The URL can be used to link to this page

225 Potts Rd , Davie County,NC Tax Parcel Report d6 a,��,� Wednesday, October 5,2016 � I � �.o y^ � ' lYi:�E LN O � 2qq 2 o-� __ ___, 2 25 � `� � 5 Q• ' ---------------- -- �t I � � 0 WARNING: TffiS IS NOT A SURVEY ;___ __ . _._ .. , _ . �,, . , . .. _. ___ _ . � __ .. : _ ParcelInformation . _ Parcel Number: F800000102 Township: Shady Grove NCPIN Number: 5880151171 Municipality: Account Number: 6608580 Census Tract: 37059-803 Listed Owner 1: BEVERLY MARK A Voting Precinct: EAST SHADY GROVE Mailing Address 1: 421 POTTS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: 2ip Code: 27006-7873 Voluntary Ag.District: No Legal Description: 1.514 AC POTTS RD Fire Response District: ADVANCE Assessed Acreage: 1.31 Elementary School Zone: SHADY GROVE Deed Date: 10/2006 Middle School2one: WILLIAM ELLIS Deed Book/Page: 020060344 Soil Types: WeC,PcB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNN Building Vatue: 44580.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 27960.00 Total Market Value: 72540.00 Total Assessed Value: 72540.00 9��, All daU b pmvided u Is without vrartarty or guaraMee of any Idnd either e:prcssed or Implied including but not IlmRed to the Davie County� Implled wemntles of inercAartabqity or fltness tor a particular usa All users oT Davie County's GIS websRe shall hold harmless the Courrty ot DaWe,North Grolina,ita ageMs,eonwlhMa,contradors or employees from any and all daims or causea o!actlon due to �'p�N.�� NC or artsing out of the use or Inabflity to uu the GIS dat�provided by this websita «�..'.,a .� ai�, ,w +�'r.,t -. ._ � n �'•y-ti�••d ��.,.4� �..-. �p`�,rL,^. _.,.(�� '�..,e,� � � •�r . r � ' � , � . . . „ ' . .. , . .. ,.. ,, �'-Y ' f �-.,t�'v�� f �' Pernuttee's� � DAVIE COUNTY HEALTH DEPARTMENT � ��^� 3 ) /� , Na�ne: 1 -. �_��.1 �'d Environmental Health Section PROPERTY INFORMATION 3�� (u M � P.O. Box 848 Direcdons to property: �� ' �� Mocksville,NC 27028 Subdivision Name: � ,1.� � �`� �� Phone#; 336-751-8760 L./C� �{ c� r �� Section: Lo[: AU WASTEWAT�ER�K ,('�/� 1� jl � SYSTF,M CONSTRUCTION Tax Offic�IN:#l�"`�' � 5 - �3�s��'�s,c�r,i �� AUTHORIZATION NO: 0��'�'� A Road Name: Zip: �� ' **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pemuts.This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) .�'' ***NOTICE***TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION �/��_�� U � IS VALID FOR A PERIOD OF FIVE YEARS. E1��IVIRONMENTAL HEALTH SPECIALIST DATE ISSUED (�.ltil M � �I RESIDENTIAL SPECIFICATION:BUILDING TYPE�r #BEllROOMS � #BATHS a' #OCCUPANTS ` GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE /� �/�TYP WATER SUPPLY �Ut�� DESIGN WASTEWATER FLOW(GPD)�� NEW SITE REPAIR SITE � SYSTEM SPECIFICATIONS: TANK SIZE�x��GAL. PUMP TANK�GAL. TRENCH WIDTH r,� �ROCK DEPfH �'� ,t LINEAR Ff.�� 1 OTHER V � �a�/ fi d d ��5 � o�' � �� .�j—r+�(1 l'�!a'H ��'`'t REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT t\ a1 � � � t� ��lS�r''y�Ct� ��' , ��5� 5� ( h � ,� _ _ ° ,� , � w �� ,� � — , k� �� -� �g $ ._ � �U � i � �:�`�J�� `'��-�ev� �s g �� , �� 1 � , i1t� '�"� �"�"",�e�� ' o � /f11 h � _ � � ` n �e-��'' �.� '�. -��' 11 w�'tI haKs-� ! w{ � �� ; � FOR FINAL INSPECI'ION OF THIS SYSTEM PLEASE CALL BETWEEN 830-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. OPERATION PERMIT �A_ �! � SYSTEM INSTALLED BY: ' ' �l�Y �6`(� ' . Q 4 Sb'� P11\ `�� . C� / , — . ,,<, � . , , . �J. _ _'�`�''�' � '�0 ��{�. . _ . � • t yr� , � s . Z r �E� �� d ' _ � �rG • ' � �� t � �� ._ O 3 � ,� - � . ,. i � - AUTHORIZATION NO. Za�� OPERATION PERMIT BY: DATE: I'�7�� *•THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA E THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"3EWAGE 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. ncFtn mio2 pte��sea) I ��L j�o ..:r::��vTe{�.r,�,r. , . . . _ .. _ . .,.�. ..:�;. .,-, . .. ,,..l . - , -y : v.5: . i� Yi-':cy:.r,.�tir• �ai ;:�."'L�Y[ v ��.p�.:.-� I- -..a-ri,`M1 �„f, .. �"' � �� •5,��T� y � • ^ '� � ,�� " r . � \ \ �1"�y .� 1 f' '. . �. � . . ... . � �� . .. .. y,. r.i.� . �.... � . .r.}.. .. ' � n;i '... ". . �! ,y��y . ,'� '. r . . "Pe�n�ce�e's"� � � DAVIE COUNTY HEALTH DEP,A��T�,M��1�. , N�rtie�'a .�i�l'� �� .�`}-�'u �� Environmental Health Section PROPERTY INFORMATION 3/��/jr� P.O. Box 848'• �b Directions to property: �� ' �• {u"� ^ ) �v Mocksville,NC 27028 Subdivision Name: j ) ; "} � -�� , Phone#:336-751-8760 L�;;��;; � G„� 5 �r ,� 'S�• n ... _Section: Lot: • AUTHORIZA'�IO1V FOI��a� �, �} �/ �! �„ - ,:'�'R'A5TEWATER Tax Office�IN:#�G� r / ` \\ ,-� _ SYSTF.M CONSTRUCTION ��. S�C-G �I� � •' AUTHORIZATION NO: Q�+�� A � Road Name: ��'` �ip��:�� ' *-*NOT'E**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.'This Form/Authorization Number should be presented to the Davie Counry Building Inspections Office when applying for Building Permits. (ln compliance with Article 11 of G:S.Chapter I30A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) `' � '''�' f t`.�''" ***NOTICE***THIS AUTHORI7.ATION FOR WASTEWATER CONSTRUCTION _,,�! �- f�� _�_`�� Q � � IS VALID FOR A PERIOD OF FIVE YEARS. ,� EN�IRONMENTAL HEALTH SPECIAEIST DATE ISSUED _._.. . - � p.61J/✓� rl L�I RFSIDENTIAL SPECIFICATION:BUILDING TYPE�t #BEDROOMS � #BATHS � �OCCUPANTS / GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE �� /�TYP W�R SUPPLY ��t/� DESIGN WASTEWATER FLOW(GPD)�� NEW SITE REPAIR SITE ✓' ' � � SYSTEM SPECIFICATIONS: TANK SIZE��GAL. PUMP TANK�GAL. TRENCH WIDTH� ROCK DEPTH /'� ,r LINEAR FT. �� ' ' � OTHER O I IrLI� 1/ C.�G�� t�� 7 / 4/ �f�j /[ r- Cs,i"�i G�l ��i S`/��'7' �'-� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENTPERMITLAYOUT � '1 a ,,,,,. �.. •�uu �y �/'` � `��. ��"1 � � /Y' �� -��r_�,�-�-----1-- O � � � - _ F . , r� .,� , _ _ �,� .�: , f � J(}1'►,� �-�-' -� � '�� `��' � _. ��- �.' � '"'j� � , 3 _ `� -r.,� �.�� . , � � . � �� :. \ 1� \ � � . ,\�p '„�Q��v�.�.`.�e�� ' � p � ` � � .�� •�/p n v��Tf ..� -�_____� � _-- / w.�I►,1 �„v�/f h o�5-� � ...�� ;, � � � ,,� �. FOR FINAL INSPEGTION OF THIS SYSTEM PLEASE CALL BEI'WEEN 830-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. OPERATION PERMIT '' ... y�� -�- - . _ SYSTEM INSTALLED BY: � ' 'Wl� �,M I�t , �y S-la,..�u-� �� ,�� , ;��,c�.b��— ��'/ � � � j � �, ♦ "ilJ` _� �� ` .. , �� - � ��' � ` 9�� ` ' � L , � i T ,�� , O� '1 ' � � 'l .K i�'i;p1. �_� Q . , �� ;a 3 �-- � yr, y , ; �� '� 4 , 1 AUTHORIZATION NO. Z-$�� OPERATION PERMIT BY: DATE: /'�7"��, , •'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA E 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 SATISFACTO[tILY FOR ANY GIVEN PERIOD OF TIME. '�,,, DCf{D 07102(Revised) � /��.; , t�/ ,' DAVIE COUNTY HEALTH DEPARTMENT �� Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION � ,/ � PROPERTY INFORMATION �u a "-c�-1 � �acr � �.2u�d (c�. �(��/,�"// �/ �, � � P�-r�s n� 3— ��. �U G 7� � �,��o7�s �� , �G Z7�� uu�,� azoQ � Water Supply: • On-Site Well V Community Public , Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e position G. • Slope % � � HORIZON I DEPTH � � Texture rou . .5 ' Consistence � S tructure V- Mineralo s'" A HORIZON II DEPTH � Texture ou • • Consistence Structure Mineralo HORIZON III DEPTH Texture rou Consistence Structure Mineralo � HORIZON IV DEPTH Texture rou Consistence S cructure � Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE •3 SITE CLASSIFICATION: f s EVALUATION BY: � ��{ t2 LONG-TERM ACCEPTANCE RATE: �� 3 OTHER(S)PRESENT: REMARKS: LEGEND 7.andscane Position R-Ridge S -Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope �CV-Convex slope T-Terrace FP-Flood plain H-Head slope T�xtur� � S -Sand LS -Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-Silty loam �CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CON�TST ,N .E a'IQ1S� VFR-Very friable FR-Friable FI-Firm VFT-Very firm EFI-Extremely firm � � NS -Non sticky SS -Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic �r i ir . SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic MineraloQv " 1:1,2:1,Mixed . L�[uir� Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from]and surface . � Saprolite-S(suitable),U(unsuitable) Soil wetness-Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHn(15/(15 (Revice�il . �� d � �'� AVIE COUNTY HEALTH DEPARTMENT . ��.,� � 7 �d�� Environmental Health Section �''�' PO Box 848/210 Hospital Street �� ,� . ,,,;,.:�Y'�.��,�.ti��1:Z� Mocksville,NC 27028 �'-::�";�to"��'-S��,St�'�'� Phone: (336)751-8760 � �� `��,,.�1� � ' � � , . ��,r�s � � . . � .� „ ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT� REMODELING ❑ RECONNECTION � Name: �i�,.i� � - p ��` Phone Number• 3 3� �j�D —� � 35- (Homej Mailing Address: � 2.� 1 c'�'s /Qc�,.. 336 �, 8?—�,1 S 5'' (Work) �-�� Ua.ti.�.� N L ,a,? o v 6 Detailed Directions To Site: .Z— �l a �`a Ex�'f' l S b �RPw`1'�- SO I � �n w'�i, Q n, $ D � /'TOw► O�t.. -I N�iI-F.f �O PO�S /�� O►L �G�i Pa"�t � ��b�2/�I6IL Or.. tvt�'1 'I e �6� �,/`+-F� S'z��(.� r,�1��.L , w�!! �-��ti,� �- o f� ��Il�� ; � �.��k a- �o w ��'7�'r�a.s 6,�. �'rg I,��P� Property Address: Z. �.S �o'f)'s /��._ . ��-v a....�c � /V G a,'? D D� Please Fill In The Following Information About The Existing Dwelling: Name System Installed Under: Q' � So� Po�s Type Of Dwelling: ��-w%�� Date System Installed(Month/Day/Year):/�i�. ��s Number Of Bedrooms:�._Number Of People: � Is The Dwe�ling Currently Vacant? Yes� No❑ If Yes,For How Long? I 2 �/+�a r1 /`'[p p,6k. 2 Any Known Problems7 Yes❑ No[8� If Yes,Explain: Please Fill In The Following Information About The New Dwelling. Type Of Dwelling;Q o u-`�.e-bv ide. Number Of Bedrooms: 3 Number Of People: -T ? Requested By: G�'''L �- Date Requested: 3 l b (Signature) For Enviroxunental Health Office Use Only Approved C�' Disapproved ❑ : , Comments: e � -t t� � 5 S 1�.� d� -� ` v�a� r h �U !� ,� � ��.� ro� a�r �S C�i ta �'r-r r� �I-c� Ua l � �cn�t� `��l i 5 -�'`r�a,�i/'d Uc�� Environmental Health Specialist � !!i�%,,�� - Date ,7'c�C�! '"'The signutg of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee(extended or limited)that the on-site wastewater system will function properly for any given period of time. Paymenr Cash❑ Check❑ Money Order❑ # Amount: $ Date: Paid By: Received By: Account #: U��/ Invoice #: '