175 Powell Rd .
Davie-County,NC Tax Parcel Report �o��►� Wednesday, October 5,2016
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WARNING: THIS IS NOT A SURVEY
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;' , _ ParcelInformation
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Parcel Number: H30000003401 Township: Calahaln
NCPIN Number: 5719722440 Munlctpality:
Account Number: 1751800 Census Tract: 37059-801
Listed Owner 1: ANDERSON JERRY W ETAL Voting Precinct: NORTH CALAHALN
Mailing Address 1: 1347 BEAR CREEK CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY i-4
State: NC Zoning Overlay:
Zlp Code: 2702&5630 Voluntary Ag.DisUict: No
Legal Description: 2.431 AC POWELL ROAD Fire Response District: CENTER
Assessed Acreage: 2.43 Elemerrtary School Zone: WILLIAM R DAVIE
Deed Date: 7/1996 Middle School Zone: NORTH DAVIE
Deed Book I Page: 001880370 Soil Types: CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNN
Building Value: 175540.00 Outbuilding&Extra 3550.00
Freatures Value:
Land Value: 30390.00 Totai Market Value: 209480.00
Totai Assessed Value: 209480.00
q���, All data is provided as Is witliout wartairty or guuantee of any kind efther expreased or impl�ed Induding but not Iimlted to the
Davie County� fmplied warn�rtiea of inercha�bilky or titnesa for a partleulu use.All uaers of DaWe CouMy's GIS website shall hold harmless the
CouMy of Davie,Nwtl�Grolina,ks agarts,coowlqMs,coMractws or emptoyees hom any and�9 daims or eauses d actlon due to
�p�N.�� NC or arising out of the use or Inability to use fhe GIS data proNded by thia websita
` ` ` DAVIE COUNTY HEALTH DEPARTMENT � �� ��
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,t�' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S.of North Caroli�a Chapter 130 Article 13c �
� Sewage Treatment and Disposal Rules (10 NCAC 10A issa-.�s� - � Permit Number
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Nama -,- J : r t•., �, /'.. � Date /�:!'✓�S>�', N� �J�;�U
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Location � .l�i, n:`� ,�" r�P/ :/'l>/-' /..,� �°'�; �r-
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Subdivision Name Lot No. Sec.or Block No.
lot Size House Mobile Home_ Business �Speculation
No. Bedrooms�No. Baths s.�No. in Family �✓,1T�y/�s"
Garbage Disposal YES {] NO � Specifications for System:
Auto Dish Washer YES ❑ NO Q�
Auto Wash Machine YES p NO � r`°���Cs'`��"����,. �,
Type Water Supply :� -- ����f��`� ' O f �v '
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
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- 'Impro ementspermit by ���!�r-tB
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t•Cont -represeratative of the Davie County Health Department for final inspection of this system between 8:30-
_ . A.M. or 1:00-1:30 . on day of completion. Telephone Number:704-634-5985.
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Final Installation Diagram: System Installed by � � � �
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Certificate of Completion ��=%p'�.� 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
satisfactority for any given period of time.
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��� f �� '. DAVIE COUNTY HEALTH DEPARTMENT `J� ��
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�� � IMPROVEMENTS PERMIT AND �CERTIFICATE OF COMPLETION
*NOTE: Issued in�Gompliance with G,S. of North Caroli�ia Chapter 130 Article 13c '
��� Sewage Treatment an�Disposal Rules (10 NCAC 1� 19��.1� ��v, � � Permit ��Number
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Name,��L�''r�.f—��Tl,���,� ��1��,�/��,;.: c -� Date /��f��' N� �t��U
Location "'�'1.�"' /1�� ,�'�"',i�'P� �'��_` /--:.,� r`".�''�'I'`
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Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business � Speculation
No. Bedrooms �'�"'� No. Baths � No. in Family���,.�,����f'
Garbage Disposal YES ❑ NO ,p� Specifications for System: .
Auto Dish Washer YES ❑ NO Q"'
Auto Wash Machine YES ❑ NO ;p'' �����f'``��`�'''��
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� Type Water Supply _�'�, _ ������ `�
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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.�(�, 'Improvements permit�by —�_.�r'7 . -
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�`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 -5,��; �' � /
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Certificate of Completion ���� Date �'�s��
#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.
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� DAVIE COUNTY HEALTH DEPARTMENT
� ` Environmental Health Section. �
P. O. Box 665
Mocksville, N.C. 27028
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SOIL/SITE EVALUATION
Name
�'/��8�✓ ✓Oc� � Date O ����
Address Lot Size ����
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
� PS PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) � PS PS PS
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
p� PS PS PS
. � U U U
5) Soil Drainage: Internal . S S S S
� PS PS PS
U U U
External S S S
'r� PS PS PS
`�j U U U
6) Restrictive Horizons
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7) Availabie Space � S S S
pg PS PS PS
U U U U
8) Other (Specify) S S S S
pg PS PS PS
� U U . U
9) Site Classification � S
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments:
Described by ���'�'n�� Title �� Date a � �
SITE DIAGRAM
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UCHD�6-82)
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�� , APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department ��61�
Environmental Health Section �
- P. O. Box 665
Mocksville, N.C. 27028 �
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 492—�157
1. Permit Requested By �derson and Pc7we11 Lumber Comoanv Business Phone 492-5100
2. Address 1�oute 1, Box 63 , Mock�r;11 , N c�_27n�f�
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 �g
6. aT 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. l�r �°mpany
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes 2 urinals garbage disposal
lavatory __ 1 showers 1 � washing machine
dishwasher sinks
8. a) Type water supply: Public X� Private Community �
b) Has the water supply system been approved? Yes X No
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9. a) Property Dimensions 28 acres' �`"� �
b) Land area designated to building site
c) Sewage Disposal Contractor�n�'Barn�ycas�le "
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 corr t to the best of my knowledge.
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.a,�..26, i 9as
Date Owner Si nature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
Powell Rr�ad
DCHD(6-82)