Loading...
121 Bentbrook Drive Lot 1Davie County, NC Tax Parcel Report 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: WA-RN1NC-'• !'H!S 1S NOT A SURVEY Parcel lnlbrtnation G8060A0001 Township: Shady Grove 5880103546 Municipality: 82521235 Census Tract: 37059-804 BAILEY MICHAEL W Voting Precinct: EAST SHADY GROVE 121 BENTBROOK DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY 1-1,R-20 Land Value: Total Assessed Value: NC Zoning Overlay: 27006-7287 Voluntary Ag. District: LOT 1 BENTBROOK Fire Response District: 1.00 Elementary School Zone: 7/2003 Middle School Zone: 005000111 Soil Types: 0006 Flood Zone: 112 Watershed Overlay: 152190.00 Outbuilding & Extra Freatures Value: 40000.00 Total L111arket Value: 210380.00 ADVANCE SHADY GROVE WILLIAM ELLIS PcB2 DAVIE COUNTY 18190.00 210380.00 No 9pu f�, 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, i implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the I County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to nC U N'�y NC !{ or arising out of the use or Inability to use the GIS data provided by this webslte, DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001730 Billed To: E.R. Beauchamp Builders Reference Name: Proposed Facility: Residence Tax PIN/EH #: 5880-10-3546 Subdivision Info: Bentbrook Lot # 1 Location/Address: Bentbrook Drive -27006 Property Size: 1 acre * * NOTE * -This Nprovement/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 7� #People #Bedrooms #Baths "-s Dishwasher: )2r"' Garbage Disposal:.0 Washing Machine: 000' Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #/Seats Industrial Waste: ❑ Lot Size Type Water Supply _ Design Wastewater Flow (GPD) "' ed Site: New -Er Repair ❑ System Specifications: Tank Size /W GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Widt�Rock Depth Linear Ft.�Qjl IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISERS) IF 6 u 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 da of installation. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001730 Billed To: E.R. Beauchamp Builders Reference Name: Proposed Facility: Residence ATC Number: 2832 Tax PIN/EH #: 5880-10-3546 Subdivision Info: Bentbrook Lot # 1 Location/Address: Bentbrook Drive -27006 Property Size: 1 acre 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 WASTEWATfk CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature:.;vv �I , -1 ": 4,14e Dater ff 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. � P Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) R.- APPLICATION FOR SITE !+VALUATION/IMPROVEAIENT PERMIT & ATC Davie County Health Department Environmental Health Section N 3 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ENVIRONMENTAL H (336) 751-8760DAVIE W, ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for innstruct)iions. 1. Name to be Billed Vc /74 f/ c� S Contact Person L n �/i�i �'� Pte{ .tJ e,aUL ILL f/ ! / L 1— Mailing Address Y s ! e ✓✓i./ Home Phone YQ� /� City/StatejZIP ftdt/A✓>LL IuC� Z7DUto Business Phone _'/�IL3�'71�/} g� 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: (Site Evaluation Cltty/State/Zip •H/Improvement Permit/ATC 4. system to service: VHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other L s. If Residence: # People # Bedrooms # Bathrooms _ Z I.Io"Dishxasher 11 Garbage Disposal LeWashing Machine U Basement/Plumbing l:l Basement/No Plumbing 6. If Business/Industry/Other: Specify type L# People # Commodes # Showers # Urinals # Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: El County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes U -No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. Property Dimensions: —Jacy"t-- Tax Office PIN: # 1B n %Q " Property Address: Road Name 13&7 by-6ok City/Zip ✓iCe, If in a Subdivision provide information, as follows: r. II , Name: &0 T 6ron Section: Block: Lot: WRITE DIRECTIONS (from Mocksvillee)) to PROPERTY: -.r P1, /-o L f16 14 Ile �P Date Property Flagged: 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. 1, also, understand that 1 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 to conduct all testing procedures as necessary to determine the site suitability. DATE ° `7NATURE TH" 'VAN (Include all of the following: Existing and proposed cations). Site Revisit Charge Datc(s): Client Notification Date: Account No. I / as Invoice No. 4u�yy (POO, 89, 60, N ACRES /olv_Ov 2' O RZ� C29 C3 /o.(�� 1.0001 ACRES 348.51 N 86025109"W 496.13' DELTA CHORD CH.BEARING 60016'56" 60.26' S 42°27'42"W 48°11'23" 24.49' S 48030'29"W 21032'15" 142.51' S 35°10'55"W 90000'00" 28.28' S 00°57'03"W 20014'24" 165.17' S 54°10'09"E -25013'55" 144.15' S 51040'2311E 85008'46" 27.06' S 79052'38"E 3. CONTROL CORS THE, NORTH WE 4, ' - 28.75' ACRES 5. 19 LOT 1.3 4 1 A 6.. FEMA COMMU 7s3so091F NO FLOOD Hi 7. ZONING 20R o,�s 97.5 SQ.FT. 8, . LOTS SERVED[ �o �� o °' o 100 \ ooh S 83007.0 „E � ,�; 8.78' �45.0 �. GRAPHIC SCAL C3 0 �00, A co, MAP ; c1� �•' �o_, FOR . o�� SCALE TO °���� 1 p 100' $A C. T." ROBERTSON AN P.40BOX' .168 . ADVAN( \�2 P.O. BOX 276 A F� 1. Application/Pern Mailing Address APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Boz 665 Mocksville, NC 27028 2. Name on Permit if Different than Above 3. Application for: XGeneral Evaluation ❑ Septic Tank Installation Permit 4. System to Serve: Houses ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Jodustry / ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision`-- -'/ 4-'-00 . Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms _ No. of Bathrooms _ Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks _ No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: ❑" Public ❑ Private 8. Property Dimensions Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ Yes ❑ No ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. -4V--2--t2-!-52K DATE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1193) ll ' DAVIE COUNTY HEALTH DEPARTMENT. to Environmental Health Section Soil/Site Evaluation NAME 9'z24?;L �el ADDRESS PROPOSED FACIILTY &AI, DATE EVALUATED W- /-Cl S PROPERTY SIZE /.6C LOCATION OF SITE /5.gl1 4W,, Water Supply: On -Site Well Community Public t/ Evaluation By: Auger Boring Pit f/ Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 11- -?->` Texture group /111G Consistence Structure i1 6 /Cl Mineralogyi .- 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: EVALUATED BY: LONG-TERM ACCEPTANCE RA REMARKS: _P.�%/✓ten DCHD (01-901 OTHER(S) PRESENT: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC-ConcavP Onne. 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