1627 Peoples Creek RdParcel #: G80000006501
Davie County, NC - Basic Estate Search
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Parcel #:G80000006501 Account #:81621800
Owner Information
uldin
Tax Codes
BXF•
KAMOREK ADAM& ZAKAMOREK DANUTA H
Land:
ADVLTAX - COUNTY T
Market:
1627 PEOPLES CREEK ROAD
sses.
READVLTAX - FIRE TAX
Deferred
ADVANCE, NC 27028
Property Information
Township
Land (Units/Type): 5.010 AC
SHADY GROVE
ddress: 1627 PEOPLES CREEK RD
Deed Information
Local tonin
ate: 06/2016 Book: 01020 Page: 0728
lat Book: age:
Legal Description
PIN
5.01 AC OFF PEOPLES CREEK
5789595587
Property Values
uldin
55016
BXF•
Land:
67,94
Market:
618 10
sses.
618,10(
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00166 0434 12 1992 WD Unqualified Vacant 0
Z 01004 0021 11 2015 TD Unqualified Improved 443,000
3 01020 0728 06 2016 QC Unqualified Improved 0
View Prooe�Record for this Parcel this Parcel ViewView Mar) this Parcel 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=1414311 10/5/2016
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT -Z,-7 �% /a /% /J,
**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)
NAME
PROPERTY ADDRESS Pf O -P/ r-� C�'� k 1�� . -
7� D DATE ' �- (,26
LOCATION I F
�� S
h` r s� nn =�.
Or. � ��
5 w e�
—z;
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE o u >e # BEDROOMS --�_ # BATHS 9 # OCCUPANTS GARBAGE DISPOSAL: Yes,
COMMERCIAL SPECIFICATION: FACILITY�fYPE '*- # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No
LOT SIZE 5 . D 9 5 TYPE NATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 0 NEW SITE Vj REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEPUMP'TANK GAL. TRENCH WIDTH ROCK DEPTH S" LINEAR FT.500
1
OTHER
"3
REQUIRED SITE MODIFICATIp S/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.
f -
F
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE IE COUNTY -HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR N DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT ��} 1 STEM INSTALLED BY mij"t
G
AUTHORIZATION NO. Z OPERATION PERMIT BY � 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.
DOHD 10/95
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT'PERMIT
This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIIATION 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~,< ti= "en CaCC ` DATEPROPERTY ADDRE55 �, �-
LOCATION I s > `c, \ _ �� t �� i -A t- ti -'Zt ';-:.r ` i� U�� 4.
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RE5IDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS 'S # OCCUPANTS �^, GARBAGE DISPOSAL: Yes No'j
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE 1D •�} t; TYPE WATER SUPPLY ..' DESIGN WASTEWATER FLOW (GPD) LlC?'1 NEW SITE JV/ REPAIR SITE
SYSTEM SPECIFICATIDNS: TANK SIZEGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH€_�LINEAR FT. J0
F
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.
**CONTACT A REPRESENTATIVE OF
8:30-9:30 A.M. OR 1:00-1:30
OPERATION PERMIT
M.
w
IMPROVEMENT PERMIT BY
IE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
,,QDAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
INSTALLED BY
AUTHORIZATION N0. OPERATION PERMIT BY 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 10/95 x
I
Mailing Address
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve:
O Business
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms q
No. of Bathrooms 3
Dwelling Dimensions 3 000
FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, NC 27028
❑ General Evaluation
❑ Mobile Home
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
Tank Installation Permit
❑ Place of Public Assemt
No. of Water Coolers
,'j(%>6p_
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
No. of Showers T/ ,� Water Usage Figures
7. Type of water supply: t!/ Public 5-� -�o-1� 1_ IVO ❑.,Private ❑ Community
8. Property DimensionsSewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes E No
If yes, what type?
-NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
lam' 7
4_q 1
27 l OP/ er2l 6,A/ lecl i, 5
)t
Tax Off ice PIN: #V,5
PROPERTY ADDRESS, as follows:
Road Name: �� 5
n
City: 1�/�]/, I4fll
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1, 1995.
e
- --Flasg e L. -A)
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.
DATE 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 toe Davie /C unty Healt. epart ent to enter upon above described
property located in Davie County and owned by Pt�i; V. k;rl�/� ���� Alk,� hrt,
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and
disposal sy tem.
,� r i�ltGS. ''0—g
DATE
DCND (1193)
DAVIE COUNTY HEALTH DEPARTMENT
'Environmental Health Section
Soil/Site Evaluation L/ q
NAME N\ AN It- A AR Q� DATE EVALUATED 1 J q
ADDRESS 15 A \ Q PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE
Water Supply:
�o On -Site Well _ Community Public -
Evaluation By\Z1JlugerBoring Pit Cut
FACTORS 1
2 3 4
Landscape position
—S
Slope %
HORIZON I DEPTH t'
Texture group
Consistence
L
Structure
Mineralogy 1 •.k
', 1
HORIZON II DEPTH t�
'
Texture groupL,
5 t -
Consistence X C4 Wa
Structure
Mineralogyt
1
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
SS
RESTRICTIVE HORIZON -'
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �'--L->- EVALUATED BY:
LONG-TERM �ACCEPTANCE RATE: 63 pOTHER(S) PRESENT: �4 a 9
REMARKS:... r QNB. �`.c`�-►�� ` 1
LEGEND
Landscave 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+2 -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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