302 Colin Creek Trail (2)Davie County, NC Tax Parcel Report �� p Tuesday, September 27, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J600000107
Township:
Shady Grove
NCPIN Number:
5768140647
Municipality:
Account Number:
82522175
Census Tract:
37059-804
Listed Owner 1:
DUNCAN DAVID ALLEN
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
302 COLIN CREEK TRAIL
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7123
Voluntary Ag. District:
No
Legal Description:
3.000AC OFF CHESTNUT TR
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
3.00
Elementary School Zone:
CORNATZER
Deed Date:
8/2008
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
007690197
Soil Types:
MrB2,EnB,MsC,WATER
Plat Book:
0010
Flood Zone:
AE,X
Plat Page:
002
Watershed Overlay:
Building Value:
848720.00
Outbuilding & Extra
24980.00
Freatures Value:
Land Value:
52310.00
Total Market Value:
926010.00
Total Assessed Value:
926010.00
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Davie County, NC
All 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 I
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 848/210 Hospital Street
Mocksville, NC 27028
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Septic Syst& Installed By:
Environmental Health Specialist's Signature :
DCHD 05/99 (Revised)
Date:L���l
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Account #: 990001637
Billed To: David Duncan
Reference Name:
ATC Number: 3482
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5768-23-0434
Subdivision Info:
Location/Address: Chestnut Trail -27028
size: 4o acres
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 CONSTRUCTION IS VALID FOR A PERIOD OF FIVEE YEARS.
Environmental Health Specialist's Signature: Ga L / Date: �U
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 Syst& Installed By: j on
Environmental Health Specialist's Signature :
DCHD 05/99 (Revised)
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Date:e��j
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' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
D
' P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001637 Tax PIN/EH #: 5768-23-0434
Billed To: David Duncan Subdivision Info:
Reference Name: Location/Address: Chestnut Trail -27028
Proposed Facility: Residence Property Size: 45 acres
ATC Number: 3482
**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 Systemq). THIS
PERMIT IS SUBJECT TO REVOCATION ]IF SITE PLANS OR THE INTENDED USE CHANGE.
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING M.
f
Residential Specification: Building Type 21K #People #Bedrooms ! #Baths S
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 ❑ Repair ❑
System Specifications: Tank Size/OOO GAL. Pump Tank,/ GAL. Trench Widttr � Rock Depth Linear Ft.
Other:
,r�u,-e
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. Teleph
420
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Environmental Health �
Specialist's Signature: Date:
DCHD 05/99 (Revised)
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APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT
Davie County Health Department
Environmental Health Sesdon MAR 13 2001
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760 EWRONMENTAL HEALTH
DAWECOUNTY
***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 tb14 %J ( (1 / i� ! �'r Y01► w } }
. Contact Person ► qnI e
Mailing Address LiNWAi/L s 7 �yP Sui1,,zp3- Home Phone —13-7 ��A- 42_"QO
City/State/ZIP.�.r.s�r�.y SR%Pm�.9V. e. 27/0.3 Business Phone 7 971'
2. Name on Permit/ATC if Different than Above Q
Mailing Address City/state/Zip
3. Application For: EKSite Evaluation 0 Improvement Permit/ATC 0 0 Both
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4. system to service: 0"House 0 Mobile Home 0 Business ❑ Indu` � 0 Other
s. if Residence: #People #Bedrooms �i #Bathrooms 4_
eDishwasher n Garbage Disposal Ci Naahinq Machine E!"Basement/PIng O Basement/No Plumbing.
6. If Businoss/Zndustry/Other: specify type # People # sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: County/City 0 Well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes 19'f To
If yes, what type?
***IMPORTANT*** CLIENTS MUSTCOMPLETUTHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITI'ED by the client with THIS APPLICATION.
Property Dimensions: I -i 5 ne . WRITE DIRECTIONSno-n
Mocksville) to PROPERTY:
Tax Office PIN: # .��� �=Z 3 3 [,C t. =
Property Address: Road Name _ kLjd r F e cfai_4IU U f b, l --e—=-` � 0 r
Cityalp ii n ksu.11c Z70LR C)
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot: Date Property Flagged:
This is to certify that the Information provided is correct to the best of my knowledge. I understand that any permit(s)
Issued hereafter are subject to suspension or revocation, If the site plans or intended use a e, or If the information
submitted in this application is falsified or changed. I, also, understand thaobir
respo Mie Qr all charges incurred from
this application. I, hereby, give consent to the Authorized Representative oavle use(
health Department
to enter upon above described property located In Davie County and ovine
to conduct all testing procedures as necessary to determine the site suitabir`
DATE S- 7- D 1 SIGNATURE i,Y • 4 -
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
u
Revised DCHD (07/99)
�r-A)
Date(s):
Client Notification Date:
IEHS: - - - - - - -
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Account No. G v�
Invoice No.
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DAV IE COUNTY$ N. C.
TAX MAPS
REVISIONS
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DAV IE COUNTY$ N. C.
TAX MAPS
REVISIONS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990001637 - Tax PIN/EH #: 5768-23-0434
Billed To: David Duncan Subdivision Info:
Reference Name: Location/Address: Chestnut Trail -27028
Proposed Facility: Residence Property Size: 45 acres ,,. Date Evaluated:
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring /e� Pit I = / Cut
FACTORS 1 2 3 4 5 6 7
Landscape position L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence T /'
Structure it i
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 -2, ]:�j Z
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
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 I 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
V��VALUATION BY:
OTHERS) PRESENT:
DCHD 05/99 (Revised)
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D 1rI� ®UNTY �i LT I �ARTMENT
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ENVIRONMENTAL HEALTH SECTION
P. O. Box 848/210 Hospital Street
Courier #09-40-06
Mocksville, NC 27028
Phone # (336)757-8760
April 3, 2001
David Duncan
2827 Lyndhurst Avenue Suite 205
Winston-Salem, N.C. 27103
Re: Site Evaluation/ Chesnut Trail
Tax Office PIN: #5768-23-0434
Dear Client (s):
As requested, a representative from this office visited the aforementioned site on
April 2, 2001. Based upon the information provided on the Application for Site
Evaluation and after an evaluation was completed on the site, the site was found to be
provisionally suitable for the installation of a modified, oversized on-site sewage system
Before an Improvement Permit/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
XA"ovX..
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RI-1/di
Enclosure(s)