244 Montclair Drive Lot 5Davie County -NC Tax Parcel Report Wednesday, October 19, 2016
WARNING: THIS 1S NOTA SURVEY
Parcel Information
Parcel Number:
F7120B0005
Township: Shady Grove
NCPIN Number:
5870052662
Municipality:
Account Number:
76446000
Census Tract: 37059-803
Listed Owner 1:
WALL JAMES H JR
Voting Precinct: WEST SHADY GROVE
Mailing Address 1:
244 MONTCLAIR DRIVE
Planning Jurisdiction: Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-7879
Voluntary Ag. District: No
Legal Description:
LOT 5 BALTIMORE HEIGHTS PHASE 2
Fire Response District: ADVANCE
Assessed Acreage:
0.93
Elementary School Zone: SHADY GROVE
Deed Date:
5/2003
Middle School Zone: WILLIAM ELLIS
Deed Book / Page:
004820960
Soil Types: MrC2,GnB2,PcB2
Plat Book:
0008
Flood Zone:
Plat Page:
016
Watershed Overlay: DAVIE COUNTY
Building Value:
279350.00
Outbuilding & Extra 16650.00
Freatures Value:
Land Value:
36000.00
Total Market Value: 332000.00
Total Assessed Value:
332000.00
9 MN�AAll 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
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
r'o pS NC or arising out of the use or inability to use the GIS data provided by this website.
Account #: 990003149
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Billed To: Kelly Contracting Services,lnc
Reference Name: Jim & Myra Wall
ATC Number: 3753
Tax PIN/EH #: 5870-05-2662.KC
P" -
Subdivision Info: Baltimore Heights phase 2 Lot # 5
Location/Address: Montclair Drive -27006
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 CONSTRUCTION IS VALID FOR A PERIOD OF F VE YEARS.
Environmental Health Specialist's Signature: i&�1 Date:IV
CERTIFICATE OF COMPLETION
9v
**NOTE** The issuance of this Certificate of Completio all indicate the system escribed on Improvement/Operation Permit
has been installed in compliance with Artic o Chapter 1 Section .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAY tak at the system will function satisfactorily for any
given period of time.
8'0
36
a
Septic System Installed By:
!W
Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
z - Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003149
Billed To: Kelly Contracting Services,lnc.
Reference Name: Jim & Myra Wall
Proposed Facility: Residence
A
5 3-��
Tax PIN/EH #: 5870-05-2662.KC
Subdivision Info: Baltimore Heights phase 2 Lot # 5
Location/Address: Montclair Drive -27006
Property Size: see map
**NOTES* TTiIslmprovemei t/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 I 1 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.
q �
Residential Specificat n: Building Type #People 21 #Bedrooms #Baths V
Dishwasher. Garbage Disposal Washing Machine: Basement w/Plumbing: El--*- Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: NewZ"` Repair ❑
System Specifications: Tank Size/ GAL. Pump Tank
Other:
Required Site Modifications/Conditions:
GAL. Trench Width,3 Rock Depth1 Linear Ft.
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED FFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representati vie 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 .0 y of installation. Telephone # is (336)751-8760.****
L
Environmental Health Specialist's Signature: Date: a
DCHD 05/99 (Revised)
04-07-2004 12:11PM FROM KELLYCONTSVC TO 7518786 P.O2
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04-07-2004 12:12PM FROM KELLYCONTSVC TO 7518786 P.04
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to umber a0z'sibme described property is Gtlsifeed Ed in Davie County and owaad by
tkoccamix-s talc ucimi.oy to actemi"o the site 50habuity.
DAT.P. SIGNATURE
ARU M&Y.H. bftl) �FOR D"SM PLAN (ImAde all offt MLW 8%bumsandproposcil
prcp6ty 1pomjxad dlm4u6u�. jdrudzr�=mad sqv& Iwadomm).
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01 DOSINODA-113A WOdJ Wd2T:ZT VOO
FS
RAM 3 - Shoulder L - Ljaw slop M
N - Mme stoli
& concave d* CV - Convex slope T. Termw FP -
plain Held slope
MUM.
S - Sand 'LS - Laway sand SL - U* Icam L - LAMM
SACT.- Slky c14 liatu - SIL - Silty loam CL - Cky lawnSAMY
sc'-sandfclay SIG -SIRYWAY C C by sct
day loam t
VFR - Very friable FR - MWO, F1 - Finn Vfq VOY firmER
RXUQM* WO i
ysticky 3 -St vs - Very-siky
NS-Nocaticky, SS-SlIgbOIcky
NP - Non plastic SP - Slit" PtUWC P - Piratic VP -Very plpattc
SC - Single grahl ; M - M3661W Cit - Crumb GR - Grint&t
AHK - Anp* bWAy,,
SBK - Subsnpfn6kcky FL - Pliny Pit - Phsmtk
now
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$*mllte - s(swVI*). tRunguitow)
I
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surface Le WI calors w� b chounsi 2;or
LIAR - Long -MM socepWace rate gelldeyM
90*d 98LOTSL
01 DOSINODA-113A WOdJ Wd2T:ZT VOO
AYPUCATIUN >FUIi SITE fNALUA IGN/IFi1i-ROVE41EN1 ;IEli,1li °
`< Davie County Health Department
<1 En Environmental Health Section
$ ,
P.O. Box 848/210 Hospital Street �il'IT i �J 1
`
M 028 ocksville, NC 27 t
(336)751-8760lfd'di((ti'
Dt1'dL Coul"J Y _
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be BilledDiE'NiaT)/ Contact Person G 11
�iy _
Mailing Address 3 M o 'V -c / c� . ,t A -z Home Phone / 5, U -S` U ---- - -
City/State/ZIPi� �//� /�-� C. Q NI �. 2 UD Business Phone G� c� �.�-U
2. Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3. Application For: e" ite Evaluation ❑ Improvement Permit/ATC Il Both
4. System to Service: (House ❑ Mobile Home ❑ Business ❑ Industry U Other
5. If sidence: t) People ;) Bedrooms # Bathrooms
Dishwasher CI Garbage Disposal 1ashing Machine H Basement/Plumbing II Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: O'County/City U Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes XNo
If yes, what type?
'IMPORTANT' CLIENTS MUSTCOAIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUMUITTED by the client with THIS APPLICATION.
Property Dimensions: -'- WRITE DIRECTIONS (from Mocksville) to PROPER'I'l':
Tax OfficeIN: #
PropertyAddress: Road Name /Kor0-c.(w« Ur ✓�
City/Zip 19Jd 27oD G
If in a Subdivision provide information, as follows:
Imo
Name: - I o-
Section:Black: Lot Date Property Flagged: l �� Q
This is to certify that the information provided is correct to the best of my knowledge. 1 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 ant 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
to conduct all testing procedures as necessary to determine the site suitability.
DATE - G SIGNATURE
THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
�_ � � J � � v 1. I �" 1`••,i • �•�
Revised DCHD (07/99)
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. �Z
Invoice No. U
' - DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
Account #: 990002232
Billed To: Guy Comatzer
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By:
On -Site Well
Auger Boring
PROPERTY INFORMATION
Tax PIN/EH #: 5860-95-1543.05
Subdivision Info: Baltimore Heights Lot # 05
Location/Address: Montclair Drive -27006
Property Size: see map Date Evaluated: L— X-'?
Community
Public [l-
Pit I1-1*1' Cut
FACTORS
12 3 4 5 6 7
2
Landscape position
L_ li
Sloe %
HORIZON I DEPTH
«
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
f" /
Texture groupG'
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
i a
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: / /
REMARKS:
LEGEND
Landscape Position
EVALUATION BY: G
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)
on
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