1072 Williams Road Lot 5r
Davie County, NC Tax Parcel Report
Wednesday. November 9. 2016
10`67
I
D i 1110 �
I i V
1072,1 % 1086 �L.I --
1 1 _ 131
U`
�1 Z
G:
1064,_J�
i
149
91.vrd All data Is provided as Is wltboutwartatdy, or guarantee of any kind either "press" or Implied Including but not Iimged to the
Davie County, Implied wamntles ofinemhamabft or/tiness for a paNleularuea.All user of Davis Counye GIS websge Mall hold hsmdeu the
County of Davie, North Carolina, Reagents, eonsultams, contractors or employees from any and all claims or causes of action due to
noONV NC - or adsing out of the use or Inability tome the GIs data provided by this webs"
WARNING: THIS IS NOT A SURVEY
Information
—
Parcel Number:
170000004310
Township:
Fulton
NCPIN Number:
5778067582
Municipality:
Account Number:
82518402
Census Tract:
37059-804
Listed Owner 1:
PHELPS GARY
Voting Precinct:
FULTON
Mailing Address 1:
317 AUBREY MERRELL ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 5 CARTERS COURT
Fire Response District:
FORK .
Assessed Acreage:
0.69
Elementary School Zone:
CORNATZER
Deed Date:
3/2002
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
004130545
Soil Types:
WeB
Plat Book:
0007
Flood Zone:
Plat Page: -
086
Watershed Overlay:
DAVIE COUNTY
Building Value:
56040.00
Outbuilding & Extra
1720.00
Freatures Value:
Land Value:
15320.00
Total Market Value:
73080.00
Total Assessed Value:
73080.00
91.vrd All data Is provided as Is wltboutwartatdy, or guarantee of any kind either "press" or Implied Including but not Iimged to the
Davie County, Implied wamntles ofinemhamabft or/tiness for a paNleularuea.All user of Davis Counye GIS websge Mall hold hsmdeu the
County of Davie, North Carolina, Reagents, eonsultams, contractors or employees from any and all claims or causes of action due to
noONV NC - or adsing out of the use or Inability tome the GIs data provided by this webs"
DAVIE COUNTY HEALTH DEPARTMENT�` O
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990002199 Tax PIN/EH #: 5778-06-7187.05 GP
Billed To: Gary Phelps Subdivision Info: t<A+' re eS CT- • L -O + S
Reference Name: Location/Address: Williams Road -27028
Proposed Facility: Residence Property Size: see map
ATC Nutt b : 3096
**NOTE** lhis provement/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 l l 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 A 7/ #People _K— #Bedrooms v,? #Baths
Dishwasher-,�Garbage Disposal: ❑ Washing Machine;2' Basement w/Plumbing: ❑ Basement/No Plumbing. -13
Commercial Specification: Facility Type #People_ #People/Shift #Seats Industrial Waste: ❑
Lot Size A40X3Dd Type Water Supply 0— Design Wastewater Flow (GPD) <,?X d Site: NewoEr Repair ❑
System Specifications: Tank Size GAL. Pump Tank
elI^I'r'ii
Required Site Modifications/Conditions:
GAL. Trench Width � Rock Depth /off' � Linear Ft.;Tb�
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " 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 1:30 p.m. on a day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: (' p/J /�(H� Date:
DCHD 05/99 (Revised)
Account #: 990002199
Billed To: Gary Phelps
Reference Name:
ATC Number. 3096
DAVIE COUNTY HEALTH DEPARTMENT P -01C
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #. 5778-06-7187.05 GP
Subdivision Info: C'-ARrekS CT )- ' G
Location/Address: Williams Road -27028
+ItsZN1111111�7isa
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 WASTEW ONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date:
CERTIFICATE OF COMPLETION
The issuance of this Certificate of Completion
has been installed in compliance with Article 1
Disposal Systems," but shall in NO WAY be to
given period of time.
Septic System Installed By:
ystem described on Improvement/Operation Permit
130A, Section .1900 "Sewage Treatment and
that the system will function satisfactorily for any
Environmental Health Specialist's Signature: ,ri4 Date:
DCHD 05/99 (Revised)
FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE.PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions:
1. Name to be Billed
Mailing Address
Contact Person
VIAS me Phone
-City/State/ZIP %/�j�j�'�.Si/, �,(��, 'AIC_,9�7d2gBusiness Phone
-2. Name on Permit/ATC if Different than Above - --
Mailing Address - - - City/State/Zip
3. .Application For: ❑ Site Evaluation improvement Permit/ATC ❑ Both .
4.. system' to Service: El. House ,Mobile Home ❑ Business ❑ Industry ❑ Other
5. _If��Residence: # People 4 # Bedrooms # Bathrooms
W ishxasher ❑ Garbage Disposal U- ashi/nJg/1 Machine ❑ Basement/Plumbing ❑ Basement/No.Plumbing.
6. If Business/Industry/Other: Specify type # People # Sinks .�
# Commodes cy.' # Shovers #Urinals #Water Coolers
IF • FOODSERVICE: # Seats - Estimated Water Usage (gallons per day)
7. Type of water supply: eCounty/City ❑ Well O Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes "B -No
If yes, what type?
***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION.
Property Dimensions:( i 72-> / D WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN:
Property Address: Road Namer�f/G(4 yho �onnz��ctV o� W (� I w —3 Iu
City/Zip;/�/D/%, f/�Oro P nlE o GY
'4 8 �^
If in a Sub�diviisi�on provide information, as follows:
Name f��
Section: Block: Lot: J 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. I, also, understand that I am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the Davie CountfHealth 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 SIGNATURE"W
i
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s)-
Client Notification Date:
EHS:
Revised DCHD (07/99)
Account No. C
Invoice No.aZ�
d0
-..oh
SOS 7N�gi 'easB �
(l-52
�a -5LV L'-(; = V921tl
• I N
w
A�)°9
; Qo
<I
h�z7'Obf-.`�zz,
I �
4B1
u
0�2
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMFF & ATC
.� Davie County Health Department
Environmental Health Section 11 ��N 2 3 X999
P.O. Box 848/210 Hospital Street
t Mockaville, NC 27028
(336) 751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to M Billed 1y�'--_ C"1-� Contact Person
Nailing Address /1� i-7� /c � Some Phone
City/State/ZIP �,v �,/---/trt� (�% 7 C7 CJ Vj Business Phone
2. Name on Permit/ATC if Different than
Nailing Address
City/State/zip
3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC �th
4. system to Service: AHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: t People i Bedrooms -3 t Bathrooms 2--
11
fl Dishwasher ❑ Garbage Disposal II waaF_'Lng Machine II Basament/Plumbing I:I Basamant/No Plumbing
6. If Business/Industry/Other: E-.aeify type
i Commodes
4 Showers
Urinals
/ People # Sinks
i Mater Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: II County/City ❑ Well ❑ Community
S. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No
If yes, what type?
***IMPORTANT*** CLIENTS MUSTCOMPLETE'iHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBESUBMIFFED by the client with THIS APPLICATION.
Property Dimensions:
' & 6 )
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: #_ 5 7 ) 5�' - O o6 - %/ � 7 -os
Property Address: Road Name W c L% -,- ��J1.0
City/Zip 0-14�^i17t-Ct 11. C _ 2706
If in a Subdivision provide information, as follows:
Name: CAzters Four l p
Section:�!� ):I�` Block: Lot: 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
su'.::r:Etted :a °pis �T.plica :, : ie :o9�iised ar .^hc :gs�3
!,also, underland that! er.!raspcx:laif J ::• ch o.izrgea incurred from
this application. I, hereby, give consent to the Aulhmized 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 asnecessaryto determine the site suiJttobility.
DATE,J/z-va 3 - �/ �� SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/99)
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. [c=�
Invoice No. ��
F �uX0
pin5
r ` Lcl
lot;
�1 Yu
.. ,ya-- D�..• � 101 ♦i9 � (0I
L-Or,5
m
y l o
OL �Y
Xsq
p Y +s
/ TI
O / `
1-g �G / iaS2 S4° 5,1306 AckE3 AQEA ° 5 7G�5
AG�r
---- r � `n3,`t3g4z3y
It
Boa �Iki a.
Got
w I
_ ... ... _ 1-CXS/STING S4tgv Et LR J
0 0 lL -
Cn F, r
WADT7nM TT nPPrr T 1 %/r a 1 oL/'I I I - I 1 . 1 I '
'I exture group
Consistence -
Mineralogy
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
®®®®®®
Consistence
StructureMineralogy
®®®®®®®
SOILWETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
SITE CLASSIFICATION: EVALUATIONBYye
:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
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
Texture
S - Sand LS - Loamy sand . .. SL - Sandy loam L -. Loam SI -.Silt ,
SC -Sand clay 'SIC -Silt - S C - Clayam SCL - Sandy clay loam
� ;SICU -Silty clay loam SIL -Silty loam CL -Clay to
Y Y Y y
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI Firm : VFI - Veryfirm 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)
DAVIE COUNTY HEALTH DEPARTMENT
Y
Environmental Health Section
'
Soil/Site Evaluation
APPLICANT INFORMATION
PROPERTY INFORMATION
Account #:
989900562
Tax PIN/EH #:
5778406-7187.05
Billed To:
Gray Carter
Subdivision Info:
Carters Court Lot # 5
Reference Name:
-Gray Carter
Location/Address:
Williams Road -27006
Proposed Facility:
Residence:
Property Size:, 100 X 300 Date Evaluated: ?✓off/Yq
W upplyiOn-Site
,
Well
Community
Public
Evaluation By:
Auger Boring
Pit
Cut
777777--7-7
FACTORS '.
1 2 3 4
5 6 .7
Landscape position
Slope %
-
HORIZON I DEPTH
Texture group
Consistence
-
WADT7nM TT nPPrr T 1 %/r a 1 oL/'I I I - I 1 . 1 I '
'I exture group
Consistence -
Mineralogy
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
®®®®®®
Consistence
StructureMineralogy
®®®®®®®
SOILWETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
SITE CLASSIFICATION: EVALUATIONBYye
:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
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
Texture
S - Sand LS - Loamy sand . .. SL - Sandy loam L -. Loam SI -.Silt ,
SC -Sand clay 'SIC -Silt - S C - Clayam SCL - Sandy clay loam
� ;SICU -Silty clay loam SIL -Silty loam CL -Clay to
Y Y Y y
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI Firm : VFI - Veryfirm 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)