1551 Hwy 801S 'Davie County,NC Tax Parcel Report Thursday, February 2, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Infofmati6n y _ M777
Parcel Number: F800000086 Township: Shady Grove
NCPIN Number: 5880053643 Municipality:
Account Number: 32308000 Census Tract: 37059-803
Listed Owner 1: HANES JAMES H Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 1551 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 6.26 AC HWY 801 Fire Response District: ADVANCE
Assessed Acreage: 6.03 Elementary School Zone: SHADY GROVE
Deed Date: 4/1990 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001530802 Soil Types: WeC,WeB,PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
OI. I� 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
�OUN� NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
f �' �V IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a /
Sanitary Sewage Systems w,;r �, Permit Number
Name � i�-�. f f � J)/�� ;Z `L Date 7-:�& N2 t✓'5 4
arCS s
Location
Ne- ItWr 015 i
Subdivision Name Lot No. Sec. or Block No.
Lot Sizerf/C House ✓ Mobile Home _ Business Speculation
41
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO Q''*' Specifications for System:
Auto Dish Washer YES NO ❑ v,. '�
Auto Wash Ma.hine YES NO ❑ �� r "''"� �'��
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.
Improvements permit by --)L�
*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 -41V!' Date
'The signing of this certificate shall indicate that the system...describe 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.O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By '4' �� x A/
Mailing Address 0 Q /'7/9 >IAA;..
Home Phone Business Phone
2. Name on Permit if Different than Above :37&,hZ4
3. Application/Permit for: ❑ General Evaluation eseptic Tank Installation
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home:Subdivision Section Lot #
❑ Basement/Plumbing
No. of People 3 Q'Basement/No Plumbing
No. of Bedrooms 3 112'`IVashing Machine
i B'
No. of Bathrooms a-v B'Dishwasher
Dwelling Dimensions "a9' X ❑ Garbage Disposal
6. If business, industry, place of public assembly, 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 Water Usage Figures
�/
7. Type of water supply: Lv1 Public ❑ Private ❑ Community
8. Property Dimensions -72 d'c T Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes eNo
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.
Directions to Property:
3sS
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fanddisposal
ECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
ked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by v�¢d �/6-r.P�
all testing procedures as necessary to de mine said site's suitability for a ground absorption sewage treatment
system.
DATE SIGNATURE
DCHD(12.90)
ti APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
10"
0 1 Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN� UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.� H Home Phone
1. Permit Re ested • < .1<e, Business Phone ��
2. Address O•
3. Property Owner if Different thapAbove N/ ' ,e/
Address -ag X/�
4. Permit To: a) Install Alter Repair��
b) Privy ' Conventional t Other Type
Ground Absorption
c) Sub-Division Sec Lot No.
5. System used to serve what type facility: House!!!:�l Mobile Home Business
IndustryOther
b) Number of people
6. ay If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms 3 Bath Rooms—j2? ryDen 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 3 urinals garbage disposal
lavatory 1 showers washing machine
dishwasher _�� sinks
8. a) Type water supply: Public Private Community
om unity
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions L 96YGS
b) Land area designated to building site c2 /42Y�5
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 informati is cor ect to the best of my knowledge.
Date dwner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANC WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
L_
5PM
C1, 55 �i
G� n 12-- D'
DCHD(6-82)
t
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date JZ&44
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position SS /SS
U "J `�7 U
2) Soil Texture (12-36 in.) Sandy, S
Loamy, Clayey, (note 2:1 Clay)
U U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils x)
U.
4) Soil Depth (inches) — fS'�'
D
5) Soil Drainage: Internal S S S�
(`(ply 08
External
6) Restrictive Horizons
l—.
7) Available Space S
S PS S IS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U
9) Site Classification < y!f
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: rU.
Described byTitle / � Date
SITE DIAGRAM
}(
DCHD(4-82)
1
1C '
Davie County Nealtli Department
and .glome Nealtli .f1yeaq
210 HOSPITAL STREET i P.O. BOX 665
MOCKSVILLE.N.C. 27028
PHONE:(704)634.5985
March 29, 1990
James Hanes
c/o Betty Potts Realty, Inc.
P. 0. Box 2056
Advance, NC 27006
Re: 2 Site Evaluations
Mattie & Ethel Jones - Owners
Highway 801
Dear Mr. Hanes:
On March 26, 1990, as you requested a representative from this office
visited the above mentioned site. Each site was found provisionally
suitable for the installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. all, Jr. , R.S.
Environmental Health Section
RH/wd
Enclosure