176 Oakshire Court Lot 46Davie 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: THIS IS NUT A SURVEY
Parcel Information
J7080B0046 Township: Fulton
5767291897 Municipality:
8304096 Census Tract: 37059-804
VINCENT JENNIFER LYNN Voting Precinct: FULTON
176 OAKSHIRE COURT Planning Jurisdiction: Davie County
MOCKSVILLE
Land Value:
Total Assessed Value:
NC
27028
LOT 46 HERITAGE OAKS PHASE TWO
0.68
9/2014
009680135
0008
139
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay:
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:
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. Ali users of Davie County's GIS website shag 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
i pUlyt NC or arising out of the use or Inability to use the GtS data provided by this webstte.
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990004069 Tax PIN/EH #: 5767-29-1897.46
Billed To: Micah Stauffer Subdivision Info: Heritage Oaks Lot # 46
Reference Name: Location/Address: Oakshire Court -27028
Proposed Facility: Residence Property Size: see plat
ATC Number: 4544 As stated in 15A NCAC 18A.1969(5)
accepted Systems may also be used
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 Tre gment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONS IS ALID FO PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signa Date: I I ZI ® L
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 guarantee that the system will function satisfactorily for any
iven period of time.
7
\ c
VA`h. 7 —7-3 Septic System Installed B
Environmental Health Specialist's Signature: D &/0
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account M 990004069 Tax PIN/EH #: 5767-29-1897.46
Billed To: Micah Stauffer Subdivision Info: Heritage Oaks Lot # 46
Reference Name: Location/Address: Oakshire Court -27028
Proposed Facility: Residence Property Size: see plat
1,00
ATC Number: 4544
**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 'VIDL)SC #People 3 #Bedrooms 3 #Baths 2—
Dishwasher:
Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑
Commercial Specification: Facility Type #People
Basement w/Plumbing: e Basement/No Plumbing: ❑
#People/Shift #Seats Industrial Waste: ❑
Lot Size 3/�l 64X6 Type Water SupplyC"� +i Design Wastewater Flow (GPD) 3,oO Site: New 12"" Repair ❑
System Specifications: Tank Size)000 GAL. Pump Tank GAL. Trench Width �� r Rock Depth 12 � � Linear Ft. :3c-'
As stated in 15A NCAC 18AA969(5)
Other: �tsr�/�/T/�,� &X; accepted Systems may also be used
Required Site Modifications/Conditions: ! &)SrQlL e -i d"Ai ago 1 4x -P 15' rf:r l< LEI -P W
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.****
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Environmental
DCHD 05/99 (Revised)
r
LOT 503
18 YT 10205,
L "IF 7
P4 F
2 C)
0
15
P4 F
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
D . P.O. Box 848/210 Hospital Street
NOV 3 2006 - Mocksville, NC 27028
1 1 (336)751-8760/ Fax (336)751-8786
Permit Authorization To Construct(ATC) ❑ Both
DAVIECUUivn
IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name to be Billed 1 y 1 CAN TA- v FFC (L Contact Person / v f i CA M S`FA u FFa2
Billing Address 98(, ZwgAy,e,> 2p Home Phone X36-`i��-Gs9y
City/State/ZIP [.Ex%nj97i>�,_>,1yG Z7ZgZ Business Phone
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION
NOTE: A survey'plat or site plan must accompany this application.
(Permit is valid for 60 months with site plan, no expiration with complete plat.) / _ n �Q /
Street Address /7& OAI_SH%2E CT City AccK51ilug Tax PIN# lY I
Subdivision Name NE2rsAGE l' KS Section/Lot# _Lot Size
Directions To Site: Cq E GEF - INTO 146e,TAC-E 0Ak5 27- oNTo S. 8,9(41RT 000-ro
0,:W6t4,,z& CT Cor zfb r5 aN a - t,,s (fJ(.F5(+C.
Date House/Facility Corners Flagged MOM ((&34
If the answer to any of the following questions is "yes", su portir
Are there any existing wastewater systems on the site?
Does the site contain jurisdictional wetlands?
Are there any easements or right-of-ways on the site?
Is the site subject to approval by another public agency?
Will wastewater other than domestic sewage be generate
IF RESIDENCE FILL OUT THE BOX BELOW
documentation must be attached.
❑Yes N<oo
❑Yes [t<o
❑Yes
❑Yes Cho
? ❑Yes
# People # Bedrooms 3 # Bathrooms Z Garden Tub/Whirlpool E�T-es ❑No
Basement: es ❑No Basement Plumbing: 91es ❑No
TF N0N-RF.RMF.NCF. FILL OUT THE BOX BELOW
Type of FacilityBasiness Total Square Footage of Building # People
# Sinks # Commodes # Showers # Urinals
Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: �e�Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Type: R /County/City /Ci Water ❑ New Well ❑Existin Well ❑ Community Well
Water Supply yp ty ty g
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes
If yes, what type?
rgo
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that
any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if
the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred
from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to
conduct necessary inspections to determine compliance with applicable laws and rules on the above described property located in
Davie County and owned by /�l �c�N 5f JUFFFJL
A JJtT/7__ -
Property owner's or caner', legal r entative signature
moo
iI1o6
Date
Site Revisit Charge
Date(s): _
Client Notification Date:
EHS:
Sign given ❑Yes ❑No Account # 7-
Revised 2/06 Invoice # F�
Ie vi
vo
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME L /
ADDRESS
PROPOSED FACIILTY
a`
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Water Supply: On -Site Well _ Community Public
Evaluation By: Auger Boring Pit f� Cut
// ("Tobe)'q
FACTORS
1 2
3 4
Landscape position
.21
Sloe %
HORIZON I DEPTH
Texture group
Consistence
f
Structure
&15 tc
Mineralogy
HORIZON II DEPTH
y Y
rZ-
Texture group
Consistence
i
_
Structure
Mineralogy/
St
HORIZON III DEPTH
Texture group
Consistence
_
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
`—
RESTRICTIVE HORIZON
—
SAPROLITE
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY: 1111�
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
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
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- V+. -y 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
.3C --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
DCHD (01-901