1329 Ridge RdDavie County. NC
Tax Parcel Report 06 aKIN (-�' Thursday. October 6, 2016
WARNING: THIS 1S NOT A SURVEY
Parcel Information
Parcel Number:
J10000003901
Township:
Calahaln
NCPIN Number:
5707166912
Municipality:
Account Number:
82527290
Census Tract:
37059-801
Listed Owner 1:
PLAGEMANN DAVID JAMES
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
1329 RIDGE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 2 D J PLAGEMANN S/D
Fire Response District:
COUNTY LINE
Assessed Acreage:
2.83
Elementary School Zone: COOLEEMEE
Deed Date:
11/2006
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
006890507
Soil Types:
GnB2,MsC,CeB2
Plat Book:
0008
Flood Zone:
Plat Page:
335
Watershed Overlay:
DAVIE COUNTY
Building Value:
127230.00
Outbuilding & Extra
Freatures Value:
1820.00
Land Value:
31320.00
Total Market Value:
160370.00
Total Assessed Value:
160370.00
9�e iF All data is provided 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
1�T
l� C or arising out of the use or Inability to use the GIS data provided by this website.
Permittee's�1 _ i DAVIE COUNTY HEALTH DEPARTMENT
Name: lex v}' �" �+ r-\ Environmental Health Section
P O Box 848
/0
PROPERTY INFORMATION
Directions to property:
R �'
Mocksvi lie, NC 27028
Subdivision Name:
Phone #: 336-751-8760
C <_
Section: /"
Lot: /
AUTHORIZATION FOR
WASTEWATER
_
Tax Office PIN:# 5 ' G 7
� f
SYSTEM CONSTRUCTION
0 0 2 8 A
5 r
AUTHORIZATION NO:
z)
Road Name:
Zip:
**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)] 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 SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS e� # OCCUPANTS I GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 2 NEW SITE REPAIR SITE if !_
SYSTEM SPECIFICATIONS: TANK SIZE / GAL. PUMP TANK GAC. TRENCH WIDTH G ROCK DEPTH LINEAR FT. I
OTHER
.o
IMPROVEMENT PERMIT LgYOUT
-- -1 c— ✓ PIC r V iI F
i
I Gt V t r
lk", tL.,) /1C(vGr5-e
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT Lavey
SYSTEM INSTALLED BY: g — kQ.g
led
I7 L -,A -e 5 114 st& t (,
lo(. e �e
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AUTHORIZATION NO. OPERATION PERMIT BY: DATE: ,0<
*"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 02M (Revised) elgwOo/5-Y Tiu u k &71
**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 Forn/Authorization 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)
lam— ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 3 # BATHS ? # OCCUPANTS I GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE 1--"�ju/ e�rlS11.(_ '/ 3��'
SYSTEM SPECIFICATIONS: TANK SIZE UO GAL. PUMP TANK /OTRENCH WIDTH AROCK DEPTH .LINEAR FT.
OTHER)
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT
SYSTEM INSTALLED BY:
-S1- 61
��pyY +�\putit [1 i '
AUTHORIZATION NO. k 15 OiPERATION PERMIT BY: ' / / DATE: —o
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION A000 "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 02/02 (Revised)119W0015-2
19/3"/ 0 0 / 5-2 TN L) 0' C. a "f � :.:'Lr, -715' .
Permittee s
DAVIE COUNTY
HEALTH DEPARTMENTS
p
Environmental Health Section
`` `1 t5 (-PROPERTY INFORMATION PROPER
1'
+,
i �- V J
P.O. Box 848 i
1
t1
Directions to property:
Mocksville, NC 27028
Subdivision Name:
�'" t
(
Phone #: 336-751-8760
Section: ,..—�'•'"
Lot:
i'
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:#
SYSTEM CONSTRUCTION
AUTHORIZA'FION NO:
0 i.2 91 A
Road Name: � ' r.T' (
Zip:'
**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 Forn/Authorization 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)
lam— ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 3 # BATHS ? # OCCUPANTS I GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE 1--"�ju/ e�rlS11.(_ '/ 3��'
SYSTEM SPECIFICATIONS: TANK SIZE UO GAL. PUMP TANK /OTRENCH WIDTH AROCK DEPTH .LINEAR FT.
OTHER)
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT
SYSTEM INSTALLED BY:
-S1- 61
��pyY +�\putit [1 i '
AUTHORIZATION NO. k 15 OiPERATION PERMIT BY: ' / / DATE: —o
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION A000 "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 02/02 (Revised)119W0015-2
19/3"/ 0 0 / 5-2 TN L) 0' C. a "f � :.:'Lr, -715' .
AUTHORIZATION'NO. 0 5 7 4 DAVIE COUNTY HEALTH DEPARTMENT 160, 00
Environmental Health Section PROPERTY INFORMATION
Permi6E e's P.O. Box 848
Name: "SCJw� c� -U 1 ta.5 r• Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
rj�t. ��i.� v„:•.,, \����r�.. WASTEWATER Tax Office PlN:#111-7h -__-
�— SYSTEM CONSTRUCTION
�oad Name: c\ Zip: Z.I U-lI
**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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
i6, IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
' Pertntice�s — R _ '
Name`: 1 z ': " ' ` \ ti :: , ,, tom, Subdivision Name:
77F -
Directions to property: f X14 �3' � ' `' '~ ' �.° Section: Lot:
IMPROVEMENT '
'I
' •�'� " �`� -.. '�,�„ PERMIT Tax
�Office PIN:#��t,,.
Name :\ � � Zip:
**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 tT1"# BEDROOMS # BATHS '—)-. # OCCUPANTS U. GARBAGE DISPOSAL: Yes 09
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE
TYPE WATER SUPPLY W DESIGN WASTEWATER FLOW (GPD) r? LID NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _ LINEAR FT.—�Q 0
OTHER�—
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT q
r f .
r
rC
d
*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 BY: 'D'Io,�
F
M, H -_;;z
i5p►
AUTHORIZATION NO. 0 5 OPERATION PERMIT BY: DATE.11 V -1b
**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)
-* Ar APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department �- -- ---- -----.
Environmental Health Section ! ;
P. O. Box 848 ^ISI/ — 4
Mocksville, NC 27028
(704) 634-8760---
1
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED. )
1. Name to be Billed I �_f j� � RO 1 D , NP -q 11.I_- ':SK • Contact Person bl it_YA bwl tl`)
Mailing Address ' 135 a mKe Home Phone 704- 492-251
City/State/Zip Moc.Ks'y I I I e , (V , C . Business Phone Toy - 492.5` 5Z
2. Name on Permit/ATC if Different than Above N /A
Mailing Address
City/State/Zip
3. Application For:
❑ Site Evaluation ❑ Improvement Permit & ATC
VO-Ioth
4. System to Serve:
❑ House Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence:
# People 2 # Bedrooms 2- #
Bathrooms 2 -
❑ Dishwasher ❑ Garbage Disposal Washing Machine ❑ Basement/Plumbing ❑
El
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
❑ Well
❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
❑ Yes �No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: ; 1 -
Tax Office PIN: #
-rccl-y- /'►'la.0 ► - I - 39.0
Property Address: Road Name 1329 lR_o6� 5 RD-
City/Zip o"""A, � IC. i Ly • C., 27026
If in Subdivision provide information, as follows:
Name:
Section:
Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
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
as necessary to determine the site suitability.
DATE AS Dy • 7, )996 SIGNATURE
Revised DCHD (06-96)
to conduct all testing procedures
135
i
135 216 1
i I
(B. 33 A)
6954
N
m
O1
v
m
0
�7 (
8
ass
MN
(5.92 A)
0
m
m 6912
LO
I
345
DAYIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation f
NAME �o N�\� \�� 1 /I DATE EVALUATED
ADDRESS S m� ` PROPERTY SIZE
PROPOSED FACIILTY �• 1� 0 mk LOCATION OF SITE
Water Supply: On -Site Well _ Community Public L�
Evaluation By: Auger Boring 1/ Pit Cut
FACTORS
1
2
3
4
Landscape position
S
s
r
Ir
s
Sloe %
Ss- I s 0
8- IS''
%'
HORIZON I DEPTH
"
't
Texture group
C_ L.
C, L
I-
L
L.
Consistence
T__\_
%'V
M H
Structure
P.st
Asr
2
Mineralogy
`,1
' . \
HORIZON II DEPTH
L�y
LADY
W1%\
Texture groupC
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S S
SS
S
S
J
SS
RESTRICTIVE HORIZON
SAPROLITE
--
"—
�-
CLASSIFICATION I
V's
_S
,S
U,.t'7
77-5
S
LONG-TERM ACCEPTANCE RATE
o.2
. 2
0 ,�
SITE CLASSIFICATION: S EVALUATED BY: (� a 3 . _�
a
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: -9
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS-Footslope 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, ---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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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit
PROPERTY INFORMATION
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3 ).' � k cc),�, , fel
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
L
L
Slope %
HORIZON I DEPTH
p
Texture group
C_e-
t—
Consistence
VIP QVtr
Structure
vyy
Mineralogy
HORIZON H DEPTH
- k
Texture groupS
G Y Sa
Consistence
p;@
Structure
/t 4 CR
Mineralogy5
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
d- Z
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: 0 - 2
REMARKS:
LEGEND
EVALUATION BY: IC % 1V G, ('Uyl
OTHER(S) PRESENT:
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
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
Mineralog
1:1, 2:1, Mixed
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)
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