex I'& -u& Home Phone
City/State/Zip / ( ���/ , d y� s Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address 619 M-e-- City/State/Zip
3. Application For: ❑ Site Evaluation El Improvement Permit&ATC El Both
4. System to Serve: El House Ul-<obile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms # Bathrooms
LBIDishwasher ❑ Garbage DisposalWashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage(gallons per day)
7. Type of water supply: ❑ County/City 2- ell ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ll o
If yes,what type?
PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 7 1 WRITE DIRECTIONS(from
p , !l� - f p 1 Mocksville)TO PROPERTY:
Tax Office PIN: # J���l - _� T / I f/
Property Address: Road Name !/ l-
City/zip
1
1
If in Subdivision provide information,as follows:
1
Name:
Section: Lot #:
This is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(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.I,also,understand that I am responsible for all charges incurred from this application.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 determines the
eejsite suitability.
DATE %?�/ / SIGNATURE
Revised DCHD(06-96)
I5
n
RICHARD S. HARTMAN /
19°07?8"f D.B. 167 PG. 889
114-14, N y
Vo
00 ,
a ,
►� S t�
255.24'
S8
T011q /0 6"�
6IRON FOUND
643.85' �o hg,5
/ 388,81• �,� N ��(�16. 3> � �
F� s
i
1 ACRES+-
M1 NC
N N O
N..
o ,
d• At:4
:.IRON SET
v�J
FOUND
Qz `g- 4'g ACR�{S+ t
Nto
Cq
l 5
\'� StT Qy `�y•�t� �O N r
I V21.
/
to
i� �j a.
' PONQ ry� ` �� l IRON FOUND,
�r�i4� ak r
sET �� / JAMES'; e, ��
l: V, t
o / 15
INsc
00
3Um Sa 5.3078 ACRES+ \
CryY �
,�tij / \ \�� d+
lam/ , \ ?, s
J3' �Oe: Q xh fit}d"
OF t
IRON SET // \ \' S Q• r r
PG. 69
43°26'11"W 79 03'
N8
S 43°26 11"W.3700'..
22'36"Hr / I x ,
� �' ti0 100 . .: ,n �• 'S .,
IRON FOUND 205.72. S 35°52'28"W :1y
N
83°12.45 �I w
„W GRAPHIC SCI"
RICHARD MAGE' POTTS•RO �Irr Y
D.B. 148 PG. 217 SP s
I JOHN RICHARD HOWARD certify thatOF
F1 Clp�'•y` MAP f ' '
this map was drawn from an actual �►�P..«•». 4'� FOR "
field survey under my direction and ,
p19T 7t/ ,
supervision, that the ratio of f .s 3
precision is 1 SEAL ' 1"`='100'
Y:
/� �, � L
z PART OF D.B
•
REGISTERED Fri k :r 1
LAND SURVEYOR • �0'Ni1R0r"' v ;
L-2890 � .
M'�h.�NMUNN uE" " P.O. BC r
� . <
DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME ,UjS DATE EVALUATED 101-/7
PROPOSED FACILITY 7 PROPERTY SIZE
SUBDIVISION ROAD NAME � r
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position it— L
Slope% -~C
HORIZON I DEPTH
Texture group `
Consistence
Structure
Mineralogy
HORIZON II DEPTH d r
Texture group
Consistence r, 4i
Structure r�
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: i " EVALUATION BY: d
LONG-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 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
DCHD(O1-90)
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
MEMNONiiiiiiMEMNON MENNENMEMNONiiiiiiONE ME
■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■�e■■■■■■■■■■■■■■■■■■■■■■■MEN■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■