127 Oak Leaf Ct Lot 16 Davie County,NC Tax Parcel Report Tuesday, December 13, 2016
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- WARNING: THIS IS NOT A SURVEY
Parcel Information
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Parcel Number:' 11120B0016 Township: Calahaln
NCPIN Number: 5708055959 Municipality:
Account Number: 82518253 Census Tract: 37059-801
Listed Owner 1:, MATA JOSE ANTONIO Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 127 OAK LEAF COURT Planning Jurisdiction: Davie County
City: MOCKSVILLE - Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 2128- 000 - Voluntary Ag.District: No
Legal Description: - LOT 16 OA REST PHASE II Fire Response District: COUNTY LINE
Assessed Acreage: _ 0.94 Elementary School Zone: COOLEEMEE
Deed Date: 2/2002- Middle School Zone: SOUTH DAVIE
Deed Book/Page: 004080940 Soil Types: CeB2
Plat Book: 0007 Flood Zone:
Plat Page: 121 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
O nylF, 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
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or inability to use the GIS data provided by this website.
+ V C_
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 989900063 Tax PIN/EH#: 5708-06-7210.16
Billed To: Larry McDaniel Subdivision Info: Oak Crest Sec. 2 Lot#16
Reference Name: Janice McDaniel Location/Address: Davie Academy Road-27028
Proposed Facility: Residence Property Size: See Map I
ATC Number: 2539 1 z7 d a C-r.
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 WASTEWATER CO N IS V ID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signatur : Date: O 6
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
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Sep 'c Sys nstalled By: Mc t t,L
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Environmental Health Specia ' 's Signature: 2e WO
DCHD 05/99(Reva-j LXX
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P.O.Boz 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900063 Tax PIN/EH#: 5708-06-7210.16
Billed To: Lary McDaniel Subdivision Info: Oak Crest Sec. 2 Lot#16
Reference Name: Janice McDaniel Location/Address: Davie Academy Road-27028
Proposed Facility: Residence Property Size: See Map
** (ATE*j1f7bgr. 2539
N �s mprovement/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 qoose #People _ #Bedrooms 3 #Baths '2—
Dishwasher:
Dishwasher: 19" Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size .qq2 �SType Water Supplt��tyDesign Wastewater Flow(GPD) Site: New Repair El
System Specifications: Tank Size 10007GAL. Pump Tank TGUUGAE. Trench Width oto Rock Depth 12 Linear Ft.001
Other: _3 D Tk�1 1 ora
Required Site Modifications/Conditions: 1,�ST4u. 2>j c-,,.l T00K!UFT-t ePE 14,,,0!,.=.K=L-P 1fl�off P S
IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF 6 11 BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for-€mai inspection of this
system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Teleplone#is(336)751-8760.****
)�17
x-10 MA,
Environmental Health Specialist's Signature: \s Date:
DCHD 05/99(Revised) /
APPLICATION Fon SITE EVAu1Al10N/IIIPROVEMENr PERMR a An
Davie County Health Department
• Eet�liantneenlas/Hea tbsa ffan EENVIRONMENTAL
2 2 2000
P.O. Bos 848/210 Hospital Street
mockiville, NC 27028 HEALTH
(336)751-8760 E COUNTY
***219Gti?/I M** THIS AP=CMICK CAfiX= JW FFA=6AXD =MOB WZ THs RsQIIIR>CD
INNOMMICH IS PRO==. Refer to the Ilt101=TION BVf.L12m for instructions.
1. masse to be ailled k n Yr�l '�`(�C�. Q � i l lcj6scontaot pecom Tra rl •I'ond. is ;n 0
s,q
m.illAddc"s Ji O y��-1 am* slime 23� - QqR- L4(029`
city/stat./su �(1(Y'I7�\I'i 112 „ o�1t'� susimse sheoe
z. mane oo seratt/arsc if Different th= wan ..=QV-r[I t�huou1i o D L�UJB Y1C•
AN414 Address PC) -t?�M 51:1 city/state/sip
3. Application For: L7 Bite !valuation 9I8provessent Pe=it/3,TC 0 Doth
4. systew to sesvioss )House 0 Mobile Home 0 Business 0 Industry 0 Other
S. If Residence: • i People • Bedrooms 3 a Bathroom
Dishresbes 0 Oasbage Disposal Mashi:,Q lbohiae 0 aaseaent/alnabUm 0 saseisa/mo 91soibinQ
6. ze ausiness/Induetsy/otbes, specify two t Ample I sink.
0 Cawood" i shomms I urinals # Mates coolers
It FOCDSZRVICZ: # Seats estimated Nater Usage (vanons Per day)
7. TYPO of water supply: County/City 0 Nell. 0 Commity
a. Do you anticipate additions or e:pausions of the facWty this system is intended to serve? 0 Yea 0 No
If yes,wbat type?
***IMPORTANT"**CUENTS MWrCOMPIEIETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 5 e f be I nQ WRITE DIRECTIONS(iron Mocbsv&)to PROPERTY:
Tax Ofte PIN: * �'. 1 n S'1( - �(n• `1 .)4
Property Address: Rose Qp1.
If in a subdivision provide Information,as foilows: Oak r reC-' enk, L ok+ a 0 m�+
Name: n hiS 6P M 4 sz
Sections Blocks Lot: � � _ Date Property FLna1s
This Is to cert*that the lnform dm provided Is correct to the bat of my knowledge. I undersand dist any permlt(s)
Issued bereatter are subject to suspension or revocation,U the site plans or Intended as cbsuge,or U the laform don
submitted in this application is falsified or cbauged 1,also,understand$hat I ane rapoxdble for all cbana lncsmdfrom
Ah app4cedon. I,hereby,give consent to the Authorized Representative of the D{evie Countyt,�De f
to enter upon above described property located in Davie County and owned by 1 y�r(I C 1 )(]�'1 t e� a I 1 Cll r 3111C.
to conduct all testing procedures as necessary to determine the site suitabWty.
DATE_'S""OD"C. 0 SIGNATURE Q61��
THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed
property liam and dimensions, structures, setbacks, and septic locations).
;ykQ, "Cl Site Revisit Charge
Date(s):
�t AB Client Notification Date:
;3
ERS:
Account No.
Revised DCHD(07/99) cD•33Invoice No.
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1 00 APPUCATION FOR SITE EVAWATION/IMPROVEMENT PERMIT&ATC D
Davie County Health Department SEP 2 1999
- - Entairar Mengaf Health Sectfon
P.O. Bo: 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
***I1WORVMV** THIS APPLICATION CAM= = M=S= UNLESS ALL I= R$QVIRED
IN= Mn1W IS PROVIDED. Wer to the nWIMMMION BULLETIN for instructions. t1
I. Nass to be Billed 4_ ,a'(rl1 1 11�Ca I_'1 Q y i l deJSContao! Person ��Q k'I L(r�n� ( , ice/M3-";o�1
Hailing ]Address �o� � 11 some Pie 33(D- `I 'l�" �t 039�
city/state/sip f 1 OC YM i M1 1'�' 2Business Phone 33W -
s. Naas on perait/ATC(int Different than Above Lar r q �ILX)"i o D G
�V)
Wailing Address P 1'?( )K 5- City/state/sip r(1rsc$ SU
!. Application For: X13ite 3valuation 0 Improvement Permit/ATC 0 Both
a. systan to servioss House 0 Mobile Home 0 Business 0 Induatry 0 Other
s. If Residence: # People # Bedrooms # Bathrooms a
�Diehwashar O Garbage Disposal Washing Naohine 0 Basement/Plumbing 0 Basessnt/No vluabinq
6. If Business/industry/other: specify type # People # sinks
# Comodes # showers # urinals # Water Coolers
IF I=SERVIC3: # Seats 3atimated Crater Usage (gallons per Day)
7. Type of water supply: County/City 0 Well 0 Community
s. Do you anticipate additions or eipansl/one, of the facility this system is intended to serve? 0 Yea 0 No
If yes,what type?
***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: S e f..bQ.l OLO WRITE DIRECTIONS(from Modsville)to PROPERTY:
Tai 08ice PIN: # 1 , 3,-... 1( -* t t - ou- `1 r0a,1 C)
Property Address: Roan N3ame �o!1 11I � � -�t)� ��►P, o CGclex)&L
J L� ,
City/up_ IS`.�J i 1 E. 'lf»� ALM M (C M71L o �/1�RAA- ", 1
If in a Subdivision provide information,as follows: 1�0�.k('XeS� Mk, i2-A,OR* Ot d in J-+
Name: 06—y—&J-� - :kJA 1nS enk M i 4-9,
Section: A Block: Lot: 1 _ Date Property Flagged:
This is to certify that the information provided is correct to the beat of my knowledge. I understand that any permit(s)
Issued hereafter are subject to suspension or revocation,U the site plans or intended we change,or if the information
submitted in this application is falsified or changed. I,also,understand that I am responsible for all charges incurred frons
thk application. I,hereby,give consent to the Authorized Representative of thevie County%Vltlinleppi
rtureto enter upon above described property located in Davie County and owned by1�l yru l 2l nH-k a I&5 �11 C.
to conduct all testing procedures as necessary to determine the site suitab
DATE - -G G SIGNATURE /
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Inclde all of the following: E=lating and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
�\ Dg Client Notification Date:
3
Elis:
- Account No. 1!.2
Revised DCHD(07/99) �� 33 Invoice No. J ./
Tax Lot .38
6.4 Acres +/—
Angle Iron Stake Found
_
352.34' Total 30,00
N 36 3 02 W 222 34 �r
O00
100.00'
112" EIR
�
.00
M M �
N �
N
y
30,000 SF + N 30,000 SF + 0�
s o 173P. (n
�
30,000 SF + �oh
$' 14
o
0 30,000 SF +
3 NOf
34.13 Jj
1�
'F 19e�,• �` � ,w 212.98 2
\ w 3,,36'40
n U-) o �p N o
0 N 53.00' 39.53' ~
1 B 23.72' 23.72' 13
O
30,000 SF + a, � � 30,000 SF +
12" EIP (6 `O
ant N 18°40'28,W 172.68' C�
15.00' N 23°54'23"W 192.35'
~ N
0
30,000 SF + O N 30,000 SF +
LO .-
� N to to
�O
102.50' 50.00.
116.82' 35.69 1/2" EIR — — — — —
30.54' S 22026'21"E S 23028'.1
IRS 30-02' ---------- 291.95'
P 96.8`,
7' - - - - —
Davie .Academy R�,
RR Spike Found
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900063 Tax PIN/EH#: 5708-06-7210.16
Billed To: Larry McDaniel Subdivision Info: Oak Crest Sec.2 Lot#16
Reference Name: Janice McDaniel Location/Address: Davie Academy Road-2,7028
Proposed Facility: Residence Property Size: See Map Date Evaluated: AV
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH /` 3
Texture group
Consistence
Structure S /C
Mineralogy e f
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: T` EVALUATION BY: i
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/112
DCHD 05/99(Revised)