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115 Live Oaks Road Lot 1Davie Countv. NC Tax Parcel Rentiri Thursday. October 20. 2016 Parc-al Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreaae: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: WA WING: THIS lS i'l+iI n SURVEY E715OA0001 To.:nShip: 5861889145 Municipality: 82531268 Census Tract: BURCHETTE JOSEPH P Voting Pr_cin:t: 115 LIVE OAKS ROAD Planning Jurisdiction: ADVANCE Zoning Class: NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOT 1 BEACONS OAKS Fire Response District: Land Value: Total Assessed Value: 0.68 Elementary School Zone: 10/2009 Middle School Zone: 0003090962 Soil Types: 0008 Flood Zone: 193 Watershed Overlay: 224910.00 Outbuilding & Extra Freatures Value: 42500.00 Total :Market Value: 270510.00 Farmington 37059-803 SMITH GROVE Davie County DAVIE COUNTY R-20 DAVIE COUNTY QD SMITH GROVE SHADY GROVE WILLIAM ELLIS GnB2 DAVIE COUNTY 3100.00 270510.00 m I w t �County, -, � All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the i 9«« Davie i.O iI it tyf i implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �( County of Davie, North Carclin_, is zgcnts, c -, conLracters or c:np!oyees front any and all t!aLms or c=ases of action due to l� CtrN� 1 C j or arising out of the use or Inability to use the GIS data provided by this website. III DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Account #: 989900635 Tax PIN/EH #: 5861-88-9145 Billed To: Wayne Frye Subdivision Info: Beacon Oaks 1 Lot # 1 Reference Name: Location/Address: 115 Live Oaks Road -27006 Proposed Facility: Residence Property Size: 0.694 acre ATC Number: 4589 **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. r 6 7 System Type: S.T. ManufacturerTank Date Tank Sized Pump Tank Size I o 6 System Installed By: cue.H. Specialist: ate: DCHD 11/06 (Revised) r �1 f P O —Y— ► o_� DCHD 11/06 (Revised) ►.� DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street r Mocksville, NC 27028 R/07 (336)751-8760 Fax # (336)751-8786 ON AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 989900635 Billed To: Wayne Frye Reference Name: Proposed Facility: Residence ATC Number: 4589 Tax PIN/EH #: 5861-88-9145 Subdivision Info: Beacon Oaks 1 Lot # 1 Location/Address: 115 Live Oaks Road -27006 Property Size: 0.694 acre Site Type: [New ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms .3 # Bathrooms 3 # People I Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size . (eggek"e Type of Water Supply: R ounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) 3 G� Tank Size tlu cD GAL. Pump Tank GAL. Trench Width 3G. " Max. Trench Depth 3G Rock Depth rJ�_ Linear Ft. '10 O Site Modifications/Conditions/Other: Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 – 9:30a.m. on the day of installation. Telephone # (336)71-8760. �Orrt� d''t���o16 �'-f.�P� A,K,oI' i . CL 1 cilb4idor b6tc I'or egc�IiZ��fcH 4,A rtkeK rcfi(c dCrCy LrH-e 4ad 4-cecQ a(( j-"5�Y�-. � e5 0 / droP bC)cYs _ eq ►-a l 1: r c e,+g cy.s h.o5rt &T t-ry -J [6 G{i cacl. Environmental Health'S; DCHD 11/06 (Revised) kk4 \ C� 46 Date: A y /? —&7 Feb 08 07 03:22p Mau 10 06 03:43p s e V PMT i davie Gouil envhealth 33S 751 87US P.2 a 1Itl VALUATIONAMPROVEMENT PERMIT & ATC County Ut altb Deilartmeut roantenI I fea/fh 3?edion sox 84111210 Hosplai Street MoJUv(Uet KC MIS dtot �(�sty191a7ss .t1.s7050 bw .'I S /W to dor Bi//cd 4 �Irlal�il�swy .a.� AKim CilyrStale2IP,_-- -�, � ?-?bo svtinet><Phtme 3a Name on PcrtnidATC if Different diaA Above Mailing Address__ - _Clay/Sb IriLi/! PROPERTY INFORMATION NU l'li: A survey plat or site plan Aust accompany Iles application. - (Pemtit is v:d' 1 00 tttuntks yith site plan, no expiration wt eom ante P1.111 r Street Address 1L.tdt�`-Qe4trs city_�,(fUA>�t Suhdivisinn Name , �4 scciioM oto_ / Lot Sizc�— Directioru To Site: Date nousdr•'at City Contersna$,;e•i� —" If Ute answer to any orthc rollowuy; got ctions is yes", supporting duces cni.11 nyust M; attaehrd. Aa there oily aximing wsuevuor systeuls all die site? INC: o Duesthe .ltecontainjuriWim.mat wetlands? 11Ye o Arc there any casements or nf)-l•of--way; on the site? r1Yc. 0>( Is the site atsblect to approval by another public agency? U YC. DU Will wssteu'ater otlut digin damenie sews ,e he feaerated_1 nycn Lnil _ IF RESIDENCE FILL OUT T[ E BOX BELOW p Pecile A r3cd••o...m3 _06 thry�+ms _ Garrtcss Tuh/Whirl of es I:IN*_ tln;etMnt: s ls1Qo eas•:nsent Plumbirtg: �s �iCo � IF NONRESIDENCE FILL 01IT Tl (F. BOX BELOW .............. ..._—._- ---- --...-.. _._...._........ ... rype of Facility/Rnsincss '1'4ital Squaw Footai c of RuildingV People ASinks «Commodes it Showers 4Urinals )stimatcd Water Usage (gallons ycr day) __.___(Atuich docu neniation of similar facility water consumption) FOODSL•RVICG ONLY: u Scst3 'iypcgiysts;nrcgtscarcd: irCanvcntitnal UAcctpted Olnrwvative UAlterr,ntive Wither Wates Supply Type. WL'nontylcky Wat.:r U Ncw Welt Arris mg Well C Community Well Do you shtieipme additions m expamimis of the facility 1W-. system i; intends J to set"? U Yes if'< If yes. what type? This is to ceniry that the tnfnrnatioa arrsvided on des: application is We and.:otreet to die best of my knowledec. 1 understand that any permi((s) or ATC(s) issued hcrca tc.• are subject to suspension or revocation ifthe site is alleged, the intended use thingcs, U. if iha inforttunon aaMniued in this applsct tion iu fatsirtad er changed, l nmden'aml that ram rerponrWa for all cho.ger incarred /'vont this application, t hereby gram right of entry so the Authl RepresrnMuve of the Davie C(Mty Heahh Department to emW'wl Accessary avvections to de ranine eotnpli with applicable 1aM .,od rules on the above descobed property located to Davir Courcy and owwd by Z�4 /✓C ���___. 'G' '-'-�2 Site rtovieis Clarge Property uwttei s owner's legal rcfr native signature —� Client Notification nate ...._ Date EIIS:�_, Sikn given 9Yes ONo kccmi at N ltavised 2/06 Invoice K p.I 6-9' 19FgIq�- a ,prove: ;:or the �o UreS.' I 0 , `I ti wn ie vconsent, 69' c5 riD all street;, 'CDr S wa;. +lie or sanitary nr SFV OD �0 �\ u MINER LOT 9 ANo �L 0.707 ACRES. 10'x70' SIGH-r �\v, \ E1iEMENT t o '",t I �a yp hN�r ago 5-� Cu t ' W a V LUT 8 �� <,'`~ ' � `' f � • �"�� 0.7010 A(--RES _ Rm VON wumn - 144rw-� ow."! Ir n y L()T 1 Q U _ "��r• y 0.694 ACRES 4, LOT ? U, T 0.69-3 ACRES I E2'56 W F .w 156, g 5 a GERALD- I es � D. B. 1811-1 ,U LriP. B. 4 o LOT 2 a �4� 6,=9 ACRES � LOT 6 M u W � a w l ACRES------ '--------------- o �i•, r. F�roti 20 J1N 07,03'53'c 1 N m a 41,7;� �ri 73. 45 r J LOT 3 LOT 5 0 669 ACRE`, 1.048 Ac_ RES' p L a. I V) e�f,_ Ct c O i r�"PjER CD %I) A ti1 .v- LOT T 4 r° 062 ACRE`, o ; Mar 31 04 08:28a davie count3 envhealth 336 751 8786 p.3 r �OAPPL:CAITUN FOR SITE EYhLU4170N/I41pII0VIIEW I'FIWIT & ATC Davie County Hoalth Departmont EnvlrallwalltalHeala $caw 'I P.O. Dox 848/210 Hospital Street I Xockavilla, NC 27028 � 5• (336) 751-0760 /Q�OiJ�� ZQO r* rXdP0AZWrrr THIS ..PPLICATIC21 CAJ;XOT .W PROCESSED 1Buxss AM fill: 1aQUi1:1,:13 IfiFORtl71TION IS PROVID:9. War to theLTWORNATION IIULLET'SN for itsat;xuctiouo. 'r7 1. Same to ba 4111 ad �liG� `'- 1wV .X le ie%/oL contaat pvravn c re.. ,-- ... . uailiA? Juldresz %�//QT � G �7 Roma Yhona __ `._. �jI sO(/ city/stata/zsv /l%%GA.dc£.L 1/L`or�, � urainaaa r FAC - L Z. Wns on Aasmlt/AYO i! Ditrecent thea Above >1"" Mailing Addcaes city/Spa L•a/Lip 3. Al;yZisation For; !8 site Evaluation + d Improvement Pemait/ATC LU IlotA 1. syctom to servicoi Hown. ❑ Uollile Hama 0 Dusinera 0 Industry ❑ OLlicr S. Type mystam requmtddsp�avedtloaal ❑ conventional aadiiiod Q ivaowtiru i. It Residaaca: i People 1 Badrocmz 3 1 Dathroom:i 12Diahx&&8r llaarbags Disposal NYa/abia9 Machine ❑aaamnnt/numbing ❑aaaomont/tfc rluo0ina 7. if Duniamafroduatty, /Ochs.: vvxi.LT type a Ysvyls a Vioka / Coamodea 1 shawars/ O.tnala — B Wat.•uc Coolcr� rT IOODMBVICSi 0 SaaL Estimated Water UaaCJO (gallona Dar day) 0. Type or wales atpplys county/city ❑ Well 13 Couawanity !- Do you satiaipato addlticao as axpaasluus or the racility thIN: systrru is Intended to scrvc7 ❑ Yes No Ifycs, UlmI type, `eYAf!'OIi171/Y.ft■• CL!!3N'PS Att/STCOd1Y,t.C:78'fF1E li1dQl/gtL;D Yli0NL1C1'1' 1NF'OtiIYIA'I'1C1N ltLtlll5l'I?IJ .�i BELOW. EI era FIAT orS:TE ALAN tVI4S7BBSVfiKf TED by the eticnl irill;'I'I1IS AI'!'t.lC1TION. I'rDixrly llimcasivsts• X���%�5��/Xy���I��L tJutLcrlons tr�vlu nlocly,•iutl to rltclr�l, rr: Tax orrtLe I'!N: u r -s86/ property Address: RoadNamc_Gt,'.J ce-ae,0) City2ipiJl57,lJ�� .�c1.C]ax DrtJ JC7E,15�% U111 a Subtliviston provide iafarmaliou, as faltaws: Section:EIock: Lot:. Data (ionsc coraers flagged: Tlds Is to certify that we Informationprovlded is correct to the best ofwy iutomicdge. I widetstand that airy perudi(s) Issued herearter aro subject to susp=:eA or revocatlon, Irthc siteplaus or intendsd use cluwge, or INI)c htrorutstiutt subiuillcd is tide appGcaliott Is f.asMcd or cWllgcJ. 1, 9110,W"Icrdowild rhat I ani ropOiulGleforall chuiro lucurred f#w lhir dpplfcatiwt, r, Iccreby, give C0113Cnl to the Authorized Represeutativc of t11c D:tvle Cuuuty heath ilcpu rGnrul IQ cuter upon above described prop.rc.- located In Davie County sad utvued by W conduct ati icstiug prosect res as net essary to dctctzuiae the Sita suitaJrll . --1 DA7'E'j'S"`���� SIGNATURE GZCLC/.i� TRIS AREA MAY BE USSD FOR DRAWING YOUR SIM PLAN (Tuclude aU of the fullolylur: Existing and prupused property lints snd aclCS, and Scptie IocaUons}. Sitc Rcvisk Charge Clioat 110*1ificatiun Date: EM: Sign g►►� V c Accouut No. � Rel'(sed DCHD (05M Livn6n Nn. A S �� L/ �s� APPLICANT INFORMATION Account #: 989900635 Billed To: Wayne Frye Reference Name: Proposed Facility: Residence Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5861-87-7983.01 Subdivision Info: Gun Club Lot # 01 Location/Address: Gun Club Rd -27006// Property Size: see map Date Evaluated: On -Site Well Community Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position 4L Sloe % HORIZON I DEPTH Texture group cJ __rC, Consistence Structure Mineralogy HORIZON II DEPTH f' �lfX Texture group Consistence Structure <h 24 t` i 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:�1/ " LONG-TERM ACCEPTANCE RATE: REMARKS: J to EVALUATION BY: OTHER(S) PRESENT: A Ivo'all�r LEGEND Landscape Position G — 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 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 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 05/99 (Revised)