149 Live Oaks Road Lot 3Davie County, NC I Tax Parcel Report Thursday, October 20, 2016
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
E715OA0003
Township:
5861879840
Municipality:
82526293
Census Tract:
WITHERS KIMBERLY F
Voting Precinct:
149 LIVE OAKS ROAD
Planning Jurisdiction:
ADVANCE
Zoning Class:
NC
Zoning Overlay:
27006-0000
Voluntary Ag. District:
LOT 3 BEACONS OAKS
Fire Response District:
Land Value:
Total Assessed Value:
0.66
Elementary School Zone:
4/2006
Middle School Zone:
006580578
Soil Types:
0008
Flood Zone:
193
Watershed Overlay:
196220.00
Outbuilding & Extra
Freatures Value:
42500.00
Total Market Value:
243010.00
Farmington
37059-803
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
SHADY GROVE
WILLIAM ELLIS
GnB2,GnC2
DAVIE COUNTY
4290.00
243010.00
(T
i
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 j
C'p UNq'� NC or arising out of the use or inability to use the GIS data provided by this website.
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility Residence
ATC Number: 4209
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5861-87-7983.03
Subdivision Info: Beacon Oaks Lot # 03
Location/Address: Live Oaks Road -27006
Property Size: see map
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
fid.
311 qf°�
**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 CONSTRUCTION IS VALID FOR A PERIOD OF FIVE
Environmental Health Specialist's Signature: Date: l� b
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 the system will function satisfactorily for any
given period of time.
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>u S l
Y
Septic System Installed By:
P
Environmental Health Specialist's Signature:. Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
' r P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility Residence
ATC Number: 4209
IMPROVEMENT/OPERATION PERMIT
Tax PIN/EH #: 5861-87-7983.03
Subdivision Info: Beacon Oaks Lot # 03
Location/Address: Live Oaks Road -27006
Property Size: see map
**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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:01111, Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industriall Waste: Eltr
Lot Size Type Water Supply �_ rL Design Wastewater Flow (GPD) Sc Site: New Repair ❑
System Specifications: Tank Size` GAL. Pump Tank GAL. Trench Width<:Z r Rock Depth _, Linear Ft., J
Other: AS stated in 15A NCAC 18A.1969(5)
ed- Spstcros-nraq -ats-a-bus
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PE - PROVED EFFLUENT FILTER. RISER(S) IF 6," BELOW
FINISHED GRADE. ****NOTICE Contact a representative of the Davie County Health Department for finalRnspection of
system between 8:30 a.m. to 9:30 a. . or . Telephone # is (336)751-8760.***
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Environmental Health Specialist's Signature: / Date: Q�Oaln
DCHD 05/99 (Revised)
alv vo iCe 5309
Mar 31 04 08:28a davie county envhealth 336 751 8786 P.3
1.
I'— -7 — ° Y
APFCGITION FOR SITE EV.UL4n0N/IAIPIlOYLNi:e1Cf i't; LUIT & ATC
Davie County Hoath Departmont
Envlranraerl:alN.ea/ui SOCN0.7
P.O. Dox 848/710 lioap:,tal Stroct
3ockavillo, NC 27030
(336)751-0760
***IF1P0ATdt7T*** THI''S .'.PPLICA ION CUNOT DE PROCESSL•7 ViI=S ALL TUE =-QUIl:l:ll
INFORMATION IS PROVID= . Refor Cc the YNF'O',MTION ItULL=TIN for ia0tructior3.
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Nam to ba 3111ea r l 7rlFC vt!<k< r�y� Contact Ycrion /1 • "_�1'Y�
Nailin? Addecas loua Y:wna �✓cc - f%t7 �.�+uJ(
city/stato/ZZv !`�G1�7 t.r�. .fo_', uusinu:u Clwuo �✓�(c. _ y�.i ' �S.O�;
9. ammo an paamlt/Azo it ALICe-ant than Ax—*
wilaq t.4mroei
Cit) rt1P t 0
1. Applicatioa For: to Site ISvaluation
Dom AL' Permit/ATC IJ lJol:3
+
4. syetam to Sarvicot i0 hOna[S ❑ 11011ile l(cx0 ❑ nusinestl 0 Indurtry ❑ Otlaur
s. Type aYataa requeatod, qr G nvcational
❑ Coaventiomi 2104i41cd ❑ itstuvucivu
C It Reaidoam ll Peop;tc
s
/ 8adroeulr, 3_ 1 Dal'browu:;
F+nom•
7iihtlaahor ❑rarboua niaposal PWaahln7 Kitchin 03aaamont/t'1unaii:u ❑Dacoaioat/tio 1'lumbino
7. if nuainaca/xaduatry /Othac: verity. type
u Puaplo 0 viaka ._—....,_-
1 Coam040.1 1 Show=&
1 VLinala A Nato Cocicra
IF F00Ds=VICE: i'- Seal:
Eatimated Water U::ago (galloot: par day)
0. Typo of water aupply. County/City
❑ Well Cl Comr:ni Ly
�//
9. Ila ia
you aatipato Addi ticaa ,:r Cxpattioal or the faciEty tlds sys lelll!s hltcaded to serve 13 Yes !!"l
Ifycs, Meat type?
ra*1Ar1t0RTAj `* CLI!eNTS AIOSTCOtiPCGTL'TFit; ILL -'2(j BtD I'A0VLiCI'V INVO(t5•LtTION REQ111i� I F.I.) ~�
DE1.O1V. Eill cra Pi,AT orS:TLt PLAN A1UE76CSVfiA117TE0 by the dlclu tsith'1111S APPLICATION.
i'r+ / G ,+ 1 31C 0 ._
Properly Uinlecs!olls: � �/.'� y�i�l �1 / ` 51'Rff1:L:!(lsCl'IUTtS;rruul murlsvillc) to PROVE1 1'1':
Tax orrec PIN rr_ ,.s�(t�'� Zff 3 f1u-w %V,5,e1)57 iilcc/l l%v.�
PropertyAidress: Readriame (?I,'N 6C. 6[(FO
]fill a Subt ivisioll provide ]arurnlailm" rs f(dolys:
Scct!on: /Gs Block: Lot:
Date (ionic curaczs Guggrd: J " l 1:/:,;; 'J �v y
Tltia is to ecrtify tint the h:Cormatlotipi•ovklcd is carrctt to the best ofuly Iutotirlcdgc. 1 wtdcrs(auJ lhat :uqper:ril js}
issue) berearter aro subject to suspeus'•on or revocation, If the sate plans or }utcl:dud use chuuue, or I[ Ilia lluorulaiiall
subluilled in lieu ipp!icmlion IS Ldsi itd or dws sed. Jr, aGO, madera Lard churl an., rapai 1b.'ejur all chairo Inr:urralroa,
74,edpplicuriun. 1,hucby,givrco:uem toIlmAuthurucdRcpreso:l(atircoft.leI):tyicCuutil) Ilealltt1)cpil7•(ulei:
i
ea cuter •aper abuve Jescriixd p: upxt;' located in Usvic Ccuuty s::J u:rucd by
tc evil dact all tcsti g procc rs as pct scary to dderlu;nc:lle silo suitabittly. l % i
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DA'I'1: - =�� , � •' Y.,� SIGNATL:'U , C. L` fir' �lil�'tt2_C
THIS AREA MAY BE UM r,OR DR.4. ING YOM SIT -r 1LAN gaciucic all orthcfuilmtyivg: L/astin and llrullusct:
property liras std dimeusions, stmetu:•es, setbac u, and scptie toe :ttoasj.
Co r)
sign gl(CS
itcyiscd DCHD (WO3
Site }:vis!,
Latr s): ---- 1
�li�uClVutilicm(inui)afcr
Accolant No. - -7 O 0 j
fuvn:on N, 3 Ll rY 1�I
APPLICANT INFORMATION
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY INFORMATION
Tax PIN/EH #: 5861-87-7983.03
Subdivision Info: Gun Club Lot # 03
Location/Address: Gun Club Rd -27006
Property Size: see map Date Evaluated: _Qy
On -Site Well Community
Auger Boring Pit /
Public L�—
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe % D
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH r" Y
Texture group
Consistence
Structure L
Mineralogyi
HORIZON III DEPTH I u
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:
LEGEND
Landscape Position
EVALUATION BY:
i
OTHER(S) PRESENT:
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
DCHD 05/99 (Revised)
Wayne Frye 336-998-7081
Jul 21 05 08:57a
Ju1.19 O5 fl -.008 dayse County envhealth 33G 751 0700 p.l
IIPPUCI.TION 1`011 UTE EVALUATION/IA111110VCAIENT IKRApT k ATC
Davie County Hoalth Department
fnrironmeara/lfeaft Secdon
P.O, nose 040/210 HDapital Street
MooAtville, NC 27026
(336)7S1-0760
eeeDIPORTARreea TRI9 ACMICATZON CASINO! BE OR0=SND MMZL 73 ALL THK RZUUM D
SarFOuslATION iS PAawls,51). 1t.fer to the I!n!ow"Tzon DIMuMIN ter inetructione.
1. Mane to be allied VIVO YA, t.. / Ir -r r—, tbntact 7/nOn •7✓•I��J�/rf
Ita111w9 Address %fir ��8� Harr Phone ��j✓' `/�,7 i ��}��fQ�
city/state/ale
1. Mama ae Iarmlr/ATC 1r Dllf.ralt teen Aho,.
Nailing Aedreu _ Citr/stet./sip
1. Ayplicatloo Fort �0 SS tc ::valuation O Pormlt/AZC er Doth
♦. cy.t.m to aervlce. llou/oS t7 tlobila 110" 0 Duoineua O Induatsy 0 Other
s. 9Ty. .rater r.aw.t.do Y1` Con•ientlonal O aaAv tIonal .edttiM 0 J.nowtlr. t2accepted
1�
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i(W/1R/.eh.wAdeMete..� p.vle a.Al. �3 o D.Cbronw
cl000pe
.9loo"I
ne (7ae.ernt/rlumblog Oauo—none, Plumbing
7. it Business/fedu.try /Other. .erify typo P Paeyle a aloha
r co...odaa 121u 's ! Vrlaal. I Mat.r Cooler.
IF FOODSERVICE. 9 Stoats; Eetlsaated Nater usage (oollooa per day)
s. Type of Yater lorply, a-c--.ty/City, Cl N011 13 CoaaouAi ty
I. Do reY a„tictyete •ddltluea or etpJnsiont or the (re0ity Ibis system Is lntehtderl in servo' CI Ycr, 1'llro
trya,,rh:,l tyP�•'
'•vnffOR1'd1VJ—CLIENTS M14TCOA(IiETETIIC ArQU/KED PROPERTY INiORPA&TItN( 4HQU68Tt:D
nI'LOW. EIt1,er. ILATor Srlrf. I.ItN*(USr Or.TUffArfylf.Vby
the ttket Mth TIMS APPLICATION.
Properly Dintclhsldtta: t i E 0(11[ GTIONS ((roto hllttaviDc) to E11011t HTY:'
Tax Offset r(N. N_ .5e� � ��✓
PrdperryAddresr RoadNamo—xy &,—?oZL-, e4w,
C"'Mr, ,O -u �• 37'`n Lar o,Y i�.rt lA/
If ill a Subdivision provide in(oruul(on, as follows: 1
Nae 4�1mw
Section: Block: Lots ate home corners na=od: /
Tbis Is to cer6(y that eke lu(onnellees pr;rvldcd Is Correct to cite bell of In awicav- I undrrstat(d that mit(s)
filmed hereafter 2roc sub)cc( to ruspepsion or revoc2litin. it the site pLini or fresh htln(ornslt(on
subnolticd Its (bit Bppliation is faisiJird ru NsanrnL 4 also, under.Vand skaf I aAt rerpantt7,Iejoral/rGarrrT iacunrd jrvm
rl.lt.vP11cadwo.. 1, hereby, rive consent to Ike Authorized ltaprrstalallre of the Da Vic County /lrafth Depar(ntenl
to enter upoa abave descrlbed properly lacated In Davie County and owned by
(a conduct 2
11 hating yroo roes As uect scary to deternwuC the site tuilab'
EMU 1♦/ �S SICNATU _ _ ! '
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the fultoniur: WatUhr and prypostd
properly lines and dimelWwsso structurrN sNitaeks, and septic locations).
Site Revisit Charge
Client Nobfcatiou Data:
KHS:
Sign even Account No.
Revised DCIID (05107 Invoice No.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900635 Tax PIN/EH #: 5861-87-7983.03
Billed To: Wayne Frye Subdivision Info: Beacon Oaks Lot # 03
Reference Name: Location/Address: Live Oaks Road -27006
Proposed Facility: Residence Property Size: see map Date Evaluated: _
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON H 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 RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY-
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
10 rim
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
33'_et
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
Llote$.
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 05105 (Revised)
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