133 Live Oaks Road Lot 2Davie Countv. NC
Tax Parcel Rennrl
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: THIS IS NOT A SURVEY
Voluntary Ag. District:
Parcel Infonnation
E715OA0002
Township:
5861879936
Municipality:
82530669
Census Tract:
ROBERSON LARRY C
Voting Precinct:
133 LIVE OAK
Planning Jurisdiction:
ADVANCE
Zoning Class:
NC
Zoning Overlay:
Land Value:
Total Assessed Value:
27006-0000
Voluntary Ag. District:
LOT 2 BEACONS OAKS
Fire Response District:
0.69
Elementary School Zone:
3/2009
Middle School Zone:
007870493
Soil Types:
0008
Flood Zone:
193
Watershed Overlay:
264220.00
Outbuilding & Extra
Freatures Value:
42500.00
Total Market Value:
309780.00
Farmington
37059-803
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
3060.00
309780.00
No
II
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Davie County, f!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, _ _ T M _ or arising out of the use or Inability to use the GlSna, its agents, ltants, contractors or dat p provided by this websitees from any and all claims or causes of action due to
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DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760 Fax # (336)751-8786
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility: Residence
ATC Number: 4590
OPERATION PERMIT
Tax PIN/EH #: 5861-87-9936
Subdivision Info: Beacon Oaks 1 Lot # 2
Location/Address: 133 Live Oaks Road -27006
Property Size: 0.699
**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. -�y
System Type: 1 l t S.T. Manufacturer5j,Q&24 Tank Date Tank Size
Pump Tank Size
E.H. Specialist:
System Installcd By: a k� 1?ce
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DCHD 11/06 (Revised)
DAME COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
' Mocksville, NC 27028 )J67
(336)751-8760 Fax # (336)751-8786
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 989900635 Tax PIN/EH #: 5861-87-9936
Billed To: Wayne Frye Subdivision Info: Beacon Oaks 1 Lot # 2
Reference Name: Location/Address: 133 Live Oaks Road -27006
Proposed Facility: Residence Property Size: 0.699
ATC Number: 4590
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 plumbingM---
Non-Residential Specifications: Facility Type # People # Seats_
Square Footage(or Dimensions of Facility)
Lot Size 6 - (Aq ce 6-t e Type of Water Supply: ❑ County/City ❑ Well ❑ Community Well
System Specifications: Design Wastewater Flow (GPD) 3" Tank Size 1, 000 GAL. Pump Tank l/ O GAL.
Trench Width Max. Trench Depth RE)& Dentlr Linear Ft. mo
r
Site Modifications/Conditions/Other: `Q 6 P's Wl
Contact the Davie County Environmental Health Section for final inspection of this system between
830 - 9:30a -m. an the day of installation. Telenhone # (336)751-8760.
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DCHD 11/06 (Revised)
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DCHD 11/06 (Revised)
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, davie County wnvhealth 336 751 0706
EVALUATION11M PROVEM ENT PERMIT & ATC
County Health De Utlnent
ironloeental Health .Section
.
Box 848!210lHosplt2l Street
Mocksville. NC 270 M
)75I-8700! rax (336)751-8786
Permit 7 AudnlnP,-'9n To Constntct(A'PC) 0 Both
THIS APPLICA 190N rxvivoT BE moor w U•iLBSS ALL OF THE: REQUimD
INPORMATION IS PROVIIIRO...lettt to the INFORMATION BULL67IN for irnRuctiotu.
APPLICANT M ORMATION
Nate to be Dilled /�/¢ rCa tact Person ,Q ,✓f
Billing Address- t!f - L thane Phone.—,�-
e;itylSutel9rnBusiness lsbone
Name on 1'ermitwirc if Different tbun Above
MsiliriB Address___.,.�-rocCity1Su.tc/Zip
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A survey phut or site plan mmi accompany this apphicalitm
(pertnit is v:
Street Address-,
Subdivisitm Name,
nirection3 To Site:
F.2
•'• NJ`••
Date IlovecTacilay Comers Plug;;e.1�� 7_
If the answer to any of the fol)uwiN; pert scions Is s", supponing ductumntttion must be ansched.
Ate thcte soy existing wactV VatCf tytcnn Mt the .lite
t.lyc: (790
Dues the site contain jurisdint:atal wetlands'!
CIYe: e a
Arc three any e0:emenls of uplbaof--ways al IM aitc?
nye' rKo
'tithe site subject to approvot by another publte agenry7
oft Cwo
Will waucaatar other Wan domestic scwaRc he gertetated?
Me: COLO
Dt KES1DtiNC_C FILL OUT T1tE BOX nFLOW
R People1t Ned a;ms Aathroomn Csaiden 7uh(VAndpool 1. es C 1Nn
Uaxerm es I INo Dos-Mienr Plumbittg_If 1, 171140
IF NON-RESIDFNCE FILL 007,TFIF [SOX. BELOW
D'ypc of FocilirylBttsincsts 'foul Squarc F'ooto c of Building_,,, —+ K Pcoplc
Il Sinks d Commode d Showers n Urinals _
Estimated Witer Usage (Salluns pur day) ___(Attach duty mentation of similar facility water consumption)
FOODSERVICE ONLY: p Scats
Type System rcpaeucd:ooventiatal I'IAccepted Otnnoverivc UAltens►tiva Uother�,�
Water Supply Type: vYCvunryrCiry Wat.:r U New Well MrAk ire Well rat commvniryyWell
Do you anticipate addarona of expansimut of the facility this system is imendt •1 to carve? 0 Yes t!rl to
It yes. what type! ..
Tnis is to certify dust the informatitm prinrided on this application N true and .:ortcct to the best of tm knowWec. l undwiond that
any perfnit(a) of ATC(4) issued herea le.' ate subject to suspension or revnezoun if the site is Owed. the nucmled use chaogcs, or if
the infomation oubmined in this applies non is falsified or changed. 1 uwAan anA that 1 an. rerponxible for nil charter nscsa+rd
%ram this upplicanaa. I hereby grant ri>rin of eray to the Aulhovized PaptCKhtauve ofthe Davie caunry Health Department to
ennduct m ccs%sty impcttions to e(eSp. me t! pl it 4ppucoble laws .out ruling on the sbovu desetibed ptope.try located to
Da -if County sero! owtred 6y _ /!/ !
.•=_ ,....Silo Kovicit Charge
Property awner't vamcr's kpal raj icntativc sicnantte
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Mar 31 04 03:28a
davie county envhealth 336 751 8786 P.3
Id y-7-oy
Al'I'L CAV ON FOR SITE i:V:UXA-170N/Ih1PA0Yalr off PUNIT S ATG
Davie County Health Departmont
&V1roninea&1P.9 Ia Sertlon
P.O. Dat 640/210 lf0ap:.tal Stxoct
3ockaville, HC 27028
(336)751-0760
s**M1POAZV1T*** T1115 .%PPLICATION CA&OT 13E PROCESSED VI1=3 ALL TIM REQUII:P:D —
IHFOR.YATION IS PROViD:=. Relo'r�/.LC the 1NF7OO', T201t 13ut.L:.TIIf for inaLructiona. !
1. Naso to Sa omad :�C ilfC C'yKy<3<< ��1 E- cont........ ic�i7vn> `-F Yt
Nadi no Address e� / JC—J llama 7:wn0
city/stata/zsr !lf%Gfi�/�%CL, i(,,1.� .f/�,�G" Lucinu:+� Pbvu.
Z. Nano on ?arstt/ATC L9 nitcs:aaL th.n Ab: * S/7�r+.a ,.._„_,_... ..
�. Appii.atlon ror: M itc Evaluation ❑ Ir-provomont Peraail:/ATC ❑ liutt,
tom to sarvieo+ lliKouse ❑ Mobile ifome ❑ Buzinern ❑ rnduatry ❑ OLiaLr _
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S. Type oystom :ceueatad+ q,r G+avcutioawl ❑ caay.ational rndalcd ❑ L=(.vntivu
C If Residoace: I People A Iledrocm-- s Batlirocun:;
Vaiahwasher i_lcsrt as Disposal PYa/ahinp Knchino 0nasamont/tl"w,b1uj ❑DAvacWnt/tw Pluud>ind
7. It Duainons/Iaduatry /Cthoe: v.riLF type 9 Puopla a Dinka
I eosm"ea I showers erin.la Q IYa.aL ewl.raa
IF FOODSERVICE: 1 Seal. Estimated Water ULage (qal lone par day)
D. Typo of water supply. County/City ❑Well ❑ Coamu:aity
9. Do you anticipate additioraa . r exparsious of Lbe facility thIs syslall b luteuded lu servo: ❑ yes 01ia
If y -% 11'1171 type?
'a*lATl'OItliWl"' • CL!"3.Y'PS AI UST COtiYG.L•7L''rtil: liiiQG'!/I150 1'A01'l:it'1'1 INF'OIihIA'17G14 1tBQlll;ti I'l'-1J---'—�
0EL01V. Eltj era P A1' orS:TE PLAfi AIUSTUESV,7Af1TTED by the elleiu witli %'l1IS AI'1'1,ICATION.
PropertyDimo»sions:% f1 ��/.'1 }��/i{!o�/51.t;'rEV.13:.CI'TUNS(frunlrllucl,srillc)tuI'll 011.'I(t'l':
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Sctlioa: •' �G�-I3todi: M, Lot: • oDate Ironic curncsCa:ggclt:
Tbib1; to.edify that the h:rorluationprovided is correct to the best oftuy Iutowlcdga 1 aliderstaud that any peranil(:i)
issued hereafter arc subject to suspcsas:on or revocation, Irthc sitcplaus or iiitci:dcd us. c:laugq ori! lltc lit uraaatiai
Iobi ulllcd in this uppGcat ionis fidsi:Fed or charged. Jr, 71w, andurarurd rharl era: rraponxIblejorall cltwrbcs fit curivrijortm
rlik uppficuriwi. I, lienby, givo couscm to the Autl:uri=d Rcprescaa(ativc of t:ac t):"ric Cuusaty 11calth DClWJ'hnci:t
to enter alron abuvc descr)bcd p. upert;' located la Davie Ccunty cild un•ucd by
to conlacttall Icstir.; proec$ r:s s net essary to dcteranine.tae site Sul lalaill .. L —�
DATE SIGNATURE t -
TRISARI-AMAYBEUSED FOR Dit.4LWIi^,YOUR SITZ :LAiv(Iaciudcall of titsIbllowing::r:istiil sadlirupuscc
property lines 2rd dimensions, struau:'ls, satb2cl' , and septic, lo=ttoasp
Site llcvisil C,L;1QC
1
C1i.a:t N"otiricalioa'Jatr.
Sign glyzo Account No. 1'U
_ Rcr:SedDCHD(05133 1—n;°",v". L/
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' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
PROPERTY INFORMATION
Account #: 989900635 Tax PIN/EH #: 5861-87-7983.02
Billed To: Wayne Frye Subdivision Info: Gun Club Lot # 02
Reference Name: Location/Address: Gun Club Rd -27006
Proposed Facility: Residence Property Size: see map Date Evaluated:
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS1 2 3 4 5 6 7
Landscape position
Sloe % Y G
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH i
Texture group'
Consistence
Structure G /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 c
SITE CLASSIFICATION: l/
LONG-TERM ACCEPTANCE RATE: j
REMARKS: �i _ h/I /?
LEGE1
Landscaae Position
EVALUATION BY:
OTHER(S) PRESENT:
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
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)