1113 Peoples Creek RdParcel #: H900000001 Page 1 of 1
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Davie County, NC - Basic Estate Search �ov,��
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Parcel #: H900000001 Account #:51902730
Owner Information
I I Tax Codes
MORGAN JOE F
I IC ADVLTAX - COUNTY TA
O BOX 2080
FIREADVLTAX - FIRE TAX
DVANCE NC 27006
Market:
Property Information
Township
FLand (Units/Type): 7.060 AC
SHADY GROVE
dress: 1113 PEOPLES CREEK RD
Deed Information
Local Zoning
Pate: 11/1989 Book: 00151 Page: 0400
lat Book: Page:
Legal Description
PIN
7.30 AC PEOPLES CREEK RD
5799061597
Property Values
Bildin
80018 CCII
BXF•
8,66
Land:
97r33
Market:
906 17
ssessed:
906,17
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00151 0400 11 1989 WD Qualified Improved 80,000
View Property Record for this Parcel View Man for this Parcel View Tax Bill Information
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All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
Its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
Implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1463557 10/5/2016
f = DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION r
NOTE: Is§ued in Compliance With Article 11 of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name Joe !-:organ DateNp Ti,5
r
2
Location P* 0. Bo:: 15, Advanc �, TX 2700(; ��� 600 les 0I
Tf � t 1 d 1
r
Subdivision Name Lot No. _ Sec. or Block No.
Lot Size yj House Mobile Home _ Business _— Speculation
No. Bedrooms No. Baths No. in Family —
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES p NO ❑ j ., ,� :, .:y�- h,, \'�, x
Auto Wash Machine YES ❑,' NO ❑ ti ,
Type Water Supply \ ._a U` ` 1 --- -' 3 -6
*This permit Void if sewage system described -below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans 'or the intended use change. ---•'
Improvements permit
*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 day of completion. Telephone Number: 704-634-5985. i)ci J
Final Installation Diagram:
Installed by
L`
Certificate of Completion ����` `s- Date
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS, PERMIT
W
Davie County Health Department
Environmental Health Section
P. 0. Box 665
�. ll Mocksville, N.C. 27028
7 l�
-Rol (° � �QNSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PER�MIT HAS BEEN ISSUED.
ole IIG �- i Home Phone— "3
1. Permit Requ ed By SQ E Al_ Business Phone 9f-PA/oa
2. Address m,e ,
3. Property Owner if Different than Above
Address
4. Permit To: a) Install 41_� Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
6. a� If house or mobile home, state size o�.f,( home and number of rooms.
House Dimensio s J 000 h�
Bed Rooms Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of wa er-using fixtures:
commodes urinals
lavatory showers
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes �No
9. a) Property Dimensions 5 M ,°AJ
b) Land area designated to building site
c) Sewage Disposal Contractor
garbage disposal
washing machine
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
Date
Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
ell
8
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E
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name �� e gJW &tL- Date ID --)-IN
Address Lot Size L-� _I � a
FACTORS ARFA t AREA 9 ARFA R eQGe A
1) Topography/ Landscape Position
S
S
S
S
U
U—
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S�
C�
U
U
3) Soil Structure (12-36 in.)
Clayey Soils
S
pS,
`�
S
�"ppR-S--�"
U
t) Soil Depth (inches)
S
S
U
U
i) Soil Drainage: Internal
S
C_P�
S
��
S
U
U
U
External
S
S
U
S
U
S9
U
i) Restrictive Horizons
Available Space
S
PS
PS
PS
U
U
U
U
i) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
1) Site Classification
S
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments:
�� . c
Described by � - Title � Date 6� � b
SITE DIAGRAM
(Z
DCHD (H-82)
Davie Caunty Nealtli Department
and .dame Nealti .fyency
210 HOSPITAL STREET P.O. BOX 665
MOCKSV ;.LE, N.C. 27028
PHONE: (704) 634-5985
November 1, 1989
Roy Potts
P. 0. Box 11
Advance, NC 27006
Re: Site Evaluation
Joe Morgan/Peoples Creek Rd.
Dear Mr. Potts:
On October 31, 1989, as you requested a representative from this office
visited the above mentioned site. The soil was found provisionally suitable
for the installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely,
Charles E. Little, R.S.
Environmental Health Section
CL/wd
Enclosure
1124
AUTHORIZATION NO: DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Pernlie's,{+� .P.O. Box 848
PROPERTY INFORMATION
Name: •� _ r ; Mocksville, NC 27028 Subdivision Name:
.rte �y Phone #: 704-634-8760
Directions to property: I�%:C r r f, Section: Lot:
AUTHORIZATION FOR t r,7q
WASTEWATER -
SYSTEM CONSTRUCTION
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEAETH SPECIALIST DATE ISSUED
4N 4i
'.��- a •� DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS, PROPERTY INFORMATION
^ rNaq J "''Y' T` ' � >.' �I Subdivision Name:
'. Directions to property: 1 r' Section: Lot:
«. IMPROVEMENT V;
PERMIT p�__ ice PIN:#
Road -Name r : i'7J i `� .1 ~`Zip 2 r// _/,6, �.
**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*** THUS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED rj
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE & # BEDROOMS - # BATHS --:Y # OCCUPANTS .c - GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT { # SEATS INNDUUSTRIAL WASTE: Yes or No
LOT SIZE ����' TYPE WATER SUPPLY 4" DESIGN WASTEWATER FLOW (GPD) "/GGA NEW SITE k REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �,//M GAL. PUMP TANK GAL. TRENCH WIDTH - �� ROCK DEPTH LINEAR FT r%
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
x•7 15 -X3
"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
SYSTEM INSTALLED
�� rr
A,
�j-iw/a
-,225�/
AUTHORIZATION NO. _ //� OPERATION PERMIT BY: ,AIX 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)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT
' Davie County Health Department
Environmental Health Section
til P.O. Box 848
I Mocksville, NC 27028
(704) 634-8760
OCT 11��7
0
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed i00F. I' o p'C'1 U Contact Person V o u F, t� a (a o
Mailing Address � � 5O Ffi f m oeoo X, R p , Home Phone OI It ` A 9- 548,3
City/State/Zip , �)C,,_hq )Q3 Business Phone TC -1114-7378
2. Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3. Application For: Pq Site Evaluation [ ] Improvement Permit & ATC
4. System to Serve: [House [ ] Mobile Home [ ] Business [ ] Industry
5. If Residence: # People_ # Bedrooms 4_ # Bathrooms
[j4 Washing Machine [ ] Basement/Plumbing 141 Basement/No Plumbing
[ ] Other
[ ] Both
[k] Dishwasher [y] Garbage Disposal
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 [A Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ 1 Yes [r] No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***, j&\T OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: 1#�7g - Q G - bel 6 ; O ) a f G v
Property Address: Road Dame P," P&&2 C�� Za L'
City/Zip Aa ✓QMCS2— ;R 700/ l 9 La F v
If in Subdivision provide information, as follows: Ali
Name: t a ) uv►
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 JOE F, K2 � 8 W 1) to c ct all testing procedures as necessary to determine the site suitability.
DATE—0 6V S o, S-7 SIGNATURE ,a
Revised DCHD (06-96)
THIS AREA MAY BE USED FOR DRAIVINC7 YOUR SITE PLAN:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME' DATE EVALUATED
PROPOSED FACILITY eV PROPERTY SIZE
SUBDIVISION ROAD NAMEo�.� <!P�
Water Supply: On -Site Well
Community,
Evaluation By: Auger Boring Pit
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
t r
Texture group>
>,
Consistence
E'er
Structure
/7
Mineralogy/
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
r
SITE CLASSIFICATION: ✓�
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: Zed: //
OTHER(S) PRESENT:
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
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Nov. 7, 1999
Davie County Health Department
Environmental Health Section
P.O: Box 848
Mocksville, NC 27028
1
I
Nov — 9 1999
TY HEALTH
Reference: Permit No. 1124 issued 11/4/97 to Joe Morgan, 1113 Peoples Creek Rd.
Advance, NC
Dear Sir or Madam:
Per my telephone conversation Nov. 4, 1999 with Davie County Health
Department representative, I am requesting with this letter, authorization to use 375 linear
feet of Infiltrator Systems Inc. Infiltrator chambers instead of the 500 linear feet of
standard drain line specified by the permit.
Joe Morgan
2450 Farmbrook Rd.
Winston-Salem, NC 27103
998-7875;765-5483