271 Goldman LnDavie County, NC Tax Parcel Report I Thursday, September 29, 2016
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Parcel Information
Parcel Number:
K50000009304
Township:
Jerusalem
NCPIN Number:
5747507707
Municipality:
Account Number:
82518374
Census Tract:
37059-807
Listed Owner 1:
JAMES NORMAN DOUGLAS
Voting Precinct:
JERUSALEM
Mailing Address 1:
271 GOLDMAN LANE
Planning Jurisdiction:
Davie County
City: MOCKSVIILE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-5367
Voluntary Ag. District:
No
Legal Description:
6 06 AC OFF DEADMON RD
Fire Response District:
JERUSALEM
Assessed Acreage:
6.08
Elementary School Zone:
CORNATZER
Deed Date:
3/2002
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
004120516
Soil Types:
PaD,PcC2,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
205990.00
Outbuilding & Extra
Freatures Value:
9550.00
Land Value:
34930.00
Total Market Value:
250470.00
Total Assessed Value:
250470.00
9 uvr� 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, 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
r'p UN.t� NC 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 Dis osal Rules (10 NCAC 10A .1934-.1968) Permit Number
%Name w i� L-, f1 1 Date 111_ 7 -69
6 p NO Fw "
1 — 7 +: �J
Nb
Location V
Subdivision Name a 'Lot No Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths ti�� No. in Family t�
Garbage Disposal YES .p NO E� Specifications for, System:
Auto Dish Washer YES tip, NO
Auto Wash Machine YES [g NO fl.x
Type Water .Supply,
*This permit Void if sewage, system described below is not installed within.3e1months:from date of issue.
Improvements permit by
*Contact a representative of the Davie County Health Department for final Jnspection 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 Installatio Diagram: System Installed by
i
.fid �S
s ` n
Certifi ate of Completion Date
c r
*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
Environmental Health Section r ivEo NOV 0 3
R O. Box 665 REtiE
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
I Home Phone
1. Permit Requested By 1� ���►1Q M Business Phone -
2. Address �T q' (� �'}1Z2P� eK�.a99 In
._3. Property Owner if Different than Above J ca 1. 1 Lu 0 t- !- - nc ,��"�� n, P <
Address
4. Permit To: a) Install -X --Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division S a Lot,No.
System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
r
6. ar If house or mobile home, state size of home'and number of rooms.
`House Dimensions I q L4-0
Bed Rooms— Bath Rooms -a V -a 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 3
8. a) Type water supply: Public Private Community
b) Has the water supply system .been approved? Yes No__Z
9. a) Property Dimensions (.n • [� (0'3 .Q C ��5
b) Land area designated to building site A
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.
bate- 0 er Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
Rd , eco►-, c .(-6 (a d
C) r" h� p Ck mat r) Ra) < < `i" e- tA_� Q `(- 0
*NOTE: Improvements Permits shall be valid fora period of 5.
years from date issued. Improvements Permits are subject
to revocation, if cite plans or the intended use change.
Effective October 1, 1989.
DCHD (6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name U �R ccc� Date 11 -I'CI
Address Lot Size '� (O Cis
w
9=A(:Tr1RC ARFA 1 ARFA 9 AREAS AREA A
1) Topography/ Landscape Position
9)
S
< SS
S j
S
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
SS
--�
U
3) Soil Structure (12-36 in.)
Clayey Soils
( P�
{�
S
S
S
y Soil Depth (inches)
S
i) Soil Drainage: Internal
U
External
pg
PS
PS
PS
1) Restrictive Horizons
Available Space
S
S
S
PS
U
U
U __�
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
Site Classification
7SJ
J
S
U—UNSUITABLE S—SUITA PS—Provisionally Suitab e
Recommendations/Comments:
Described by e- Date - g
SITE DIAGRAM
L)A
UCHD (6.82)
obi