131 W Rolling Meadow Road Lot 10Davie County, NC; 1 Tax Parcel Report Wednesday, December 21, 2016
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Parcel Information
Parcel Number. H9080A0010 Township: Shady Grove
NCPIN Number: 5789538624 Municipality:
Account Number:
82514846
Census Tract: 37059-804
Listed Owner 1:
STANLEY CHRISTOPHER N
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
131 WEST ROLLINGMEADOW ROAD
Planning Jurisdiction: Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District: No
Legal Description:
LOT 10 FALLINGCREEK FARM PHASE I
Fire Response District: ADVANCE
Assessed Acreage:
3.56
Elementary School Zone: SHADY GROVE
Deed Date:
5/2000
Middle School Zone: WILLIAM ELLIS
Deed Book I Page:,
003340946
Soil Types: PaD,PcC2,WATER
Plat Book:
0007
Flood Zone:
Plat Page:
048
Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
Davie County,
All 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 shall hold harmless the
QED]
NC
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.
DAME COUNTY HEALTH DEPARTMENT O
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900228 Tax PIN/EH M 5789-52-88024
Billed To: Castlegate Construction, Inc. Subdivision Info: Falling Creek Sec.1 Lot # 10
Reference Name: Marshall Horton Location/Address: Rolling Meadow Road 27006
Proposed Facility: Residence Property Size: 3.5 Acres
ATC Number: 2226
**NOTE** This Improvement/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 doosg #People #Bedrooms #Baths
Dishwasher: 13"' Garbage Disposal: Washing Machine: ❑"�— Basement w/Plumbing: Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size AC,00404:�T'ype Water Supply 6 XA%#"esign Wastewater Flow (GPD) Site: New Repair ❑
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width SV Rock Depth � Linear Ft? r
Other: 2 -!) Pp t.Sa>TLNu L'1.3 ---S9 O•c-•
Required Site Modifications/Conditions: (rte
14a' -P l 5 " L --,G
sbr
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final 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. Telephone # is (336)751-8760.****
140%X>e-
P90^iT RJo 1Y 0/n
Health
L.�1Lt�
DCHD 05/99 (Revised)
4A{,J,
'56'
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900228
Billed To: Castlegate Construction, Inc.
Reference Name: Marshall Horton
Proposed Facility: Residence
ATC Number: 2226
Tax PIN/EH #: 5789-52-88024
Subdivision Info: Falling Creek Sec.1 Lot# 10
Location/Address: Rolling Meadow Road -27006
Property Size: 3.5 Acres
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 CONSTRUeTi6N4S VALID�FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's
CERTIFICATE OF COMPLETION
Date:
**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.
Septic System Installed By:
Environmental Health Specialist's Signature
DCHD 05/99 (Revised)
Date:
A r$E
APPUCATION FOR SITE EVAMMON/IMPROVEMENT PEAMR A ATDavie County Health Department
Env�iranmental RAW& Secdon
P.O. Bos 848/210 Hospital street Hocksville, NC 27028
(336)751-8760 LTH
♦**IMm"Llak" =X8 71PPLICAY'ICN Cmmm = PRO== Umes SIX Tif>!^ MWIM D
INM M1lTION I8 PROVIUFD. Rotor -to the IN>i"ONWION BU=%1IN for inotruct.ions.
1. Mase to be BillContact Person�1�/9a�"/l�t/
Mailing Address ,�arrR� ./LC�L� am* phone 3�S'Z Ski 7p
City/stat./asp1d1,1/XfAJ'C� a% 27cP�1� suaineaa phone
s. Mw on terait/&= it Different tban Above
M&424- g Address City/stab/sip
3. Applioat•ion dor: O site !valuation W!6W' Covement Poradt/JLTC 0 Both
4. statim to serviose B'Honse 13 Mobile Home 11 Business [l Industry D Other
a. If Rsaidenoe: # People ? # Bedrooms . # Bathrooms000,
8'Diabvasber W Garbage Disposal 1?f lashing Machine ;xasseent/Plumbing O saaaant/No plumbing
6. to susiaess/Sndnatsy/otberl specify two # People # sinks
# Commodes # shovers # urinals # Nater Coolers
I! 11=811MCs: # seats Zatisated Nater Usage (gallons per day)
7. TAM of Maur wpply: [/County/City D well D Community
a. Do you anticipate additions or expandons of the hellity this system Is intended to nerve? 0 Yes o
If yes, what type?
I***IMPORTANT*** CLVM'S MUST COWLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPUCATION.
Property Dimensions: 3 //2 k� a159 WRITE DIRECTIONS (from MocWlle) to PROPERTY:
Tax 0111ce PIN: N S'78-^15�2 �S�d� L /(�C�C� � tip
Property Addren: Road Name �aryi l��aD�'J 1 ✓ _ Q(�`i$SE 6A4,. -
Cltylzip &V-0 U c.- Lr--- ti11L a
U in a Subdivision provide information, as follows:—h'4LE lAT /yA Jr -N - N D
Name: �'�%- k)b e- Afne—
section: f Block: Lot: Date Property Flagged: C 1( 4 vVied ('4'
This is to certify that the information provided Is correct to the bat of my knowledge. I understand that any permit(s)
Issued hereafter are subject to suspension or revocation, it the site plans or Intended use change, or if the Information
submitted in this application Is fall fled or changed. 1, also, understand that I am responsible for all charges Incurred ftom
this applicadom I, bereby, give consent to the Authorized Representative of the DAvle County Heal Department
to enter upon above described property located to Davie County apd owned by
to conduct all (sting procedures as necessary to determine the sit bill
DATE 2 SIGNA
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property Hues and dimensions, structara, setbacks, and septic locations).
Site Revisit Charge
j 1„n(s)=
Client NotlBation Date:
I EAS:
Revised DCHD (07199)
Account No. 2 Z
Invoice No. ���
PO0.970 Ac.t toz
\
^� Ln
99
��.1 iD O N, v
'. 1 L
l
_ion
(o
h
a
ti
. r•
4A20,
.j
NO 03'20"E
I
3
Porcei 45
cb s_ Rcymond C. Myers
I D8 97, Pg 904
I�
00
z
_
�\
3 723 ac.*
cv
" -.3.
-�
CURVE
RADIUS
LENGTH
z
CHORD
BEARING
3J
•C . 1. '
C-32 _
L
134.70
68.51
133.57
S14'10'52"W
25'43 35
C- 33
500.00
144.76
72.89
144.25
N07'40 55 E
16'35 t 6
C- 3a
500.00
91.32
45.79
91.19
N21'12 29 E
10-27'52"
C-35
500.00
1 - Ex!ST'NG PON%
32.88
65.62
00
07'31 31
-- "- 36 -
«- `;OC 00'
y�
- 23 83
LP
S8715 08 E
-05'27 27
1
'a'
C 692 ac z
a+^
_
38.92'
38.91
530.00'
104.71
tC-13
C-14
530 00
_ _104.88'
9.64'
9.6
C- t5
53C 0 7
95.41;'
95.3
i
3 680
-_ .... r
- •402'C3'20"t 896 a9'
_"Tt-L
Porcei 45
cb s_ Rcymond C. Myers
I D8 97, Pg 904
I�
00
z
_
R/W CJRvE TABLE
C L CURVE TABLE
RADIUS
_ i LENGTH
-�
CURVE
RADIUS
LENGTH
TANGENT
CHORD
BEARING
DELTA
C-32 _
300.00
134.70
68.51
133.57
S14'10'52"W
25'43 35
C- 33
500.00
144.76
72.89
144.25
N07'40 55 E
16'35 t 6
C- 3a
500.00
91.32
45.79
91.19
N21'12 29 E
10-27'52"
C-35
500.00
65.67
32.88
65.62
586'13'05"E
07'31 31
-- "- 36 -
«- `;OC 00'
_ 47 62
- 23 83
4761'
S8715 08 E
-05'27 27
r ----
R/W CJRvE TABLE
CURVE
RADIUS
_ i LENGTH
CHOR
C-1
27000'
121 23'
120.22
C-2
530.00'
69.61'
69 56
C--3
35.00'
26.73
26.09
i C-4 i
55.00r
+- 62.69'
59.35
C-5
55.00'
�- 45.94'
44 62
30.39'
30.00
C-7
55.00'
73.71'
68.32
C-8
55.00'
44.08'
42.91
C-9 1
35.00'
1 26.73'
X266..09
C-10
470.00'
8.44'
I 8.4
C-11
470.00'
53.29'
53.2
C-12
530.00'
_
38.92'
38.91
530.00'
104.71
tC-13
C-14
530 00
_ _104.88'
9.64'
9.6
C- t5
53C 0 7
95.41;'
95.3
I
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT1j(�
n 17
Davie County Health Department D lS5
Environmental Health Section
P. O. Box 848 AUG — 6
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE13 UNLESS
1 I
ALL THE REQUIRED INFORMATION IS PROVIDED.
I 1. Name to be Billed W vas // %e W qbe✓e./�,�` �n.
Contact Person 4G4VthlA-
gM8416
ailing Address Home Phone
City/State/Zip �l � ,trs (N it/ .s,4 /edn d 81, 2 7/03 Business Phone 9 9 SI' /16 %
2. Name on Permit/ATC if Different than Above Soo rme—
Mailing Address
3. Application For: O' Site Evaluation
4. System to Serve: ❑ House ❑ Mobile Home
City/State/Zip
❑ Improvement Permit & ATC ❑ Both
❑ Business ❑ Industry ❑ Other
i
5. If Residence: # People # Bedrooms # Bathrooms
q Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No'Plumbing
s 6. If Business/Other: Specify type # People # Sinks
#Commodes # Showers °' # Urinals # Water Cool,
If Foodservice: # Seats Estimated Water Usage (gallons per day) _
7. Type of water supply: 13County/City ❑ Well ❑ Community
8. Doyou 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: q9, 7� % -NGS
1 WRITE DIRECTIONS (from
Tax Office PIN: #
63 J % o 3
Mocksville) TO PROPERTY:
Property Address: Road Name �-� �.a/
VLPQ��ei •
1 L c
1
II
City/Zip AQ owe,
IVG� . 7dB (..
w 961 o
1 lit: // _.
jLO
n Lem e.
If in Subdivision provide information, as follows:
X90 A)O-- ,,JRri7.r—A f'l'y-
1
1 4,D DA%
Seztion•
' v
Lot #•
1
,L
1
1
Thisis to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issue(: hereafter
are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this appli :ia-. an 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 suitability.
DATE g—to— `i SIGNATURE
. Revised DCHD (06-96)
C k
1 �
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION_ LOT 12)
Soil/Site Evaluation
APPLICANT'S NAME yvv
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit
c1�
DATE EVALUATED TZ11 Ael')
PROPERTY SIZE It AO -
ROAD NAME
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 3
Texture groupC
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 L
SITE CLASSIFICATION: nS 671 6,Qc---A- 51,d f
LONG-TERM ACCEPTANCE RATE: L
REMARKS: �G /2CA'V9
DCHD (O1-90)
EVALUATION BY: A,�
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