135 East Rolling Meadow Road Lot 22Davie County, NC ► I Tax Parcel Report Wednesday, December 21, 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:
WAKN11VCT: TMb 1, 14U'1' A bUKVhY
Parcel Information
H908OA0022 Township: Shady Grove
5789637481 Municipality:
82532136 Census Tract: 37059-804
FINCHER ANTHONY B Voting Precinct: EAST SHADY GROVE
135 EAST ROLLINGMEADOW ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC Zoning Overlay:
27006-0000 Voluntary Ag. District: No
LOT 22 FALLINGCREEK FARM PHASE I Fire Response District: ADVANCE
1.54 Elementary School Zone: SHADY GROVE
7/2010 Middle School Zone: WILLIAM ELLIS
008320424 Soil Types: PaD,PcB2,PcC2
Land Value: Total MarKet value:
Total Assessed Value:
DAVIE COUNTY
(ED
All data Is provided as is without warranty or guarantee of any Idnd either eapreased 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
Courrty of Davie, North Carolina, its agents, consultants, contractorsoremployees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data pro
vided by this websRe.
4vV"0i'*"jr.;"u i,a�+ tiT'.ii'F:"+4=rt -r i 'Ly.An,E' S•..CT j': ti.` T`. ,c.. )-':;.3�- L+ Asa J^y+ , r,c:'+��,. y...:;..,r.Y'r.rs
40'. V"
A CAIZIZATION No: DAVIE COUNTY HEALTH DEPARTMENT ` 4"21 q -t It //���
f _ 1 A
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name`.Qt� u/�%/ Mocksville, NC 27028 Subdivision Name:
'� Phone # 336-751-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION.Tax Office PIN:
Road Name:'kf 'r l Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPermits. 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 AtALTfi SPE IALIST DATE ISSUED
DAVIE COUNTY HEALTH
,, 'DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFO TION
Subdivision Name:,,' ... �;
f
Di'rcy Cb property: ,!�. ,. , f Section: _Lot:
IMPROVEMENT
�. - ✓ -
�.. PERMIT Tax OfficIN:#.$�%
Road Name:,!. Zip:
6
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER.
ENVIR NMENTAL HEALTH SPECIALIST DATE ISSUED
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE_ # BEDROOMS,.T— # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE YeSir No
LOT SIZE -TD C %Vd TYPE WATER SUPPLY ( 6 DESIGN WASTEWATER FLOW (GPD) 7,/,/)'NEW SITE—k""
R§PAIR SITE
SYSTEM SPECIFICATIONS: TANK S/DOd GAL. PUMP TANK GAL. TRENCH WIDTHl ROCK DEPTH/ LINEAR FT. i
OTHER
REQUIRED SITE MODIFICATIONS/CON
IMPROVEMENT PERMIT LAYOUT *APPROVED EF EHT FILTER* *RISER(s) IF 6• • BEIW FIRIS:tED VRADE*
A<
ud i e C/
l7
7
**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 (XO tX wAX
(M0751-8760
OPERATION PERMIT L_S
SYSTEM INSTALLED BY: ,Q��
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)
w
.,. uw.•ul. 100 011c cvswuA1l0NI/IMPIl0VEMENI PERM1I do ATC
Davie County Health Deparbuent
Env/nronmenfal Health SMWOH
P.O. Box 848/210 Hospital Street
Mockaville, HC 27028
13361751-8760
***IIWORTANT*** THIS APPLICATIOII CANNOT BLS PR=SMW MUMSS ALL
YH maNATION IS PROVIDED. Refer to the INrORMATION BULLBTIH for
,i Vol,
1. Mame to be Biuea 6r 01,Ay% 0- c/3c.JfC0V— Contact Parson N010"eXA
Nailing Address G�L� 3S �r�� . 1�.� i �� some Ptvone
eihr/state/LIP �p.,,.�.v:n :c ti1C. 2 b I l Business Phone 7232- 3:5 3-7 luetic/
a. Name on Permit/ATC if Different than Above
Nailing Address
City/state/Lip
3. Application for: U� Site Evaluation )X Improvement Permit/ATC 0 Both
4. System to service: II House 0 Mobile Home 0 Business 0 Iadnatsy 0 Other
S. It Residence: # People �-F-- i Bedrooms 13 t# Bathrooms Z 9
.
B'Dishxasher Q'Oanbage Disposal 9 Hashing Nachl" 11 Basesent/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/other: specify type # People / sinks
f commodes ! shovers * urinals i Nater Coolers
IP IWDSERVICE: t Seats �� Estimated slater Usage (gallons per day)
7. 2"m of water supply: Ot" County/City 0 well 0 Community
s. Do you anticipate additions or expansions of the facility this system is intended to nerve! 0 Yes B-90
If yes, what type!
""IMPORTANT"" CLIENTS MUST COSMLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: Stt rY s 44"
Tax Office PIN: # 5_79L l03- 71091
Property Address: Road Name W oaf.. 6, pi
City/Zip AdU • 2,700L
it in a Subdivision provide information, as follows:
Name: FC.Il i ✓t Q r,."-ek.
Section: Block: Lot: Z 2
WRITE DIRECTIONS (from Moduville) to PROPERTY:
Date Property Ragged: 1% 7 - 99
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(:)
Issued hereafter are subject to suspension or revocation, if the site plans or Intended use change, or It the Information
submitted in this application Is talsified or changed. I, also, andaatand that I ane nespom9lefor all charges lncunwd frons
this aMUcadon. 1, 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 die suitability.
DATE�q SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. T 9�
Invoice No.
1. Mame to be Biuea 6r 01,Ay% 0- c/3c.JfC0V— Contact Parson N010"eXA
Nailing Address G�L� 3S �r�� . 1�.� i �� some Ptvone
eihr/state/LIP �p.,,.�.v:n :c ti1C. 2 b I l Business Phone 7232- 3:5 3-7 luetic/
a. Name on Permit/ATC if Different than Above
Nailing Address
City/state/Lip
3. Application for: U� Site Evaluation )X Improvement Permit/ATC 0 Both
4. System to service: II House 0 Mobile Home 0 Business 0 Iadnatsy 0 Other
S. It Residence: # People �-F-- i Bedrooms 13 t# Bathrooms Z 9
.
B'Dishxasher Q'Oanbage Disposal 9 Hashing Nachl" 11 Basesent/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/other: specify type # People / sinks
f commodes ! shovers * urinals i Nater Coolers
IP IWDSERVICE: t Seats �� Estimated slater Usage (gallons per day)
7. 2"m of water supply: Ot" County/City 0 well 0 Community
s. Do you anticipate additions or expansions of the facility this system is intended to nerve! 0 Yes B-90
If yes, what type!
""IMPORTANT"" CLIENTS MUST COSMLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: Stt rY s 44"
Tax Office PIN: # 5_79L l03- 71091
Property Address: Road Name W oaf.. 6, pi
City/Zip AdU • 2,700L
it in a Subdivision provide information, as follows:
Name: FC.Il i ✓t Q r,."-ek.
Section: Block: Lot: Z 2
WRITE DIRECTIONS (from Moduville) to PROPERTY:
Date Property Ragged: 1% 7 - 99
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(:)
Issued hereafter are subject to suspension or revocation, if the site plans or Intended use change, or It the Information
submitted in this application Is talsified or changed. I, also, andaatand that I ane nespom9lefor all charges lncunwd frons
this aMUcadon. 1, 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 die suitability.
DATE�q SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. T 9�
Invoice No.
MENT OF TRANSPORTATION
F HIGHWAYS
ON ROAD CONSTRUCTION
sRTIFICATION
CINEER�' P•'
P_P TF_n�t'SF_iQ . ts�
IE COUNTY
_13_
I
-- N06'44'35"E
1808 6C'
pe Pound w/etea
Pipe Set
Id Stone Found
Rainforotng Rod
no monument
g Board
hereby approves the
subdivision
a e r
l i' 1 • /•'Ye"-
Planning Board
—12
PLANNI NC DEPARTMENT/REVIEW OFFICER
FINAL SUBDIVISION PLAT APPROVAL
This is to cenith that this plat owls the recordsne requirements
Athe ntfl Dsw(oprrwnt Ordmance Subdivision Rspvlattons fbr
nvM County
! it.. Officer of Davits County.
certify that the map or plat to uAwh this osritftoarion u affimit
meets all stand r"usn-4nts fbr recorrdmg
, c 1
Approved ,A�itL.-. ._ ;_f..�,_,..,.-r,•
Dtnelor of ilew,w4ae/14uu. Officer
Thts the ; S, day of -it 1e- 19 19 q
.NORTH CAROLINA DAPI£ rOt'.VTY
—11— 1 —10—
SHAMROCK ACRES
- P 9 6.F t; '833'E4 t
I I I
S06'44 35",N 430.010,
^1 . ^1t ,
�. BRa.tiC�
kation
y that We are the owners of the
if located within the subdivision
that We hereby adopt this subdivision
estobllsn minimum bullding setback
lays, walks, parks and other sites,
to use as noted.
� E.c�TG'o,PiP
I
1, I
nl
S35'01'56"4 -
237.61'
140 43'
SURVEYORS CERTIF
I. John E. Beeson certify that
my supervision from an actual survey m
(description recorded in Deed Book
I . that the ratto o
is It: 10. + : that this plat uxis pro
49-30 as amen4ed. Wit rwss m onptnal si
and seal th' day of—.d A.D.
SVt''1.eyOT
NORTH CAROLINA-FORSYTH COUNTY
-9-
=8' 4 148.79'
1
�\ Z
�23-CO A. LA 0CO
Ns
2.496 Ac. t
S 4 )0 ,
6 Si
'Y9 �
h
C24,
C-24
4E . w
110 00
I � I
w
f
I
U
C-20
N cD
C-27
Z_
po NCV
00�U
me
I CO
(p (�•�
N
CO
0 70' Ac.=
n C 689
" 0
fn
I
00
tom. w
�.
T'lo
248.78'
C11 l
tT
O
M
._. _ _. 0
-
00
00
U,
i
ccf--
lD
,.;uBHT
N D
CP
00
c
00
N
n
i
0.704 Ac.t
U
n�
C 7� C
nl
S35'01'56"4 -
237.61'
140 43'
SURVEYORS CERTIF
I. John E. Beeson certify that
my supervision from an actual survey m
(description recorded in Deed Book
I . that the ratto o
is It: 10. + : that this plat uxis pro
49-30 as amen4ed. Wit rwss m onptnal si
and seal th' day of—.d A.D.
SVt''1.eyOT
NORTH CAROLINA-FORSYTH COUNTY
-9-
=8' 4 148.79'
1
�\ Z
�23-CO A. LA 0CO
Ns
2.496 Ac. t
S 4 )0 ,
6 Si
'Y9 �
h
C24,
C-24
4E . w
97 18' o . — NOC'01 09 , A
. ) 239.00' 1
a' 12900'
Parce
1.028 Ac.t
2a0'99
52'E
C,
0.774 Ac.*
237.08
S05'28'36"4
1�1
C27,
Il�a�
0.707 Ac.t
S05'42'44"W ---
230.63'
122.47' 1 108.1
0.692 Ac x W
�. C 700 Ac.t
rn N
� o
�
110 00
I � I
f
I
U
C-20
N cD
C-27
Z_
po NCV
00�U
me
(p (�•�
N
CO
0 70' Ac.=
n C 689
" 0
fn
�_
00
00
�.
T'lo
248.78'
C11 l
tD T
ti
— N05'28' 36"E __.
._. _ _. 0
-
00
U,
,.;uBHT
N D
CP
Q)
c
00
N
i
0.704 Ac.t
U
97 18' o . — NOC'01 09 , A
. ) 239.00' 1
a' 12900'
Parce
1.028 Ac.t
2a0'99
52'E
C,
0.774 Ac.*
237.08
S05'28'36"4
1�1
C27,
Il�a�
0.707 Ac.t
S05'42'44"W ---
230.63'
122.47' 1 108.1
0.692 Ac x W
�. C 700 Ac.t
rn N
� o
�
110 00
I � I
f
N cD
00�U
me
^� 0.69
C 692 Act
0 70' Ac.=
n C 689
" 0
00
N
W
U.
�.
Q
1D
C11 l
tD T
r :�
��
- C"
'' �'
r—
U,
,.;uBHT
c
..
5 ALL/THE REQUeUIRED INFORMATION IS PROVIDED.
1. I`'sme to be Billed Vo-s�y /e w rev Gin, Contact Person G t,
1! Mailing Address -,22L Sr�cV� Sfh b �o rd ul Home Phone 9
City/State/Zip it/ .56 A( e 7
I0 3 Business Phone 9 99' 6- 7
2. Name on Permit/ATC if Different than Above 5"4 me -
Mailing Address
3. Application For:
4. System to Serve:
5. If Residence:
❑ Dishwasher
6. If Business/Other:
# Commodes
City/State/Zip
OSite Evaluation ❑ Improvement Permit & ATC
❑ House ❑ Mobile Home ❑ Business ❑ Industry
# People # Bedrooms
❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing
Specify type # People _
# Showers # Urinals
❑ Both
❑ Other
# Bathrooms
❑ Basement/No Plumbing
#St,s
# Water Coolers'
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. T ,pe of water supply: ❑ County/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes,,'., 140No
If yes, what type?
MPORTANT ***A PLAT OF THE PROPERTY MUSTBE '
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: q9, �
Tax Office PIN: # -15- 7 g! - 63
Property Address: Road Name -XC-
City/Zip Adyl4w e--
If in Subdivision provide inform tion, as follows:
,,8» Vjg7,4�A ���/� �'/ac's
Name:
IN
2
S sction: Lot #: 2 -
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
L
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
falsif d or changed. I, also, understand that I am responsible for'all charges incurred from this application. 1, hereby, give consent to
the Authorized Representative of the Davie County Health Department to enter upon above described property located to Davie County
and owned by < w.,. -y to conduct all testingirocedures
i ; S.'.
as necessary to determine the site suitability.
j
DATE g -�- cI SIGNATURE
(�,�--
Revised DCHD (06-96) ^ L
i
f
DAVIE COUNTY HEALTH DEPARTMENT i
Environmental Health Section SECTION_ LOT�2
Soil/Site Evaluation
APPLICANT'S NAME �i��9 yh`a°�r/' DATE EVALUATED ��—'F
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well
Community,
Evaluation By: Auger Boring Pit , /
PROPERTY SIZE �`��L
ROAD NAME 40:9, &e,
Public /
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
14—
(,Slo
Slope
e %
40 IYX
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group(i
Consistence
Structure
s
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: V
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
LEGEND
EVALUATION BY: Z //
OTHER(S) PRESENT:
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