147 Coyette LnImprovements 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:
0 9 rr
System Installed by -
�V7
to Q
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.
1
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
{� f
Name C, ti, c�, \�� :. �� _ Date �� - ! �� P
'1194
Location
CIL"
'Name
Subdivision Lot No. Sec. or Block No.
a.-
Lot Size - House Mobile Home _ Business Speculation
��
No. Bedrooms __ No. Baths No. in Family
Garbage Disposal YES p NO p
Specifications for System.
Auto Dish Washer YES Er NO
Auto Wash Machine YES NO []
�.
(.W
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
C_
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:
0 9 rr
System Installed by -
�V7
to Q
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.
1
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:
0 9 rr
System Installed by -
�V7
to Q
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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department 0 5
Environmental Health Section t:com Q Mpy
P. 0. Box 665 RG G
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phoneqyvr
1. Permit Requested By Business Phone (03 �4- '914/0 1
2. Address
3. Property Owner if Different than Above Y�
Address
4. Permit To: a) Instal l__LZAlter Repair
i
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System) used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home nd number of rooms.
House Dimensions /'%00 SC, -.
Bed Rooms_ Bath Rooms a— Den w/Closet �.
b) If Bulsiness, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Numbell and type of water -using fixtures:
commodes urinals garbage
lavatory showers 2 washing m ,
dishwasher sinks
8. a) Type' water supply: Public Private Community
b) Has the water supply system been approved? Yes No_�L
9. a) Prop;IDimensions
i
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.
Date Owne ignature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing r
OT
Directions to property: � �(,�, kQ r 1f a
CY, .
oz:,
DCHD (6-82)
1�oa� o ' ems La
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name,e v\"t') \ e `kJ Date S 1 U
Address S ca X'"N si Lot Size'
c
FACTORS
ARFYf 1 \ ARFC**-� ARFA 3 ARFo d
1) Topography/ Landscape Position
S
S
C:&i-
U
PS
U
PS
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
<:fl�
S
PS
S
PS
U
U
U
i) Soil Structure (12-36 in.)
Clayey
S
PS
S
PS
S
PS
Soils
U
U
U
g Soil Depth (inlches)
PS
_
S
PS
S
PS
U
U
U
i) Soil Drainage Internal
S
PS
S
PS
U
U
U
External
pS
S
PS
S
PS
U
U
U
i) Restrictive Horizons
Available Space
S
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
S
S
PS
S
PS
U
U
1) Site Classification
U—UNSUITABLE S—S nTAE3LE PS— ro isionaliy Suitable
Recommendations/Comments:
Described by - Title Date. � 0 -
SITE DIAGRAM
o
DCHD (6-82)
G
n
SO V
Q
Davie County, NC Tax Parcel Report Tuesday, September 27, 2016
PB7-PG124
5 7
151 100 ---
141 . ....... 140r -
N . ..... ...... .....
...... ..............
163
1477 a CD
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LO 9! 5722 7-- 87,,Q2
co A CV CV
—031-
109
105
1597
13
Davie County, NC
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parceflnforthation.
Parcel Number
G90000001601
Township:
Shady Grove
NCPIN Number
5789966752
Municipality:
Account
953000
Census Tract:
37059-804
Listed Owner 11
ALLEN KEVIN WAYNE
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
147 COYETTE LANE
Planning Jurisdiction:
Davis County
City:
ADVANCE
Zoning Class:
DAME COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
0.78 AC WOFF PEOPLES CRK
Fire Response District:
ADVANCE
Assessed Acreage:
0.74
Elementary School Zone:
SHADY GROVE
Deed Date:
4/1988
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
001420810
Soil Types:
Pc132,PcC2
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:''
154220.00
Outbuilding 8, Extra
0.00
Freatures Value:'
Land Value:
18000.00
Total Market Value:
172220.00
'I
Total Assessed Value:
172220.00
Davie County, 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 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.