133 Oakshire Court Lot 39� r
Davie County, NC
Tax Parcel Report
Tuesday, January 10, 2017
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: TffiS IS NOT A SURVEY
121
Parcel Information
Voluntary Ag. District:
111
J7080B0039
Township:
132-.-
- -----
133
Municipality:
--------
u
d
/
o
DAVES JERRY WILLIAM
Voting Precinct:
FULTON
133 OAKSHIRE COURT
Planning Jurisdiction:
Davie County
Total Market Value:
I--------- -----
142
143
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: TffiS IS NOT A SURVEY
Zoning Overlay:
Parcel Information
Voluntary Ag. District:
No
J7080B0039
Township:
Fulton
5768204411
Municipality:
WILLIAM ELLIS
8306988
Census Tract:
37059-804
DAVES JERRY WILLIAM
Voting Precinct:
FULTON
133 OAKSHIRE COURT
Planning Jurisdiction:
Davie County
MOCKSVILLE
Land Value:
Total Assessed Value:
NC
27028
LOT 39 HERITAGE OAKS PHASE TWO
0.68
10/2016
010310754
0008
139
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay:
All data Is provided as Is without warranty or guarantee of any ldnd 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
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. ��
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
GnB2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
Davie County,
Nr
All data Is provided as Is without warranty or guarantee of any ldnd 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
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. ��
Account #:
Billed To:
Reference Name:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
990001750 Tax PIN/EH #: 5768-20-4411.39
Southland Construction, Inc. Subdivision Info: Heritage Oaks 2 Lot # 39
Location/Address: Oakshire Court -27028
Faun Kesidence
ATC Number: 4122
bize: izu x zou
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 CONSTRUCTTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: &LI Date:
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 taken as a Ruarantee that the system will function satisfactorily for, any
given period of time.
i�
Septic System Installed By: G� (/Q/�{+�/� At/'�
Environmental Health Specialist's Signature: G(�1 Date:
DCHD 05/99 (Revised)
. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001750 Tax PIN/EH M 5768-20-4411.39
Billed To: Southland Construction, Inc. Subdivision Info: Heritage Oaks 2 Lot # 39
Reference Name: Location/Address: Oakshire Court -27028
Proposed Facility Residence n PProperty Size: 120 x 250
ATC Number: 4122
**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,,L-:� #Baths
Dishwasher:/ Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: New Repair ❑
System Specifications: Tank Size` GAL. Pump Tank GAL. Trench Width�� Rock Depth Linear Ft
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT -
FINISHED GRADE. ****NOTICE: Contact a repres
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m
rV'ED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
t Oavie County Health Department for final inspection of this
the day of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: �lAd
Date: f
DCHD 05/99 (Revised)
APPLICATION FOII SITE EVALUATION/Ih1PIIOVE&IENT PEI
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IT & ATC
U INUNrk'EtiTAL HEALTH
d• -VE COUNTY
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for in/�struc ions.
1. Name to be Billed 1w -�-:LG Contact Person //
Mailing Address
City/State/ZIP
2. Name on Pormit/ATC if Different than Above
Mailing Address
3. Application For: ❑ Site Evaluation
Home Phone
q Business Phone g 0XI "
C ty/State/Zip
Improvement Permit/ATC
❑ Both
4. System to Service: tp, House El Mobile Home ❑ Business ❑ Industry ❑ Other
S. Type system requested: Conventional ❑ conventional modified ❑ innovative
6. If Residence: # People 4-5 # Bedrooms # Bathrooms _
ahwasher ❑Darbago Disposal washing Machine ❑Basement/Plumbing J❑Baaement/No Plumbing
7. If Businesa/Industry /Other: verify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats
Estimated Water Usage (gallons per day)
S. Type of water supply:County/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ?<10
If yes, what type?
I***IA1P0RTAN7*** CLIENTS MUST COAfPLETL THE REQUIRED PROPERTY 1NFORNIATION REQUESTED I
BELOW. Either a PLAT or SITE PLAN AfUST BES11BAfITPL•D by the client with THIS APPLICATION.
Property Dimensions:
Tax Office PIN: ff V140 �l � _
t
Property Address: Road Name
City/Zip
If in a Subdivision provide information, as follows:
Namc: lf3T //A19
Section: _ _ Block: Lot: 3q
ITE DIRECTIONS (fron ocicsvillc) to P OI'ER'1'1':
6U �-- au
V —Ile 'A Abl4we
•t - 464#;' la -
Date liome corners flagged:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)
issued hereafter arc subject to suspension or revocation, it the site plans or iniende cliange, or if the information
submitted in this application is falsified or changed. I, also, understand that I r resporr able for all clia:Ses incurred from
this application. I, hereby, give consent to the Authorized Represent ounty I-Iealtit Department
to enter upon abo c described properly located in Davie Coin
to conduct all tc • Ing roccdures as necessary to line t
DATE SIGNATU
TIIIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, st ctures, setbacks, and septic locations).
Sign given
Revised DCHD (05/03
Datc(s):
Account No.
Invoice No. 7
I
SAH : FAX N0. :3362490760 Jun. 20 2005 03:47PH P2
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JUN -20-2005 MON 01:43PM ID:
PAGE:2
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation �7
NAME DATE EVALUATED
ADDRESS Or PROPERTY SIZE /STC
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring Pit f Cut
FACTORS 1
2 3 4
Landscape position L
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH "11/
O�
Texture group X—'
Consistence
0
Structure k
i1
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:
DCHD(01-901
EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope
CC -Concave Onne CV -Convex slooe T -Terrace FP -Flood plain H -Head slope
Texture
S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt
SICL-Silty :lay loam• SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vc.-y friable FR -Friable FI -Finn 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
3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineraloocy
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