The URL can be used to link to this page

187 Cedar Ridge Road Lot 2 Box PropertyDavie County, NC . r Tax Parcel Report Tuesday, January 10, 2017 G �ZU 123; 141-! i 149 175 _ter 187 N 115` 129 5 112. 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: 106 WARNING: THIS IS NOT A SURVEY Parcel Information J606OA000902 Township: Fulton 5757891922 Municipality: 8300316 Census Tract: 37059-804 CUMMINGS MALCOLM S Voting Precinct: FULTON 187 CEDAR RIDGE ROAD Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 Land Value: Total Assessed Value: NC 27028-0000 LOT 2 JANICE M BOX PROP LIFE ESTATE 1.22 5/2011 008580583 0008 003 Zoning Overlay: Voluntary Ag. District: No Fire Response District: FORK Elementary School Zone: CORNATZER Middle School Zone: WILLIAM ELLIS Soil Types: GnB2,MsD Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9 AaVi�tB All data Is provided as is without warranty or guarantee of any Idnd 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 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 Account #: 990004476 Billed. To: R.L. Ellis Custom Homes Reference Name: Malcolm Cummings Proposed Facility: Residence ATC Number: 4796 R OPERATION PERNIIT Tax PIN/EH #: 5757-89-1922 Subdivision Info: Hickory Hill Janice Moore Lot # 2 Location/Address: Cedar Ridge Rd -27028 Property Size: 1.257 acres / We&f l if a **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. System Type: is Sty"'" S.T. Manufacturer s � f+F Tank Date Tank SizeI tAM Pump Tank Size System Installed By: %c E.H. Specialist Date: DCr1D 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH n� P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004476 Tax PIN/EH #: 5757-89-1922 Billed To: R.L. Ellis Custom Homes Subdivision Info: Hickory Hill Janice Moore Lot # 2 Reference Name: Malcolm Cummings Location/Address: Cedar Ridge Rd -27028 Proposed Facility: Residence . Property Size: 1.257 acres ATC Number: 4796 Site Type: 21�ew ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms -1- # People_ '� Basement�sement plumbingfj Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size _ �. �7 Type of Water Supply: [Wounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD)31a0 Tank Sized DC10 GAL. Pump Tank IJ 7i -GAL. It �� Trench Width �_ Max. Trench Depth 'A� Rock Depth 1 A Linear Ft. Site Modifications/Conditions/Other: As stated in 15th NCC G Systems mgy )!go be Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 - 9:30a.m. on the day of installation. Telephone # (336)751-8760. -3Cel .3-7 r'A ¢may s Environmental Health Specialist Date: —1-7 r -p DCHD 11/06 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEM ERMIT & ATC Davie County Environmental Health NOV 7 5 2007 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ENVIRONMEN- H6,Ijy (336)751-8760/ Fax (336)751-8786 DAVIECO;!^r y Application For: ❑ Site Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) Both Type of Application -.New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed R L 25�//,'5a.5hinContact Person h E) /, Billing Address /0-3 r-libeAcc!AftC,( LN, Home Phone — / City/State/ZIP ");51) ; /le AUG 2 7 a Z 3 Business Phone ,3S<S SSD Z Name on Permit/ATC if Di erent than Above Mailing Address PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included: ate Plan PPrat(to scale) (Permit is va i for 60 months w" site plan, no expiration with complete plat.) Owner's Name ,,al?D7 / /�t,1wmiitJC, s Phone Numbedg'90 5-'19-'Ve18q Owner's Address ZJ3 5- ,, ol��i I City/State/Zip �" k eA,S . /TA .3ags Property Address A"Pf ), CityMDCK5 Q , I 1 Lot Size ACfe,4 Tax P # 1;757• c/ • lgZZ Lot Subdivision Name(if applicable) Section/I ot# Directions To Site: 4 Ea. 4- (pnn +c)Lo� K r ; S i C--,J4rcr.n,c.e l-c.F-k- �lsree,N br► er �r l -� t � �� T�e� 7- a A) C'eDccr (Z:'gK9P_ L � L - F`r 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 JZNo Does the site contain jurisdictional wetlands? ❑Yes KNo Are there any easements or right-of-ways on the site? ❑Yes JgNo Is the site subject to approval by another public agency? ❑Yes 1KNo Will wastewater other than domestic sewave be venerated? []Yes IgNo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms # Bathrooms Garden Tub/Whirlpool Yes ❑No Basement: ❑Yes $No Basement Plumbing: ❑Yes fRNo 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:. g'Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other. Water Supply Type: )E County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes XNo If yes, what type? 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 hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging taking the h e/facility location, proposed well location and the location of any other amenities. P� ff. A Site Revisit Charge Proper,owner's or owner's lega representative signature Date(s): a Client Notification Date: Date EHS: Sign given ❑Yes []No Account # T 7 Revised 11/06 Invoice # ,,t 00, I r - .Centerline,of 60'•'easemont '� 12'}/- graved rood I-"� hak, p°ginnk of 9ro"f I for ingress, egress; and regress ,- •. �,_ rid. a+W per DB -169 PG '664 t.-1 _ . --- �.=3r dq. of o°pt�att+/-NYPIoo� tits ° 30.23 4° O�ry� 30.93' ZY��R( und) 5 3014• f rIRS 1� to I 1,12'.EIR(found) !(le ,line only ``""•-IRS ---- Part .of Port • Qf _�_-- ---r-' Tax Lot •9` �. r CALL TABLE . TOX Lot'. 9 Plock " All 'AX MAS : j eiack;'i'A • COURSE . PEAKING ` .S p15TANGE.: Tax Ma ° -�6-6 Tax `Map `J-r6—fi TAX,., VLtT 54 13 - �y . [` t p'.J . Lot .1 y •'. . • i`I 74 'ZD".c... ' 4�• 'E:cif'"Z' L-1 °(3Q -1.,010.Acres+/- s�Qhn: ,'; # rgwq:. ;L 2 . .N;•,73°,r50 35;!E "' �:0�:`i¢'. 1:257 Acresf/�- . _ W y, a/W ;Gail"D:, Crowe L-3 N 73059'35"E . t2.00� DB . Y$i . ® PG 3.19 CO VO m TAX MAF' 'j -6 A:4 -. '' �' •' c.• ;`^ ' `----- $ TAX 'COT..' ,� :$ Q _ ,.m ., ',q.., •o.. Joniti... oore 2;�., . ,. D6 195. PG 281 TAX -MAP J ' 6 ;'� t, �„ IRs y21.00# 'TAX LbT • 54..1 IR ' 152.00 S 75°0'x'05"W.. Tie'llne Ani S.:'75°Q1rL '05"W � ^. ` John A. Crowe Jr. & Golf D:. Crowe. S 75'Oi'05"W' 357.50 • S 10°37'32'E RB 340. PG 413 1/2"EIR(f6uno) •-- -'`"— 85:$8' : ; ;'• Tie line 'only.: 1/2�gR(found) TAXMAP J8" �,2 TAX LST 54:11; Wlliiam A. Burnette. • • . TAS, MAPJ —6 DB 203 Q 'PG.',39 TAX LOT=:54-'. 8 `'` Burrii'om Lthiited'� ' • ,' ,� `� partnership Trust I ` 'OB X02 ®►' PG 837 3 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT I Davie County Health Department 1-= 3-q/ Environmental Health Section P. O. Box 665 V Mocksvilie, NC 27028 1. Application/Permit Requested By �^ / �� `•- - �J ` Mailing Address I2 4 • I Home Phone Q- Z k Business Phone L - �5- z �( 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation eptic Tank Installation Permit 4. System to Serve: ase ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # Qosr; d le _V l a s O Basement/Plumbing No. of People No. of Bedrooms No. of Bathrooms Z Dwelling Dimensions 04 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers ❑ Basement/No Plumbing M -Washing Machine ishwasher garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: lJ-<blic ❑ Private ❑ Community 8. Property Dimensions S7 14 1 1 1 �, Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes "0 If yes, what type? -NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: S/'1 C 2 T- T d S ..a o S- r-'- -r--,&4/It This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. DATE SIGNATURE FyoucCONSENT FOR SITE EVALUATION TO BE DONE Qf� ABOVE DESCR��8EQ PROPERTY hecked CK ONE: fit. i OWN the property. ❑ 2. I .DO NOT OWN the property. ked Box #2, the rest of this form MUST be completed by the owner or a parson authorized by the owner: e consent to the authorized representative of the Davie County Health Department to enter upon above described ated in Davie County and owned by ail testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment l system. DATE SIGNATURE DCHD (,ro3) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME .517-211 Azz/ ADDRESS PROPOSED FACIILTY Water Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE-��3•��5� LOCATION OF SITE /V/11—7— Community Public !/ Evaluation By: Auger Boring V" Pit Cut 0 FACTORS 1 01,17 ®•b— 4 Landscape position L L L 4 Slope %.'e/ HORIZON I DEPTH 0/1'1A' Texture group Consistence Structure Mineralogy HORIZON II DEPTH fN f'` _y- Texture group C4 Consistence Structure 577 Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION PK LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: zo�j EVALUATED BY: /49'1// LONG-TERM ACCEPTANCE RATE: 's OTHER(S) PRESEN REMARKS: 'f, LEGENIS 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 .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 GoMAPS - Davie County.NC Public Access Page 1 of 1 Davie County, NC - GIS/Mapping System Oyu Click Here To Start Over Quick Search: (County ID c �S+�►j� '� Active Layer. r Use Map Tips GIs volt -I ,� g PARCELS (Map Tips Available) tap Layers Results http://maps. co.davie.nc.usIGoMaps/map/Index. cfm?mainmapservice=gomaps&CFID=41... 11/16/2007 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation Tax PIN/EH #: 57MMEIGM INFORMATION Billed To: R.L. Ellis Custom Homes Subdivision Info: Hickory Hill Janice Moore Lot # 2 Reference Name: Location/Address: Cedar Ridge Rd -27028 Proposed Facility: Residence Property Size: 1.257 acres Date Evaluated: Water Supply: Evaluation By' On -Site Well Community Auger Boring v' Pit Public Q (Mut FACTORS 1 2 3 4 Landscape position j,_ t L L(— Slope % _ 1 HORIZON I DEPTH o -3 IT a ._ ) - i i, O - 'I.3 3 i- 'E' Texture group C_ C C- G C C Consistence 0 • '. r v R Cr r f i, e in .)t• Structure K Ii 6 d K `� ►� j k �`u^ 1 /<. `"Ei / Mineralogy.X r� I; " yf 5 lc PO � L ,� : (`� ; k � o� 5 1; v' ✓ ;ry HORIZON II!DEPTH _ - 4V j x_- j9 3S' — Y Texture group. (_L L C 1 S` C ✓ C_ C Consistence ,/ or VA -1 q 0%vn, N r kr—_104 � t) ,, ' vFi✓ � � Structure 6 S /PI .14 V o k A b K, G i' Mineralogy [4V Y/t 9A; r E Y 44 a HORIZON III DEPTH 6 Texture group s C: L Consistence ! u ;f Structure aha Ai k°a %P C t ku,b Mineralogy X n HORIZON IV DEPTH n Texture group Consistence Structure Mineralogy SOIL WETNESS `t r RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION V1n %S u I LONG-TERM ACCEPTANCE RATE T75 1 6. 276 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: cam. �/, 11�_0-r a"4 a EVALUATION BY: G 4 / � Gt� Z.0 t^ t OTHER(S) PRESENT: -1 r: iro cv /7) -e-1 -e- -S 6 i -e u ia_ '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 Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Mh 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 Naws 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 05/05 (Re.viseril 7HONAS O GALEA alt P£NELOP£ DA NS TAX PARCEL 5758801229 / D.B. 728, PG. 214 / WILLIAM R. WIKEL AIW .VDITY G. NNEL / TAX PARCEL 57587018.391 / D.R 169, PG 664 / `�� X03'6. IRF/ IRF `oma PT' /� 60 EA ANDUneE ( oCISQ: / OR IN�PEER P�tROAO SRF o R?a �A U RIDS SR# 169 z KLME7N R. GREEMANN AIW o 1g,g DEBORAH G GMEMANN N TAX FARM 5757799833 D.R 667, Pa 594 ZWa a W — Cit Chord O m 2 U) — L Length of Cum ,-Eo ?z� N za.z a}w olnz O 3 W^ J 3 U J_ iMpO�IS >:Z — Hole — BC dtt of Curb U)i= N oNo awa'>- O Cn W a. I.- R w < MZ W LL -La WO� F= ew �_nw- iW-'Q'�W zw ova 2<O� W7 ca_O I. T 1 �11.a PRGWOSEZ DREUJNG LOT 2 _ i VICINITY MAP NTS AR a Cgs RfgiD OAD A SITE o us 14w.(64 . Bearing Distance N 73'-59'-15" E 47.42' LOT 1 i IRF�A__/ FREMOtI BAPTIST CHURCH TAX PARCEL 5757890545 D.B. 604 PR 231 PRELIMINARY PLA T NOT FOR DEEDS, CONVEYANCES, OR SALES that al field = 1:10000+ tYlliam Jli P.L.S. 3163 n IZ-1X- c, -1. — IPF Iron Pipe Found — FC Face of Curb — W Iron Rod Found — Cit Chord — F Iron Placed — RRadius — P/L Property Line — L Length of Cum — Ra Right—of—Woy — XFMR Electrical Transformer — C/L Centerline — AU Aerial Utility — EP Edge of Paving — CM Concrete Monument BOX IM Mm Point — Hole — BC dtt of Curb PLAT ROB ELL IS 'RMSHIP COUNTY STATE DATE ,loe Na FMTW DAME NO 12-10-07 2007139 BEING A SITE PLAN OF 7HE PR0FE7i7Y KNOM AS LOT 2, "MAP OF NE msi v OF THE .61NICE MOORS BOX PROPERTY, P.6C $ PG .1: McAnally Land"Surveying, P.C. 1001 S. Marshall St. Box 84 Winston—Salem. N.C. 27101 Phone # 336-631-9805 SCALE 1" = 50' , 50 25 0 50 100 Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Account #: 990004476 Billed To: R.L. Ellis Custom Homes Address: 1033 Chockecherry Lane City: Lewisville Reference Name: Malcolm Cummings Proposed Facility: Residence IMPROVEMENT PERMIT Tax PIN/EH #: 5757-89-1922 Subdivision Info: Hickory Hill Janice Moore Lot # 2 Location/Address: Cedar Ridge Rd -27028 Property Size: 1.257 acres **NOTE**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, plat or the intended use change. Permit Type: 3&w ❑Repair ❑Expansion Permit Valid for: 05 Years ❑No Expiration Residential Specifications: #Bedrooms 3 # Bathrooms # People__)_Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): 3 (,,C) Type of Water Supply: ounty/City ❑Well ❑Community Well As stated in 15A NCAC 18A.1969(5) Site Modifications/Permit Conditions: accepted Systems m�av r.Iso he usca System Type LTAR Initial QC r_ �cfl Q - 9-77 5 Repair Cry pr9 —l.s Site Plan Environmental Health Specialist i.o.l 1-06 N A ^ Date / 1— 1-7 -d -7