167 Nebbs Trail Lot 3. Davie County, NC Tax Parcel Report Tuesday, November 8, 2016
qby ,e All Eats is provided as is yAtho rtwarranty or guarantee of any kind either expressed or implied Including but not llmgad to the
Davie County, Implied aamntles0merchantability orfinance for aparllcilaruse. All users ofDavie CountysGIS web.=.11holdhamlessiha
County of Davi% North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of actlon tlua to
nooN4 NC or arising out of Me use or inability to use the GIS data provided by Oils website.
WARNING: THIS IS NOT A SURVEY
Parcel I;iformation
_
Parcel Number.,
G3060D0003
Township:
Mocksville
NCPIN Number:
5729390760
Municipality:
Account Number: -
- - 82514788
Census Tract: -
37059-806
Listed Owner 1:
BUSS DENNIS
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
167 NEBBS TRAIL
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: TRACT 3
BROOK COVE PHASE THREE
Fire Response District:
WILLIAM R. DAVIE .
Assessed Acreage:
5.15
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
6/2000
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
003350834
Soil Types:
PcC2,CeB2
Plat Book:
0007
Flood Zone:
Plat Page:
041
Watershed Overlay:
DAVIE COUNTY
Building Value:
279450.00
Outbuilding $ Extra
Freatures Value:
10080.00
Land Value:
50120.00
Total Market Value:
339650.00
Total Assessed Value:
339650.00
qby ,e All Eats is provided as is yAtho rtwarranty or guarantee of any kind either expressed or implied Including but not llmgad to the
Davie County, Implied aamntles0merchantability orfinance for aparllcilaruse. All users ofDavie CountysGIS web.=.11holdhamlessiha
County of Davi% North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of actlon tlua to
nooN4 NC or arising out of Me use or inability to use the GIS data provided by Oils website.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
6-2 -jf30
Account #: 990001179 Tax PIN/EH #: 5820-201{174.03
Billed To: Dennis Buss Subdivision Info: Brook Cove Sec.3 Lot # 3
Reference Name: Dennis Buss Location/Address: Nebs Trail -27028
Proposed Facility: Residenlce Property Size: j6.165 Acres�/ _
ATC Number: 2437
**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type [� #People #Bedrooms _� #Baths C 5�
I
Dishwasher: Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing:
Commercial Specification: Facility Type #People #People/Shift #Seats Industria13l Waste:
Lot Size _ Type Water Supply We 1/ Design Wastewater Flow (GPD) `WZ) Site: New O'alRepair ❑
U J
System Specifications: Tank Size�� GAL. Pump Tank GAL. Trench Width,�f ` Rock Depth Linear FL -T?'
Other:[
Required Site Modifications/Conditions:
)VEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 a BELOW
1ED GRADE. **** OTICE: Contact a representative of the Davie County Health Department for final inspection of this
between 8:30 a.m. to :30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751.-8760.****
$,2�7
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date:
2,(,r, [2Cd-b
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mockwille, NC 27028
(336)751-8760.
Account #:
990001179
Tax PIN/EH #:
5820-20.4174.03
Billed To:
Dennis Buss
Subdivision Info:
Brook Cove Sec.3 Lot # 3
Reference Name:
Dennis Buss
Location/Address:
Nebs Trail -27028
Proposed Facility: Residence Property size: 5.7135 Acres
ATC Number. 2437
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWACONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: , Date: , I 0\'2
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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 betaken as a guarantee thatyth �t wiA satisfactorily for any
given period of time. t
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
to
/-
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &
Davie County Health Department
Pin
Environmental Health SectionAY I O 2000
P. O. Box 848 feMl Mocksville, NC 27028
/`0 d (704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED
NNM S (j,,tS
1. Name to be Billed :Z) r..r wt �c_ . c S s Contact Person Ptd WX1 IY1Lt9.vJ kL
X84 85yo
Mailing Address t O'ti.Z t i.ac:u.f`• � . Home Phone 336o • �
City/State/Zip ) /-A >,7•z•pa0 ,5;.,q2- tW . Business Phone 7Z—'5 •9'!o V-1
2. Name on Permit/ATC if Different than Above
Mailing Address .
3. Application For:
4. System to Serve:
5. If Residence:
O'Dishwasher
6. If Business/Other:
# Commodes _
If Foodservice:
7. Type of water supply:
❑/Site Evaluation
19 House ❑ Mobile Home
# People''
❑ Garbage Disposal
Specify type
# Showers
ff�Improvement Permit & ATC
❑ Business ❑ Industry
# Bedrooms
Washing Machine ❑ Basement/Plumbing
# People _
# Urinals
# Seats Estimated Water Usage (gallons per day) _
❑ County/City fell
7 Both
❑ Other
#Bathrooms 3
ltd' Basement/No Plumbing
# Sinks
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes -VK`No
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
,
Property Dimensions: / / SX 13 9'.q %iOVOR 6'16 S Pqr—/ t ,WRITE DIRECTIONS (from '
((, I Mocksville) TO PROPERTY:
Tax Office PIN: # 6a fJ o2D �i� 7L( I
I
Property Address: Road Name I J -t&:,&"
Reo a -L
City/Zip Q.
0,V ooei
If in Subdivision provide information, as follows: t
Name: �{Zoo�e Looe-
Section: 4.0": 3
_ I
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 z) 7P1-Qc? SIGNATURE
9
Revised DCHD (06-96)
conduct all testing procedures
��l�yy�
,5--10-60
.4
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT t
(0� 0-� Davie County Health Department
1�'• n, Environmental Health Section ENI
P. O. Box 848
Mocksville, NC 27028
L7 u ( (336)75268760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed Few win L✓3 Dw��r�o�`� Contact Person 1 rip, I Jh A119c e -
r
Mailing Address 14017 AyA Lane Home Phone .���r - -1'sl - 5%D
City/State/Zip MOr C -61/l )lam MC 1%D9X Business Phone ?>�'r%`. -3-5538
2. Name on Permit/ATC if Different than Above Du) I QT h�- 1 e 68-5a- -P14-f5
Mailing Address 1195 10 nl City/State/Zip m CCLVl'l - ,✓VC 9M,2?
3. Application For: X Site Evaluation ❑ Improvement Permit & ATC ❑ Both
4. System to Serve: X House ❑ Mobile Home ❑ Business Cl Industry Cl Other
5. If Residence: # People # Bedrooms 3 # Bathrooms
34 Dishwasher Cl Garbage Disposal Washing Machine ❑ Basement/Plumbing ❑ 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 X Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes N No
If yes, what type?
IMPORTANT *** A P ,THE PROPERTY MUST HE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 6!15 4 14375X 4-76X YV R (s � WRITE DIRECTIONS (from
�Aa , Qoroocksville) TO PROPERTY:
Tax Office PIN: # d - � /
1
tool N 4-6 AllPn K
Property Address: Road Name / V P.hb'S I p 1 I ;
YYl nc%ky' 12 I _ X76 1
City/Zip � 1 IQHeT #3 on
1
If in Subdivision provide information, as follows: 1
�9 K n aJ!✓ — �i i�ih T 1r r on Prane✓Fq
Name:
Section: Lim 3
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 t/ WAP &nnp`fl tryeA e f 15 t I U nt
ff V Xyl ftfiL_to conduct all testing procedures
as necessary to determine the site suitabilit;
DATED
Revised DCHD (06-96)
YOU MAY USE THE BACK OF THIS FORM FOR DRAWINQ YOUR SITE PLAN.
3aa
I
I
1
I
I
ONER
720
EUGENE BENNETT,
I
1
I
ET AL
D.B.184 p' 9• 792
I
1 -
1
MARC L. WILLIAMS
I
1
I
D.B. 187 P
1 9
457 1 EUGENE BENN=TT,
I
1
I
I
t ET AL
D.S. 184 Pg. 792
I
�
I
I
1
14E,03
.2 TOTAL
' 82 79 6,E
-
r
264 9
Id.A
- - 12017
Is2124 TO,
- I I
F r
- 326.8.
CI TpT_L
n I
46 7.
- - -
`r%bo/4,
288 97
335. TI
PP I
I
X35.\
-
TRACT 7
88.1632• rl
TL'
A -
AREA ='5.259
AC. -
�s
2
TRACT #9
N. '%'S
Z O
N�m;Nm -
N J
oo TRACT #6
n
'EA = 15.486 AC. <
'._Tmo1
o AREA = 5.272 AC.
oi
- - TRACT #8
-
-. AREA =
5.500 AC.
9E T 7
N 6g2,78.807gC - u
W LI t,2 . 3._.
on n
4 n
z
67
" aeq
...rrr,,,,,
CAP, y
PISTE
SEAL"
. L -2527,Q
SUSN�`�••A.
�+'t. TUR`;.••.
�YOC•fI
TRACT #4
AREA = 5.010 AC.
DIRECTOR - - -
DAVE COUNTY PLANNING DEPARTMENT
REVIEW OFFICER'S CE4TRCATE
I• John 67,1imore. Rw.. fc., of Dake County. --
certify that the map or plot to which this certift.Uon - is a!fi¢E meets od stotuta regu; emenb for remrdng.
RE4ER OFFICER DATE _
n
� a
�Fb
GARLAND CARR oa
a.
D,B. 186 pg. 312
1 WILLIAM BOWERS a�
D.B. 490 Pg. 197 1
+
+` 8.•55.42• E -
c 0^ 375.54-
$'YOo-
i =
TRACT #5 20 ^'�+ Tract ;€2 I
AREA = 5.100 AC. BROOK - BROOK COVE, PHASE TWO WILLIAM E. HALL, E'
PLAT BOOK 7 PAGE 7 D.B. 92 +
p9• 556-556
I
ACCM
f
FO 1p v,TE
IIIGR TME PURfapt
PES- •`T+a ECRF -
TRACT #3
5.16�/
5�.AC•.
J_
i
i
rU!Y/JsnAT cCCESE F4iCUEv*I \ \ \ —
�E
.riG.ESi wp
C -P
_ .:.SEas 1
-Sold
• e
n - Tract #I
BROOK COVE, PHASE TWO ! \ w� 1s !\
PLAT BOOK 7 PAGE 7
�RoAl
AMOS S. --------__ ASR �3p4
(BY WILL) WN / 9
1a a
(D. B. 11 Pg, 115) C 1 ,[ "'
b�- house: eked s �
(will be
- ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION -LOTS
Soil/Site Evaluation
APPLICANT'S NAME —en,e e h DATE EVALUATED
PROPOSED FACILITY f f PROPERTY SIZE
SUBDIVISION �✓�n!!j / e - ROAD NAME / U�&' C
Water Supply: On -Site Well !% Community Public
Evaluation By: Auger Boring 1/ Pit Cut
FACTORS
1 2 3 4 5 6 7_
Landscape position
L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
i�
Texture group
Consistence
l
Structure
5 •(
Mineralogy
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
I ,
SITE CLASSIFICATION: �) EVALUATION BY: �K Y
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
LEGEND
i
j 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 SII. - 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 - Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralo2v
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
ocxo(01-90)
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-----
ENVIRON MENTAL HEALTH SECTION
P. O. Box 848/210 Hospital Street
Courier #094046
u....4e.au� u� 0�non >
November 20, 1998
Eugene Bennett
107 Nail Lane
Mocksville, NC 27028
Re: Site Evaluation/Nebbs Trail
Brook Cove III/Tract 3 (5.165 Acres)
Tax Office PIN: #5820-20-4174
Dear Client(s):
As requested, a representative from this office visited the aforementioned site on
November 19, 1998. Based upon the information provided on the Application for Site
Evaluation and after an evaluation was completed on the site, the site was found to be
provisionally suitable for the installation of an on-site sewage system.
Before an Improvement Permit/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/wd
Enclosure(s)