477 No Creek RdDavie Countv. NC
327
Tax Parcel Report 11JI Y Wednesday, October 5, 2016
495
_ 47�
449`fi
45 9/'/'1"'
448
WARNING: THIS IS NOT A SURVEY
Parcel Information
561
14L` -RR[ LLS 56
� t -AAE rlD
r613
Parcel Number:
170000001806
Township:
Fulton
NCPIN Number:
5768248191
Municipality:
Account Number:
4398300
Census Tract:
37059-804
Listed Owner 1:
BARNETT RONNIE D
Voting Precinct:
FULTON
Mailing Address 1:
477 NO CREEK ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7343
Voluntary Ag. District:
No
Legal Description:
10.096 AC NO CREEK RD
Fire Response District:
FORK
Assessed Acreage:
9.78
Elementary School Zone:
CORNATZER
Deed Date:
2/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
002000372
Soil Types: GnB2,GnC2,GaD,MsC,ChA,RwA,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
242430.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
78210.00
Total Market Value:
320640.00
Total Assessed Value:
320640.00
DJ
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
rCounty of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website.
AI THORIZATION NO: 7 6 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPE TY INFORMATION
Permittee's P.O. Box 848
Name:Mocksville, NC 27028 Subdivision Name:
�.!°� r-� Phone #: 704-634-8760
Directions to property: t l� Section:
Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#-Srflrc - ✓ q _ a�
SYSTEM CONSTRUCTION
Road Name: C �•��tZip:7Q'
**NOTE** This 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
y4 r f�-•' tI �'1zJ - s''�!t
ENVIRONMENTAL HEALTH
� 1A
r�
LIST DATE ISSUED
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
,.
• �';, 16
DAVE COUNTY HEAh�/ DEPARTMENT
IMPROVEMENT AND OPERATION PE' MI.:
PROP TY INFORMATION
Permittee's
Name: ,' t° 1', r t:. d i' i 4
Subdivision Name: /
Directions to prtbperty: Section: i' Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: f(� >`'" Zip:
**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 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 /7/ # BEDROOMS <1' # BATHS .--? # OCCUPANTS.-' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE [?iwt TYPE WATER SUPPLY + DESIGN WASTEWATER FLOW (GPD) ? NEW SITE �REPAIR SITE
f
SYSTEM SPECIFICATIONS: TANK SIZE Arlt GAL. PUMP TANK GAL. TRENCH WIDTH S +� ROCK DEPTH , •� -) "LINEAR FT. Slur/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
J�
eg
Oq PY�ow
�-Ipt
"CONTACT A REPRESENTATIVE OF THE DVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M �R 1:00 30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT 0
LD lid SY �n.WSTALLED BY:
t;
AUTHORIZATION NO. ` / 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 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)
I
APPLICATION FOR SITE EVA LUATIONAMPROVEMIEN T PERMIT & ATC
Davie County Health Department
Environmental Health Section
p P.O. Box 848 �d
S ��� Mocksville, NC 27028C Y
(704) 634-8760 x.10
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed K00) T I)arf 2,4 4o1—
MailingAddress /,�,)�Q 52 113 t^457 o,/L
City/State/Zip d /�.la4 .i0 qLf
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: [ vrSite Evaluation
Contact Person
Home Phone //
Business Phone / 0 8
City/State/Zip
[ ] Improvement Permit & ATC [ ] Both
4. System to Serve: [#4 House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People ' # Bedrooms # Bathrooms [vTbishwasher [ ] Garbage Disposal
2
[,] Washing Machine [t Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/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 Q 6.� unity
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ) Yes
If yes, what type?
[ ] No
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **#WTUAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:/ ac- WRITE DIRECTIONS (_fropm Mocksville) TO PROPERTY:
Tax Office PIN: # - - ; _�--��ac=(—.
Property Address: Road 1 ame /1% 6 e y
L I
City/Zip M.'k" `r/ L ;
If in Subdivision provide information, as follows:
Name:
Section: EaC�# S i40— I '
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 o 0 0 to conduct all testing procedures as necessary to determine the site suitability.
DATE—/// -6 --/SIGNATURE �i� " -Por
Revised DCHD (06-96)
THIS AREA MAY 13E USED fOR DRAWINC7 YOUR SITE PLAN:
�cr
l c�nc1 lam. e�.d s
ry
AC I
4o
11C
-5 880 17'_ 17,x- I r
- 0•
530 38
�J•s6 1 LO {' '�7
3'::783:-':.; ACRES
O
vaw
to
o Thomos L 103f.twP:def
.0 0 H ti 71i 1; 265 .
b 0 g 7R 1 •100
o. V
• ti pe
•4�9. S9 v 3 I �
6.543 ACRES found
-S F � ..oma •- J� _ .;,
P.r)I)r'•fy Inlr n• Cn
o i Hnff rioyvnrxd. .l. drrd 10 8 75. P.6071"....'':�: o .
't m O Oonold Fn. Jcr;Ps
• nf;n °s ch°wn on r %ofvey prepnred tj
it '.i / 292
. .f
to 1"Iran,
O N 3 {ounb S 89'-02'- 50' E- _ fOt^d° _ 564 28'_ S 89t03-15
O 2'
' = E'-- o170C. 223 9.0 S 86•_3 3/4 iron N -02-50"W 748 1253.77'
ount�3
475 Otl
cct C stone
fuer 3O•�.� �,`C o� Property tines as d scrj�bFd to t .�'. !s7c^•R
o
placed M. -- ` r) �j Donold RoyJones•s d,(O�00 3�fit
N S 87'_36' W _�. `\ - �_'2y \ OI50 OS StfOWn On o survey .
8.701 ACRES _, prepored by Joe fronktrn
• ' . 30••ofuweM ,66 \ -\ 71 68•-11'_ 30" W. y
o SEE .OB 177-03..'9 °s:%:��,
/ for easemett
1 ,_\.� Or • `: . ,, '�;�E iso �. \ .... loa.57; � . , (Y'• •'y �r. `•�+
\�i1'54"2'-30•'W / °
N ..-•,R f) ` 68. 28. .. /i P, nor :foufl� -r
`5to
10 ACRE 30' '
_.oe pfoc.d 430, IC4 pro«e 242. 15
— N 88" OI'. 40' w Totol .2,150.55'•--
Y
.Q I- Fn' t -GSI rfl.'•., S! E OF r`d 737
OA nod found
C '
r•
' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION I.6T
Soil/Site Evaluation
APPLICANT'S NAME YAI' J to
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring — Pit
DATE EVALUATED /
PROPERTY SIZE
ROAD NAME
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
4 -
Slope %
HORIZON I DEPTH
4,<< �i
Texture group
141—
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
/2G
Consistence
r
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (O1-90)
EVALUATION BY: � G/
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 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
■■
■■■■■■■■■■■■■■■■■■■■■■■■■ ■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■14■■
MEMEMEEMEMENMENNEN ME
on
SEEN
■■E■
■E■■
■E■■
■■N■
■EE■
■■E■
Davie County Heafth Department
and Home Health Agency
Environmental Health Section
P.O. Box 848 / 210 HosPlrAL STREET
COURIER #09-4-06
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-8760
February 3,`1998
Ronnie & Darlene Barnett
1220 SR 113 East
Milan, OH 44846
Re: Site Evaluation/Site 1
No Creek Road/12.771 Acres-
Tax
cres_Tax PIN(s): X15768-34-2015
Dear Client(s):
As requested, a representative from this office visited the
aforementioned site on January 29, 1998. Based upon the information
provided on the application for site evaluation and after the evaluation
was completed, the site was found to be provisionally suitable installation of
an on-site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/wd
Enclosure(s)
cc: Zoning Office