4101 Hwy 801S (2)Davie County, NC Tax Parcel Report Oat Tuesday, September 27, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Parcel Information _.. .
Parcel Number.
J800000025
Township:
Fulton
NCPIN Number.
5777570773
Municipality:
Account Number.
35268000
Census Tract:
37059-804
Listed Owner 1:
HENDRIX ROBERT LEE
Voting Precinct:
FULTON
Mailing Address 1:
4101 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:
7.86 AC HWY 801
Fire Response District:
FORK
Assessed Acreage:
6.51
Elementary School Zone:
CORNATZER
Deed Date:
2/1999
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001160319
Soil Types:
PeD,PCB2,PCC2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV P
Building Value:
123370.00
Outbuilding $ Extra
0.00
Freatures Value:
Land Value:
69800.00
Total Market Value:
193170.00
Total Assessed Value:
193170.00
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Ulm
Davie County, NC
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harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all dolma or
causes of action due to 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 A,
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIONS a�
*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 R V N e- P tJ 2 1 Date 1 ` o� N2 5821
Location �� �ty o� T ci �'1 c� A N c Q .0 • 0 4 b
Subdivision Namep Lot No. Sec. or Block No.
Lot Size House Mobile Home Bujiness Speculation
No. Bedrooms "'p No Baths �' - No. in Family_ "" s
Garbage Disposal YES 1] NO Specifications for, System: `
Auto Dish Was ( YES, [v7 NO-
,.; �v-s.�.�,.. , �.,
Auto Wash Machine',_.,YES:`(' NO "'O °Q U 1 I Itp.4
Type Water Supply,,,,,.,,, � -- i:. 3
*This permit Void if sewage system described below isnot installed within 36 months from date of issue.
,• s:y so'
j; 0
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0
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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-���-
I F
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.
1 ^ V O
�pp # APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT r` Davie County Health Department
V / Environmental Health Section
R O. Box 665 R
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Req ste,1d By Business Phone 7 y% 6 961
2. Address KO 6or t1dvemer, N( 7°U6
3. Property Owner if Different than -Above
Address
4. Permit To: a) Install - Alter Repair
b) Privy Conventional 11" Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Busines
IndustryOther
b) Number of people
6. a} If house or mobile home, tate size of home and number of rooms.
House Dimensions
Bed Rooms 3 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 a urinals garbage disposal
lavatory showers 1 washing machine
dishwasher sinks
8. a) Type water supply: Public Private vo" Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions 919eveS
b) Land area designated to building site 900 X 4100
C) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type? re .64 ldR IYd43c
a
This is to certify that the information is correct to the best of my knowledge.
I - SN %A'd�
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: % n
6 4f 't C) t' ct 5 � p l C r ilCJ � �4 Y � r -L
�U� h c 7 .� �rS No c4se, �h �'Jc
DCHD (6-82)
Oq 20 l-to"VCIS Aatl4Kcp
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION GG
Name Date
Address 'AyN 4 Lot Size
GART(1RC APPA i APPA 9 ARFA 3 APPA A
Topography/ Landscape Position
S
P~
PS
S
PS
S
PS
U
U
U
!) Soil Texture (12-36 in.) Sandy,
Ck
S
PS
S
PS
Loamy, Clayey, (note 2:1 Clay)
PS
U
U
U
U
1) Soil Structure (12-36 in.)
Clayey Soils
PS
PS
S
PS
S
PS
U
U
U
U
1) Soil Depth (inches)
c
S
CPSS
S
PS
S
PS
U
U
U
U
) Soil Drainage: Internal
pS
PS
S
PS
S
PS
U
U
U
External
pS
_
S
PS
S
PS
U
U
U
i) Restrictive Horizons
Available Space
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
1) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by>>Title- Date
SITE DIAGRAM
DCHD (6.82)
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