114 Falling Creek Drive Lot 32Davie Countv. NC
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Tax Parcel Rennrt
Wednesday, December 21, 2016
277 114
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WARNING:
__ _
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
101
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to theDavie County, Implied wamnties of merchantability or fitness for a particular use. Ali users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H908OA0032
Township:
Shady Grove.
NCPIN Number:
5789624645
Municipality:
Account Number:
8303626
Census Tract:
37059-804
Listed Owner 1:
NICHOLS CHRISTOPHER
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
114 FALLINGCREEK DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
LOT 32 FALLINGCREEK FARM PHASE I
Fire Response District:
ADVANCE
Assessed Acreage:
0.73
Elementary School Zone: SHADY GROVE
Deed Date:
6/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009600845
Soil Types:
Pc132
Plat Book:
0007
Flood Zone:
Plat Page:
049
Watershed Overlay:
DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
101
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to theDavie County, Implied wamnties of merchantability or fitness for a particular use. Ali users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website.
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—AUTHORIZATION NO:, "58
55 8 4�►, DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee P.O. Box 848 ^'
' Name: rc�:a� ti. i�.� -A LTa Mocksville, NC 27028 Subdivision Name: FA��t� CCCZL:-- K
Phone # 336-751-8760,2
Directions to roperty: tt"� �G �D�^J Section: Lot:
-- AUTHORIZATION FWASTEWATER LOR
i'- G^� i �d�;l.f�.5rG1-IL SYSTEM CONSTRUCTION Tax Office PIN:# 5%{� li.Z- _ /[o`I�'
131 a Road N me: tl.t C ' = ' -Z-%
**NOTE**;This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building -Permits. This Form/Authonzation Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.:
(In compliance with Article 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENV AC HEALTH SP IST DATE ISS ED
21 ��-.__'hT4i ,,-Y: • -, Yr
8 % DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS ' PROPERTY INFORMATION
Peuntjee.
Subdivision Name:
w'+Directions toproperty:- ` (w'.�� Section: Lot:
� IMPROVEMENT
#~,'; i f, C Ltj f.t: i i i� PERMIT t, ° Tax Office PIN:#
•� ^ t' # i i s h� � r t..�'! t. "r'1 t t` , � :i: t� Road Ndme: F -A l t� ►� .-. L,i; ls�'� %=
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An t
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constructionfinst4ation of a system or the issuance of a building permit.
(In compliance with Article 1 of G.S..Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
y PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER'
`'�NVIRONMEN PAI HEALTH SPEC3AT IST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM. .
RESIDENTIAL SPECIFICATION: BUILDING TYPE H Lbs # BEDROOMS # BATHS _2 # OCCUPANTS GARBAGE DISPOS : Yes r No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 1 i DESIGN WASTEWATER FLOW (GPD- NEW SITE 'REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �Q GAL: PUMP TANK GAL. `TRENCH WIDTH 3't ROCK DEPTH t LINEAR FT. t
OTHER 2*' 5-T
REQUIRED SITE MODIFICATIONS/CONDMONS: - �.-J, VAu,o� 1.), -woe . ' yu` to OPr Cleo
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLt1ENI _FILTER• *RISER(S) ,IF 6" BELOW FINISHED GRADE*
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (-AW)63*87Cf(X X
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
'i" lG
S
S
AUTHORIZATION NO. OPERATION PERMIT ATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 05/96 (Revised)
1, APPUCAIION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Envhvamenfal Health Section
P.O. Box 848/210 Hospital Street AW 14 10
Mocksville, MC 27028
(336) 751-8760 ENVIRONMENTAL NFaITu 1
***IIMPORrPX"** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed 616111,1 / 1I . � F-AvlSQri R(,, e P5 —C' contact Person
Hailing Address 3T Z (JCl /4� Home Phone /�J
City/state/ZIP L ja d( ee , , l 02 70,0 Business Phone / 7 b s o s 7
2. Name on Persdt/ASC if Different than Above .5q ova o
Mailing Address -.54 v✓, 4 City/state/Zip
2. '.pppUca icn yor: u Site Evaluation a-f6provement Permit/ATC 0 Both
4. system to service: 9 -House 0 Mobile Home 0 Business 0 Industry 0 Other
a. If Residence: `_ �/# People # Bedrooms �ms
_ # Bathroom
a ishD
rasher 'Oazbage Disposal 04a-s-hing Machine 0 Basement/Plumbing 0 Basement/Ho Plumbing
6. If Business/Indtastry/other: specify typc # People # sinks
# Ca modes # showers # Urinals # Water Coolers
IF FOODSERVICE: 11 Seats Estimated Water Usage (gallons per day)
7. Typo of water supply: IYCounty/City 0 Well 0 Conounity
e. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes
If yes, what type'
***IMPCIRTAN7%**CLIENTS IIIUSTCUAIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: j4F-rFKcv4 1, Kean ayti ,lei a6Q VV s USA& 1301 ECTiGNS (from tbiocasviile) to PROPERTY:
Tax Office PIN: # -5-79Y 4� _ ` w- tS-9 4-o gb 1 -- (- o/L+o g0 I 'Vl u
Property Address: Road Name
City/Zip
if in a Subdivision provide Informaattion, as follows:
Name: �� Q �� rll ( run
Section: �_ Block: lot:^
►�t� �,c e - a°'� %o (es Qe�(.'ce, lei
te-". �e-� " , V OP, pban; t IV I Wy � to ocg l e -f F
Date Property Flagged: 6 "( 3—f y
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
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 am reVonsiblefor all charges Incurred from
this application. To 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 Me n
to conduct all testing procedures as necessary to determine the site suitability.
;;;%71 E �'�� 3 "% % SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include alrof the
property lines and dimensions, structures, setbacks, and septic locations).
30
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aoff A
Revised DCHD (07/98) I\
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11
and proposed
tv :.5047-F��
Account No. ,S% 3
Invoice No. 7/6
' APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
1 Davie County Health Departmentw
Environmental Health Section
: P O.'Box 848 AUG — 61997
.i Mocksville, NC 27028
s (704)634-8760
'i ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED
' ALL THE REQUIRED INFORMATION IS PROVIDED:
1. Name to be Billed
ljlas� // Ie w qbeV44v � Cn.
# Bedrooms #
Contact Person
P)4
i ".-ailing Address
e2 „STS 5j,.VA .S�h /0 FO �'d
�l
Home Phone 9 �1 �'' g 4/,7
City/State/Zip
W i �/s �N 5,4 4 N e , �? 710
3
Business Phone
9 9 �?
" # People
# Sinks
99,'-a��o.
2. Na me on Permit/ATC if Different than Above Soo mo--
# Commodes # Showers
`3 # Urinals #
Nailing Address
!
City/State/Zip
Estirnaie'd Water Usage (gallons per day)
3. Application For:
2- Site Evaluation
❑ Improvement Permit & ATC
❑ Both
4. System to Serve:
❑ House ❑ Mobile Home ❑ Business
❑ Industry
❑ Other s:
5.
1
If Residence: # People
# Bedrooms #
Bathrooms
❑ Dishwasher ❑ Garbage Disposal ❑
Washing Machine ❑ Basement/Plumbing ❑
Basement/Nu raumbing
6.
If Business/Other: Specify type
" # People
# Sinks
# Commodes # Showers
`3 # Urinals #
Water Coolers,
!
If Foodservice: # Seats
Estirnaie'd Water Usage (gallons per day)
7.
:Ijppe of water supply: ❑ County/City
❑ Well
❑ Community
8.
Du you anticipate additions or expansions of
the facility this system is intended to serve?
❑Yes ><-❑ No,
t
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Prop:.rty Dimensions: q9. 74 Atte-5 WRITE DIRECTIONS (from
Mocksville) TO PROPERTY
Tar Office PIN: # % g� - 63 S 7 o 3
Property Address: Road Name 7i4 G '3CL • t G
IN 9
City/Zip AJi/Awe 4 NC . 9 9,6116 i / � f .
D n Lem
If in Subdivision provide inform tion as follows: 1
_080 ,,vii- Ahf7n4-�'9) Yom,' �Ap7 i O e-�--
Name:
Section: Lot #:
1
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
falsit:.-d or changed. I, also, understand that I am responsible forall charges incurred from this application. I, hereby, give consent to
the Ac,horized 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 ne--.ssary to determine the site suitability.
l
DATE g —�" `i % SIGNATURE
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION_j LOT��
Soil/Site Evaluation
APPLICANT'S NAME e�U�`e� DATE EVALUATED 4V/i 2
PROPOSED FACILITY PROPERTY SIZE /3l�i%iG
SUBDIVISION ROAD NAME=
Water Supply: On -Site Well
Community,
Evaluation By: Auger Boring Pit
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
w
Texture groupC
Consistence
i
Structure
f
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:
DCHD (01-90)
EVALUATION BY: eo //
OTHER(S) PRESENT:
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
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