645 NC Hwy 801S Lot 31-Davie'County, NC: 2 Tax Parcel Report Thursday, October 27, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Number:
E8020A0031
Township:
Farmington
NCPIN Number:
5871674018
Municipality:
Account Number: -
60648000
Census Tract:
37059-803
Listed Owner 1:
REYNOLDS WAYNE E
Voting Precinct:
HILLSDALE
Mailing Address 9:
645 NC HIGHWAY 801 SOUTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE
COUNTY R-20
State:
NC
Zoning Overlay: DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 31 RAINTREE ESTATES SECTION ONE
Fire Response District:
ADVANCE
Assessed Acreage:
0.76
Elementary School Zone:
SHADY GROVE
Deed Date:
1/1994
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001720451
Soil Types:
GnB2,GnC2
Plat Book:
0005
Flood Zone:
Plat Page:
029
Watershed Overlay:
DAVIE COUNTY
Building Value:
205960.00
Outbuilding & Extra
1440.00
Freatures Value:
Land Value:
42750.00
Total Market Value:
250150.00
Total Assessed Value:
250150.00
O�isyieJ�'al data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Di
avie County, 3 implied warranties of merchantability orfitness fora particular use. All users of Davie County's GIS website shall hold harmlessthe ¢¢
County of Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due tc I
npU73� NC or arising out of the use or inability to use the GIS data provided by this website. €
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DAT COUNTY HEALTH DEPARTMENT
AVE OF COMPLETION
IMPROVEMENTS PERMIT AWCERTIFIC...
)
NOTE: Issued in Compliance With Artici e I I of G. S. Chapter 130a /0 opjk
Sanitary Sewage Systems. i.M. Permit Number
4 914
Name
Date --A—. N2 741 6
+
Location
Subdivision ► 'Name Lot No. Sec. or Block No.
Lot: -Size 1 . House Mobile Home Business --- Industry_
34
No'. Bedrooms Baths No. in Family Public AssemblyOther
'Garbage Disposal. YES D NO
Specifications for System:
Auto Dish Washer YES oEf N0
n C) C,
Auto Wash, Ma :pine YES pr NO
F -L.
Type Water Supply
rw
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
NA tl)
01
Improvements permit -by\ ` '
*Contact a representative of the Davie County, Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-6:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
Syste m installed by N,-.
Certificate of Completion
'The signing of this certificate shall indicate that the sysdescrib lbove ha�,
e at
the standards set forth in the above regulation, but shall 'n NO way b0l, uc,
I %ak�� as a g
satisfactorily for any given period of time.
Date
been Installed in compliance with
fantee that the system will function
1. Permit Req
2. Address —
APPLICATION FOR SITE EVALUATION/I ly�
IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
UCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN
cISSUED. r
<D Home Phone / 9 "� Cf
By `t 4U 4 �%L+e- IV,&A( Business Phone 1340�_
3. Property Owner if Different than Above
Address I--
4.
4. Permit To: a) Install_K�_Alter Repair��
b) Privy Conventional Other Type
Gro d Absorption
C) Sub -Division 1 T i � —Sec Lot No.
5. System used to serve what type facility: House �ome Business
IndustryOther
b) Number of people r
6. a)- If house or mobile home, state size of ho a and number of rooms.
House Dimensi ns
Bed Rooms Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hou
7. Number and type of water -using fixtures
commodes 1
lavatory r_:�
urinals
showers
dishwasher — ? sinks
8. a) Type water supply: Public—k'Private Community
b) Has the water supply system/,4Fbeenn a proved? Yes No
9. a) Property Dimensions 3 I--- - / 2-6)( C� # 0
garbage disposal
washing machine
b) Land area designated to building site�7-
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? _.16
10.
What type?
This is to certify that the information is carr t to the best of my knowledge.
AA P'w�L
Date Owner Signature t,1%
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
OCHO (6-82)
G
HWY
777
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME DATE EVALUATED i F
ADDRESS S� PROPERTY SIZEs�
PROPOSED FACIILTY 'V�Q�o`P LOCATION OF SITE 2 y 1 S
Water Supply: On -Site Well Community Public
Evaluation By:CN-_L_ Auger Boring ✓ Pit Cut
FACTORS
1
2
3
4
Landscape position
__s
_fE.
17
HORIZON I DEPTH
Texture grou
L
L
C L
tr
Consistence
"�
1
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
` L
Structure
C
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture 9r0u2
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
1
�-
SAPROLITE�-
CLASSIFICATION
5
77
LONG-TERM ACCEPTANCE RATE
L.-{
, 11-4 1
J4
I,' -t
SITE CLASSIFICATION: --:>
LONG-TERM ACCEPTANCE RATE. LA
REMARKS:
DCHD (Ot-901
EVALUATED BY:
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
S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt
SICL-Silty Aay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C-CIay
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/fta
HEALTH DEPARTMENT RELEASE
Davie County Health Department
�a
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: -336-753-6780 Fax: 336-753-1680
Applicant: Wayne Reynolds/Brad Hedglin
Address: 645 NC Hwy 801 South
City: Advancd
State2ip: NC 27003
Phone #: (336) 399-6516
I-1- For Office-0se Only
;CDP File Number 231476 -1
County ID Number:
Evaluated For HDRIWWC
PERMIT VALID 1 1/ 1 7/ a 0.1 1
UNTIL
r Property Owner Wayne Reynolds
Address: 645 NC Hwy 801 South
City: Advancd
State/Zip: NC 27003
Phone #:
Property Location & Site Information
Address645 NC Hwy 801 S Subdivision: Raintree Phase: 1 Lot: 31
Road# -Advance - - - NC 27006
SINGLE FAMILY Township:
*Structure: Directions
# of bedrooms 4 of People: - Hwy 1,58 East right on Hwy 801 home on Left before Underpass Rd
'Water Supply: NIA
Type of Business:
Basement: [—]Yes � No
Total sq. Footage: No. Of Employees:
"Proposed Improvement:
Porch
Maintain 5 foot setback to any portion of the septic system
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps, Signature Required? QYes �9No
Applicant/Legal Reps. Signature• *Date:
*Issued By: 2140 -Nations, Robert *Date of Issue: 1 1 / 1 7 1f .2 0 1 6
Authorized State Agent:
**Site Pian/Drawing attached.**
OHand Drawing Qlmport Drawing
Drawing Type:
HEALTH DEPARTMENT RELEASE
Davie County Health Department
210 Hospital Street
P.Q. Bax 848
Mocksville NC 27028
Health Department Release
CDP File Number: 231476 " I,
County File Number:
Date: 1 1/ 1 7/ 2 0 1 6
Q Inch
Scale: 0 Biock ":_ft.
0 N/A
Davie Co>_ulty Healtfl Departrnent
t
41.536r Environmental Health Section
_ r o P.O. Box 848 ,
n. �,�,� 210 Hospital Street
11� I � Conner # : 09-10-06
to,
Vlocksville, NC 27028
ived�
Phone: (336) - 753 - 6780 Fax: (336) - 753-1680
ON-SITE WASTEWATER CERT CATION
(Check One) Replacementemodelina Reconnection
Name: �/'u/�7 /�P� �j '1 J Phone Number - / (Home)
Mailing Address: /��!> f// r° G/li�Ile, 3 34Co 3 �C/ G.5 1y (Work)
Gf�.r�.�ans .,G z 7a/z
Detailed Directions To Site:�Z
Property Address:
Z01
Please Fill In The Following Information About The EXISTING Facility:�� }
a
Name System Installed Under: V1113 ,1.51z Type Of Facility:
a 1 �rLt C
Date System Installed (Month/Date/Year): %-f Y Number Of Bedrooms:_�Numbcr Of People:
Is The Facility Currently Vacant? YesIf Yes, For How Lone?
Any Known Problems? Yes C./ If Yes, Explain:
Please Fill In The Following Information Abouipt�'
NEWFacility:
Type Of Facility: si 0 l e Ge / M Number Of Bedrooms: Number of People_.
Pool Size:
Requested By:
Requested: /Q .2�-5 z14
' For Environmental Health Office Use Only
L.rl
Ap r Disapproved
Comments://'L Cre.-7
Environmental Health Specialist
Date: /
*The signing of this fonn by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash
ft
Paid By: Received By:_
Account #: z(. Invoice #:
Date:
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