129-131 Clinton Lnfav
Total Assessed Value: 124600.00
�o Uty c
WARNING: THIS IS NOT A SURVEY
All data Is provided as Is without warranty or guarantee of any kind 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 Davis, 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.
-
v � Parcel=Information::, �
=
Parcel Number:
C600000066
Township:
Farmington
NCPIN Number.
5852797610
Municipality:
Account Number:
--23987800
Census Tract:
37059-802
Listed Owner 1: -
ELLIS CLINTON
Voting Precinct:
FARMINGTON
Mailing Address 1: -
C/O CINDY ELLIS HUFF
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:._
NC
Zoning Overlay: DAVIE COUNTY QD
Zip Code:
27006-6664
Voluntary Ag. District:
No
Legal Description:
8.07 AC HWY 801 OFF LIFE ESTATE
Fire Response District:
FARMINGTON
Assessed Acreage:
8.25
Elementary School Zone:
PINEBROOK
Deed Date:
11/1998
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
002070425
Soil Types: EnB,MsC,MsD,WATER
Plat Book:
Flood Zone:
Plat Page:
-
Watershed Overlay:
DAVIE COUNTY
Building Value:
25850.00
Outbuilding & Extra
12890.00
Freatures Value:
Land Value:
85860.00
Total Market Value:
124600.00
Total Assessed Value: 124600.00
�o Uty c
Davie County,
NC
NC
All data Is provided as Is without warranty or guarantee of any kind 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 Davis, 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.
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-.1868) Permit Number
Name �/ /'�Lr`,f.. Da _ 6808
f !3"<X G� or���•
Location
Subdivision /Name Lot No. _ Sec. or Block No.
Lot Size /221,Z2 r douse Mobile Home _1!_�_ Business Speculation
No. Bedrooms No. Baths No. in Family —
Garbage Disposal YES ;p NO ®— Specifications for'Syst m:
Auto Dish Washer YES NO C)
Auto Wash Machine YES W NO fl
Type Water Supply �n � ��
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit byt�f'
*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
' X 312 "
Certificate of Completion �,�!'� 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.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name `��Dl?lf/Ci / Date
Address Lot Size Z09
FAr.Tr1R.q ARFA 1 ARFA 9 AREA 3 APPA A
1) Topography/ Landscape Position
S�rri�
P
4D
�PSJ
S
PS
�) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
(�C)
S
(15
S
PS
S
PS
U
U
3) Soil Structure (12-36 in.)
Clayey Soils
S
(9
S
6
S
S
U
U
1) Soil Depth (inches)
S
S
S
S
PSPS
0-2
S
dp
PS
<111P
i) Soil Drainage: Internal
S
PS
S
� PS
U
S
S
U
External
S
ds�;>
S
17
S
PS
S
PS
U
i) Restrictive Horizons
Available Space
PS
—M
PS
S
PS
S
PS
U
U
U
U
i) Other (Specify) n, V
L,
(P
PS
S
S
S
PS
S
PS
U
U
U
U
1) Site Classification
L
U-1
Recommendations/ Comments:
Described by _
SITE DIAGRAM
DCHD (6.82)
S—SUITABLE t
PS—Provisionally Suitable
�s1�
1
Title d Date 9-
4
U-
It
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665 RECEIVED AUG 3 t 1988
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. toto me5 *
1. Permit Requested By
2. Address 4q(A `1'
Home Phone 7710 -&%7 t1 q9?_Z(O I
Business Phone M -5155 '7W-5161 - .
L,)y
3. Property Owner if Different than Above C l i {ti'f �l FQMCeS E i l i S
Address`�
4. Permit To: a) Install Alter Repair Zs�,
b) Privy Conventional Other Type 42 • r
Ground Absorption
c) Sub -Division Sec. Lot No. -
5.
o. 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 IA' X 76 984 51 k0o,.
Bed RoomsBath RoomscDen 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
lavatory !2 showers washing machine
dishwasher sinks
a8. a) Type water supply: Public— Private Community
b) Has the water supply system been approved? Yes1`` � No
i 9. a) Pr9perty Dimensions
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. n
21 . -': � / I S � - e4l� . fj
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
1211
f_WVr-LnP'r' F --,W
DCHD (6-82)
;Id
b
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes (2� 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from 11 t l -'r +'E eD-n G-1 V , owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
ye no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DA SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
— Owners designated representative
Anyone requesting results
Only those listed below
en 'I k A bI
31 �0�tl)�:�,�
DAT SIGNATOR
DCHD (11 /84)