334 Potts Rd Davie County,NC Tax Parcel Report Wednesday, February 8, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information ,
Parcel Number: F80000011002 Township: Shady Grove
NCPIN Number: 5880168640 Municipality:
Account Number: 82522199 Census Tract: 37059-803
Listed Owner 1: KNIGHT HAZEL W Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 334 POTTS ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-7801 Voluntary Ag.District: No
Legal Description: 0.758 AC OFF POTTS RD LIFE ESTATE Fire Response District: ADVANCE
Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE
Deed Date: 9/2008 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 007710270 Soil Types: PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 43180.00 Outbuilding 8r Extra 3000.00
Freatures Value:
Land Value: 22570.00 Total Market Value: 68750.00
Total Assessed Value: 68750.00
O wXl� All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�oUty�C NC or arising out of the use or Inability to use the GIS data provided by this webslte.
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
3 3�(ods
Subdivision Name _ Lot No. Sec. or Block No.
Lot Size '`%".r House Mobile Home — '�J� Business Speculation
No. Bedrooms No. Baths �� r No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO p—
Auto Wash Machine YES ❑-ANO ❑
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit
*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.
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Final Installation Diagram: System Installed by /)r'77 11
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.
•
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size 4'�
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS PS
U U U U
3) Soil Structure (12-36 in.) S S S S
Clayey Soils PS PS PS
U U U U
4) Soil Depth (inches) S S S S
OF j PS PS PS
`-� U U U
5) Soil Drainage: Internal S S S S
PS PS PS PS
U U U U
External S S S S
PS PS PS
U U U
6) Restrictive Horizons
7) Available Space S. S S
PS PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
UU U U U
9) Site Classification 7,
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title Date -SITE DIAGRAM
DCHD(6-82)
it
• APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
1 ( 12
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone QM-'M%
1. Permit Requested By_:S'1.R 0" Business Phone
2. Address 'W�U1 -
3. Property Owner if Different than Above
Address
4. Permit To: a) Installer Alter Repair Q 40
b) Privy Conventional / Other Type— eo;tk V46
Ground Absorption 6* 6
c) Sub-Division Sec. - Lot No. 2 ( �/ y?
5. System used to serve what type facility: House Mobile Homed Business "
IndustryOther
b) Number of people A 4
6. a) If house or obile 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 1 washing machine
dishwasher O sinks
8. a) Type water supply: Public Private `i Community
b) Has the water supply system been approved? Yes XZ No
9. a) Property Dimensions WA mmb
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.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
s � nil ;4
DCHD(6-82)