116 Live Oaks Road Lot 8Davie Countv. NC
i
Tax Parcel Renort
Thursday. October 20. 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: 'MIS 15 .NW' A SURVEY
Parcel Information
E715OA0008
Township:
5861887218
Municipality:
82527545
Census Tract:
JOHNSON REX L
Voting Precinct:
116 LIVE OAKS ROAD
Planning Jurisdiction:
ADVANCE
Zoning Class:
NC
Zoning Overlay:
27006-0000
Voluntary Ag. District:
LOT 8 BEACONS OAKS
Fire Response District:
Land Value:
Total Assessed Value:
0.69
Elementary School Zone:
1/2007
Middle School Zone:
006970637
Soil Types:
0008
Flood Zone:
193
Watershed Overlay:
215220.00
Outbuilding & Extra
Freatures Value:
42500.00
Total Market Value:
262920.00
Farmington
37059-803
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
SHADY GROVE
WILLIAM ELLIS
GnB2,GnC2
DAVIE COUNTY
5200.00
262920.00
M.
Q Py I�, j I 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 a
Cout.ty of Davie, fJorth carotins, its agents, consultants, contractors or employees from any and all claims or causes of action due to i
nG1 I NC or arising out of the use or inability to use the GIS data provided by this website.
1
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5867-88-7218
Subdivision Info: Beacon Oaks Lot # 8
Location/Address: Live Oaks Road -27006
Proposed Facility: Residence Property Size: .700
ATC Number: 4414
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 WASTEWATER CONST UCTION IS VALID FOR A PERIOD OF FIVE
/YEARS.
Environmental Health Specialist's Signature: Date:��1
73 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 be taken as a guarantee that the system will function satisfactorily for any
given period of time. I O 4MP
23 GN• I
3 G1 'i-1 7 �J
V
X21-10 4IsV
,o.
N 0sc
-5 � 10CCbg1 C(o - L-1)
Septic System Installed By:
Environmental Health Specialist's Signature: / ,D "ate: 11
17-11 k
1 _
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
• P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028 0 /11p
(336)751-8760vo
IMPROVEMENT/OPERATION PERMIT
Account #: 989900635 Tax PIN/EH #: 5867-88-7218
Billed To: Wayne Frye Subdivision Info: Beacon Oaks Lot # 8
Reference Name: Location/Address: Live Oaks Road -27006
Proposed Facility: Residence Property Size: .700
ATC Nurpber: 4414 '
**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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
Dishwasher; Garbage Disposal Washing Machine: e-11 Basement w/Plumbing:.)] Basement/No Plumbing: 173
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial 13all Waste:
Lot Size 7� Type Water Supply e(7 Design Wastewater Flow (GPD) Site: New 1Q Repair
System Specifications: Tank Size 1600GAL. Pump Tank GAL. Trench WidthRock Depth -,eQ Linear Ft2dD
Other:
Required Site Modifications/Conditions: As stated in 15A NCAC 18A.1969(5)
'uteri Systems indy-arsu uu a3
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
F
Environmental Health Specialist's Si ature: ��" Date: o?
DCHD 05/99 (Revised)
May 10 06 04:04p
nay 10'p6 03t43p
' 9
n
davie county envhealth JJs: '151 Win p,1
APPLICATION FOR';ITE EVALUATION/TMPROVF.•MlsNT PF.,RMIT& ATC
Davie County Health Department.
Environmental /l'ealth .1-ection
P.0 -Box PASM0 Hospititl Strcct
Mockaville.NC 270!8
(336)751-8760/ Fax (336)7!i1-8786
Application Fur.tine F,valuatiwdllnprovc7rxnt Permit 0 Authorira ion To Constrifa(Al C) I I Both
.0-I (PORTAN7v—THIS APPLIUA'1,ION CANNO7'RF.'PR(7rF–VED UNLESS ALL OF THE REQUIRED
_ 1NY0KMKfI0N lS l'I(OVME•D. '.tact to the INI MMAT10N BIJ LIT IN for ia•Wctions.
APPLICANT DWORMATION _
Name to be Dillcet /p //ter G Cot tact Person ,f�i� 1Y'
Milling Address L U , 3 Ib -mc Pbonc
CilytShurY/IP _ O��jQitlCti y _C.. %D n. ineFs Pbonc
Name on Permit/AM if Dffiferest than Above
Mailing Address- _Cit Aima/Zip —..
PROPERTY INFORMATION
NOTE: A survey pint or site plan tnur accompany this application.
(Permit is valid for 60 montlNwith oils plat, no expiration wed con title plat.)
Street-Address+�7 < itf . _ _ ,City p✓A,JCIF Tax MNN
Subdivision Name _�7 —Secuort/Luttf Lot Site.. ..
Direction To Site: �/�
1'../-A7 . l�117-
—
Date Houlwr.ility Comers laaggcil - _
1f thug answer to sny of div following.to-:scion is"yrv'; capportiog documc-nnmi mitt he attached:
Are there ally existing warlewascr systems on the site? aye t
Does the 3itccontain1wisdichwmalweiiard!V IJYct a
Ate there arty easements fir t ig-1-of-ways on the site? U Ye t Qf4
IN die site subimt to approval t v :mother public agency'f Oyc i W y.
WillwastewatcrMlterthantlontesticsewagcbegeneraled7 LOYhtlrfv
IP RF;MENCE FILL OUT TI It BOX BELOW
it People _ tr 1)ccroontc --!!5q Bathrtwms., Gardrn TublWhitlpool es 1'1No
Basement: OYas ZR/1 Ilan er tent Plumbing: LlYes i INP
ff NON -RESIDENCE FILL OUT THE HOX AGLOW
7ypc of Facility/business , __,_Total Square Foou,ge of Building— # People
a Sinks a Co nnuxlc_0 Shuwt:rs — a Urinals
Estimated Wator Usugu (gallons her day) _(Attach dost trientution of simtlarfscility viraler cnnsumptinn)-
FOODSEIMCE ONLY: R Scats
Typexystemrequesecd: onventiunal UAccepiod Uhmovative tlAknmtive DOthcr-- -,
Water Sopply'1'ypc: srGounrytcity tvt,er i't New Well l"Mme ting welt 11 Community
Well
Do you antieiparc addituins or expanrit ro of the facility this system i. inleadtd to serve! I Vin. x'100
If yw, what type?
This is to certify that ate information pi-mded on thug appticatiun is true and onrrcct to the best of my knowledge. 1 understand that
any pelmit(t) or ATC(s) ixiued herealtui are subject to suspension or revoca :ion if the site it altered, the intended use changes, or if
the infor milinn subinitted in this application A talaified or changed. 1 under:rand thar IUM rrrpouribfi for fitt 8haIjOet inearred
j7Yn this appUcahon. 1 hemhy grant ri;;ht of entry to the Authorized Repres:ntutive of the Davie County Health Department to
conduct necesaoty itdpectimt to deleer'une compliance with applicable laws end rules on rhe aMsve described proparty located in
Dsvie C—ty ..d owned by _
_ ;M 3* �_!!iC Site Revisit Charge
Properly owttt9'a of o—wi—set ss legal reprrcntativc m8nature
Client Notification Date:
\tgn given UYcs UNn Account N
Revised 2106 invoice N
v
p.I
' Mar 31 U4 09:28a davie county envhealth 336 751 8786
AI'1'L:GITION FOR SITZ- EV:1LU M0NJIMPROVENEW PERMIT & ATC
Davie County Flealth Department
&Y1ron1ffa7WBW140 50 av
F.O. Dox C40/210 Iloapital Strcct
Nockavillo, RC 27028
(336)751-0760
P.3
'e, of -9- 7- v V
C+*►L`fpORY'/12)T+*• Till$ ..PPLICA21ON CUNOT IIE PROCESSED TRii.L•'SS ALL TUE 1'.EQUILE13
ilt?ORMATION IS IMOVID:ice. Retor lc the INFOR2L =O1r BULL"MM for inuLxuc1.1ot:2. j
1. Ame to be 2111 cd��� i!F_C L(✓%/QYl kC llclw_ Contact Pcraon
K:iUze Addre7a T-/�/JC lYGT t ttoew Pnuna //� �•J ��y(
• citr/gteto/ZS➢ ,�,yff%/f z� i(..I.�%YIG'� uusinuw r'Iwuo 3✓�� y_E_,� ' i<S,O�;
7. Xame on Dermlt/Asa it Dslte:cnt than ALovc .�.ir .. ....
Selling Adaress
1. Applicetioa icor: Q itc >aV3luation 5 ❑ IrprovnmenL• PerauiL•/ATC U 1)ucA
4. syctam to servicerltlgo•aza, d DSobilec Homo 0 nr:ainesa 0 Induatry C Otltcr
5. Type aystea rcqus7tad3 ILS G)arcatlonal ❑ conveational swdiilcd 13 ivacmuciru
r
c. It Residanca: i People // A Bedroom^
922Lhxa7hcr ❑Carbaao Da Pooal i2kizl hinp Machine ❑2oaaawnt/rlurcYlul ❑7ar:onratC/!W 1'luudring
7. Il auaiaoos/r.aduatry /Othec•: v—Ur typo p rooplo
1 coomedea II Showara I Uclnaln I Nato, Cocicru
IP 70OD LAVICS: C. Seal.'o Eatimnted Water Usage tualloat por day)
p. Typo of watersupply. Q}' County/City 13 Well ❑ Cowu.nity
Y. Do you antlaiyata nddietora r expr)siavxul[Gctatitity'thlssystcu)is[utcuJcdluscrvu�L7Yu 2f�r:
]lyes, ]TIME type? �•
••►rArPORT f*tr ' CLI''Y'rS itUSPCOA;PLL7ZTaL•'
l; I [JOlifk:D l ROPL''iCrY Ur\F'ORNIA'110N Itl;LUESl 1•:IJ �I
DELOIV. Elg era P A1' orS:TE Pic\N MUST6CSVAAtfTT D by the dlau ieith't'UIIS APPLICATION.
11roperly lli:ncnsia;ts: ;� �/�/��T�/t l4 / `� 51'Rf�'1'/E U:1tiiCl'1U1V5;fivur Bluclsrillc) to-!'1:Ut'til� l'1':
Tax orr)cci'111: ri_� ,.��G/, '77 '3 1cL ' % QST cf/T �•r>.�
tOQ �U /
I'roQCrtyAddress: RaadN«nlc�!CI���,'N ��,G.'P
Citymp
If 91 a SubGivisioll provide Infurntalion, s hulolys:
Li
e�4,i$ Raw=: ACi �
i1
Section. C5_��/L_� Bloch: L. t:: me home coruers f1agpd: rut I
W' w
This is to certify that We lnformatiou prtovidcu is cot rect to the Best of my lutom-kc1ga I wtdetsiand tLa(:u:y Peraut(s)
Issued hereafter aro subject (as uspcns; on or rcvacation, If the sttePIaus or iutcudcd use chuugc, to if the uLortnaliutt
iohmittcd in this pp0caliotlls talsi Ila or clur.Lcd. 1, aGo, «arlCrrrultdrllallcN:Ica, ulu'1Gicfuratic/corbel tacrurrrf•Jrurrr
1Ak dppUcuriu/+ I,1;c:cby, give cotuen to Uic Authorized Rcl:rest:dative of li V;1Yic Cuuuty 11CA111 DCpe::ulrnl
to cuter upea abuyc des;ribcd p: up:rl; located in Devic Ceunty r d unwell by
to con dlet all tcSlicg l;rocn: rs:s HU issary to dctc,'tuine the site suitub.'K
DA'I'L SIGNATi :t1
. L
TIiISAIiEA)SIAYBEUSi.7rQRDRAWI1iGY0L�SITI;:I..Ah;TuclucicnIIuttitc!'u;lotyit:6::rs'istiit:ut:pcupuscc .
propertj lints atd dimct:sions, st:uctu.•cs, setbadi s, anti scpU lo=oasp
Site l::virl Ca:.rgc j
Clicut KU11111cutioa Da ".7 I
Sign given At Col ut Pio.
RCi.Sed DCHD COSH 1,—; NPP. t/3
p
APPLICANT INFORMATION
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility: Residence
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY INFORMATION
Tax PIN/EH #: 5861-87-7983.09
Subdivision Info: Gun Club Lot # 0lft�
Location/Address: Gun Club Rd -27006
Property Size: see map Date Evaluated:
Water Supply: On -Site Well Community Public v
Evaluation By: Auger Boring Pit I Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH •� •i
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
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY: -ZZ///
OTHER(S) PRESENT:
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 - 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 j
Restrictive horizon - Thickness and inches from land surface I
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)