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391 Armsworthy Rd, Lot 12 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016 383 ry 1 1 J —r _ __--------- © I U) meq' 391 r� r ti L-1L -------------�- ,`tip 395 s 5 1 ROBBI!< LN ` 1 J If � WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E70000011112 Township: Farmington NCPIN Number: 5861741758 Municipality: Account Number: 82531017 Census Tract: 37059-803 Listed Owner 1: BLACK DAVID L Voting Precinct: SMITH GROVE Mailing Address 1: 115 POTTERS LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20-S,R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 12 ARMSWORTHY ACRES LIFE ESTATE Fire Response District: SMITH GROVE Assessed Acreage: 0.89 Elementary School Zone: SHADY GROVE,PINEBROOK Deed Date: 4/2012 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS Deed Book/Page: 008890071 Soil Types: GnB2,GnC2 Plat Book: 0007 Flood Zone: Plat Page: 186 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 30000.00 Total Market Value: 30000.00 Total Assessed Value: 30000.00 O h 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.Ali 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 roC �� NC or arising out of the use or inabllity to use the GIS data provided by this website. r.' FRI r" APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&AA I Davie County Health Department Environmental Health Section 4 AM 1 P.O. Box 848/210 Hospital Street 1 Mocksville, NC 27028 f{'SyU;ii�l,lt;l1 t til�4.{{1 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for i struct s 1. Name to be Billed Contact Person. I 64S 1 �'7 Mailing Address _ � � Home Phone �a1/ft,,r `1/'1 City/State/ZIP Z22 Business Phone J 7 J r 3/ / 2. Name on Permit/ATC it Different than Above =�19& Mailing Address J `"i A C1 City/State/Zip 3. Application For: U41�t-e Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to services W House D Mobile Home ❑ Business it Industry n Other 5. if Residence: # People # Bedrooms 13 # Bathrooms Ze--- II Dishwasher 11 Garbage Disposal It Washing Machine Il Basement/Plumbing 11 Basement/No Plumbing 6. If Business/Industry/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 ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes (moo If yes,what type? E;2 IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED LOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. `o` *re ProDimensions: �_ t Gi WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tai Office PIN: # CIL�) Cs Property Address: Road Name t0' 117iY& City/Zip,_ d' k- Z�1 If In a Subdivision provide Information,as follows: AJ r� Na Section: Block: Lot: P- 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 change,or if the information submitted in this application is falsified or changed. I,also,understand that I am responsible for aU charges Incurred from this appUcadon. 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 det;NATURE ine the si bili . DATE - 3!� 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). Site Revisit Charge Date(s): Client Notification Date: �U EHS: Account No. a Revised DCHD(07/99) Invoice No. ��� N i O i 1 01 101 z01 I o LL LL „ N N � N � x oOg I oie � lol 101 z o1 Mf -- Y Z y1a 6 t d _ _ 61 '$5£ �— 3„�b,ISeZ� N d-a — — 6£^>f Ys M1y,O� avow N1v0.�swyv - DAVIE COUN'T'Y HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001084 Tax PIN/EH#: 5861-74-8864.12 Billed To: Countrytime Houses Subdivision Info: Armsworthy Acres Lot#12 Reference Name: David Black Location/Address: Baltimore Road-27006 Proposed Facility: Residence Property Size: 298'X 101' Date Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slo % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON 1I DEPTH Texture groupC 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: �� EVALUATION BY:----SQA LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: 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 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 DCHD 05/99(Revised) DAME COUNTY HEALTH DUARTMUT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone 4t: (336)751-8760 June 12, 2001 Countrytime Homes P.O. Box 2252 Advance,North Carolina 27006 Dear Clients: This letter is inregards to 9 lots in the proposed Armsworthy Acres on Baltimore Road in Davie County. i, On November 27,2000 this office evaluated the above lots as shown on the map previously submitted. Lots 1, 2, 3, 4, 5 ,6 ,7 ,8, and 9 are classified provisionally suitable for septic tank systems. However,house size and number of bedrooms maybe limited to insure ample space for the initial septic system and repair. Lift stations or pumps will be required on some lots. It should be noted that the back portions of lot 11 and 12 are to be deeded sewage easements for lot 7 repair area. If you have any questions please feel free to call our office at 336-751-8760. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist RBH/di Enclosure(s) C�::John Gallimore _ DAVE COUNTY HEALTH" DEPARTMENT ENVIRONMENTAL HEALTH SECTION P.O. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone#: (336)751-8760 May 5,2003 Countrytime Homes P.O.Box 2252 Advance,NC 27006 Dear Client: On May 1,2003 I visited lot 12 in Armsworthy Acres. The purpose of this site visit was to determine if any fill material had been placed on the lot. Based on observation of four test pits it appears very little fill dirt has been placed on this lot, however,topography is a limiting factor. With proper house and driveway placement this office feels a 3 bedroom system can be installed in the front of this lot. The system will consist of 1 septic tank, 1 pump tank,4 D-boxes and 200 x 3 x 18"on line. If is very important that the front of this lot be disturbed as little as possible during.the construction process. If there are any questions or I can be of further assistance feel free to call. Sincerely, Robert B.Hall,Jr. ,RS Enviromnental Health Specialist RBH: df CC: Paul Willard DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09.40-06 Mocksvilie, NC 27028 Phone #: (336)751-8760 June 8,2000 Mr.Jerry Couch 115 Potters Lane Mocksville,NC 27028 Dear Mr. Couch: This letter is to confirm our conversation on June 6,2000 regarding Lots 10, 11 and 12 in Armsworthy Acres. Based on the proposed street location, it would be beneficial in regard to septic system repair space to Cul-De-Sac the street off Baltimore Road at the creek. This would add an additional 50 feet to Lots 10, 11 and 12 that front Armsworthy Road. If you have any questions feel free to call our office at 336-751-8760. _Sincerely, Robert B.Hall,Jr., R.S. Environmental Health Specialist RBH/mp Enclosure(s) .... DA'VFE C'QUYn' 'li LTH DEPARTMF.N T>h,. .. .. . ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 1777.w.. ..�..� Phone"i;# :(336)757 8760. April 1,2003 Mr.Jerry Couch 115 Potters Lane Mocksville,NC 27028 Dear Mr.Couch: This letter is in regard to lots 10, 11,and 12 in Armsworthy Acres located on Armsworthy Road in Davie County. All 3 lots are classified provisionally suitable for the installation of septic tank systems for 3 bedrooms,however,lot number 12 will require a panel reduction system and a pump. If you have questions please feel free to call this office. S' c rely Robert B.Hall,Jr.,R.S. Environmental Health Specialist RBH/df CC: Paul Willard D APP N FOR SITE EVALUATION/IMPROVEMENT PERhIlT&ATC $ 2001 Davie County Health Department Eni ironmenfa/Heaft Section `,. .0. Box 848/210 Hospital Streetxp"S&/&71/ RONM�T�H Mocksville, NC 27028 ;O �c3 EN`S ��E�pUN� (336)751-8760 IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PRO DED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed / Contact Person Q Mailing Addreas 4y Home Phone City/state/ZIP �G ! ' "� y1 LGL' /V lam: Business Phone 1' .�7 fir 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: ite Ev luation ❑ Improvement Permit/ATC ❑ Both a. System to service: Ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People _ # Bedrooms � # Bathrooms ❑ Dishwasher arbage Disposalasbing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 0--County/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. Property Dimensions: E DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # Property Address: Road Name /, s1 v, City/Zip If in a Subdivision provide information,as follows: f l?/`?S wD p4 711 q—,-3 Name: Section: Block: Lot: zr 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 itse change,or if the information submitted in this application is falsified or changed. 1,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 flealth Department to enter upon above described property located in Davie County and owned by _ to conduct all testing procedures as necessary to determine the site suita ' DATE SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE P elude all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): �� ( ! Client Notification Date: L 7 S 7 / EHS• Account No. 0 a Revised DCHD(07/99) Invoice No. J