172 Chestnut Trail Lot 23-24Davie County, NC Tax Parcel Report Wednesday, November 16, 2016
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Parcel Information
Parcel Number:
1600000059
Township:
Shady Grove
NCPIN Number:
5758861050
Municipality:
Account Number:
66932000
Census Tract:
37059-804
Listed Owner 1:
SMITH DAVID H
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
172 CHESTNUT TRAIL
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7121
Voluntary Ag. District:
No
Legal Description:
LOT 23 CHESTNUT WAY
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
4.09
Elementary School Zone:
CORNATZER
Deed Date:
10/1976
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001000053
Soil Types:
EnB,GaD,MsC
Plat Book:
0004
Flood Zone:
Plat Page:
153
Watershed Overlay:
DAVIE COUNTY
Building Value:
154950.00
Outbuilding & Extra
Freatures Value:
2580.00
Land Value:
51480.00
Total Market Value:
209010.00
Total Assessed Value:
209010.00
E01
Davie County,
NC
M data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the
Implied warranties of merchantability or f bins for a particular use. Ag users or Davie County's GIS website shall hold harmless the
County rise s Davie,y agents,consultants, ro, ed a th s we from any and a6 claims or causes of action due to
of the useeor Carolina,
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-_ Permittee's _.. _,,1� l DAVIE COUNTY HEALTH DEPARTMENT
Namei ctvt, xir�S�l `1IYt �`� �'� Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property: ! t-- I f% Mocksville, NC 27028 Subdivision Name:
C. i 14 U J -r x % / Phone #: 336-751-8760 Os/ jou `"he l�
�"'� Ft Sectio Lot:
AUTHORIZATION FOR
7 r WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION�^� le
AUTHORIZATION NO: 002859 A Road Name: Zip:,)'
**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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
d ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
OO
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DAT ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS 2— # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 'f 4 0 NEW SITE REPAIR SITE _�
SYSTEM SPECIFICATIONS: TANK SIZE Y' GAL. PXP TANK GAL. TRENCH WIDTH -36, ROCK DEPTH -`LINEAR FT. �T
X G
OTHER • U n nT_
REQUIRED SITE MODIFICATIONS/CONDITIONS:` eu
IMPROVEMENT PERMIT LAYOUT
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2
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26
17
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
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UTHORIZATION NO. OPERATION PERMIT BY: DATE:�i
"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 FUNCTIO SATISFACTORILY FOR ANY GIVEN PERIOD OF TIIM'E.
DMD 02/02 (Revised)
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DAVIE COUNTY HEALTH DEPARTMENT
-Pes
Name :_t t `-� �'A "En lv �onmental Health Section PROPERTY INFORMATION
P.O. Box 848 p
Directions to prope ! f' 1 ! Mocksville, NC 27028 Subdivision Name:
110, 'tf j,+r Phone#:336-751-8760 �%�&/A
Sectiorl':-r'u � Lot:
AUTHORIZATION FOR
I c ` WASTEWATER S
;SYSTEM CONSTRUCTION Tax Office PIN:#f ��
AUTHORIZATION NO: 002859 A Road Name: Zip:
**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)
p ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATt ISS ED
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS 3 # BATHS 2- # OCCUPANTS GARBAGE DISPOSAL: Yes or No
s,
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 340 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE }! `/ ` GAL Pi MP TANK J �` rGAL. TRENCH WIDTH 3rr. ROCK DEPTH ¢ LINEAR FT."
OTHER U eN L
REQUIRED SITE MODIFICATIONS/CONDITIONS: ` ! t`
IMPROVEMENT PERMIT LAYOUT ��'���� `�
0
i 6
PAC O4.'.4 n Lj
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
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OPERATION PERMIT
�� SYSTEM INSTALLED BY:
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UTHORIZATION NO.Vo 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
q GUARANTEE THAT THE SYSTEM WILL FUNCTIO S TISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07/02 (Revised) :tN
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"L'1�
ite e's Pemrifiee'sA• DAVIE COUNTY HEALTH DEPARTMENT
n
Name:
Environmental Health Section
P.O. Box 848
PROPERTY INFORMA ION
! /�%t% Uf�(�
Directions to property: !
Mocksville, NC 27028
Subdivision Name:
Phone #: 336-751-8760
AUTHORIZATION FOR
Section: Lot:
(�
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:# -
AUTHORIZATION NO: 002699 A
Road a,�heSf%1%� %r�// Zip: Z7�
**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 %Vith_A Iicle 11 of .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 ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS =:%-- # BATHS -,�?— # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)- NEW SITE REPAIR SITE may,
SYSTEM SPECIFICATIONS: TANK SIZE GAL.., PUMP TANK10'` GAL, TRENCI,WIDTH 1 ROCK�D H INEAR FTf�y
OTMPR
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
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.
DMD 02102 (Revised) #/'V` L 40— ",/6-2
' I "�(� Amy 6+ • Zl
Perrmttee' 70 '"""' DAVIE COUNTY HEALTH DEPARTMEN r '
_ r Nairl�'. ""�`' /�/ Environmental Health Section PROPERTY INFORMAAN
P.O. Box 848
Directions to property: Mocksville, NC 27028 Subdivis n Name:
Phone #: 336-751-8760 t I
Section: Lot:
AUTHORIZATION FOR p
si WASTEWATER Tax Office PIN:# -- � -
SYSTEM CONSTRUCTION
l%W�ZedAUTHORIZATION NO: 0®269� � Road NYhfalZip:
**NOTE** This Authorization for Wastewater Sy stem'Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This FonrdAuthorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In com dance with. Article 11 of .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 ISSUED
I
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS _`-# OCCUPANTS_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)`� �� NEW SITE _ REPAIR SITE
fJ ,.
SYSTEM SPECIFICATIONS: TANK SIZE GAL.. PUMP TANK / GAL. 3RE7.WIDTH `
r � ROC-"hPTH,�Z1-GL' LINEAR FT..
nTRPR
REQUIRED SITE MODIFICATIONS/CONDITIONS:
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
IV
SYSTEM INSTALLED BY: e- i;,J11r:f ✓/' //
t LA
i
-eh
w AUTHORIZATION NO. OPERATION PERMIT BY: DATE
*a*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOV514AS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 02/02 (Revised).:.
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• DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
PPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME �� //% PHONE NUMBER
ADDRESS✓ i SUBDIVISION NAME
.��&,"M
/���// ► LOT #S
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED.-(JAUJI .M NAME SYSTEM INSTALLED U
TYPE FACILITY NUMBER BEDROOMS. NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED✓� �� INFORMATION TAKEN BY,
Y
This is to certify that the information provided is correct to the best of my knowledge. and that I understand I am
SIGNATURE OF OWNER OR AUTHORIZED AGENT X; fIc
Rev. 1/93
for all charges incurred_kom this application.
" DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR. CONTRACTOR , DATE QR0 "e PERMIT
LOCATIGTN
�k No 1680
S.R. N0.
SUBDIVISION NAME LOT NO. Z SECTION OR BLOCK NO.
HOUSE Q MOBILE HOME ❑ BUSINESS ❑
NO. BEDROOMS a NO. BATHROOMS -;)'"
GARBAGE DISPOSAL UNIT YES ❑ NO 0—
AUTO. DISHWASHER YES 0" NO ❑
AUTO. WASH. MACHINE YES 6' NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public B"'
IMPROVEMENTS PERMIT BY (�a
House Trailer 800
Gal. 400
Sq.
Ft.
Two Bedroom House 800
Gal. 600
Sq.
Ft.
Three Bedroom House 900
Gal. 900
Sq.
Ft.
Four Bedroom House 1000
Gal. 1200
Sq.
Ft.
..,.. /yam
Y.i!' N',
INSTALLED BY
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must com with all other applicable State and lochregu ations
LOT AREA ri't' %z•�
r
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
HOCKSVILLE, N. C. 27028
(704) 634-5985�?�
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
DATE ISSUED���%�
ADDRESS ` u- lP PERMIT NO. 1��d
Explanation of charge,A ±-
AMOUNT DUE ��`: � SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.
Fd
.�..?�.
-000
Wilk
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION
l
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit
PROPERTY INFORMATION
Moc�5vi 1��,,AC
r)- to J8
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
L
t_ -
Slope % '
IL
HORIZON I DEPTH
Q _
-
Texture group
G-
G
Consistence
-f
12.0,1
Structure
5
S A k(
Mineralo
C
3 _
HORIZON H DEPTH
Texture group
C
Consistence
Structure
S n
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
'
RESTRICTIVE HORIZON
l'
SAPROLITE
1711
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: V5
LONG-TERM ACCEPTANCE RATE: ► /
REMARKS:
EVALUATION BY- to Cab j �\�� � °�
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
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
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
otes
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 io soil colors with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/05 lRevisedl
Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date F11PI-4
Lot Size I)AC
FAr..TnRC ARFA 1 ARFA 9 ARFA:3 ARFA d
Topography/ Landscape Position
9)
SV
S
S
S
PS
PS
PS
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
P
PS
PS
PS
U
U
U
i) Soil Structure (12-36 in.) ` l ��jy ✓�
S
S
S
S
Clayey Soils /
P
PS
PS
PS
U
U
U
Soil Depth (inches)
S
S
S
S
PS
PS
PS
C
U
U
U
i)Soil Drainage: Internal
S
S
S
S
p
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
U
)Restrictive Horizons
Available Space
S
S
PS
S
PS
S
PS
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
Site Classification
U-1
De�i.nmmnnri�4inne /i`nmmnn4e•
S—SUI ABLE <PS— Provisional ly Suitable.--
Described by Oue
SITE DIAGRAM
4n
�i
DCHD (8.82)
c%1jie ( aun#g Pealth cBepartmen#
Unb cuOme pealth '�genry
P. O. BOX 665
Aurksbille, Yorth Carolina 27028
OFFICE OF THE DIRECTOR
September 12, 1986
Mr. David Smith
Route 3, Box 410
Chestnut Trail
Mocksville, NC 27028
Mr. Smith:
As per your request a representative from this office evaluated
Lot #24 in Chestnut Trail. This lot was evaluated originally in 1977
and at that time was classified unsuitable for the installation of a
ground absorption sewage disposal system. Since several years have
lapsed and technology has advanced we felt the lot should be re-eval-
uated prior to issuing a statement that you could use concerning
tax evaluation on said property.
Please note the findings of our evaluation of September 11, 1986
The lot is classified unsuitable for the installation of a
ground absorption sewage system due to poor landscape position and
the presence of 2:1 shrink swell clay.
Please advise should you have any questions.
Sincerely,
1
Joe Mando, R. S. Director
Environmental Health
JM
TELEPHONE
(7041 694.5985