617 Turrentine Church Rd Davie County,NC • ' Tax Parcel Report Tuesday, October 11, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K60000000701 Township: Jerusalem
NCPIN Number: 5757141874 Municipality:
Account Number: 6190000 Census Tract: 37059-807
Listed Owner 1: BEEKER BRIAN D Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 668 TURRENTINE CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 2702&5452 Voluntary Ag.District: No
Legal Description: 2 AC TURRENTINE CHURCH RD Fire Response District: JERUSALEM
Assessed Acreage: 2.00 Elementary School Zone: CORNATZER
Deed Date: 5/1999 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 002120244 Soil Types: SeB,ChA,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 106020.00 Outbuilding 8�Extra 1130.00
Freatures Value:
Land Value: 23630.00 Total Market Value: 130780.00
Total Assessed Value: 130780.00
9��I�,, AII data Is provlded as Is without vrarrarrty or guan�tee of any Idnd either expressed or Implied Including but not Ilmked to the
Davie County� Implled rvarrarrtles of inerchaMability or fltness fw a particular usa All users oT Davle Courrty's GIS webaka chall hold hartnleu the
CouMy ot Davle,NoRh Grolina,its aymts,consultants,contractors or employees hom any and all claims or wuses oi actlon due to
�'ppN.�'ti NC or arising out of the use or Inabilityto use the GIS data provided by this websita
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AUTHORIZATION NO: g ��� >DAVIE COUNTY HEALTH DEPARTME�T
Environmental Health Section PROPERTY INFORMATION
Perrnitte�ti , ,f'} �� P.O. Box 848
�Name� 'r ��1�` ��f � 4'�;,t<`��'�`,GJ� Mocksville,NC 27028 Subdivision Name:
_''" r -y- Phone# 336-751-8760
Directions to property: ,(� �� /��-� �� -c Section: Lot:
AUTHORIZATION FOR r � -.�4 0
1/��, � .��= WASTEWATER Tax Office PIN:#�e.�� � ' � �
- SYSTF.M CONSTRUCTION �' �`"'
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Road Name. ��?�"��=r'��s''�''v'�� Zip: C)c�
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Co�nty Environmental Health Section prior
to issuance of any Building Permits.This Fom�/Authorization Number should be presented ro 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)
/ ,f,,�( ' ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
i�''�,1 r.�„r1 iC.�t.,;i:�%(:'� _� '`)1 • �.�l� % IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH S CIAUST DATE ISSUED
f A �.F....w-.�.:.-� , , ,� . -� . . . -G '�� �-1(���� �� �/9�i _
-- '� �.��,�,�DAVIE COUNTY HEALTH DEPARTMENT
�'"" " r TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION �
' � ... -
,'perm�t�e�s j) � ( a � t
--'-Nam�,,°„ >�,3��7'`�';'� ���'�'��"fr/=f� --- SubdivisionName: I
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-~Directions to property: %���'`�''r .�� Section: Lot:
. - Il1�IPROVEMENT �:..,,,.x-. f, ,, ,� ,,;.;.
Y,� ,,.` PERMIT Tax Office PIN:#...'� .,`;i = r "';;,l- .,��_1 s-�;w, .
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Road Name:��°`��'�,��iPr:�J'�:. Zip: �a � �,,-�;�:�+
**NOTE**This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system.An
ALTTHORIZATTON FOR WASTEWATER SYSTEM CONSTRUCT'ION must be obtamed from this Department prior to the
construction/installation of a system or the issuance of a building pemut.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
% , �,�,• ***NOTICE***THLS PERMIT IS SUBJECT TO REVOCATION IF SITE ;_
,; , .�, ;, �^ r'. ; , < <%'"' , r PLANS OR TI-IE INTENDED USE CHANGE.YOUR WASTEWATER
. . _ ./� ; I �i .� . . .
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE .
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE_�� #BEllROOMS �� #BATHS � #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFISHIFf #SEATS INDUSTRIAL WASTE:Yes or No
� ft�-
LOT SIZE � TYPE WATER SUPPLY �(�_ DESIGN WASTEWATER FLOW(GPD) ..:.��n NEW SITE��REPAIR SITE
�, � -
SYSTEM SPECIFICATIONS: TANK SIZE�I�ZSv GAL. PUMP TANK GAL. TRENCH WIDTH_��� ROCK DEPTH 1� LINEAR FT. -. ���'��
,� � �, ./ �l/
OTHER ���L�'�'�i�bc�� �;�'��G�( c_� ��I%_( '�� _�
REQUIRED SITE MODIFICATIONS/CONDITIONS: '
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE OF THE DAVIE CO Y EA H DEP T E FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M. N T E D OF IN AL ATI N.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT � �yl � �
S STE INSTA E BY: �/�'
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lo
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�ORIZATION NO. l�� OPERATION PERMTT BY: DATE:
ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
\ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
4NTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
� �
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APPLIGA110N FUR SIiE EVAL11A71UN/IMPROVEMENT PERMII'dc ATC ---�"
, ' Davie County Health Department � � � 4 �] �
« ' - Environmenta/Kea/tfiSeri�fon �
,� .. P.O. Box 8�B/210 Hospital 8treet 2 � '�
����ie, Nc 2�oze ,lAN
�336)751-8760
� �� MENTAL HEAI.TH
**tIl�ORTANT*** THI3 APPLICATIdN CANNOT 8E PROCESSED ONLE33 ALL THE QOI A� � � ,�
INFORMATION Is PROVIDED. Refer to the INFORMATION BOLLETIN for instruations.
i. �� to � Biiiea �t.r.r ct _�Qx�r��Q � QQ_.2..��Q�c��ot re=� .�Q�`(l 1K1 .I� �QO �Q 1�
Mai11nQ Address (n�'��^('('0 n�-\'R ,l �1 1'IOW.v Hcme Fhone �q p - ���p�
City/etate/8IP rn(�C1�S V���C.� 1�C 10�� Susiness phone 15� � ��lU 11
2. Hame on pe�it/ATC i! D1!lerent that� Above
Mailing Address City/Btate/Lip
3. Ap�plication 8or: U Site Evaluatiott 0 Itoprov�no�snt Pezmit/ATC �Soth
4. eiystem to service: �Honse 0 Mobile Homn 0 Business � Indust=y 0 Other
s. If R,esideaae: � Peaple # Hedroo�ns J • Bathrooms
�Ic�[9�
�Dishrasher 0 oarbaqe Diaposal �Nashinq Nachine 0 Hasaoent/plumbinQ 0 Sasement/No Plumbing
f �
6. i! Basiness/Industry/Other: 8pecily type # people �81nts
* Ca�odea � i Shoxers � Urinals ! Rater Coolers
?F FOOD3ERVICE: � 3eats Estimated iiater Uaago �qalions pesr day)
7. �ppe o� �cater supplp: �Cowsty/City 0 iie].� ❑ Comaiu�ity
/ �
e. Do you �ti�ip�°�additiona or eapa�eaio��of the facility this syatem ia inteuded to aervei 0 Yea �No
u yea,P,�a�ry�±
"••/MPORTANT"** CLIENTS 11lUST CO�itPLETE TH� REQUIRED PROPLRTY INFORMATION ItEQUESTED
BELOW. Eit6er s PLAT or S1TE P1.AN MUST BESUBMII7'F,D b t6e clieat wlth TH1S APPLICATlON.
Pcvpecty Dimensions: rA QC�'Q S D[REC'fIONS(from Mocl�sville)to PROP6RTY:
Ta:Oftice PIN: # 5 r15�1 - b'�� Cl��`�1���b
PrnpertyAddresa: RoadN�me uY'ro.rt�rir�Q. � �ci -��rr� ri(�Ir�1- �o �-O S�O S�nr�
Clty/Zip �i`�iSv��1Q,�JVC- ��D�� �urn �Q.��- c�n�-o ���c'f2�c1�-i�r�F. �, 1�94C�
If in a Subdjvlaion provi e infoemAtion,a�follow�: �f oo�x�� L S OR �Q. r�(�.�n1r
Name: • �Q'U�
Ci�.n 5 e,v wh�z �a, c�va,Wav� ho.s b �. ,
Section: Btoc�C: Lot: Date Property Flaggea: C�...�'
Ou�} �
Thi�i�to�trrtify that the information provlded Is correct to the beat of my koowledga I underst�nd that uny permit(a)
issued 6ereaffer are subject to au�pen�ion or revocatioa,lf t6e aite plans or intended use cbange,or if t6e information
�ubmitted In t61a applicatton is falsified or c6snged I,olso,understa�rd tlJrat I am re�ponsible jor o!1 charg�s tircrin•ed from
this appGc�atio,r. 1,6ere6y,give consent to the AuWorized RepreaentAtive of fhe vie County Healt4 epartment
to eater upon above deacribed property loc�ted in Davie County�nd owoed b� � ' , :
to conduct all teiting procedurea as oeca�stry to determine the site witabiljh-.
DATE � SIGNATU
THIS AREA MAY BE USED FOR DRAWING YOUR SITL PLAN( clude all o(t6e tollowtng: E�atiag and prnposed
property llnes and dfinenaions, �tructures, setbacka, aad septic locatlona).
Accouot Na � D�
Revised DCHD(07/98) Invcice Na �
Z4•J�6 1��36 _ � �
. - , . AREA - 1.713 ACRES ^ � �
MARJOR{E HELLARD �
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BAPTIST CHURCH ;�� CENTER OF R D. " (
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FOUN� IN CENTER �
145.20 OF BRANCH
IRON PLACED S 90•00'00' M �
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. ' DAVIE COUNTY HEALTH DEPARTMENT
• 4' �
Environmental Health Section SECTION LOT
�� SoiUSite Evaluation
APPLICANT'S NAME �����Y' DATE EVALUATED C /
PROPOSED FACILITY ,� PROPERTY SIZE �,G t��
SUBDIVISION ROAD NAME �✓v`✓`� �`h-�
Water Supply: On-Site Well Community Public c�
Evaluation By: Auger Boring � Pit Cut
FACTORS 1 2 3 4 5 6 7
Landsca e osition 1.;
Slo e%
HORIZON I DEPTH '� � �
Texture rou • L►'L,
Consistence
Structure
Mineralo
HORIZON II DEPTH � `
Texture rou �
Consistence
Structure /( �
Mineralo �
r
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �0 �` � EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT:
REMARKS: �� � � '��C'� ��
� LE END �
Landscape Position
R-Ridge S-Shoulder L-Lineaz 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-Granulaz ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineraloev
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-gaUday/ft2
DCHD(01-90)
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