141 Falling Creek Drive Lot 61 ►
Davie County. NC
Tax Parcel Rennrt
Wednesday, December 21. 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:
Land Value:
Total Assessed Value:
WARNING: THIS 1S NOTA SURVEY
Parcel Information
H908OA0006 Township: Shady Grove
5789631031 Municipality:
82512999 Census Tract: 37059-804
EBERHEART FRANK C Voting Precinct: EAST SHADY GROVE
141 FALLINGCREEK DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC
Zoning Overlay:
27006-7655
Voluntary Ag. District:
LOT 6 FALLINGCREEK FARM PHASE I
Fire Response District:
0.68
Elementary School Zone:
6/1999
Middle School Zone:
003060860
Soil Types:
0007
Flood Zone:
048
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
IN
ADVANCE
SHADY GROVE
WILLIAM ELLIS
Pc132,PcC2
DAVIE COUNTY
161
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County of Davie, North Carolina, its agents,consultants, contractors or employees from any and all claims orcauses 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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AUXI.104AATION NO:17
01 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittees P.O. Box 848
Name: f M Mocksville, NC 27028 Subdivision Name:
%�. Phone # 336-751-8760
Directions to property: !/ c '! ” % /TT ;' ff r't"� Section: ot:
i
AUTHORIZATION FOR .e
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name /' Z1p: lee
**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/Authorization Number should be, presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatmentand Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
%% l'l�:J •.r �C f) 6°�„J /'l a' ` IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST ' DATE ISSUED s
i
S'�''K4itiaWth'j,. rrt?+'�''"' ,+'`".,., � r <-: ..rsj_ W'•+m`�"-0.ot"f�:r" P.W'r.;'o yinrr,.r�.o ct"'"" rN+ r , �,: :. .. ,.s p�,`:ly��',n,�w..�
a^1.c,."`
DAVIE UNTY HEALTH DEPARTMENT
TA VRO .EMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name`Name: 1 /
Directions to property. ' . ".,.'f Section: ot�
'IMPROVEMENT 7 ,,
PERMIT Tax Office PIN:#_8F&
RoadNam /�' ` rile
**NOT-E**This Improvement Permit DOES NOT authorize the construction or installation 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.
(Incompliance with Article I l of G.S.Chapter 1.30A,Wastewater Systems;Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF STI'E
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER -
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
r INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE _ #BEDROOMS ' #BATHS _#OCCUPANTS * 'GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT yy#SEATS INDUSTRIAL WASTE:Yes or Noj,
LOT SIZE � TYPE WATER SUPPLY L > DESIGN WASTEWATER FLOW(GPD) 6� NEW SITE `V REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE_Ylc_GAL. PUMP TANKGAL. TRENCH WIDTH _ ROCK DEPTH mac+'' LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT .
•
**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;(336)751.8760.
f
OPERA. ON PERMIT
SYSTE INS rAL ED BY: 0)1
AUTHORIZATION NO / V I OPERATION PERMIT BY: DATE:
**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)
'� $r
\V
INrORt9►TION Is PROVIDED. Refer to the INi==TION BULLETIN for instructions.
1. Maas to be Billed Castlegate Constuction Inc contact Perms Marshall Horton
Mailing address P 0 Box 466 Be" Phone 940-5989
city/state/BIP Clemmons NC 27012 Easiness PhO1e 766-0800
doer an Pe—it/ATC it Different than Above
Mailing address city to/Lip
S. Application Fort U Site Rvalbation f�ovement Permit/ATC 0 Both
t. system to service: R Boase 0 Mobile Name 11 Business 0 Industry 0 Other
B. If Residence: i People 2 # Bedrooms 3 f Bathrooms
B Dishwasber 11/ Iarbage Disposal g/WssbLog Naddois .O easement/Plumbing O Basement/Bo Plumbing
t. if easiness/Industsp/Other: epecify two N People 0 lints
#.Commodes Blowers i Urinals # water coolers
It TOODSIIRviCst f Beats � �Istiaated Nater Usage tgallons per day)
7. Type of Mater supply., Id Contsty/City Il 11811 0 communittyy
a. Do you anticipate additions or expansions of the tm ty this system Is Intended to serve? 0 Ya Yf No
If yes, what type?
aaeIMPORTAMP"s CLIENTS J=CO3lfM =K REQUMRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PIAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 17-5 x Z`fz x ) Z5 4-7- T VJRM DIRECTIONS (tram Mocksvilie) to PROPERTY:
rb
Property Address: Road NameiG/
city/Zip M -i.1 fi_-e . iAbl-45&6
If in a Subdivision provide information, as follows:
Name•ig-C,c-iAJG�[ ASL
Section: Bloch: Loth Date Property nagged: /,q
This is to certify that the Information provided is correct to the but of my hnowiedga 1 understand that any permit(s)
Issued hereafter are subject to suspension or revocation, it the site plans or intended use change, or if the information
submitted in this application is falsified or ehsuged 1, also, axdastmrd that Iain nespoxslble for all charges Incurred frons
this appUradox. 1, hereby, give consest to the Authorized Representative of the DA'.alth epartmegYl
to toter upon above described property located la Davie County and owned I -
to conduct all "BE p dura as naasary to determine the site /jita¢tli
4 DATE 7 g SIGN_ UIIIC , �Y, 11
THIS AREA MAY 139 USED FOR DRAWING YOUR Sit'1'E PLAN gadrde all of the following. Rdsting and proposed
property tines and dimensions, structures, sdbaclu6 and septic locations).
I ,
-
'F2
a .
f of d
Account No. �d
Revised DCHD (07198) Invoice No.
I P2
S21
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST -BE
- SUBMITTED
WITH THIS APPLICATION.
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT nn t
Davie County Health Department 1.1 v
1 WRITE DIRECTIONS (from -
Tax Office PIN: # 7 g -
63 - -S703
Mocksville) TO PROPERTY:
j
Property Address: Road Name �-� �R—QC.a/
�LP���d- •
+
Environmental Health Section
!
D d j9L e�
P. O. Box 848
s
AUG - 6 1997
i ame:
Iy `
1
Section:
Mocksville, NC 27028
1
1
(704)634-8760
'
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED
ALL THE REQUIRED INFORMATION IS PROVIDED.
I
Name to be Billed
1 /
W �s�y ie uJ qbega� � �d. Contact Person G V IA E
y
1
Mailing Address
92 y sr �� ��h b 1 O �'d �G Home Phone % 9t g 4/a g
City/State/Zip
a V s iN n/ is Ale, Q 710 3 Business Phone ' 9 9 �? //6-7
2.
Name on Permit/ATC if Different than Above S,4 rn.e—
Mailing Address
City/State/Zip
3.
Application For:
2- Site Evaluation ❑ Improvement Permit & ATC ❑ Both
4.
System to Serve:
❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5
If Residence:
# People # Bedrooms # Bathrooms
<�
❑ Dishwasher
❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
_i 6.
It Business/Other:
Specify type r # People # Sinks
¢
'1
# Commodes
# Showers # Urinals. # Water Coolers
If .Foodservice:
# Seats Estimated Water Usage (gallons per day)
7.
Type of water supply: ElCounty/City " } ❑ Well ❑ Community
'r
8.
` Lu you anticipate additions or expansions of the facility this system is intended to serve? ❑ . Yes ; ❑ . No
m
If yes, what type?
r
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST -BE
- SUBMITTED
WITH THIS APPLICATION.
Property Dimensions: q7n , Z 7q Atte-5
1 WRITE DIRECTIONS (from -
Tax Office PIN: # 7 g -
63 - -S703
Mocksville) TO PROPERTY:
j
Property Address: Road Name �-� �R—QC.a/
�LP���d- •
1 C e- VL
1
City/Zip AJvo i -
!
D d j9L e�
Ifin �ubds p�jR�?�A `rn"stn, as follows:�al
Y
s
1 ,t7 Od'J
1
i ame:
Iy `
1
Section:
2 /
Lot #: (�
1
1
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 sut ject 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 responsible fol 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 .rocedures
as necessary to determine the site suitability.
DATE g "� c! SIGNATURE
.I
d
Revised DCHD (06-96)
'6--aC
APPLICANT'S NAME
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPOSED FACILITY Jif
SUBDIVISION ,l� -///)
Water Supply
Evaluation By:
On -Site Well
Auger Boring
Community
Pit
L/
SECTION_Z_ LOT_
DATEEVALUATED ✓
PROPERTY SIZE
ROAD NAME
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
b
Texture group
11*1G'
J
Consistence
Structure
Mineralogy.�J
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: a
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (0I-90)
END
Landscape 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 I 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