277 Peoples Creek Road Lot 4Davie County, NC Tax Parcel Report Wednesday, December 21, 2016
132
241
13 2
LU
247 LU
0 122
-257
Zi
267
z
277, 114
242
-- -----------
A� 106
123
z
no- — ------
All data Is provided as Is without warranty or guarantee of any Idnd 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, ronsultants, contractors or employees from any and all claims or causes of action due to
1:01 NC or arising out of the use or Inability to use the GIS data provided by this webs[te. I
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H908OA0004
Township:
Shady Grove
NCPIN Number:
5789622607
Municipality:
Account Number:
82526945
Census Tract:
37059-804
Listed Owner 1:
BONO GERALD CARMEN JR
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
277 PEOPLES CREEK 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 4 FALLINISCREEK FARM PHASE I
Fire Response District:
ADVANCE
Assessed Acreage:
0.72
Elementary School Zone: SHADY GROVE
Deed Date:
9/2006
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
006790133
Soil Types:
PcB2
Plat Book:
0007
Flood Zone:
Plat Page:
048
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any Idnd 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, ronsultants, contractors or employees from any and all claims or causes of action due to
1:01 NC or arising out of the use or Inability to use the GIS data provided by this webs[te. I
DAVEE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 848/210 Hospital Street
Mocksvflle, NC 27028
(336)751-8760
Account #:
989900259
Tax PIN/EH #:
5789-62-2607
Billed To:
David Mallard
Subdivision Info:
Falling Creek Farms Lot # 4
Reference Name:
David Mallard
Location/Address:
Peoples Creek Road -27006
Proposed Facility:
Residence
Property Size:
0.704 Ac.
ATC Number: 2207
Ev" V-1 1061-14 IFAM 1111113930 111110) tik"Al.-IT-41111 1111A M" I "AW
R111144 a 11104ce)
**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 I I of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER C TRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date: &
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shal i dicate ystern described on Improvement/Operation Permit
has been installed in compliance with Article 11 fG. Chn )ter 30A, Section. 1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAY be t en a tee hat the system will function satisfactorily for any
given period of time.
po)04
IF
Septic System Installed By:
Environmental Health Specialist's Signature;
DCHD 05/99 (Revised)
Date:
W , Z- " � —,-V
DAVIE COUNTY HEALTH DEPARTMENT
,o,,/
Environmental Health Section
P. 0. Box 848/210 Hospital Street
Mocksville, NC 27028 73?
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900259 Tax PIN/EH M 5789-62-2607
Billed To: David Mallard Subdivision Info: Failing Creek Farms Lot # 4
Reference Name: David Mallard Location/Address: Peoples Creek Road -27006
Proposed Facility: Residence Property Size: 0.704 Ac.
ATC Number: 2207
**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 #People #Bedrooms #Baths
Dishwasher:,,� Garbage Disposal: OC Washing Machine: Basement w/Plumbing: 0 Basement/No Plumbing: k
Commercial Specification: Facility Type #People _ #People/Shift #Seats Industrial Waste:
Lot Size Type Water Supply Design Wastewater Flow (GPD), Site: New)�f Repair
System Specifications: Tank Size IV 00 GAL. Pump Tank GAL. Trench Width I e CD
&� Rock Depth 1,L Linear F4,3
Other:
0
Required Site Modifications/Conditions:
/0
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 - BELOW
FINISHEDGRADE. ****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 on the day of installation. Telepho # is (336)751-8760.****
(co
y
2o
?of
2
01
7z&� tA
)%W7 -
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
LJ -1
15
IeOfl
�V-r
-7
OWN=
W
APPUCATION FOR SITE EVMIATION/IMPROVEMENT PERMIT & ATC
Davis County Health Department Off 13 1999
Envimmenbi Hadth Sbcffon
P.O. Box 949/210 Hospital Strest
ENVIRONMENTAL WAILTH14
Mocknville,, HC 27028 DAVIE COUNTY
(336)751-8760
***DWCRnN"** Tnis "nicaizon cxwm Bz FRomizi muses = Tn muntiD
n=MnX0H 18 PROV=ZD. Rotor to the nnommiou suuans tar instructions.
1. Nam to, be Ull / 4 Vd 5�1 AAVA/101)n/ cant"t Verson �.� (A 10� Z-09-14�-e�
WilbW Address ZZV A Q(/- ame m=e33f,, 19V5 -727-7
fttjr/Stat*/BZV4��' ",'5 01 / Ae t? -e_ / a 7-9Z—S fteLvAss rAme 59 4 '9 71 —!Z'079
2. Rans on Vez*Lt/&= Lt Ufftereat the* Above
W414a Address cil� �ete/SLP
'7/8
3. Application Iror: A Bite Rvaluation 6qvrovesent vernit/WC 11 Both
4. "Stan to Services 'If House 13 Mobile Home El Business 13 Industry 13 Other
5. It ReoLdence: # People Bedrooms I Bathroo
191ftehwathez goaximWe ftepoe&L ,#kMashing Wadbins 0 Sasemant/91=dAng _Azasenantluo PlumbLag
6. zz fteinese/znduatzr/others speoler ty" I People I Sinks
I Cominodes # showers I urivale # water coolers
11r 1=83MCK: # seats latinated Nater Usage (ganons per day)
7. Tnm of water supply: County/City 11 Well 13 Co=-tn4 ty
9. Do you anticipate addition or expansions of the facility this system Is Intended to serve? a Yes '�-"o
If ym what type?
***1UP0RTAA7*** CLIENTS U11STCOMPLETETHE RMVIREOPROPERTY INFORMATION REQUESM
BELOW. Either a PLAT or SITE PtAN RWT BE SUBMIM by the client with THIS APPLICATION.
Property Dimensions irw2 8 , :goo - R
offl
Tax Olfice PIN: Z607 _
Property Add. ess Road Name
CitylZIPAle,�,
U In a Subdivision provide Information, as follows:
Name:
Section: Block: Lott 4�-
WRITE DIRECTIONS (from MocksAlle) to PROPERTY:
1,,0,4Ar 7-7Z,-
i�leg
A� in .4 Z --e-1-7— g�eAre---
lo,
1K ""'Olz '7 -
Date PropertylUgged:
IMIs Is to certify that the Information provided Is correct to the best of my knowledge. I understand that any permit(s)
booed hereafter are subject to Suspension or revocations It the site plans or intended no cbange� or If the Information
submitted In this application Is falsifted or changed, 1, also, understand lint I am responsibkfor all charges Incurredfton
Alt appUcadox. 1, hereby# give consent to the Authorized Representative of the Davis County Health Department
to enter upon above described property Imted In Davie County and owned by
to conduct all testing procedues a necessary to determine the site 7�d�77 I
DAIM
SIGNATURE/
THISI AREA MAY BE USED FOR DRAWING YOUR SIrM PLAN (Include all of the following: Zzang and proposed
property Hoes and dimensloimh otructurcs# setbacks# and septic locations). -
Raised DCHD (07199)
Site Revlolt Charge
I Date(s)
I Client Notification Date:
Rust
Account No. .2 fj
Invoice No. A�11/2/
lu
If I III!
ji
is 41
It,
24A.W
.... .. ........
0&
'to
(4" 4r
0 ".
Paw
Ipor-OWE
fj
a
g
Z LM ."m
an ... . ........ _CA*.
titIMIF-ass'l
I I AJQ
sw-c,ss,- CID.
z
U W" '04W
LINCMEA OW RCAO
_30L
pUg R/W)
AIM "STU 4Q`w
WSC GL -2 M"
2 V.
1 1 :-- 1-- 1:.. OF
m3r
52 Z, Oz 2 =0
0 0
_Q 82 N z
3z
4. tit
.61 KT
tu,
us
V, - -.40-5ffol't zpar
..ISO
z
it
!nz
62 *j
ct
zjX
.2
M
j. % t
--3,t�S !8n;n.,
09
fit! fill
!fill@ j9 .1
jull ,
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT 'TE DUE
Davie County Health Department
Environmental Health Section
P. 0. Box 848 AUG - 6 1P97
Mocksville, NC 27028
V
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE11 UN ESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed Contact Person
Mailing Address 226 Home Phone ?9r
9 9g,-11��-
City/State/Zip �y 11/ -514 At 8- Q7103 Business Phone
IN k
2. Nime on Permit/ATC if Different than Above —5,4rrLe--
MLiling Address City/State/Zip
3. 1 i.plication For:
4. S -stem to Serve:
5. It Residence:
0 Dishwasher
6. If Business/Other:
# Commodes
W"S"ite Evaluation
0 House 0 Mobile Home
# People
C3 Garbage Disposal
Specify type
# Showers
0 Improvement Permit & ATC Q Both
Q Business
# Bedmnm.-
0 Washing Machine
U Industry
0 Basement/Plumbing
# People
# Urinals
0 Other
# Bathrooms
0 Basement/No Plumbing
# Sinks
# Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: 0 County/City 0 Well El Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? Q Yes No
If yes, what type?
PROPERTY INFORMATION REQUIRED: ***IMPORTANT*** A PLAT OF THE PROPERTY MUSTr"E
SUBMITTED WITH THIS APPLICA! 'ON.
Pro p�rty Dimensions: qq, 74 Ati-e-.5 WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
Tax Office PIN: # _5 72 63 5703
J� e-
.Pro,-',lrtyAddrcss: RoadName
QA) 961 W—Lt J7 -1 -'t -x:4
e
City/zip dlawes,=9
?e J9
If in Subdivision provide informq ion, as follows:
;g Y6 -r D L SY
A)�q rl 4�:
;4�111, �
Name:
/Y
�4
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. 1, also, understand that I am responsible for I all charges incurred from this application. 1, hereby, give c ; onsent to
the Authorized Representative of the Davie County Health Depi�tment to enter upon above described property located in D , avie County
and,owned by to conduct all testing procedures
as neressary to determine the site suitability.
-97
DAh, SIGNATURE I
Revis�d DCHD (06-96)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION Z LOT-
Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE
SUBDIVISION ROAD NAME
Water Supply:
Evaluation By:
On -Site Well Community
Auger Boring Pit
Public
Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH_
Texture group
Consistence
Structure
Mineralogy
HORIZON II 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: oe5�
LONG-TERM ACCEPTANCE RATE: _LZ_
REMARKS:
DCHD (0 1 -90)
LandSCaDe Position
EVALUATION BY: /Z
,44
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 F1 - 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