182 Speaks RdDavie County, NC I Tax Parcel Report 16 % 5 Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D60000002601
Township:
Farmington
NCPIN Number:
5852619466
Municipality:
Account Number:
82518188
Census Tract:
37059-802
Listed Owner 1:
LONG JAMES A II
Voting Precinct:
SMITH GROVE
Mailing Address 1:
182 SPEAKS ROAD
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-6735
Voluntary Ag. District:
Legal Description:
9.30 AC SPEAKS RD
Fire Response District:
SMITH GROVE
Assessed Acreage:
9.44
Elementary School Zone:
PINEBROOK
Deed Date:
2/2002
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
004060536
Soil Types: MrC2,MrB2,GnB2,GnC2,GaD,MsC,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value: 247430.00 Outbuilding & Extra 11340.00
Freatures Value:
Land Value: 89960.00 Total Market Value: 348730.00
Total Assessed Value: 348730.00
IM
.pA sly,
Davie County,
All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the
Implied warranties of merchantability or illness for a particular use. All users of Davie County's GIS website shall hold harmless the
�O U l3't4
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or inability to use the GIS data provided by this website.
1039
AUTHORIZATION NO: DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittees' J !�
r�R
��� P.O. Box 848
Name: r Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Dir :.z� ctions to property: AUTHORIZATION FOR 2 Section: Lot:
�r' ' �
L t f>t.� , . t 11Ij j ut.� `^ WASTEWATER S' c J f.� '-!' o
SYSTEM CONSTRUCTION Tax Office PIN•
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 Artic e 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
i ,'�. ) •� - R ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMEN AL HEALTH 9PECIALIST DATE ISSUED
ICL L
DAVIE COUNTY HEALTH DEP4Rf r4iNT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
ry „_
Permitfee's1,F;"•i%'wGi C -,c t. t�i
Name:-, �- . r`' 1.., . (..: �_. Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
1 : ' f r- l i c:: , C c.,., i PERMIT Tax Office PIN.# f, " r•� t �•r ,
a.,
Road Name: it ,4V !�rZip.
**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
ate.. • INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE HE # BEDROOMS 4/ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes of No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE /• 51/ /'TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE PAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -� V ROCK DEPTH LINEAR FT.
OTHER 1� �tQJ�IJTic .C[,S
_ n 1
REQUIRED SITE MODIFICATIONS/CONDITIONS:� � LL- (N �t int?�.� E1.1' {� CK wDa7 +:, 5�1 T Ej&r—Tic>r,-) Cbmr
IMPROVEMENT PERMIT LAYOUT
1 T kc Ci l'i 6 r
fi I �stfts ,0
TN VA
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7)1
�Or L%'d.C.
��Or.A•T'
b-EllcX
"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: 3)C1i1J 16 Q IL
0
3V
�� li7
AUTHORIZATION NO. 10$9 OPERATION PERMIT B DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICAT';AT# TEM 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/IMPROVEMENT& ATC
Davie County Health Department
Environmental Health Section D
P.O. Box 848 1997
Mocksville, NC 27028
M (704)634-8760 I
I !
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed 'J'et-P Fe m u-600
Mailing Address �/ Cj/ 0 /— w" A01
City/State/Zip 14 d (lo vi c e Al L 9 7CU &
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: [ ] Site Evaluation
Contact Person
Home Phone y 0 — )1 7 3
Business Phone 74 �— ` 2 AS 2
City/State/Zip
[ ] Improvement Permit & ATC [,]Both
4. System to Serve: [V]'House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People 2 # Bedrooms Ll # Bathrooms. 3 [,]'Dishwasher [ ] Garbage Disposal
[v] -Washing Machine [✓]'Basement/Plumbing [ ] Basement/No Plumbing 45eavr&44 /0luvA A' t ru5;6%
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 [^ell [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No
If yes, what type?
t L 1 LK A 1-1,A1 UK OL LC YLfUY
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** Ai!W OF THE PROPERTY MUST BE
q SUBMITTED WITHS APPLICATION.
Property Dimensions: (' C— WRITE DIRECTIONS (from ocksville) TO PROPERTY:
Tax Office PIN: #_�
Property Address: Road Name MEL -
City/Zip C7 D d ;
If in Subdivision provide information, as follows:
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 --�E44' to conduct all testing procedures as necessary to determine the site suitability.
DATE—9 -3 d -9 7 SIGNATURE A�.---
Revised
DCHD (06-96)
THIS AREA MAY $E USED FOR DRAIVING YOUR SITE PLAN:
P v"\I APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMITSi
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By t�D 4 e v Q/� >/ C S ¢•��-Q
Mailing Address l Al /-{wy SFD/ N6yJ k Home Phone
a�%JA ,d c e IV I e I `� O O (a Business Phone
2. Name on Permit if Different than Above i 4 k 14 e A Lis
3. Application for: eGeneral Evaluation d Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
No. of People `T
No. of Bedrooms 3
!2—
No. of Bathrooms
❑ Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
Dwelling Dimensions 30 x
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories _
No. of Showers
7. Type of water supply:
❑ Public
No. of Sinks _
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Private
8. Property Dimensions Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
❑ Yes ❑ No
❑ Community
t
'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.
PROPERTY1
Directions to Property:
�a Q A �Nbo� ICd�
cS 2 4 �o
'V
1JJA6Aec( MAP
9r,3 14Cves W i)
p s' lu w k ue 4 o Per'
Kl
v� , y
Tax Office PIN # L6 -(:R(0
T D Road Name S0, 7
Box # (if available)
City c)ya�,C-p— .
This is to certify that the information provided is correct to the b t of my
incurred from this application.
Zo -0- g�
DATE
and I understand I am responsible for all charges
S
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 Apid site's suitability for a ground absorption sewage treatment
and disposal system.
/1) ' S-- 5 i�
DATE SIGNATJAE
DCHD (1193)
II_HJON
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME 1 b��fk P DATE EVALUATED
ADDRESS a m`e PROPERTY SIZE
PROPOSED FACIILTY �• LOCATION OF SITE�'�� `
Water Supply: '�, On -Site Well _ Community Public
Evaluation By: <�,C,Auger Boring Pit Cut
FACTORS
1
2
3
4
Landscape position
-5
-�
Sloe %
- z°
5'3
1,57",15
3a
HORIZON I DEPTH
"
1:Q1
11"
Texture group
C L
r- L
el L
�, L
Consistence
F'z
'
Structure
C
Mineralogy'1
1•�
:�
HORIZON II DEPTH
L"
Texture group
C-
G
Consistence
F�
F�
�-►
Structure
Mineralogyj:l
/•
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S.5
SS
RESTRICTIVE HORIZON
--
SAPROLITE
CLASSIFICATION
,5
V3
LONG-TERM ACCEPTANCE RATEI
13
1 3
SITE CLASSIFICATION: _ • >
LONG-TERM ACCEPTANCE RATE:
REMARKS: _� �4�?.. •'�
DCHD(01-901
EVALUATED BY: CA'
OTHER(S) PRESENT: 1) N 9
LEGEND
Landscape Position
R -Ridge S7Shoulder 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+_ -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 wateC 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 Counfy Nealtii Deparfinenf
and Nome Nealfff .fyeney
210 HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-5985
October 17, 1995
Boger Real Estate
142 N. C. Hwy. 801N.
Advance, NC 27006
Re: Site Evaluation
Speaks Road/9.3 Acres
0. H. Smith Heirs
Dear Mr. Boger:
As requested, a representative from this office visited the aforementioned
site on October 16, 1995. Based 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,
Charles Little, R.S.
Environmental Health Section
CL/wd
Enclosure(s)