5500 Hwy 801S (2)t
Davie County, NC Tax Parcel Report sill Tuesday, September 27,
11-VrF
Davie County, NC
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All data is provided as is without warranty or guarantee of any kind either expressed or implied including but m
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website st
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any an,
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Pa�cefinformahoit
Parcel Number:
L700000012
Township:
Fulton
NCPIN Number.
5766198279
Municipality:
Account Number:
Census Tract:
37059-804
Listed Owner 1:
Voting Precinct:
JERUSALEM
Mailing Address 1:
Planning Jurisdiction:
Davie County
City:
Zoning Class:
DAVIE COUNTY R -A
State:
Zoning Overlay:
Zip Code:
Voluntary Ag. District:
No
Legal Description:
18.47 AC HWY 801 LOT 11
Fire Response District:
FORK,JERUSALEM
Assessed Acreage:
17.19
Elementary School Zone:
CORNATZER
Deed Date:
7/1982
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001160819
Soil Types:
AaA,PcC2,RvA,ChA,WATER,MaB
Plat Book:
Flood Zone:
AE,X
Plat Page:
Watershed Overlay:
-
Building Value:
74290.00
Outbuilding & Extra
9830.00
Freatures Value:
Land Value:
129880.00
• Total Market Value:
214000.00
Total Assessed Value:
214000.00
11-VrF
Davie County, NC
onnti
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but m
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website st
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any an,
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
r DAVIE COUNTY HEALTH DEPARTMENT N
! IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130 -Article 13c.
Permit Number
Name Date 4�7' N? 3197
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size ?ted House Mobile Home _ Business Speculation
No. Bedrooms— No. Baths __ No. in Family_
Garbage Disposal YES Ej NO g''' Specifications for Syste
Auto Dish Washer YES p NOli
Auto Wash Machine YES ❑ NO
Type Water Supply
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
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,
J
l
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.
r DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
' r
*Note I ed in Com liance with G S of North Carolina Cha ter 130—Article 13c
ssu
p
p
Permit Number
Name -= "{'<-
�'
Date•i-
s,
- Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size r' House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family's
Garbage Disposal YES ❑ NO p' .. Specifications .for System:
Auto Dish Washer YES ❑ NO ❑.,.
Auto Wash Machine YES ❑ , NO ;p `w- _ J
l
Type Water Supply ---
"This permit Void if sewage system described below is not installed within 36 months from date of issue.
r
_1
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
Certificate of Completion Date f ;jX�^
'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 HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size `'� y`�' House Mobile Home — Business Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO
Auto Wash Machine YES ❑ NO p v'
Type Water Supply"
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
1 /
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
Certificate of Completion % `. -::=L 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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
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.
Home Phone
1. Permit Requested By �J^w v G �-Business Phone �K
2 Add % �f141'.) In c C.XJ Odt- v) (, 2 7,1 2 6'
ress � ,
3. Property Owner if Different than Above
Address
4. Permit To: a) Install ✓Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House ---Mobile Home --Business
Industry Other
b) Number of people �-
6. a) If house or mobile home, state 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 f urinals garbage disposal
lavatory showers washing machine
dishwasher i sinks /
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yeses No
9. a) Property Dimensions 5e✓Z/2 J ee
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type? 'ey .� �� AC't s d7- r 46,4 ��,e
This is to certify that the information is correct to the best of my knowledge.
/- /g 3
Date O ner (gnature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
f
I-. rvx"
DCHD (6.62)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date —
Address Lot Size
FAr.TnRc AREA 1 AREA 9 AREA 3 AREA 4
1) Topography/ Landscape PositionS
S
PS
— PS
PS
PS
U
U
U
U
'.) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)C�Pu
S
T7�1
S
U
U
S
PS
U
1) Soil Structure (12-36 in.)
Clayey Soils
AU
S
S
U
U
S
PS
U
1) Soil Depth (inches) / n
�S C�
S
PS
S
PS
S
PS
S
PS
U
U
U
U
) Soil Drainage: Internal
S
S
S
S
PS
PS
U
U
U
External
<S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Restrictive Horizons
!� est12
Available Space
S
S
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
Ute'
U
U
U
1) Site Classification
,
U—UNSUITABLE
Recommendations/Comments:
Described by
SITE DIAGRAM
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DCHD (6-82)
S—SUITABLE PS—Provisionally Suitable
Title
Date