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132 Kluenie Rd Davie County,NC Tax Parcel Report �)b�o Tuesday, October 4,2016 160 •� ti � , , 5 4 � �' f � k��/� �` 148 2, , N�F `�., 1�2--, �- i �'ip ; � � � ' , � � ' 'ti O 5 1 � � � k 5 3 5 5 S _► �,<��/� i�� 758 � ' � ' r Q � O c}!� � ' � O�'Z O ` i f�� r � � Y I �.�3 Ir . r�—.— �Y_� WARNING: THIS IS NOT A SURVEY - -- ___ _ _._ _ . __ � __ ._ __ ,. __ _ ___ _ : . ,___ - -- -.._._. ; Parcel Information _ Parcel Number. L40000004101 Townsh(p: Jerusalem NCPIN Number. 5736358270 Municipality: Account Number: 8301088 Census Tract: 37059-807 Listed Owner 1: HOLCOMB ALBERT H JR Voting Precinct: COOLEEMEE Mailing Address 1: 132 KLUENIE ROAD Planning Jurisdictlon: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028 Voluntary Ag.District: No Legal DescNption: .70 AC KLUENIE RD Fire Response District: JERUSALEM Assessed Acreage: 0.69 Elementary School 2one: COOLEEMEE Deed Date: 11/2011 Middle School Zone: SOUTH DAVIE Deed Book/Page: 2011E1119 Soil Types: GnB2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overiay: DAVIE COUNTY Building Value: 14000.00 Outbuilding 8�Extra , 6620.00 Freatures Value: Land Value: 11650.00 Total Market Value: 32270.00 Total Assessed Value: 32270.00 � 9��F All data is provlded as b withart warranly or guuantee oT any idnd efther expressed or Implied Including but not Iimlted to the Davie County� Implled wamMtes of inerchaMablllty w fitness Tor a perticular usa All usera oT Davie Cowit�s GIS webslte shall hold harmless tl�e CouMy of Davle,North Carolina,Its agaKs,conwlta�rts,wMracWra w employees ttom any and s9 claims or wuses ot actlon due to c0�ty�S� NC or arising out of the uu o►InabflHy to use the WS data provided by this weDstta ��-=�.�"�' r":.�..,:�., .�.i'"_' "�=.i:� ...��.. � .. `. : � • . . . - . � �.�- . . . �:�-..y � .r.��l..... .� . � ..�_ -. . . i . , . . . . . . . ... . . .. - . -� .. .. .. � , . n r� �i",r ��'� DAVIE COUNTY HEALTH DEPARTMENT ° .:� . , �: �: ' .. =,-� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Complian�e with G.S. of North Carolina Chapter 130 Article._13c � Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) P@I'IYtlt NUIY1beP Name�,�l��ICI'' �' ;v��-d� ��, �y�--r--,r� �`, .�.,.� Date �' ' ?i`.:3 �) i �.�6 Location `<�/.f� /'1�,j /. -,1 .1 /r.�..-rr ^?j /i�' �� ` � F r'.,��/._� �` i f �� :!„>, ' - -- �3 2 �C!l��Y�r�l� Subdivision Name Lot No. Sec, or Block No. Lot Size House Mobile Home _� Business Speculation. No. Bedrooms x� — No. Baths � No. in Family�_ - Garbage Disposal YES ❑ NO � Spe ifications f r System: ,.:. Auto Dish Washer YES NO p'' �.��'�fp�' � .f` Auto Wash Machine YES � NO � .O a , �� f Type Water Supply l� --- r `�� *This permit Void if sewage system described below is not installed within 36 months from date of issue. �� ' ,/"�� {– ��7 � `' '�v" G � - ^—r ' C� /�i1 i%��'J � �` ��/ �� /� �.� /'1��s_�� ,- , /,rj- - " � •�; , /� f �� 1-� !-I �' i I L•� ,�l . ' !/t/ w' ,v�I . I -�� _ � — J --- --------_.__ � I�� "f � � . �� , �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 � � ' � � ��+ � � '� �\. .,� �,� , � �� \ , . `� ;�3 I-� ' � �' �. .. � ; ,.._..... �`--. , _� �'ti 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 �I satisfactorily for any given period of time. '�. r ' �� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT � Davie County Health Department AR � a Environmental Health Section �D M P. O. Box 665 ��,v Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone Z�y-2 3�� 1. Permit Requested By ��l/C e �i�1�//�eS Business Phone 2. Address �,G'��P, L/,�5� _ ��, '7�"5 CaoC e P.yp P �� , 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. ��3 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 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 � dishwasher sinks � 8. a) Type water supply: Public��Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions 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? This is to certify that the information is correct to the best of my knowledge. 3-/ f- 8 � Date Owner nature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: ��=�� `� �},r, /�L s �� /�s�-- p � o � �3 DCHD(6-82) r � •� • .. . � � � . ` �� DAVIE COUNTY HEALTH DEPARTMENT ' � Environmental Health Section. � P. 0. Box 665 Mocksvilie, N.C. 27028 SOIL/SITE EVALUATION Name � Date � ,,�C��/� Address Lot Size �/¢"�� FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S , S S S � � PS PS U U 2) Soil Texture (12-36 in.) Sandy, � S S Loamy, Clayey, (note 2:1 Clay) S ( �'% PS PS 'TI U U 3) Soil Structure (12-36 in.) S S Clayey Soils S P PS PS U U 4) Soil Depth (inches) S S � g PS PS PS U U 5) Soil Drainage: Internal , ,Sc� S S S (� US US External � S S g l P� PS PS ZT U U 6) Restrictive Horizons 7) Available Space �, S S g (pS, PS PS �'� U U S) Other (Specify) S S S S PS PS PS PS � U U . U 9) Site Classification �, . U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suit_able � Recommendations/Comments: Described by ,,...�� Title �� Date � SITE DIAGRAM i % . . � 1 /'� l�' � �a_..____._._..�__.__.____.__�_- � . . ,��, �� '`�.. �"�� -.. UCHD(6�82)