135 Shamrock LnDavie County, NC Tax Parcel Report G W')— Thursday, October 6, 2016
J
I 1G1
i
i
.I1 144
'I �4
i
"14
I I
4
l 135
s j
e'J
i
J
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book/ Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
H90000002504 Township: Shady Grove
5789821224
Municipality:
003600992
82516383
Census Tract:
37059-804
MCRAE DAVID BYRON
Voting Precinct:
EAST SHADY GROVE
PO BOX 151
Planning Jurisdiction:
Davie County
ADVANCE
Zoning Class: DAVIE
COUNTY R-A,H-B-S
NC
Zoning Overlay:
27006-7519
Voluntary Ag. District:
No
5.00 AC OFF PEOPLES CREEK
Fire Response District:
ADVANCE
5.09
Elementary School Zone:
SHADY GROVE
Land Value:
Total Assessed Value:
3/2001
Middle School Zone: WILLIAM ELLIS
003600992
Soil Types: PaD,PcB2,PcC2,WATER
NCor
Flood Zone:
Watershed Overlay: DAVIE COUNTY
143420.00
Outbuilding & Extra 1130.00
Freatures Value:
52780.00
Total Market Value: 197330.00
197330.00
Davie County,
AlldataIsprovided 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 shall hold harmless the
101
NCor
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
out of the use or Inability to use the GIS data by this website.
arising provided
AUT-HORIZ;ITION NO: 0682 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name: -
�
Directions to property:. �.�a /:- -er / r;� : C Phone #: 704-634-8760 Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#�
.j
Road Name:-51L(X1-n o'�-r
**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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
—�
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUE
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
t ' Permlitee's ' �.
Name: 4 Subdivision Name:
Directions to property: Section: 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, DATEISSUEDSYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE A/ # BEDROOMS -? # BATHS V # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) S • / NEW SITE t--' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE��/ /� GAL. PUMP TANK GAL. TRENCH WIDTH �-? s e)o ,
ROCK DEPTH LINEAR FT.
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 (704) 634-8760.
OPERATION PERMIT U�_X -
SYSTEM INSTALLED BY:
AUTHORIZATION NO. O t%1 OPERATION PERMIT BY:
F
H 0 v -S
B
DATE. 5 1
"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)
R APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
Davie County Health Department �-
% Environmental Health Section OVIR
P.O. Box 848
i
Mocksville, NC 27028 JLP- 1 8 1995
v (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED-UNLE&S eT t. 1
THE REQUIRED INFORMATION IS PROV/jIDjED.
i1. Name to be Billed &;"'y �, ///'�Av er'r c/ Contact Person
Mailing Address Home Phone
City/State/Zip s✓o:�c�� 11K 2-70d,6 Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: [ Site Evaluation
City/State/Zip
[ ] Improvement Permit & ATC
4. System to Serve: [ ] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
[ ] Both
5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal
[ ] Washing Machine [ ] 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 [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: S�c'c WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # &2-
Property
2Property Address: Road Name
City/Zip
If in Subdivision provide information, as follows:
Name:
Section: Lot #:
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 Ci.:ic Gv/ to conduc 11 testing procedures as necessary to determine the site suitability.
DATE SIGNATURE
Revised DCHD (06-96)
EIP N 89° 14' 02-r E
343.11
THURMAN E. OIMARA
DB. 144 PG. 118
TOTAL ?30.16
EIP
354.93
.00
- 50 ACRES
DEETTE MARKLAND 3 gREA -
DB. 40 PG. 481 'Co
r_
� N
a
637.93 873.53
_ TOTA L
-r ---
S 89° i4' 02 W
EIP NIP
EIP
u
Z THURMAN E. O/MARA
D8. 83 PG. 113
EIP
Brick Mm.
0 s
TAMA 0.
DB, 144 F
144
35.6
NIP
SEE OB.laa PG.IrB FC
y ON EXISTING 60 Fl:
D� D
4
EIP
y
9qo ry pyo
Q �
/P Rw
�O
Q
IP = E:
NIP = NE
EIP + = Ur
CE
SURVEY FOR: THURMAN E. dm
SCALE: / rr = 100' APPROVED BY
DATE: 6 - 20 - 89 GRADY L. TUTTEROw
BEING 5.000 ACRES TAKEN FROM DEETTE MARS.
(DB. 40 PG. 481) LYING IN THE SHADY GROVE 7WE
tUTt'FRO'•: �:.:�.'.'E`'tN9 CO.
kvU*: S LUi 1" F
?4. c A92-5616 TAX MAP H-9. PART OF PARCEL_ 2e,
;. DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
Soil/Site Evaluation /��%
DATE EVALUATED 7 •'1`7
NAME _
ADDRESS
PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE.n^.G�f' A
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1 2 3 4
Landscape position
G-. L,
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
VL9 4- 1�-
Texture group
C
Consistence
r
Structure
i%
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
ti
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: ot
REMARKS:
1x:HD (01-901
EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge S7Shoulder 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 :lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- V+ ---y 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
3C -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
Davie Cmgn Xealtfr Department
and Mame ."leaff ffyency
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
July 22, 1996
Ginta Mayberry
1953 Hwy. 801S
Advance, NC 27006
Re: Site Evaluation
Shamrock Lane
Tax PIN: #5789-82-1224
Dear Mr. Angell:
As requested, a representative from this office visited the aforementioned
site on July 18, 1996. 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 for the installation of an on-site sewage disposal
system.
If you have any questions, please feel free to contact this office.
Sin,,y ere1y,
Robert B. Hall, Jr., R.S.
Environmental Health Section
RBH/wd
Enclosure(s)