400 Cherry Hill Rd Davie County, NC Tax Parcel Report ' '� Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: M60000004005 Township: Jerusalem
NCPIN Number: 5756503811 Municipality:
Account Number: 8300343 Census Tract: 37059-807
Listed Owner 1: BARBEE WILLIAM B JR TRUSTEE Voting Precinct: JERUSALEM
Mailing Address 1: 400 CHERRY HILL ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,H-B
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 11.57 AC CHERRY HILL RD Fire Response District: JERUSALEM
Assessed Acreage: 11.73 Elementary School Zone: COOLEEMEE
Deed Date: 5/2011 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 008590241 Soil Types: PaD,WeC,WeB,PcC2,RnD,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 35560.00 Outbuilding&Extra 26670.00
Freatures Value:
Land Value: 95370.00 Total Market Value: 157600.00
Total Assessed Value: 157600.00
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All data Is provided■s Is without warranty or guarantee of any kind eitherexpressed 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
�T County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
l�C or arising out of the use or Inability to use the GIS data provided by this website.
s DAVIE COUNTY HEALTH DEPARTMENT .
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: 'Issued in Compliance with G.S. of North Carolina Chapter 130 'Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Date Z ,5
Location �U '- l� � x.
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Subdivision Name �f Lot No. Sec. or Block No.
Lot Size f /IL House bile Home Business Speculation
No. Bedrooms No. Baths ` No. in Family _
Garbage Disposal YES ❑ NO ,Bj Specifications for System:
Auto Dish Washer YES NO p — or,r
Auto Wash Machine YES NO p
Type Water Supply /il/
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by ;' • ' %!
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
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Certificate of Completion l Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION r'
Name— / Date
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S
(�k2 PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS
U U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils PS PS PS
U U U
4) Soil Depth (inches) S S S
PS PS PS
U U U
5) Soil Drainage: Internal S S S
PS PS PS
U U U
External S S S
PS PS PS
U U U U
6) Restrictive Horizons
7) Available SpaceS S S
PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U U
9) Site Classification
U-UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by / Title ° Date
SITE DIAGRAM to /
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department ��I
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By Business Phone
2. Address - -22o
3. Property Owner if Different than Above
Address
4. Permit To: a) Install_L�Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Homed Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 2�
Bed Rooms Bath Rooms_ Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes urinals garbage disposal
lavatoryshowers washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions �Si4
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
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Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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