170 Cedarwood Place Lot 54Davie Countv. NC
173
Tax Parcel Report
161
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Tuesday, January 10, 2017
120.
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Parcel Number:
J7080B0054
Township:
Fulton
NCPIN Number:
5768109560
Municipality:
Account Number:
8303616
Census Tract:
37059-804
Listed Owner 1:
BARRON BRIAN
Voting Precinct:
FULTON
Mailing Address 1:
170 CEDARWOOD PLACE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 54 HERITAGE OAKS PHASE ONE
Fire Response District:
FORK
Assessed Acreage:
0.71
Elementary School Zone:
CORNATZER
Deed Date:
6/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009600591
Soil Types:
GnB2
Plat Book:
0007
Flood Zone:
Plat Page:
005
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
Davie County,
All data is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
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/^�
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
ORIZATION NO. 9 6 '' DAVIE COUNTY HEALTH DEPARTMENT � A4 �� r 0V2--1 a
/;. Environmental Health Section PROPERTY INFORMATION
t �' s P.O. Box 848
Name: - ��ILti-� Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: �I-- 1 L~ Section: Lot:
AUTHORIZATION FOR
y WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name ►.'"ArU.1ii e�L Zip: -f)
**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 Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits:
(In compliance. with Article 11 of 9.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
✓'`**NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
—�— ��.,'NTa,' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMEAL FALTH SPEC ALIST DTE ISSUED
�. & "..
i
"' DAVIE COUNTY HEALTH DEPARTMENT �` U
»u _. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
ee s "
Name , �+' 1� s,. J1� 3 L (I Subdivision Name:
Directions to property: l L 4 t"' Section: Lot:
IMPROVEMENT
t I A. ' .r :. + {� 1'- " PERMIT Tax Office PIN:# - -
V �
Road Name: .c . ► ,, r r,; ; S Zip: -
**NOTE** 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.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAIJHEALTH+SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE OdCC# BEDROOMS =t, #BATHS .Z # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZEIII.x 00 TYPE WATER SUPPLY..� DESIGN WASTEWATER FLOW (GPD) t� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �� ' ROCK DEPTH 2 , LINEAR FT.
i OTHER(O63
REQUIRED SITE MODIFICATIONS/CONDITIONS: I�>TAL Or.i C -v(4 -rods Kaz
IMPROVEMENT PERMIT LAYOUTS 1PPRSVED EFFLU-`IT FILTER* *RISER(S) IF 6"
lo' 1
-a p
r
CvT- 'rti �_S L►.r�
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL ONE INSPE TJ§5I, T M
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPH# I
OPERATION PERMIT
r
AUTHORIZATION NO. OPERAT
"THE ISSUANCE OF THIS OPERATION PERMIT
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECT
GUARANTEE THAT THE SYSTEM WILL FUNCTJ
Brun ntroF m—;—ii
SYSTEM INSTALLED BY: N aI `4,�
tOCT rkmLeb
L --Y 1ST0 V
BY:
DICATE THAT THE SYSTPM DESCRIBEDAB'OVE HAS BF
"SEWAGE TREATMENT ND DISPOSAL SYSTEMS", BUT
FACTORILY FOR ANY GIVEN PERIOD OF TIME.
LED IN COMPLIANCE
NO WAY BE TAKEN AS A
R ` DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street G
Mock, -Mlle, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900624 Tax PIN/EH #: 5768-10-9560
Billed To: Larry Everhart Subdivision Info: Heritage Oaks Lot # 54
Reference Name: Lary Everhart Location/Address: Cedarwood Place -27028
Proposed Facility: Residence Property Size: 160 X 190
ATC Number: 2060
**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 .3 #Baths Z-_
Dishwasher: 91 ----Garbage Disposal: 0 Washing Machine: EK'- Basement w/Plumbing: ❑ Basement/No Plumbing:
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 171
Lot Size IrSZ Type Water Suppl&t289-Y Design Wastewater Flow (GPD) -31QQ Site: New Repair
�1 '1 1
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width Rock Depth 12 Linear Ft. -
Other: ` �STQI ro�lJ 1 101-� �
Required Site Modifications/Conditions: CDZ C;;,re JQ �� Z-2 oE I4ojs-`G , Ft�l � , �D
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) fF 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.****
S T'
1021
vironmental Health Specialist's Signature: e:
v
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
989900624
Tax PIN/EH #:
5768-10-9560
Billed To:
Larry Everhart
Subdivision Info:
Heritage Oaks Lot # 54
Reference Name:
Larry Everhart
Location/Address:
Cedarwood Place -27028
Proposed Facility:
Residence
Property Size:
160 X 190
ATC Number: 2060
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 T tment and Disposal Systems). THIS
AUTHORIZATION FOR WAS TION I A A PERIOD OF FIVE YEARS.
c
Environmental Health Specialist's Signa re: 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)
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to J +� �SQi; c�'i•
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Septic System Installed By:
Environmental Health Specialist's Signature :
DCHD 05/99 (Revised)
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41-0 o ; CZA& r z�>
to J +� �SQi; c�'i•
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APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
�RomR D
JUN 18 1999
***II4P0R7ANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed /,_ A g4yF /�� `%� / Contact Person / (� G� G
Mailing Address 15("?2u- / ok..JY4 � me Home phone Q33tt7 t� / 3 / / v 2
City/State/ZIP A.� )C;IJ C 1) r/ �% Business Phone /3 ib
2. Name on Permit/ATC if DDiff�e`ren/t� than
L Above
Mailing Address �� 6 9 v. (0RNTP` 6n e- )y City/State/Zip z
3. Application For: ❑ Si Evaluation e-i;m rovement Permit/ATC ❑ Both
4. system to Service: C Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: t Peoples Bedrooms 3 # Bathrooms .—
Dishwasher ❑ Garbage Disposal ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals • water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
z. Type of Mater supply: County/City ❑ Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system Is intended to serve? ❑ Yes INO
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions:
Tax Office PW: # 6:7 b $ -/ D - cl fr6 b
Property Address Road Name
City/Zip -,&yn4oy� `6292AP?
If in a Subdivision provide information, as follows:
Name: LLARV-
11�
S
Section: Block: Lot:
WRITE DIRECTIONS (from MockrAlle) to PROPERTY:
Date Property Flagged.
This is to certify that the information pfovided is correct to the best of my knowledge. I understand that any permit(s)
issued hereafter are subject to suspensio� or revocation, if the site plans or intended use change, or If the Information
submitted in this application is falsified oi; 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 County Health 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.
nATF - SIGNATURE -1,OC O Z 4 Pi
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, set¢acks, qie locations).
Revised DCHD (07/99)
Date(s):
Account No.
Invoice No. 7-s
17rb-&8
'LIS ElG
n
Revised DCHD (07/99)
Date(s):
Account No.
Invoice No. 7-s
17rb-&8
'LIS ElG
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DALLAS WAYNE JONES & wife
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CONNIE ;--E HENDRIX JON=S
DE 181, PG 619=
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` DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section 1W/
Soil/Site Evaluation
NAME c C �G �� r 1 DATE EVALUATED7/�14
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE � y.G'✓
Water Supply: On -Site Well _ Community
Public
Evaluation By: Auger Boring Pit I/ Cut
FACTORS
1
2 3 4
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
f'
Al
Texture group
Consistence
r
Structure
/C
5,41e
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: A EVALUATED BY: 4aL_</
LONG-TERM ACCEPTANCE RATE:
REMARKS:
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- Vc-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
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(01-901 J