811 Sain Road Lot 3 Davie County,NC Tax Parcel Report Monday,December 19, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H607DA0003 Township: Mocksville
NCPIN Number: 5759131722 Municipality:
Account Number: 8301364 Census Tract: 37059-805
Listed Owner 1: MABE ANGELIA RUFTY Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 811 SAIN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: LOT 3+DUTCHMAN ACRES Fire Response District: MOCKSVILLE
Assessed Acreage: 0.84 Elementary School Zone: MOCKSVILLE
Deed Date: 9/2012 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009010948 Soil Types: Gn132,MsD
Plat Book: 0006 Flood Zone:
Plat Page: 005 Watershed Overlay: DAVIE COUNTY
&Extra
Building Value: FOreatures Va ue:
Land Value: Total Market Value:
Total Assessed Value:
91 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.Ail users of Davie County's GIS webstte 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
NCor 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 Article II of G.S.Chapter 130a - -
Sanitary Sewage Systems Permit Number
Name ,�?; �« -S <,�///l:, L �11�.i/nate 212 IZ N2 5865
Location
Subdivision Name t� r
7�f ��/,�,�' d���"fir'S Lot No. ' - � Sec. or Block No.
Lot Size House Mobile Home _ Business -- Speculation t/ l
No. Bedrooms No. Baths _ `�— No. in Family
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES NO ❑ ,� ,�`�c
Auto Wash Machine YES NO ❑ J �
X?X/a
Type.Water Supply � __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
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Improvements permit by
*Contact a representative of the Davie County Health Department forAinal inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. TelepQnAumber: 704-634-5985.
Final Installation Diagram: 6System Installed by
,
Sao
Certificate of Completion Date 1D
'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
P. 0. Box 665
Mocksville, NC 27028
1 . Application/Permit Requested By Usli -1nC,
Mailing Address 710 So.fh 177A/n 571.
Home Phone l 3y'lls7 Business Phone
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: D General Evaluation S/Tank Installation
5. System to Serve: Q- House u Mobile Home Business
Industry u Other D Unknown
6. If house, mobile home: Subdivision 04C-h•kdU dcff-0 Sec. Lotat 3
No. of People Dwelling Dimensions
No. of Bedrooms 3 Basement/Plumbing
No. of Bathrooms A Basement/No Plumbing
Washing Machine Dishwasher Garbage Disposal
7. If business, industry, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers
8. Type of water supply: Public D Private Q Community
9. Property Dimensions 1/0 y a50 .$'
10. Sewage Disposal Contractor
11 . Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes 14 No
If yes, what type?
*NOTE: Improvements Permits shall be valid for a period of 5
years from date issued. Improvements Permits are subject
to revocation, if site plans or the intended use change.
Effective October 1, 1989.
This is to certify that the information provided is correct to trie
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
Date Signature
Directions to Property :
DCHD (10-89)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
( � .f SOIL/SITE EVALUATION
Name 111�11L1/� A' Date �a/�/r9
Address Lot
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position 9)
PS PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S- �0-Loamy, Clayey, (note 2:1 Clay) (� �P C 0
U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils Ap ( V
U 0
4) Soil Depth (inches) A)
P
U U U U
5) Soil Drainage: Internal � S S-, 5:-�
U U (`PS
External S_,_ $--
A 2 Com ,
U U
6) Restrictive Horizons —
7) Available Space 6�5 � (�'-�
U U Tl
8) Other (Specify) S S S S
PS PS PS PS
U U U , /U
9) Site Classification S, - >` • r
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: d 'y
Described by TitleyQ Date
SITE DIAGRAM
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OCMO(6 82)