220 Woodvale DrDavie County, NC , • Tax Parcel Report
Wednesday, October 12, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: 1200000023 Township: Calahaln
NCPIN Number: 5718095071 Municipality:
Account Number: 10015750 Census Tract: 37059-801
Listed Owner 1: BRISTER KEVIN WAYNE Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 220 WOODVALE DRIVE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-8478 Voluntary Ag. District: Yes
Legal Description: 10 AC OFF GODBEY RD LOT 3C Fire Response District: COUNTY LINE,CENTER
Assessed Acreage: 12.13 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 3/1999 Middle School Zone: NORTH DAVIE
Deed Book / Page: 002100495 Soil Types: PaD,PcC2,RnD,RvA,ChA,Ce62,WATER
Plat Book: 0004 Flood Zone:
Plat Page: 046 Watershed Overlay: DAVIE COUNTY
Building Value:
Land Value:
Total Assessed Value:
9"�'�' Davie County,
�o� NC
131890.00 Outbuilding 8� Extra 9360.00
Freatures Value:
62590.00 Total Market Value: 203840.00
203840.00
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IMPROVEI�NT PERMIT
DRVIE COtINTY HEflLTH DEPRRTMENT
IMPROVEMENT PERMIT and �ERATION PERMIT
2Z0 GU���� .
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+�*NDTE�� This i�prove�ent per�it D�S NOT authorize the �onstruction or installation of a septic tank syste■ or any NasteNater
syste�. pN RUTHORIZATIDN FOR 41R5TE41�TER 5Y5TEM CONSTRUCTI�1 �ust be ohtained fro� this Depart�ent prior to the
construction/installation of a syste� or the issuance of a building per�it.
tIn co�pliance with Article 11 of 6.5. Chapter 13@R, Naster►ater Syste�s, 5ection .1900 5ewage Treatoent and Disposal 5yste�s)
NAME __,��/ f.f �e1�/l.� �" /C PR�'ERTY ADDRE5S _
L�RT ION i � v1 /F� `.�J o �� v�� �c
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DRTE % � � �
SUBDIUI5IDM NAME LDT tJUl4BER SEC./BLDCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE .� ll�t'� BEDRODMS �� BATHS � II OCCUF'ANTS ,___� 6pRBAGE DISPOSAL: Yes�
C�RCIAI. SPECIFICATION: FACILITY TYPE # PEDPLE # PEDF�LE/SHIFT # 5ERT5 INDUSTRI� NASTE: Yes/No
LOT SIZE ���� TYPE WpTER SUPPLY .� DESIGN V�STEWATER FLOW (6PD>��� NEN SITE t�-�REPAIR 5ITE
SYSTEM 5PECIFICATI�IS: TRNK SIZE /// 6AL. F'lm1P TRt�( 6RL. TAENCH {JIDTH . r'�� �� R�K DEPTN /J �, LINEAR FT.;-�/�
OTHER
REQUIRED SITE MODIFICATIONS/COMDITIONS:
**}THIS PERMIT IS SUBJECT TO REUOCATION IF SITE �AN5 OR THE INTENDEO USE CHANGE. YDUR WASTERWATER SYSTEM CONTRRCTOR h�JST
SEE THIS PEAMIT BffDRE IN5TALLING THE SYSTEM.
_�....--...�-- �,.�-^�"'.�'"�,�
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IMF'ROUEMENT PERMIT BY :� /
�*CONTACT A REPRESENTATIVE � THE DAVIE C�JTY HEALTH DEPARTt�NT FOR FINAL INSPECTION OF THIS SYSTEM AETWEEN
8:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INST�LRTION. TELEPHONE # IS (704) E34-8760. �
�ERATION PERMIT
AUTHORIZATION N0. O Il��
SYSTEM INSTALLED BV � 6`tva��-
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DPERATION PE�IT BY C?��sJ� DATE J�`
**THE ISSUANCE OF THIS �ERATION PERPIIT SHALL INDICATE TF�T THE SY57EM DESCRIBED ABOUE HAS BEEN INSTALLED IN COl�LIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .19� "SEV�iE TREATMENT AND DISPOSAL SYSTEMS°, 9UT SFIALL IN NO WAY �E TAKEN A5 A
6'URR�NITEE TF#�T THE SYSTEM NILL FLIt�TI�I SATISFACTO�ILY FOR A�IY 6IVEN PEAIOD � TIME.
DCHD 10/95
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L-, �� � ., f�r. +`I'
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G�,,,.-.. ,� ,, ,:,,. Davie County Health Depart�ent
" ` " ENUIRONMENTRL HEALTH 5ECTION
, F ..
_ , - P.O. Box 665
_ '; Mocksville, N.C. c^7028
/ �
,� � '� � �_ ' � c.'l v � �J4 t.,(.� i
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' � „ AUTHORIZATION FDR WASTEiWTER SY5TEM tXNSTRl1CTIa!
(Issued in coepliance with Article 11 of
G.S. Chapter 130A, Wastewater 5yste�s)
�+�*This Ruthorization For Wastewater 5yste� Construction �ust be issued by the Davie County Environ�ental Health 5ection prior ta
issuance of any Building Pereits. This For�/Authorization Nu�ber should be preser�ted to the Davie County Building Inspections
Office when plying'for Building Per�its.**+�
f�llTFIORIZATION 1�.l�ER
t� ll.f� �, b��� na� ��/S ��� ���� ;; � t� �
NRlE ON IMPRDVEME�fT PERMIT tI ifferent than above)
SITE LOCATION r- '�-
/ � �
COM�ENTS!(XINDITI�15 ON RIJTHORIZRTI�I TD t�ISTRUCT WASTEWATER 5Y5TEM
+�fNDTICE�+ THI5 AUTNDRIZATIDN FOR WA ER 5Y5TEM CDNSTRUCTIDN I5 VALID fDR A. ERIDD DF FIUE (5) YEARS.
� � �� - � �-�/ 'i�,l
ENVIRONfNTflL FfALTH IALIST OATE
DCHD 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
������
JUN -- � i995
1. App�ication/Permit Requested By
�SS G� ��l"/� �/� p� �
Mailing Address �rv /'� ��� �{�� �d �' -��� �oc��V/J,��ome Phone '�E S� - %'T-�3���
.1G �l •� {d,�/ ,f/C � 711�1 ,dlr3� �tv� �%�r , /� �gusiness Phone 76 S� 6.j/��.17
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation 0 Septic Tank Installation Permit
4. System to Senre: C�J House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
No. of People /
No. of Bedrooms �
No. of Bathrooms 2
❑ Mobile Home � Place of Public Assembly
O Other ❑ Unknown
Dwel�ing Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes
No. of Lavatories
No. of Urinals
No. of Water Coolers
Section Lot #
�l BasemenUPlumbing
❑ BasemenUNo Plumbing
C'�Washing Machine
CI Dishwasher
� Garbage Disposal
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public �rivate
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes
If yes, what type?
G .
❑ Communiry
'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:
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This is to certify that the information provided is correct to the
incu �r d from this application.
��- � �S
DATE
b of my knowledge, and I understand I am responsible for all charges
�ss ��/�
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 1. I OWN the property. ❑ 2. I 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� Davie y�y�Health Department to enter upon above described
property located in Davie County and owned by Ns� �- •��d
to conduct all testing procedures as necessary to determine aid site's suitability for a ground absorption sewage treatment
and di� sal system. t
�' _ s �s' � �. ��s ,.//�
DATE SIGNATURE
DCHD (1�93)
' . , s
� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ���,�/�G��
ADDRESS
PROPOSED FACIILTY
Water Supply: On-Site Well _
Evaluation By: Auger Boring d/
FACTORS
Landscape position
�Slope 7.
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
MineraloRy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
L0;1G-TERM ACCEPTANCE RAT
SITE CLASSIFICATION:
�
2
�
DATE EVALUATED ��7' �95�
PROPERTY SIZE �D� �
LOCATION OF SITE ��
Community Publ i c
Pit Cut
3 4 5
EVALUATED BY:
LANG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMAR KS:
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-Silt,y �;lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR- Vc.-y friable FR-Friable FI-Ficm 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
,iC-•Sin�le grain M-Massive CR-Crumb GR-Granular �K-MBular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineraloity
1:1, 2:1, Mixed
Notes
Fforizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil w etness - Inches from land surface to free wate�' 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 Courrty .i�ealtfr� �e artmeni
�en
arrd .11ome .1�ealtFl 9 cy
� 210 HOSPITAL STREET I P.O. BO% 665
MOCKSVILLE, N�C. 27028
PHONE: (704) 634•5985
June 14, 1995
Ruse Whitlock
450 Becky Hill Rd.
Lexington, NC 27292
Re: Site Evaluation
Godbey Road
Dear Mr. Whitlock:
As requested, a representative from this office visited the aforementioned
site on June 9, 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 ior the installation oi an on-site sewage disposal
system.
If you have any questions, please ieel iree to contact this office.
Sincerely,
�r�'�t����. ��
Robert B. Hall, Jr. , R. S.
Environmental Health Section
RH/wd
Enclosure