1676 Peoples Creek RdDavie County, NC I
r Tax Parcel Report Wednesday, October 5, 2016
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�i All data is provided as Is without warm y Idnd either expressed or Implied including but not limited to the i
p rrty or guarantee of an
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
ICounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCr'OUx� or 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:
G800000064
Township:
Shady Grove
NCPIN Number:
5880403996
Municipality:
Account Number:
82524495
Census Tract:
37059-804
Listed Owner 1:
LINKER DODD III
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
1676 PEOPLES CREEK ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7452
Voluntary Ag. District:
No
Legal Description:
11.880 AC PEOPLES CREEK
Fire Response District:
ADVANCE
Assessed Acreage:
11.43
Elementary School Zone:
SHADY GROVE
Deed Date:
5/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006090535
Soil Types:
WeC,WeB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
182810.00
Outbuilding & Extra
Freatures Value:
2250.00
Land Value:
159240.00
Total Market Value:
344300.00
Total Assessed Value: 344300.00
�i All data is provided as Is without warm y Idnd either expressed or Implied including but not limited to the i
p rrty or guarantee of an
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
ICounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCr'OUx� or arising out of the use or Inability to use the GIS data provided by this website. _
AUTHORIZA*IO& NO: 14 09 4 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permitte'e's P.O. Box 848
Name: Mocksville NC 27028 Subdivision Name:
_�''f�-�..�
`/Phone #: 704-634-8760
Directions to property,_=r�_– _ y r Section: Lot:
AUTHORIZATION FOR
WASTEWATER T x Office PIN:# -
SYSTEM CONSTRUCTION �j 7b —
Road Name: S_.6
**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 FornVAuthorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 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 HEALTH SPhCIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT,AND OPERATION PERMITS
Permlt-&e`
PROPERTY INFORMATION
Name: -- 4 fi �" > - w,r,ra^x �' Subdivision Name:
Directions to property: - Section:
IMPROVEMENT
PERMIT Tax Office PIN:# -
Road Name:—/, � Ao
Lot:
**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)
iw.
r 1..., ***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 # BEDROOMS -:!Z # BATHS —,--2.# OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
/ �/
LOT SIZE / � if TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZELL t? GAL. PUMP TANK GAL. TRENCH WIDTH `j/` ROCK DEPTH J LINEAR FT.,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
FA
"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
AUTHORIZATION NO.� OPERATION PERMIT BY: / A 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 EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By J
Mailing Address 88 ? U LA Sq
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve: House
❑ Business /❑ Industry
5. If house, mobile home: Subdivision
No. of People �����^�✓
No. of Bedrooms
Home Phone % b- / F 8e
B�Qs;�n D wPhe S oao
1
- - (-
General Evaluation Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public ]d Private
8. Property Dimensions /J :%j( Sewage /Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
■
❑ 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: 6 Soca `' • n \ %
// g � l� ►�1c1UAr\iCi— `_C t?roSS I'a, Paa r4-(`Ccc CS
�zc2tiJ /mit' ouj —Pe op)es Ck 3 o -Y ice' �� b J 1=��
-S
N
This is to certify that the information provided is correct to the best
incurred from this applic tion.
DATE
I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 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
DCHD (1193)
SIGNATURE
NAME , Z:•Ze,
ADDRESS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPOSED FACIILTY - A e74:a"6*'
DATE EVALUATED
PROPERTY SIZE // l/ (f
LOCATION OF SITEs�/�/�S
Water Supply:
On -Site Well
Community
Public C---'
Evaluation By:
Auger Boring ✓'
Pit
Cut
Texture group
Consistence
FACTORS 1
2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH f
/'
Texture group
Consistence
Structure jr
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
777
LONG-TERM ACCEPTANCE RATE ,
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: eX
REMARKS:
DCHD(01-901
EVALUATED BY: /!G'Y
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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR-V;;ry 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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Davie County Yfealtfi Deparlment
and Nake Nealtlf gyency
210 HOSPITAL STREET i P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-5985
December 29, 1994-
J. Dodd Linker, III
8870 Lasater Rd.
Clemmons, NC 27012
Re: Site Evaluation
Peoples Creek Road/11.4 Acres
Dear Mr. Linker:
As requested, a representative from this office visited the aforementioned
site on December 29, 1994. Rased 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,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑
Name: ° C�t�rr/ A N �t' Phone Number: r y " 7 � 7 (Home)
Mailing Address: (Work)
0 rC. 2
Detailed Directions To Site:. j /- s�1.7 di>> K !` /%'�I i Y3?1 JJ/P C' ^ ;» i v'c;• x c!' '� r':aC ,(
4-, , r f) 1 1°'�•-T o, 1 �' Wj;? .$ Cl -e c k. 21. -..w rf,:? ,%�'l/ .✓+' !7:''1 ;%'-. �i
Property Address: A!L94,i ✓! C r� ,C %
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under:_a_)A
��'/N
Type Of Dwelling: Sing ie
rA
Date System Installed(Month/Day/Year):��J;/
Number Of Bedrooms: =' Number Of People:
</
Is The Dwelling Currently Vacant? Yes ❑ No b)
If Yes, For How Long?.
Any Known Problems? Yes ❑ No 'O If Yes, Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of
Requested By:
(Signature)
W
Of Bedrooms: — Number Of People:
For Environmental Health Office Use Only
Approved,E]' isapproved ❑
Comments:
Environmental Health
Requested:.. L5 Jr 167
%C'1:51/
*The signing of this form by the Environmental HealthStaff is–in no way intended, nor should be taken as a
guarantee(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ Check ❑ Money Order ❑ # Amount: $ Date:
Paid By: Received By:
Account #: Invoice #: