247 Willow Creek Ln (2) Davie County,NC Tax Parcel Report Thursday, December 15, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G400000049 Township: Mocksville
NCPIN Number: 5820803993 Municipality:
Account Number: ---z,22568250 Census Tract: 37059-806
Listed Owner 1: DURHAM RANDALL L.- Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: = 247 WILLOW CREEK LANE., Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5880 Voluntary Ag.District: No
Legal Description: - 1.390 AC OFF MAIN CHURCH,: Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 1.35 Elementary School Zone: WILLIAM R DAVIE
Deed Date:' 5/2000 Middle School Zone: NORTH DAVIE
Deed Book/Page: 003340114 Soil Types: ApB,GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value: .
Land Value: Total Market Value:
Total Assessed Value:
9 KIS 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
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�Obpl'� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT k . z/N
IMPROVEMENT PERMIT and OPERATION PERMIT 5 a•g�
IMPROVEMENT PERMIT ��
**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. AAA
(In compliance with Article 11 of B.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME �4E'*R A \ ` " �� � PROPERTY ADDRESS 04t�� �-• —a 70 2DATE T/j�v/.
LOCATION:, to 0 N —i� (sr. � X'NL
SUBDIVISION NAME LOT NUMBER 21 ��l 6 C C./BLOCK NUMBER i'1,P
RESIDENTAL SPECIFICATION: BUILDING TYPE �4�bMQ # BEDROOMS '� # BATHS # OCCUPANTS GARBAGE DISPOSAL: Ye /No
.t
COMMERCIAL SPECIFICATION `FACILITY} Y E `<. # PEOPLE # PEOPLE/SHIFT r# SEATS = INDUSTRIAL WASTE: Yes/No
LOT SIZE �''�" TYPE WATER SUPPLY ��� DESIGN WASTEWATER FLOW (GPD) 360 " ''NEW SITE ` �A'`,REPAIR•SITE "" , '
SYSTEM SPECIFICATIONS: TANK'SIZE 1600 GAL. PUMP TANG{ GAL. TRENCH WIDTH 3 ROCK DEPTH 2_� .PNEAR FT. 300
OTHER r
. .4v
REQUIRED SITE MODIFICATIONS/CONDITIONS: �.
***AIS 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.
�J \a M
70 '
IMPROVEMENT PEW.
11T BY t
**CONTACTt 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 I1iSTALLATION.'`TEL`EPHOF # IS (704) 634-8760.
OPE�ATION PERMIT SYSTEM INSTALLED'BY
r
AUTHORIZATION NO. OPERATION PERMIT BY DATE _
r
**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 FICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
Davie County Health Department ny
,. ENVIRONMENTAL HEALTH SECTION
"`•✓�',.'t P.D. Box 665
Mocksville, N.C. 27028° /J 0 .0ll
`4W
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
l G.S. Chapter 13OA, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued-try-ttre-i}arie-C-ount-rVvironmental HealthSection 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.***, ��°�''
NUM
� \ 116 w-dr-ee ``��iMMDR
'�-�AUIZATION BER
.� NATE Ate\ �R 5` ` P. �1 5 DATE 'J C� N.0 0273
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION C hi4 RA Q sa
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
*HNOTICE**+.THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS'.
.�...
49 -9>
's
77" ENVIRONMENTAL HEALTH`SPECIALIST L DATE
DCIID. 10/95 r
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department APR I o wb
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028 ENVIRONMENTAL HEALTH
DAVIE COUNTY
1. Application/Permit Requested By
Mailing Address Home Phone
0-73 kl Business Phone O.S(5
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation Septic Tank Installation Permit
4. System to Serve: ❑ House ®'Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People 21 ❑ Basement/No Plumbing
No. of Bedrooms -3 P--gashing Machine
No. of Bathrooms Z_� 0—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 ❑ Private ❑ Community
8. Property Dimensions kAI&N 709K Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes o
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.
PROPERT,tJ INFORMATIONREQUIRED:
Directions to Property: Tax Office PIN: # -60'7 Z
d6ot, 6V1 4owA& os 1-6" Vv Jet PROPERTY ADDRESS, as follows:
Road Name:
S14 P to 4 AA)A . -}ern ,-�Okt
city:
601J- a ��Z yv�,�Q dh erg �(� SUBMIT A PLAT WITH THIS APPLICATION.
��• Revisions effective October 1, 1995.
C1('ts+e�
This is to certify that the information provided is correct to the best of my knowledge, and I understand 1 am responsible for all charges
incurred from this appl7,1(
ation.
I) 4 DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
L�
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 SIGNATURE
DCHD(1/93)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT0�
• Davie County Health Department _
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. A lication/Permit Requested B �1y2
PP 4 Y
Mailing Address Home Phone
Business Phone
2. Name on Permit if Different than Above
3, Application for: General Evaluation El Septic Tank Installation Permit
4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms 00'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 Private ❑ Community
8. Property Dimensions ?"fO-Q)� O �a�mage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes EX 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: PROPERTY INfORMATZON REQUZREI):
(Da�/ ► �L' 10.71� l�� ')/ �L. Tax Office PIN: #
`f ) PROPERTY AJDDRESS, as follows: �1>
1 Road Name:
city: W100_k!!5✓,��
SUBMIT A PLAT WZTH THZS APPLICATION.
vkq�j�,, Revisions effective October 1, 1995.
01
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-7?
applIat l
/)DATE 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 f the D vie)Co pty H t Department to ent r upon above described
property located in Davie County and owned by �(.{ �� C� C d /Yl ��
to conduct all testing procedures as necessary to deter in�ri e d site's suitability for a ground absorption sewage treatment
and disposal syste
DATE SI NATURE
DCHD(1193)
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INDExE {
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245
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• DAVIE COUNTY HEALTH DEPARTMENT
` Environmental Health Section
Soil/Site Evaluation 4 -a - 96
''
NAME 0 ' DATE EVALUATED `•t -2 - �Ip
6
ADDRESS � � PROPERTY SIZE 1
PROPOSED FACIILTYrQ Z LOCATION OF SITE
Water Supply: On-Site Well ✓ Community Public
Evaluation Byt. _U Auger Boring V11" Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH �`•
Texture groupCJ--
Consistence V71 'X
Structure C
Mineralogy 1
HORIZON II DEPTH
Texture group
Consistence Fz Nr,:&
Structure
Mineralogy 1 A
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS 55
RESTRICTIVE HORIZON
SAPROLITE — -
CLASSIFICATION
_7757—
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: _R .5 ' EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: �� - ��'\ �� -
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 clay 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 film 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 Nealbi De arfinent
t`i Aen
- and dome .meal y cy
210 HOSPITAL STREET I P.O. BOX 665
j
MOCKSVILLE.N.C. 27026
PHONE:(704)634.5985
April 3, 1996
Loyd C. Combs, Administrator
232 Sunrise Lane
Lexington, HC 27292
Re: 2 Site Evaluations on 126 Acre Tract
Tax Ofc. `PIN: 45820-91-0072
Charleston Lane/Davie County
6.62 Acre & 9+ Acre Tracts
Dear Mr. Combs:
As requested, a representative from this office visited the aforementioned
sites on April'' 2, 1996. Based upon the information provided on the.
application(s) for site evaluation(s) and after the evaluations were completed,
the sites were found to be provisionally suitable for the installation of an
on-site sewage disposal system on each lot.
If you have any questions, please feel free to contact this office.
i •
I Sincerely,
Charles E. Little, R.S.
Environmental Health Section
RH/wd
Enclosure(s)
f cc: Jesse Boyce, Zoning Officer