151 Outatha WayDavie County, NC • Tax Parcel Report 6W Wednesday, October 5, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
F80000013910
Township:
NCPIN Number:
5880582669
Municipality:
Account Number:
8303308
Census Tract:
Listed Owner 1:
ISAKSEN JUDY
Voting Precinct:
Mailing Address 1:
151 OUTATHA WAY
Planning Jurisdiction:
City:
ADVANCE
Zoning Class:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27006 Voluntary Ag. District:
5.53 AC UNDERPASS RD Fire Response District:
5.40 Elementary School Zone:
3/2014
Middle School Zone:
009530941
Soil Types:
�r
NC
Flood Zone:
Watershed Overlay:
122370.00
Outbuilding & Extra
Freatures Value:
73820.00
Total Market Value:
197710.00
Shady Grove
37059-803
EAST SHADY GROVE
Davie County
DAVIE COUNTY R -A
ADVANCE
SHADY GROVE
WILLIAM ELLIS
PaD, PcB2, PcC2
DAVIE COUNTY
1520.00
197710.00
No
9 tl�
Davie County,
All data Is provided as Is without warranty or guarantee of any Idnd 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
SOU lyc'�
�r
NC
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.
DAVIE COUNTY HEALTH DEPARTMENT
-'� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
S age Tre ment and Disposal Rules (10 NCAC 10A .1934-.19 8) Permit Number
Name Date NO
Location ?;!`"1�
Subdivision Name Lot No. Sec. or Block No.
Lot Size House -'' Mobile Home _ Business Speculation
No. Bedrooms No. Baths c2 No. in Family _
Garbage Disposal YES [] NO ❑ Specifications for Syst m: n
Auto Dish Washer YES q NO ❑ /f��GlJ1i,�
Auto Wash Machine YES [3 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
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
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 A114 (__ - P_&AqjZ6tAft Business Phone
2. Address tZ�Rn 1=,4SA7FR_ 4AKE P—DCGEA�1,�2dajC ?70/2.-
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_sC Mobile Home Business
Industry Other
b) Number of people 3
6. a} If house or mobile home, state size of home and number of rooms.
House Dimensions GZ� X Z 8 01
Bed Rooms_ Bath Rooms 2— = 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 r
lavatory 3 showers washing machine
dishwasher t sinks
8. a) Type water supply: Public PrivateCommunity
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions �'5— -t— �arES
b) Land area designated to building site / UCS X i 00
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? N
What type?
This is to certify that the information is correct to the best of mykn ledge.
9- 88
Date Owner S gna ure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
oRTff o,j 0116/ /�M ,�,,���o
j` �-v caGq� � vv.J lJ�v�%� P3SS �d • aPPr°/'���'`y r.
cie 74(a ✓'e a' c�/�
/ / o� wr'✓G �cJ� P�f1dE
Cro5S 17?ailrb- �/-ac�S
lej6�4. 41
/tT fur- �r0�r� � � eN� o� Jri✓E
� 0 0</
DCHD (6-82)
�icrsT��G S ��ric
n 1.o�aS£D f4£ ?'.F—
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DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, R 0. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY:-
RO RTY: DATE RECEIVED
11AINPA-5 (office use only)
�' A.,+ia�cAP ,JG
qa no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that
have consent from , owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
-JEP no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
C - I -L"2 -aa"Cz
DATE SIGNATU E
DCHD (11 /84)
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
+Owners designated representative
Anyone requesting results
Only those listed below
•T
DATE
SIGNATU
E
Name—
Address
FAr.Tr1RC
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section,
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date ��&
Lot Size L
ARFA 1 ARFA 9 AREA 3 ARFA A
1) Topography/ Landscape Position
S
S
S
S
PS
PS
PS
U
U
U
�) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
PS
U
U
U
3) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
P
PS
PS
PS
U
U
U
U
1) Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
tl
U
U
U
External
S
S
S
pS
PS
PS
PS
U
U
U
i) Restrictive Horizons
Available Space
�
S
S
S
S
PS
PS
PS
U
U
U
U
Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
1
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: A -Z-
Described by `'f Title Date
SITE DIAGRAM
DCHD (6-82)
Duo mv-v'6 PAMM
Drafted by: Warren E, Kasper _
-w 1
j Mail to'. CraigBeauchampV/
(Name). (SirMt Wto NUM1140 (CIIY? jstag) ( Ip)
Mail future tax bilk to:.I1 G-- Q a .5'd r l—�"I) � � �. � i/'"r5 �� �r / _ r�_ �(� ,�l Com' 7� .41
(311061 and Number) t.Clty) (slate) (ilp) .
THIS DEED Made this the _.day of November t9 88 by
PAUL CHRISTIAN.BEAUCHAMP AND WIFE,_MELINDA C. BEAUCHAMP, AND
- — — _ -- III II WYYYr. I�YYpYY�p.yr.Y.yl
ALEC CRAIG. BEAUCHAMP of AWCounty, North Carolina,
part I Ps of the runt part, to A` EC CRAIG BRAIMMAMP . II. 1....�1....,
• 11 1/ 1 IY ����.A��I�rn�
o1(NKj Xounty, North Carolina, put —.Y—of the second part;
Witnesseth that the said -part ies of the first part, in consideration
Da 10.00 & OVC Ten Dollars and
Other Valuable Con'siderations to them paid by the said part Y of the second
part,. the receipt of which is hereby acknowledged, fts/have bargained and sold, and by these presents do — bstpin, sell and Con-
vey unto the said part _.Y.. of the second part and his hero,• trot or parcel of land Wi W County, North. Carolina, in
II..IY�Y+IrY. S�ha_dvGrove Y. Township, and bounded Y follows: .
SEE ATTACHMENT FOR DESCRIPTION.
TAX 6UPER1!)SGR
NO 7XUD E c:�:;��aw�,� � � � r7ATED
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PROPERTY ADPA96S DndgrRgsa A24d. Advance, NC JZQ916 ^4xgw Map F�-8 LOT 139.10