143 Oakshire Court Lot 40Davie County, NC
Tax Parcel Report
Tuesday, January 10, 2017
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
J7080B0040 Township: Fulton
5768203294 Municipality:
82519633 Census Tract: 37059-804
STOKES ZACHARY ANDREW Voting Precinct: FULTON
143 OAKSHIRE COURT Planning Jurisdiction: Davie Countv
MOCKSVILLE
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 40 HERITAGE OAKSQ PHASE TWO
0.68
6/2005
006140851
0008
139
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
Gn132
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
I 142LIJ
143
�.
�u
,<
i
O
-----�
----
147- -
{
i
! 154 `-"` ---_ -----
---
-----_ -
151
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
J7080B0040 Township: Fulton
5768203294 Municipality:
82519633 Census Tract: 37059-804
STOKES ZACHARY ANDREW Voting Precinct: FULTON
143 OAKSHIRE COURT Planning Jurisdiction: Davie Countv
MOCKSVILLE
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 40 HERITAGE OAKSQ PHASE TWO
0.68
6/2005
006140851
0008
139
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
Gn132
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
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, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
�v
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this websfte.
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990003236 Tax PIN/EH #: 5768-10-9770.40 JR
Billed To: Jeffrey Raynor Subdivision Info: Heritage Oaks two Lot # 40
Reference Name: Location/Address: 143 Oakshire Court -27028
Proposed Facility Residence Property Size: see map
ATC Number: 3956
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 CONSTRUCTI NIS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date:
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.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
lstsT .��,� rot
Date:��
• DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990003236 Tax PIN/EH #: 5768-10-9770.40 JR
Billed To: Jeffrey Raynor Subdivision Info: Heritage Oaks two Lot # 40
Reference Name: Location/Address: 143 Oakshire Court -27028
Proposed Facility Residence Property Size: see map
ATC Number: 3956
**NOTE** This Improvement/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
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;ff'-*�Repair ❑
/J !!��
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width_ Rock Depth Linear F(/
�
Other:
Required Site Modifications/Conditions:
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 the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
�p
,sz
•
6�
•
•
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
Account #: 990003236
Billed To: Jeffrey Raynor
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By:
On -Site Well
Auger Boring
Property Size:
PROPERTY INFORMATION
Tax PIN/EH #: 5768-10-9770.40 JR
Subdivision Info: Heritage Oaks two Lot # 40
Location/Address: 143 Oakshire Court -27028
see map Date Evaluated:
Community
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
Texture group
Consistence
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
SITE CLASSIFICATION: EVALUATION BY:
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
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
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY
_</o
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply:
On -Site Well
_ Community
Public 6�
Evaluation By:
Auger Boring
Pit
Cut
FACTORS
1 2 3 4
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC/
Consistence
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
SITE CLASSIFICATION: 12S
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-901
EVALUATED BY: A41
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
Texture
S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt
SICL-Silty ;lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vl---y 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
3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mi neraloityr
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
APPLICATION FOR SITE EVALUATION/IMPROVE LENT PERh11T
Davie County Health Department
EnvironmentaiHeaith Section
P.O. Box 848/210 Hospital Street I
Mocksville, NC 27028
. (336) 751-8760
JAN , 5 2005
El'dV1R0�V,„ipyTAt yEq�,
��V1ECp�yO, �
***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 J(—f ftYy
Contact Person T -e* 0it
�1�L )RV';--/n(pyL
Mailing Address g%� �(3%///�r✓wi�/1�7h
Home Phone 336-8,�3-6-773
City/State/ZIP LIMJ00✓� l �r G 2%Zq�jC Business Phone , 34 -—a?cf0'BU9e-1
2.
Name on Permit/ATC if Different than Above�—
Mailing Addressl t7 A7yI E �—
City//State/Zip S/J74/C
U
U
3.
Application For: ite Evaluation
Improvement Permit/ATC ❑ Both
4.
System to service: 2 house Mobile Home
❑ Business ❑ Industry ❑ Other
'El
5.
Type system requested: 0 Conventional ❑ conventional
modified ❑ innovative
6.
Residence: tt People #
Bedrooms #Bathrooms Z
,I�f
�
Ebiahwashor ❑Garbage Disposal l2k-ashing Machine
_
❑Basement/Plumbing 99atasement/No Plumbing
7.
If Business/Industry /Other: verify type
# People # Sinks
# Commodes` # Showers
# Urinals # Water Coolers`'—'
IF FOODSERVICE: # Seats Estimated Water Usage (gallons par day)
8.
Type of water supply: aeaCounty/City
[3 Well ❑ Community
9.
Do you anticipate additions or expansions of tlic facility
this system is intended to serve? ❑ Yes L7No
If yes, what type? -- Y-4 o f,4 F ------
***lA1P0RTANT*** CLIENTS AfUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN AfUSTBESUBAIITTED by the elicit ivitl: THIS APPLICATION.
Property Dimensions: _170 1� ZDZ Y /Of X ZoZ WRITE DIRECTIONS (from Mocksvillc) to PROPERTY:
Tax Office PIN: #'570— 60- q -110 %&;'? /21—1 r a�C'
Property Address: Road Namc-,/7 3 NlLS!'- lIx -7 'l"URAZ Lf 9Q 2"'0 ,t�Ad-7fU2/v
city/zip m U c/e"Ill/t'1.'c "C xiNkr / %Ilcf 1210 7u/w /2T
If in a Subdivision provide information, as follows:
Name: IBI /Tim a%Zf
Section: Block: Lot: M -0—
L07 QAf 6: 7 -
Date ]ionic corners flagged: -
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
issued hereafter arc 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 l an: responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the Davie County IIcalth 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 suitabil'ty.
-W DAT); ) �U J SIGNATURE
TIIIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (i u c all of the follow]ttg: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Sign given
Revised DCIID (05103
Site Revisit Charge
Datc(s):
Client Notification Date:
EiIS:
Account No. 3
Invoice No. ��-�