2456 Hwy 801SDavie County, NC Tax Parcel Report I �, Tuesday, September 27, 2016
Building Value: 18314000
Outbuilding & Extra
240,00
WARNING: THIS IS NOT A SURVEY
Land Value:
20280.00
Parcel, Information
203660.00
Parcel Number:
HB0000002002
Township:
Shady Grove
NCPIN Number.
5789249940
Municipality:
Account Number:
21290500
Census Tract:
37059-804
Listed Owner 1:
DIXON ROBERT H
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
2456 NC HIGHWAY 801 SOUTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAME COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
1.65 AC W OFF HWY 801
Fire Response District:
ADVANCE
Assessed Acreage:
4.73
Elementary School Zone:
SHADY GROVE
Deed Date:
7/1987
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001380553
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV P
Building Value: 18314000
Outbuilding & Extra
240,00
Freatures Value:
Land Value:
20280.00
Total Market Value:
203660.00
Total Assessed Value:
I
203660.00
�a
Davie County, NC
AN 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.
�r• c�^.�_.�>� d�`(ra9'��r�'t�., j'�>e�+t d'-;. �. w.�- ;..�--i ,Y -✓�.'e ' m a�.y -ai.+.ady-•`si..�i`'"C bt. .�1�.1'{� r, ri,NV4" �..i'A� ..ty��yt.f�� p�-�
t,^- �v;.} .�.Yy •„a.a. "'s
'3
�:AUTHORIZATION NO '� �'y��''�� DAVIE COUNTY HEALTH DEPARTMENT I�""" ���'��� .
�N "^�..�.�..:r : � ' ., . • . . ' . ..
` Enyironmental Health Section PROPERTY:INFORMATION
Perm�tiee s' i� �-�' f. ' PA.'Box 848,
j
Name: � l�rY�r�i.�� � y�,�;�� r� �_� .� 4 Mocksville, NC 27028 Subdivision Name:
. " '"'. ` 1,,y one # 336 751-8760 : ; '
� 1 birections to property: � �(/�� -; � " ` - Section: Lot:
ra �� AUTHORIZATION FOR
. - ` WASTEWATER .
�}`!�'"�.'/,r^ t.�.i''i�' � �' Tax Office PIN:#
� ; --�— SYSTF.M CONSTRUCTION ` - � _
.
. � Road Name: Z]p:
,
**NOTE**,This Audiorization for Wastewater System Consuuction MUST BE ISSUED by the Davie County Environmental Health Section prior
�. � ` t� issuance of any Building-Permits. This Form/Authorization Number should be presented to the Davie County Buildinglnspections ;
� Office when'applying for Building Pertnits.
�- (In comp�iance with Article l7 ;of G.S: Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�.
El
Cr�c�l. `:i!�'G� ?' i
tONMENTAL HEALTI�S
'-` ' ' ***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION
���� -- ,..�. � i� ' IS VALID FOR A PERIOD OF FIVE YEARS:.
PECIALIST DATE ISSUED .
' , : ` '
,, , .
' r ,. i F .
... , . .� �.; ;.t -. .� �. , ,r'` �...:,'f-r . �. . . . : '
,
. �. '.��; „ '���.. ��... �
+,Kfi cam."� `';w'.r •`,rim_ -__ f Sr }rf "l': •+�-:zef M _ _ '1 .:..,, -'t '�y.r. kr't'# _
61 ' DAVIE COUNTY HEALTH DEPAI 4AAN� Af�
1 IMPROVEMENT AND OPERATION PERMITS. PROPERTY INFORMATION `
4 f
Peine
r Name..'Subdivision Name:
k ` Directions to property: Section: Lot:
Eel' It
/ IMPROVEMENT
x"- PERMIT Tax Office PIN:#
Road Name: Zip:
**NOTE** This Improvement Pem-dt DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article l I of G.S. Chapter 130A, Wastewater. Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH'SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
a LOT SIZE - TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE" <' REPAIR SITE ! `
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH .ROCK DEPTH LINEAR FT. .�?Q�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**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 THE DAY OF INSTALLATION. TELEPHONE # IS1
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
�.. u
IM
AUTHORIZATION NO. OPERATION PERMIT BY: / DATE.
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT. AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
a
i+ _ � ; . �'a ieiu, t�: w. �'`�"`!'%�(�,'q °+1r`faWy t'."•, 't+5i"`'.Wry"i' %rx ."�7rt �-� "i` ror • `"-"v r' ..' -y
s. " .a "� s X�•'s'DAVIE COUNTY HEALTHDEPAR1MNT j ^:l, � :,r 1 „ ,:i as •vd'9i'"� "",YT �, �H '%
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pe m it"e� as
Name:. r _ ' Subdivision Name:
Directions to property:.-, 4=1 �' _ Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
I�oaa ivame: Gip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septiduA system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _�� + # BEDROOMS 2:;� # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No +.
A
i 4
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE f TYPE WATER SUPPLY rDESIGN WASTEWATER FLOW (GPD) NEW SITE - REPAIR SITE
►_ i �, it �
Jam..;.
SYSTEM SPECIFICATIONS: TANK SIZE GAL: -PUMP TANK " GAL. TRENCH WIDTH -� c` ROCK DEPTH LINEAR FT.
OTHER
F f REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENTPERMrrLAYOUT*p"ROVED F -FLUENT FILTER* *RISER(5) IF 67° BEL914 FINISHED GRADE*,:'
,
Y
. A
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 -0:30 A.M. OR 1:00 - 1:30 P.M. ON THE PAY OF INSTALLATION. TELEPHONE # IS MMMU
j ! (336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
s
qV
F .
AUTHORIZATION NO. 61 OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION 1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
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
Name ,,t: %;� . /�% c/J� -� Date
Location
Subdivision Name Lot No. Sec. or'Block No.
Lot Size House Mobile Home _. Business Speculation
No. Bedrooms -2 No. Baths -2' No. in Family 2
Garbage Disposal YES NO ❑ Specifications for Syste
Auto Dish Washer YES NO ❑ I -Ano,, :;
Auto Wash Machine YES NO {] ,.%G"iil-2
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
r -
Improvements permit by ZZ�Zz/
*Contact a representat Ve of the Davie - County Health Department for final inspection of, this system between 8:30-
9:30 A.M. or t:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
001
r 1
System Installed by
Certificate of Completion Date�� J a 0
'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.
" DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
A�
NAM e1 -1po'V owa"4 0/, "/t- PHONE NUMBER
ADDRESS �5� fiw(/ �Qls SUBDIVISION NAME
c- y� .27cva-
SUBDIVISION LOT #_
DIRECTIONS TO SITEe--
�/ /t`�- l�'� � OGS . �n / / 9 ,tel L. �lL�� /�'��/•� �./���
DATE SYSTEM INSTALLED !
NAME SYSTEM INSTALLED UNDER S�
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY /�
` DAVIE COUNTY HEALTH. DEPARTMENT"' -
h. IMPROVEMENTS PERMIT. AND CERTIFICATE OF COMPLETION
s�
*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 t) v� ,� (I�z LL-; JJ r Date—,L-'f,��1
Location �' G' �%%i; i i o. i% 3 ?� 1 Var'rr• /' e' '✓ ✓'7 ;'r -r'
ei H -
F{
Subdivision Name Lot No. Sec. or Block No.
Lot Size House 4 Mobile Home _ Business Speculation
t ,
No. Bedrooms - No. Baths No. in Family _
Garbage Disposal YES NO ❑ r'
Specifications for�Syste�:
Auto Dish Washer YES NO ❑ i�Gf'�C
Auto Wash Machine YES NO ❑>
Type Water Supply _ I �-
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
r-
ImproJembentts• ermit by
'Contact a reprbsenta4e ohhe Davie Couhty HealthDepartment forfinal inspection ofjhis system between 8:30-
9:30 A.M,-..or 1-00-1:30 P.M. on day of completion. Telephone Number -10,4-634-5985.
r-:
Final Installation Diagram: Systeril Installed by
s-
Certificate of Completion Date
Date b
"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.
4
I Permit R,
2. Address
3. Property Owner if Different than Above QZ0 IS A,
Address R}, - � 31 &A V a- r4 e ;t -
A4. Permit To: a) Install ✓ Alter Repair—
b) Privy Conventional Other Type
Ground Absorption
Fa
-7
c) Sub -Division Seo(Lot No.
5. System used to serve what type facility: House VV Mobile Home Business
Industry Other
.0
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions j0 x 6 e)
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 1
dishwasher sinks %
8. a) Type water supply: Public Private Communit
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions
b) Land area designated to building site O�d�
C) Sewage Disposal Contractor - C
10. Do you anticipate any additions or expansions f 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 Owner Signature r
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: S•�zc?�.. Sd� L �/ � � ;1/
c�
DCHD (6-82) /-
r r
r
A4 ~ .: -V r
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name—
Address
Date
Lot Size
FACT()RS AREA 1 ARFA 9 AREA 3 ARFA d
1) Topography/ Landscape Position
S
S
S
S
PS
PS
PS
PS
U
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
PS
PS
PS
PS
U
U
U
U
q Soil Depth (inches)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
S
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Restrictive Horizons
Available Space
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title Date
SITE DIAGRAM
DCHD (6-82)