1069 Daniel RdDavie County, NC Tax Parcel Report �f� Tuesday, September 27, 2016
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All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
hanniess 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.
WARNING: THIS IS NOT A SURVEY
_ arcerinfonnafion
- - -
Parcel Number:
L4130A000501
Township:
Jerusalem
NCPIN Number:
5736723828
Municipality:
Account Number:
22152000
Census Tract:
37059-807
Listed Owner 1:
DULL MELVIN RAY
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 121
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0121
Voluntary Ag. District:
No
Legal Description:
1.13 AC DANIEL RD
Fire Response District:
JERUSALEM
Assessed Acreage:
1.14
Elementary School Zone:
COOLEEMEE
Deed Date:
2/1992
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001620657
Soil Types:
CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
4500.00
Land Value:
18730.00
Total Market Value:
23230.00
Total Assessed Value:
23230.00
[w]
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
hanniess 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.
DAVIE COUNTY HEALTH DEPARTMENT
��r 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 �i �`1 �--'' ='' f /,• ,.1/ Date . G% 176
J V •e
Subdivision Name Lot No. Sec. or Block No.
'This permit Void if sewage syster
)w is not installed within 36 months from date of issue.
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
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.
Lot Size T— House
Mobile Home _'.%" Business _— Speculation
No. Bedrooms -_
No. Baths
L�
No. in Family
Garbage Disposal
YES ❑ NO
p'
Specifications for System:
Auto Dish Washer
YES NO
❑
„ :.. .= c"
Auto Wash Machine
YES NO
❑
y �.
Type Water Supply
y
'This permit Void if sewage syster
)w is not installed within 36 months from date of issue.
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
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.
r
t
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT I ��
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 (P 3 y - 3 i y,
1. Permit RequestAd By�� �� UL Business Phone
2. Address • (213a—(� / A�/� 5r�, L�
3. Property Owner if Different than Above /,14 4p ►^ L-4/ 14 17)v l 1
Address R 0 ij off► 31` / C a or e th - e
4. Permit To: a) Install 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 Home Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 6 � y
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
lavatory �- showers washing machine _
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply sy tem been approved? Yes No
9. a) Property Dimensions ,erg.
6);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? A10
Whattype?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
L9
0oh 7-0
tint
ho s5
fy0 cls vr��-
L e'4 Wel
DCHD (6-82)
i
t
Y �
Name—
Address
FACTORS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
AREA 1 AREA 2
Date
Lot Size
AREA 3 ARFA 4
1) Topography/ Landscape Position
S
S
S
PS
U
S
PS
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
PS
S
PS
U
S
PS
U
f) Soil Structure (12-36 in.)
Clayey Soils
P
U
S
PS
U
S
PS
U
1) Soil Depth (inches)
S�,
�v
U
J
U
S
PS
U
S
PS
U
i) Soil Drainage: Internal
(h?
U
A)
U
S
PS
U
S
PS
U
External
S
`HT1
S
PS
U
S
PS
U
i) Restrictive Horizons
r
Available Space
�S -,
C�
U
U
S
PS
U
S
PS
U
1) Other (Specify)
S
PS
U
S
PS
U
S
PS
U
S
PS
U
1) Site Classification
U—UNSUITABLE
Recommendations/Comments:
Described by _
SITE DIAGRAM
DCHD
(6-82)
S—SUITABLE PS—Provisionally Suitable
G Title Date��
Ae—