2616 Hwy 801NDavie County, NC
Tax Parcel Report �) 3a
Tuesday, September 27, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number.
C50000002801
Township:
Farmington
NCPIN Number.
5842383420
Municipality:
Account Number.
82519476
Census Tract:
37059.802
Listed Owner 1:
WILSON MATTHEW B
Voting Precinct:
FARMINGTON
Mailing Address 1:
2616 NC HIGHWAY 801 NORTH
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAME COUNTY R -A
State:
NC
Zoning Overlay:
DAME COUNTY OD
Zip Code:
27028-6312
Voluntary Ag. District:
No
Legal Description:
13.849 AC HWY 801
Fire Response District:
FARMINGTON
Assessed Acreage:
13.58
Elementary School Zone:
PINEBROOK
Deed Date:
912002
Middle School Zone:
NORTH DAME
Deed Book / Page:
004370839
Soil Types:
MrB2,MsC,ChA,WATER
Plat Book:
Flood Zone:
AE,X
Plat Page:
Watershed Overlay:
-
Building Value:
314380.00
Outbuilding & Extra
24570.00
Freatures Value:
Land Value:
126990.00
Total Market Value:
46594D.00
Total Assessed Value:
363370.00
Davie County, NC
An 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 shan 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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990002430 Tax PIN/EH #: 5842-38-3420
Billed To: Matthew Wilson Subdivision Info:
Reference Name:
ATC Number: 3326
Location/Address: Highway 801 N-27028
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 WASTEWA CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indica
has been installed in compliance with Article 11 of G. S.
Disposal Systems," but shall in NO WAY be taken as a u
given period of time. i
0
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
;01
on I oveme eration Permit
fie` 1 re�ent and
wi 11 fundi satisfactorily for any
JO&V,.,P- cf2
Date: "� O
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990002430
Billed To: Matthew Wilson
Reference Name:
Proposed Facility: Residence
Tax PIN/EH #: 5842-38-3420
Subdivision Info:
p?- ,y . / iS_oz'
Location/Address: Highway 801 N-27028
Property Size: see map
**NOTE*N&is'l rprovement/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 Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People #Bedrooms #Baths
Dishwasher: Garbage Disposal Washing Machine Basement w/Plumbi%xr, Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD)Repair Site: New 13
System Specifications: Tank Size��o�GAL. Pump Tank/nWGAL. Trench Width C?i!�"/Rock Depth -= Linear Ft." 1
Othe64pa//Ats ii <5 0— lS �/_ eye
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT
FINISHED GRADE. ****NOTICE: Conta
system between 8:30 a.m. to 9:30 a.m. or 1:00
.�Ce r > v►� rn�e
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
�Q ", r
OUT - APPROVED EFFL FILTER RISER(S) IF 6 u BELOW
a representative of the D ty H Department for final inspection of this
in. 1:30 p.m. on th o installa ' Telephone # is (3 ) 1-8760.****
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.APPUCATION FOR SITE EVAU)ATION/IMPROVEMENT PERMIT & ATC
y Davie County Health Department
�} Environmental Health Sertfon
x P.O. Box 848/210 Hospital Street
(� Mocksville, NC 27028 r. _
(336)751-8760.
p' r { P4Ra?bv
P JOIl
I ***IMPORTANT*** THIS APPLICATION CANNOT NE PROCESSED UNLESS JkI.TJ THEREQUI;� I
u
RED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIA fo instx�lCt r:t
1.
Nass to be Billed / V% -Ft -V Contacterada
j1Mailing
MailingAddress Rome Phone �
7'2-1-
y
City/State/RIP ) -Jgtp,,-C. Business Phone —761"-
c� a
2.
Nass on Permit/ATC if Different than Above
Mailing Address ty/Stsbs/Zi
/r%L�T_
3.
Application For: ite Evaluation ❑ Improvement Permit/ATC
o
a,
system to service: House ❑Mobile Home ❑ Business 0 Indus
0 Other
s.
if Residence: # People #i Bedrooms #M
Bathrooms
Dishwasher R iarbage Disposal washing Machine W B.. .at/Plumbiag
O Rasesent/No Plumbing
6.
If Business/Industry/Other: Specify type #i People
# Sinks
# Comsodes # showers # Urinals f water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons
per day)
7.
Type of water supply: R County/City 0 Well
0 Community
a.
Do you anticipate additions or expansions of the facility this system is intended to serve?
0 Yes ❑ No
Uyes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMIZTED by the client with THIS APPLICATION.
Property Dimensions:
Tax Oliice PIN: 0ya a�
Property Address: Road Name _ i't X Al.
City/zipMu nVi �1-( rglbav
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
WRITE DIRECTIONS (fromMockrAlle) to PROPERTY: h
ai:fTs114, MENM.-a
FA
rn7*114.
,r00'.=F�.W�m
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 site suitabi)Ity. f�
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
ph
erty lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
r
I Client Notification Date:
EHS:
Revised DCHD (07199) /
Account No.
Invoice No.
FROM : C.I.P. BROADSTONE VILLAGE
FAX NO. : 336 454 0852 Aug. 27 2002 12:12PM P1
R:lh 6596117 P 1 02
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APPLICANT INFORMATION
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
SoiVSite Evaluation
Account #: 990002430
Billed To: Matthew Wilson
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By:
PROPERTY INFORMATION
Tax PIN/EH #: 5842-38-3420
Subdivision Info:
Location/Address: Highway 801 N-27028
Property Size: see map Date Evaluated: V :12
On -Site Well Community
Auger Boring 1/-, Pit
Public r/
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture groupL
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
Consistence
Structure
A& le" L
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
S— 1,
SITE CLASSIFICATION: P/J' 011 LL,P&f'
LONG-TERM ACCEPTANCE RATE:
REMARKS:
11*AJ(7C eaX �
EVALUATION BY:
v LI'.liL' iV L
Landscape Position
R - Ridge S - Shoulder L - Linear slope FS - Foo 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 suiface 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)
ALrg-26-02 12:00P 336 6596117 P-02
Kerry Venable
Venable and Son, Builders and Developers
6005 Reidsville road
Belews Creek, NC 27009
On April 12, 2001,1 performed a preliminary soil site evaluation of 13.61 acres on NC
Hghway 801 N in Davie County.
Most of the property was unsuitable for a subsurface septic system due to expansive clay
mineralogy, soil wetness Conditions and shallow soil depths over unsuitable saprolite at
12" or less beneath the surface. .
on small area along the north property boundary has some potential for a shallow
placement septic system. It is on a foot slope in a wooded area. The approximate
location of this area is shown on the map. It is approximately 50' up and down slope by
150' along the contour Irt size, It has an irregular shape to the area. Yellow surveyors.
ribbons with corresponding hole nutnbers were tied by each hole.
The soilin this area is localized alluvium from the upper slopes that has deposited'oe a
bench. Tho surface had 12" of clay with saproliite. The conaidm= was slightly sticky and
slightly plastic and the structure appeared to be subangular blocky, .At 12" to 36" beneath
the surface the sail had a clay loam texture. The consistence was slightly sticky and
slightly plastic. The structure appeared to be subangular blocky. The clay mineralogy was
alightly expansive. At 36" and treater the texture was clay. The consistence was sticky
W plasde, The structure appeared to be subangular blocky. The clay mineralogy was
slightly expansive. There was soil wetness conditions at 36" at hole Z
The ama where holes 1, 2, 3, 6 and 7 weree located should be provisionally suitable for
conventional, chamber or expanded polystyrene (EPS) septic systems at a recommended
LTAR of .25-gal/sq ft/day, Because the area has an irregular shape and some clearing
needs to be done, it is uncertain how many bedrooms the area could accommodate.
The arcs could be used more ofciently with a chamber or EPS system. Also the plat date
is unknown so it is not certain if 100°/9 repair area is needed or riot, A system layout
would tell how many feet of drain line would fit lir t4a area. The area should be oUOMy
cleared of undergrowth before a layout can be done.
If you have arty questions concerning the preliminary soil site evaluatict+ or the report
contact me at (336) 761-8184.
Sincerely,
��UGI4i1t�tol 'ri4�'y
Richard Farris. R.S.
Licensed Soil Scientist #1132