150 Crowes Nest Lane, Lot 4 Davie County,NC j Tax Parcel Report Tuesday,December 20, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C30000012405 Township: Clarksville
NCPIN Number: 5823616968 Municipality:
Account Number: 82532128 Census Tract: 37059-801
Listed Owner 1: LAKEY CHAD M Voting Precinct: CLARKSVILLE
Mailing Address 1: 150 CROWES NEST LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 5 AC OFF HOWELL RD Fire Response District: FARMINGTON,WILLIAM R.DAVIE
Assessed Acreage: 5.00 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 7/2010 Middle School Zone: NORTH DAVIE
Deed Book/Page: 008310942 Soil Types: EnB,EnC,MsC
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
EOAil data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to theDavie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless theCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due toNC or arising out of the use or Inability to use the GIS data provided by this webstte.
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r ' j DAV OUNTY HEALTH DEPARTMENT
ti - f
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
iPer�mittee's
Nall: \ , ��� / Subdivision Name:
Directions to property: •- a .'� •` r F` Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:Irg-
Road Name: Zip: l�%►p
**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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE ' #BEDROOMS 1-7—#BATHS #OCCUPANTS _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT / #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) 6 NEW SITE--k-""
ITE_ -"" REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Adeb GAL. PUMP TANK - GAL. TRENCH WIDTH "ROCK DEPTH LINEAR FT.
l
OTHER`S,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**CONTACT:A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00 1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT f t i- ''AI t
SYSTEM INSTALLE Orn AQT,
fzju
l Oa t
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0
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AUTHORIZATION NO. I OPERATION PERMIT DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STEM DESCRIBED A ABEEN INSTALLED IN CO PLIANCE
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.
DCHD 05/96(Revised)
4 :.y.;•3 d�''.. .J. ...<.J hi✓..3; i�'i-�--.ety,.�a�r•:{3 .."�,t�9��i�.�r'l+:f .�:-kx';`,tr �T'� _S`" t wv t-Yt:,.�-..*.• ab`"w.i;:7.•- .: ^.,-a�w�� .,
3.
AUT4HOROTION NO: 1669 DAVIE C OUNTY HEALTH DEPARTMENT -
""y - EnvironmentalHealth Section PROPERTY INFORMATION
Permittee's ,, P.O. Box 848 � Vt. �
Nan}::. P ��/� Mocksville,NC 27028 Subdivision Name:
f r / Phone# 336-751-8760
Directions to property: /l/i>ell �c/ Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#VM—? • , -
SYSTEM CONSTRUCTION
Road Name:
**NOTE**'Ibis Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental`Health Section prior
to issuance of any Building-Permits This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for.Building Permits.
(In compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
f� � ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST. DATE ISSUED
iJfC G
t y " DAVIE COUNTY HEALTH DEPARTMENT Ob
,f
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION'
*NOTE:Issued in Compliance With Article II of G.S.Ch_apter130a
nitary Sewage Systems Permit Number
Name DatN2 8150
Location
Subdivision Name ` f.;1_"�'�� ! ���- • Lot No. Sec. or Block No.
Lot Size House — Mobile Home--__ Business -- lndustry
No. Bedrooms k, _No. Baths --.2-- No. in Family — Public Assembly Other
' Garbage Disposal YES ❑ NO p'
Specifications for System:
Auto Dish Washer YES NO ❑ ,d
Auto Wash Ma,;hine YES NO ❑
Type Water Supply
y
'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
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
I
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 4:30-5:00 P.M. on day of completion.Telephone Number:704-634-5985.
Final Installation Diagram: System Installed by — –`�t`•
' r
A�
L (l
O'F Certificate of Completion —J Date
The signing of this certificate shall indicate that the system described above has been installed in compliance with
t f 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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
• Environmental Health Section
P. O. Box 6¢5
Mocksville, NC ,27028
1. Application/Permit Requested By Rua _£►-.,�.
Mailing Address 267 Nockovillo Home Phone
3 Business Phone
2. Name 4n Permit if Different than Above
3. Application for. General Evaluation O Septic Tank Installation Permit
4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No:of People ❑ Basement/No Plumbing
NQ.of Bedrooms ❑ Washing Machine
No.of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry,place of public assembly, other: Specify tYPe
tNo.of People Served No. of Sinks
`No. of Commodes No.of Urinals
No.of 4vatories No.of Water Coolers
No..of Showers Water Usage Figures
7. Type of water supply: ❑ Public 2-0rivate ❑ Community
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate a4ditions/expansion of the facility this sytem is intended to serve? Q Yes ❑ 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:
Parcel 124.41 test side of Howell ltd. SR 1419
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.
SCVtombnr 21 . 1993
DATE SIGNATURE
CONSENT FQR ffiM EVALUATION TO 13E DANE Qjy ABOVE DESCRIBED PROPERTY
MAST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 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 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.
q-
21 -- %2!k
DATE SIGNATURE
DCHD'(1193)
t DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation /
NAME DATE EVALUATED / !93
ADDRESS PROPERTY SIZE f Fs AG /
PROPOSED FACIILTY ,)-I'f rZ LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit l Cut
FACTORS 1 2 3 4
Landscape position ,C.
Sloe % 94 4
HORIZON I DEPTH �
Texture groupf ,G
Consistence
Structure
Mineralogy
HORIZON II DEPTH '16
Texture group
Consistence
Structure 6�
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: EVALUATED BY: T�l�
LONG-TERM ACCEPTANCE RATE- ' OTHERS) 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 fine
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(01-901
`* WPUCATION FOR SITE EVALUATION/11011PROVEMENT PERMIT&AT Q ��-=O
Davie County Health Department
Environmenfa/Heafth Section SEP 2 4 1998
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760 ENVIRONMENTAL HEALTH
DAVIE COUNTY
***n-1P0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be BilledV' iva" Contact Person ^�
Bailing Address yy��.� �c. Homme Phone
city/state/zip (�2yAWgsM1,� I L -M/'p- (2 Business Phone
2. Name on Permit/ATC if Different pth�an Above t_-y 'V- � 'T
Bailing Address 953 #well W. rnocriyilit City/State/Zip
3. Application For: ❑ Site Evaluation 27cer Improvement Permit/ATC ❑ Both
4. System to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. IIf/ Residence: # People Z # Bedrooms _ # Bathrooms
4T Z
Dishwasher VGarbage Disposal 6KNashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # sinks
# Commodes # Showers # Urinals # hater Coolers
IF FOODSERVICE: # Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: ue'county/City ❑ well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes t�'rVo
If yes,what type?
f***IMPORTANT&**CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: I'tL�'e5 WRITE DIRECTIONS(from Mocksville)to PROPERTY:
Tax Office PIN: # 8 z� �- �1 ��(fl�1•��`T��.L-�O � C7� k&,-a &
Property Address: Road Name .Ma"Sk �.
City/Zip yo r yM
If in a Subdivision provide information,as follows: 2 n��: 4 ��Ia_ �� Gatti �Sti
Name: r,!P—�'
Section: Block: Lot: 'T Date Property Flagged: --7
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
to conduct all testing procedures as necessary to determine the si 11
DATE 9-ZA'c�16 SIGNATURE
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).
Account No. d
Revised DCHD(07/98) Invoice No. 07��
° `
r
03
Emarked 15" ELM
v
tO
PARCEL 126 aZ N? � w�
JOHN H. SHELTON Iron tound pcln 7
3 6A
Z D. B. 71- 328 Toio1 651 59
"
?S
N 81° 45 E point 272 02 38 6�
I
Iron tound 379.5 S
uS ° 's -"4 S 21(113'- 45 E
5
0 1.001 ACRE
187. 51
nt
N 84°_Og _40 E p Total
N 2� pIg Woi�� BAw' 6, point tine 286.50 25.01
new x p Int of
p
art' \0�1 3L K Jo
70 D
CO Iron t�� i
0
found i v� o- -
ou .� S 2 9 4
L50 �� 9 P 1 . 001 ACRE 22 5, E
p� c� 220.00
5 �. 5 • 000 A o , c� Q Total
A o
m LL
�o,03 — _ - po nt
Iron 30 3'15 ne, tine
� easement
found i s
- _ o access
—.— p— - 3� ° i x Po t of
'a) zSo g g6.8 � Q
_W o 1 W I� J ° S 28°-30 -30E
8
W 5 0 _ ,
I, o / <_ , /, .�' 250.94
.. N 3 O � , C'
F- — I
ti
do
/ a)
_I
w ON., 5.094 ACRE_
U % I
a a00' = t9
493.29 249.42 placed 208.35 r 'as'khatin
468.32 _ o '
tori Iron found marked I5" w 15" tree S $7° 20 -45 W 1 S 88°- 34 W g
N 89°- 5 5 Whickory S 8 8°- 412
'
N PARCEL 124
PARCEL 124 I 1
' BOBBY G. BODFORD
PLAT FOR
j D. 8.158-732 RU D I FA AK
I Total Area = 13 .88 ACRES ( by d. m.d. )
SCALE: I : 100 DEC.02,19930.00 AC. LOTS) DRAWN BY
DATE: 09-07-93 MARCH 3I,L996(.5.0 ACRE )
' PARCEL 124.01, DAVIE COUNTY TAX MAP C -3
SEE DEED BOOK III-PAGE 212,
CLARKSVILLE TOWNSHIP, DAVIE COUNTY , NORTH CAROLINA
C. RAY C A T ES DRAWING NUMBER
119 DEPOT STREET Telephone 704 /634-373 3198
M CK VILLC NORTH CAROLINA 27028
���Ir'F�'LQ1K•NAL NO.198A•11X17
4 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Applipation/Permit Requested By _. Rudi Faak
Mailing Address Rolite R Row 267 Morkgvi 1 1 P Home Phone gaa�
Business Phone
2. Name 4n Permit if Different than Above
3. Application for. IGeneral Evaluation ❑Septic Tank Installation Permit
4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot#
❑ Basement/Plumbing
No.of People ❑ Basement/No Plumbing
No.of Bedrooms ❑ Washing Machine
No.of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ 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
7. Type of water supply: ❑ Public 0-1Pdvate ❑ Community
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,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.
r
Directions to Property:
Parcel 124 , 01 West side of Howell Rd. SR 1419
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.
September 21 . 93
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO NF 6QUE QN ABOVE DESCRIBED PROPERTY
Ftloconduct
ECK ONE: ❑ 1. I OWN the property. ❑ 2. I DO NOT OWN the property.
ked Box#2,the rest of this form MUST.be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
2�
DATE SIGNATURE
DCHD MGM
1.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME 1'%� /\ DATE EVALUATED /I:""-
ADDRESS PROPERTY SIZE s_S 'Ve,
PROPOSED FACIILTYUfe LOCATION OF SITE ,/a✓t<�� 1�
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L
Sloe %
HORIZON I DEPTH ell
Texture groupG
Consistence
Structure
Mineralogy
HORIZON II DEPTH
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 RATEI
SITE CLASSIFICATION: S EVALUATED BY: �d
LONG-TERM ACCEPTANCE RAT OTHERS) PRESENT:
REMARKS:
01/4-r � z �r
LEGEND
Landscape Position
R-Ridge S7-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 wateil 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(01-901
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