445 Bell Branch RdDavie County, NC
Tax Parcel Report Wednesday, September 28, 201 c
_
WARNING: THIS IS NOT A SURVEY
All data data Is provided as is without warranty or guarantee of any kind 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
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.
g,
Parcel Iriformation=
Parcel Number:
B20000002404
Township:
Clarksville
- NCPIN Number:
5813193318
Municipality:
Account Number:
8303923
Census Tract:
37059-801
Listed Owner 1:
MCCABE'LYNN M
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
445 BELL RANCH RD :
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
.State:
NC
Zoning Overlay:
Zip Code:
27626-4617
Voluntary Ag. District:
No
Legal Description:
.955 AC BELL BRANCH RD
Fire Response District:
COURTNEY,LONE HICKORY
Assessed Acreage:
0.96
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/2014
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009750932
Soil Types:
MnC2,MnB2,MdE
Plat Book:
11
Flood Zone:
Plat Page:
385
Watershed Overlay:
DAVIE COUNTY
Building Value:.
43120.00
Outbuilding 8r Extra
Freatures Value:
4320.00
Land Value:
9980.00
Total Market Value:
57420.00
Total Assessed Value:
57420.00
cDUN��
Davie County,
NC
All data data Is provided as is without warranty or guarantee of any kind 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
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.
HEALTH DEPARTMENT RELEASE
Qasr,�,F„ Davie County Health Department
..� ,
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: . Courtney McCabe
Address: 445 Bell Branch Rd
City: Mocksville
State2ip: NC 27028
Phone #: (336)A68-9698
PERMIT VALID 0 9/ a 7/ a 0 a 1
UNTIL:
Property Owner. Courtney McCabe
Address:
445 Bell Branch Rd
City:
Mocksville
State/Zip:
NC 27028
hone #:
(336) 468-9698
Property Location & Site Information
r,�ddresS445 Bell Branch Rd Subdivision: Phase: Lot:
Road # Mocksville NC 27028
SINGLE FAMILY Township:
*Structure: Directions
#' of Bedrooms. 3 - # of People: 601 N, left on Liberty Ch Rd to Bell Branch
*Water Supply: EXISTING WELL
Basement: ❑ Yes ❑ No Type of Business:
- _ - Total sq. Footage: No. Of Employees:
*Proposed Improvement:
Modular Replace
'Release Conditions
Maintain 5 foot setback to any portion of the septic system. Replacing home as it curently sits. See old permit
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? Oyes ONO
Applicant/Legal Reps. Signature; *Date:
*Issued By: 2140 -Nations, Robert *Date of Issue: 0 9� a 7/ a 0 1 6
Authorized State Agent:
**Site Plan/Drawing attached.**
&Hand Drawing Olmport Drawing
Drawing Type:
HEALTH DEPARTMENT RELEASE
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Health Department Release
CDP File Number: 161800-3
County File Number: 82-000-00-024
Date: 09 / 2 7/ 2 0 1 6
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Davie County Health Department
Environmental Health Section
P.O. Box 848 4
210 Hospital Streets '
Courier # : 09-40-06 �.._....___ �.
'. 1J11
Mocksville, NC 27028
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Phone: (336) - 753 - 6780 Fax: (336) - 753-1680
ON-SITE ` ST- R CERTIFICATION
(Check One), -Replacement emodeling Reconnection
Name; L T ikCCA1)_a_Phone Number tU [ IU G Home
Mailing Address: q 5 m v% --k t2cc (Work)
Detailed Directions To Site:
Property Address:
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: Type Of Facility:
Date Systeiii Installed (Month/Date/Year): - 715 Number Of Bedrooms: Number Of People
- Is The Facility Currently Vacant? No If Yes, For How Long?
Any Known Problems? Yes N If Yes, Explain:
Please Fill In The Fo owm 14 0-
About The NETV Facility:
Type Of Facility: �0��1, l Q r Number Of Bedrooms: Number of People
Pool Size: 4=3 Garage ize: Other:.
Requested By: 4�zm�� Date Requested:PH'1-
For Environmental Health Office Use Only
Approved Disapproved
omments:
S y 5 ti v'
Environmental Health Specialist
Date:
CL.
*The signing of this form 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 Check Money Order # Amount:$ Date:
Paid By: Received By:
Account #: Invoice #:
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_Darn Buffer Property Create Find Deed 820000002404 5813193318 8303923 MCCABE BELL
Card Report Adjoiners Reference LYNN M RANCH
RD
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DAVIE COUNTY HEALTH DEPARTMENT �a
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems p Permit Number
Name %� ✓e ��J lil�C ol1iC�,�:Nt/%// L_ Date /-n& 'l; j/ N 2 F7 8 1 t
Location
Subdivision Name t� Lot No. Sec. or Block No.
Lot Sized House Mobile Home — Business Industry
No. BedroomsV3No. BathsNo. in Family �_ Public Assembly Other
Garbage Disposal YES ❑ NO 2-- Specifications for System:
Auto Dish Washer YES NO ❑ �o����
Auto Wash Ma thine YES NO ❑ �' C
Type Water Supply
*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.
'9
Improvements permit by — r
*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 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
V.
System Installed by
J a elvv re
i
Certificate of Completion Date IC2--cz
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall .in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.;
�AMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*'NOTE,Ilssued in Compliance W f G.S. Chapter 130a
anitary Sewage Systems Permit Number
Name Date
N Ow
7811
Zt
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Industry_
No. Bedrooms t2l�f No. Baths Z, c2 No. in Family Public Assembly—_ ---Other
NO
Garbage Disposal YES f Specifications for System:
Auto Dish Washer YES NO E]
Auto Wash Ma,�hine YES NO
'*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.
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*Contact a representative of the Davie County Health Department for,final inspection of this system.between 8 :30-9:30 A.M.,
1:x/1:3uP.nuorw:3u5:uunxo.onday p,completion. Telephone' wv"""=.,"-"°°`'""5.
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` --`--'Final InstallationDiagram: stalled by`
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*Contact a representative of the Davie County Health Department for,final inspection of this system.between 8 :30-9:30 A.M.,
1:x/1:3uP.nuorw:3u5:uunxo.onday p,completion. Telephone' wv"""=.,"-"°°`'""5.
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Certificate _ Completion -_
*The signing of this certificate shall indica1e that the system described above has been installed in compliance
' with
!
the standards set forth ihthe above regulation, but shall inNOway betaken eeaguarantee that the system will function
satisfactorily for any given period cdtime.
. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department ( tlM C
l ' Environmental Health Section
,(y P. O. Box 665 JUN 2, 4 1994
Mocksville, NC 27028
1. Application/Permit Requested By :�-),//.-//x-- Z 1 -4 C C /V GA--
Mailing Address 2}-3 Are-?I"a Home PF
0/s Business
2. Name on Permit if Different than Above ,��l bZ4rTA
3. Application for: ErGeneral Evaluation ❑ Septic Tank Inst
Inlo"�J% 4-126 Sr
'hofie0 - �f_
a ,
yam -
,PA rrJ6 v- % 0
Ilation Permit 1216� 47
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4. System to Serve: EV House /J vo/an P'Mobile Home ❑ Place of Public`Asssse-mb�lny
❑ Business` ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section
Lot #
E7/ Basement/Plumbing
y ❑ Basement/No Plumbing'
No. of People
No. of Bedrooms Wwashing Machine
No. of Bathrooms 92/Dishwasher
'a
Dwelling Dimensions /Pei ppo eb �O X %O ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures y�
7. Type of water supply: ❑ Public E? Private ❑ Community
8. Property Dimensions % �O ,� cl4,05�r Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes G/No
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:
0.1 11J, 7oIAZAZr, YA�ok�vvrCcE , 1P/0 S S SN I7 s/'cT,?cvc/ of
7-UNAl01V 0ld CCl�[/�ATN I2 v�p �d To ENDS
DN SELL- 6,elol em- pC, 10
1�l�up nr x' �S vN .z �S trT. A10 TQC �i���.EieTY 3c c 1QRvN�S
t� v 7 C NM4r.1 0- k2j'jr7,e 1,%4,0 TE3t .r111A6;0 Z_4RE,
Ny
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.
DATEfSIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. V2. I DO NOT OWN the property.
If you checked Box #2, the rest of this form MU T be completed by the owner or a person authorized by the owner:
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 said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD'(1193)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
/ Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY z� ,/7
DATE EVALUATED
PROPERTY SIZE A",0qC_ /
LOCATION OF SITE�� rdE��✓ti�C
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1
2
3 4
Landscape position
L
Slope R
'
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
'X *
d r
Texture group
Consistence
Structure
5
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:
LONG-TERM ACCEPTANCE RATE: '
REMARKS:
DCHD(01-901
EVALUATED BY: /y/0 &
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-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
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Davie County .7fealtl De artment
and .�fome NealtI yency
210 HOSPITAL STREET P.O. Box 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634.5985
July 71 1994
Steve B. Wallace
243 Rinehill Dr.
Clemmons, NC 57012
Re: Site Evaluation
Bell Branch Road/160 Acres
Dear Mr. Wallace:
As requested, a representative from this office visited the aforementioned
site on June 30, 1994. Based upon the information provided on the
application for a site evaluation and after the evaluation was completed, the
site was found to be provisionally suitable for the installation of an on—site
sewage disposal system.
If you have any questions, please feel.free to contact this office.
Sincerely,
Robert B. Hall, Jr., R. S.
Environmental Health Section
RH/wd
Enclosure