130 Godbey Acres LnDavie County, NC I Tax Parcel Report b Ll q'L Thursday, September 29, 2016
161
WARNING: THIS IS NOT A SURVEY
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 ail claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
Parcel Information :' r
Parcel Number:
120000001301
Township:
Calahaln
NCPIN Number:
5708972873
Municipality:
Account Number:
8300844
Census Tract:
37059-801
Listed Owner 1:
CAMPBELL MARY W
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
1200 GODBEY ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
Yes
Legal Description:
1.945 ac Godbey Rd
Fire Response District:
COUNTY LINE
Assessed Acreage:
1.95
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
4/2012
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008870346
Soil Types:
PcC2,CeB2 ,
Plat Book:
10
Flood Zone:
Plat Page:
359
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
65950.00
Land Value:
24000.00
Total Market Value:
89950.00
Total Assessed Value:
89950.00
161
Davie County,
N`' !+
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 ail claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
?.. t. %0
DAVIE COUNTY HEALTH DEPARTMENT
w IMPROVEMENT PERMIT and OPERATION PERMIT
a
IMPROVEMENT PERMIT f�Q &d b,
**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 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME (10t XLr/' 7ie &J'efZ4 PROPERTY ADDRESS O�_ ci— ! A761? DATE
LOCATION
SUBDIVISION NAME TINt� v� �r+y� �' / �� Lo NUMBER "T SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS: GARBAGE DISPOSAL: Yes/No
COMMERCIALSPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIIE TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD)�7�� PEW SITE L/ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TAW GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INST
OPERATION PERMIT SYSTEM
BY
FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
TELEPHONE # IS (704) 634-8760.
BY
7
AUTHORIZATION N0. OPERATION PERMIT BY DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER INA, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNJCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DOHD 10/95
.. ,. r f; .,
ill rr„ i'r -.- + a ° %�1 _
f A
-,��0,,:
Davie County Health Department
ENVIRDNMENTRL HEALTH SECTIi)NLj
((}}
P.O. Box 665
�• Mocksville, N.C. 27028 86 & d bt
_
rIC i/ PS 00
+ "IZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater'Systems)
***This Authorization For Wastewater Syster Construction must be issued by the Davie County Environmental
Health Section prior, to
issuance of any Building Permits. This Fore/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.***
AU MIZATIONtl NU1;9ER
NAME
N 2 01c c
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATIW
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**MICE* THIS AUTHORIIATION'FO STEWATER SYSTEM�'COONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST
DATE
DCHD 10/95 x
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PER t
..aP Davie County Health Department [5 [ 15
�►� $Vc1• Environmental Health Section D
P.O. Box 848
Mocksville, NC 27028
Q (704) 634-8760
LL
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed .1 Xn'tacttP" rson Q /�
Mailing Address o'tfe�Phone J O 0 " 7
s7 ��R�yr►�u'i�► ST
City/State/Zip �- Business one
FUS,
WF-* 1),, /V A 0a7�p
2. Name on Permit/ATC if Different tha A ove
Mailing Address City/State/Zip
3. Application For: [ ] Site Evaluation �rovement Permit & ATC [ ] Both
4. System to Serve: [ ] House [ obile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People # Bedrooms—:' , # Bathroom [ ] Dishwasher [ ] Garbage Disposal
[ ashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Wate sage (gallons per day)
7. Type of water supply: [ ] County/City [ ell [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [�
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: oo ' �Ga� WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: {�� '
Property Address: Road Name -r0 Fel RJ
City/Zip1I� I l lFi
If in Subdivision provide information, as follows:
Name:
t
Section: Lot #: ;
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 change, or if the information submitted in this application is falsified or
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 �,/
DATE r]' -/-r' g it
Revised DCHD (06-96)
conduct all testing procedures as necessary to determine the site suitability.
I 27262
-
/ D.B. 113 -758
r \`
r 172- 433 \ �O
point- >< - .Toto l' 2,362. 63� ,rontouno
* S 04°- 39 W _�
S36° -28-45E t. 182. 63 new line -
vont, ',on Placed S 54°-27-45. °° p
76.6 _ I I 4.34 aoc-otol 659.00 S00°-55 -35" W _ \�O
I 4 ..180.00 2 Lam\ `\oornt
wn pk Iron toun0 \,,,d _ -
tO 130.52c'd498.4B 30
r ' 1.627 ACRSco
C LO S E3' 243'420' W
N N -
C '! LO N o swomD u S 01°- 4DE —+' Iron DIa=d 1Q. CD 3 ' -
0 - O Q, `
�� o - 1,321.45 ' A�'RES \`pO' ooa S 58°-07 -
poral new tine "m I t*i to 59.40
C ti , ... C \ area rn 4
01 K1 .° 1
LO
r Y r1j1 F 30 easement m 16. ��0 Q RE$ \\�\ S 52°
to a / .�—
.. 3 , �--------- N040- 9' z
ACRES i 1 "On plane— -- - — — — 836.65' 9 E _ _-- _ _ _Total _ ►` 10_13_ _ placed I \\ .n E
10 6 2�— _ _ _ _ _ _ _ — _ _ placed s
new _
515.90 circa- 373.48 1me - - �` _`
ran to
i 3 V,
N 010- 40'W ptoced .
r.� r tp
CO' new line 10-000 %1C .' ES C N
E—� cI)
`N ; m S OI° - 40 iron ploeed °'
c� Oco
y.. ,863.36 Z
,ron ploc:e w . 1,471.48 Zi:BO
OinIron toun6 ue rc
of to sro ti 010-08 -15 E 1493.28 1 noun
p. 47 0 loons 8 r .r t W
o to m A G6 N 14 ° 0. 70 1 '� S 8 5°- 16'- 4 5 WCO J h
h �> a _ -0`=5.. E 1 200.98 I W el
AGES ., O M
u' poj2 Q
iron placed I Q - CO
iron :o pt PDO495
OlOced ` o r �O
ry F/S
"s' 2 68 ` C)
484. 12
6.' black Oak
°ran N 00°- 31'- 25.. W fence cornu:.
placed -
PARCi
PAUL. t' HENDRIX
0,3.75_281 .
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. -Api)lication/Permit Requested By
Mailing Address 'T0 9
2. Name on Permit if Different toan Above
3. Applic 1tio1 for: General Evaluation
4. Systei i to Serve: 4ouse
❑ Bu: iness ❑ Industry
5. If hour s, mobile home: Subdivision
No.. of Peo f le
No. of Bedrooms _ 3
No. of Lathrooms lip
Dwelling Dimensions
Home Phone b')� 7*7- lSS
Business Phone
El Septic Tank Installation Permit
❑ Mobile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
P"Washing Machine
Dishwasher
❑ Garbage Disposal
6. If bu vines industry, place of public assembly, other: Specify type
No. ( ,f People Served No. of Sinks
No. (f Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: ❑ Public eprivate
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, wha' type?
❑ Community
'NOTE: trnprvvemente-Permits-shalWc-valid-€er-a-peried-e#-F-yeaFr #U 4ate-iseued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
U
C-4
PROPERTY INFOB4ATION REQUIRED:
Tax Office PIN #1. '02 l r�G�0&
Road Name a
Box # (if availabl
City �>7C�
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
irred from this application.
TE
SIGNA
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. LTJ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized represeAtative of the Da i C uy ealth Departm t to er on ab e d s ibed
property located in Davie County and owned by �3t a
-
to conduct all testing procedures as necessary deter i e said te's suitabilit f a ground absorption sewage treatment
and disposal system. t.
DATE SIGNATURE
CCHD (1/93)
DAVIE COUNTY HEALTH DEPARTMENT.L/
• Environmental Health Section #
Soil/Site Evaluation
NAME L [JD fCSf�.L
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well LI -11- _ Community Public
Evaluation By: Auger Boring i� Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH tN
Texture group
Consistence
Structure .�
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: 0
LONG-TERM ACCEPTANCE RATE: _Z/
REMARKS:
DCHD(01-901
EVALUATED BY: _ I& !/
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 e.lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V=:!. -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
.so ■...■.■.:isINIM
.■ ■ ■.. ■.OWNER ■.■.■■...■■■.se...e■.e.e...■.■■e.e..■■■■■■
:::::::::C'::::::::.��.::::a
Dame County �ealtii Department
and .dome Ykaltl ffyency
210 HOSPITAL STREET I P.O. BOX 665 !
,i
MOCKSVILLE. N.C. 27028 i
PHONE: (704) 634-5 HE 5 76 01 p
February 29, 1996 i
Steve & Joann Cookson
c/o Swicegood-Wall
300 S. Main St.
Mocksville, KC 27028
Re: 6 Site Evaluations
Godbey Road/Tracts 1-6
Dear Mr. & Mrs. Cool.son:
As requested, a representative from this.office visited the aforementioned
sites on February 26, 1996. Based upon the information provided on the
application(s) for site evaluation(s) and after the evaluations were completed,
the sites were found to be provisionally suitable for the installation of an:
on-site sewage disposal system on each tract.
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(s)
cc: Jesse Boyce, Zoning Officer