1637 Underpass Road Lot 1Davie County, NC t Tax Parcel Report Wednesday, January 11, 2017
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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
Parcel Information
E8100B0024 Township: Shady Grove
5871944851 Municipality:
82526631 Census Tract: 37059-803
HAPPY GENEVIEVE (NMN) Voting Precinct: EAST SHADY GROVE
1637 UNDERPASS ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27006-0000 Voluntary Ag. District:
1 LOT GREENWOOD LAKE RD Fire Response District:
Land Value:
Total Assessed Value:
0.78 Elementary School Zone:
6/2006 Middle School Zone:
006680501 Soil Types:
Flood Zone:
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
Gn132
DAVIE COUNTY
No
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
�OUty� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
990003622
Tax PIN/EH #:
5871-94-4851
Billed To:
Joseph Freeman
Subdivision Info:
Greenwood Lakes Lot # 1
Reference Name:
Joe Freeman
Location/Address:
Underpass Road -27006
ATC Number: 4431
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 CONSTAUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: &W Date: e� d
may also
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 11 019 ChChapter 130A, Section .1900 "Sewage Treatment and
Disposal Systems," but shall in Nas a guarantee that the system will function satisfactorily for any
given period of time. io 90
r
Septic System Installed By:
Environmental Health Specialist's Signature : Date:
n"
DCHD 05/99 (Revised)
l f
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 848/210 Hospital Street a
Mocksville, NC 27028
(336)751-8760 n
V�
IMPROVEMENT/OPERATION PERMIT
Account #: 990003622 Tax PIN/EH #: 5871-94-4851
Billed To: Joseph Freeman Subdivision Info: Greenwood Lakes Lot # 1
r
Reference Name: Joe Freeman Location/Address: Underpass Road -27006
Proposed Facility: Residence Property Size: 130x262
**NOffQ*%'A%roUA&it/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 #People / #Bedrooms & #Baths -44
Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ 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) Site: New ❑ Repair ❑
�� �I
System Specifications: Tank Size GAL. Pump Tank GAL. Trench WidthC��l(Rock Depth 'C� Linear F:�
Other: As Stated in IbA
accepted Systems may also be used
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ""NOTICE: Contact a representative o t #ie ountyea eartment for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. o y of installation_ T ephone # is (336)751-8760.****
Environmental Health Specialist's Signature: �/�G� Date:
DCHD 05/99 (Revised)
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760/ Fax (336) 751-8786
June 16, 2006
Mr. Joseph Freeman
1346 Underpass Road
Advance, NC 27006
Re: Greenwood, Lot #1, Underpass Road
Tax Pin #: 5871944851
Dear Mr. Freeman,
As requested, a representative from this office visited the above site June 16, 2006 to
perform a site evaluation. Based on the information provided on the Application for Site
Evaluation and after the evaluation was completed, the site was found to be provisionally
suitable for the installation of an on-site sewage disposal system.
This Improvement Permit DOES NOT authorize the construction of a wastewater system.
An Authorization To Construct a wastewater system must be obtained from this office prior to
the construction/installation of a wastewater system or the issuance of a building permit (in
compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement
Permit is subject to revocation if site plans or the intended use change.
Improvement Permit
System To Serve: Wastewater Design Flow:
System Type: ❑Conventional /Accepted ❑Innovative ❑Alternative ❑Other
System Location: r �S' max+) Valid: CTYears ❑No Expiration
Site Modifications/Permit Conditions:�-
nvironmenta ealth Specialist Date
ps-i.p.letter 2/06
J APPLICATIO FOR SITE EVALUATION/IMPROVEMENT PERMIT`f.,ATC
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street l�
Mocksville NC 27028
(336)751-8760/ Fax (336)751-8786
ietation Fo nj valu mprovement Permit ❑ Authorization To Construct(ATC) oth
T*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
.TION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name to be Billed -:I_0 6EPH V�2e-CMw J Contact Person
Billing Address I3 -lu Home Phone 1:118 614c1 -S
City/State/ZIP 1SpV0 J0 2--700(--, Bussi'n"essPhone '7` -1-6123
Name on Permit/ATC if Different than Above Cil k_C-N1Jy O NNSOIJ
Address
PROPERTY INFORMATION
NOTE: A survey'plat or site plan must accompany this application.
(Permit is valid for 60 months with site lan, no expiration with complete plat.) Q (9 U
Street Address � ) N r)• � City (�y AN (_Q Tax PIN# -5,8-71949
r ,8 1 '
Subdivision Name (nrcC-vW00tJ Section/Lot# / _Lot Size 13o X 2-(P 'Z-
Directions To Site: 18071 S-7 Q N a -tap t s sD-) — La t i S 2� 2
TF RF,,gMF,NC'F, FTT,T, nTTT THE BOX BELOW
# People # Bedrooms # Bathrooms 2= Garden Tub/Whirlpool ❑Yes U Na
Basement: ❑Yes U-NcT Basement Plumbing: ❑Yes ZNe-
IF NON -RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business Total Square Footage of Building # People
# Sinks # Commodes . # Showers # Urinals
Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: 'onventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Typexcounty/City Water ❑ New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes
If yes, what type?
1� �
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that
any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if
the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred
from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to
conduct necessary inspections to de compliance with applicable laws and rules on the above described property located in
Davie County and owned by ' ZN,,es 1= '1 VV
- i Site Revisit Charge
Property own r s or wner's legal repre entative signature
Date(s):
V Client Notification Date:
EHS:
Date r_
Sign given ❑Yes ❑No Account # ZZ
Revised 2/06 Invoice #
Date House/Facility Corners Flagged Z
If the answer to any of the following questions is "yes", supporting documentation must be attached.
Are there any existing wastewater systems on the site?
❑Yes ®RI-6�
Does the site contain jurisdictional wetlands?
❑Yes lNcr'
Are there any easements or right-of-ways on the site?
❑Yes UNC
Is the site subject to approval by another public agency?
❑Yes CI]Ne—'
Will wastewater other than domestic sewage be generated?
❑Yes LIN -a'
TF RF,,gMF,NC'F, FTT,T, nTTT THE BOX BELOW
# People # Bedrooms # Bathrooms 2= Garden Tub/Whirlpool ❑Yes U Na
Basement: ❑Yes U-NcT Basement Plumbing: ❑Yes ZNe-
IF NON -RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business Total Square Footage of Building # People
# Sinks # Commodes . # Showers # Urinals
Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: 'onventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Typexcounty/City Water ❑ New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes
If yes, what type?
1� �
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that
any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if
the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred
from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to
conduct necessary inspections to de compliance with applicable laws and rules on the above described property located in
Davie County and owned by ' ZN,,es 1= '1 VV
- i Site Revisit Charge
Property own r s or wner's legal repre entative signature
Date(s):
V Client Notification Date:
EHS:
Date r_
Sign given ❑Yes ❑No Account # ZZ
Revised 2/06 Invoice #
>:
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Zoom Factor: 5X Radius Search (feet) 0
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Parcel Data
Find Adjoining Parcels
• County ID: E81 00B0024
• Account Number:000059164000
• PIN: 5871944851
• Legal 1:1 LOT GREENWOOD LAKE RD
• Owner Name: RAMSEY JAMES F
. Owner/Address 1: RAMSEY JAMES F
• Owner/Address 2: RAMSEY CARLENE W
• Owner/Address 3: 1529 WEST 1 ST
. City, State Zip: PFAFFTOWN ,NC 27040 -
0000
• Land Value: $36,000.00
• Building Value: $0.00
• Out Building/Extra Features Value: $0.00
• Land Unit / Type: :/LT
• Deed Book/Page: 00089 / 0318
• Deed Date: 1973/04/30
• Sales Price: $0.00
• Property Address:
• County Zonirg: R-20
• Census Cod(':
• City Code:
• Fire District. ADVANCE
• Flood Zone: ZONE X
• Flood Community: 370308
• Flood Panel., 0045 C
• Flood Map Date: 12-17-1993
• Soil.• GnB2
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http://sdx.roktech.netlservleticom.esri. esrimap.Esrimap?Name=Davie&Cmd=Cl k&Left=1578688.0625&R... 6/2%2006
I
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION
Account #:
990003622
Billed To:
Joseph Freeman
Reference Name:
Joe Freeman
Proposed Facility:
Residence
Water Supply:
Evaluation By:
On -Site Well
PROPERTY INFORMATION
Tax PIN/EH #: 5871-94-4851
Subdivision Info: Greenwood Lakes Lot # 1
Location/Address: Underpass Road -27006
Property Size: 130x262 Date Evaluated:
Community
Auger Boring V 00� Pit
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
�.
Texture group
C
"CeC
Consistence
Structure
Mineralogy�.
HORIZON II DEPTH
^
��
Texture groupC
Consistence
1
Structure
Mineralogy;
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
F s
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
X'5
EVALUATION BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Tcxturr,
S -Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
Y t
NS - Non sticky SS - Slightly sticky S - Sticky V$ -'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
1�� eK
Mineral=
1:1, 2:1, Mixed
LYutg�
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 05105 (Revised)
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