884 Ridge RdDavie Cqunty, NC Tax Parcel Report 4H 31 Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
data is provided as is without warranty or guarantee of any kind 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
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NC
Parcel Information
Parcel Number:
K20000001702
Township:
Calahaln
NCPIN Number:
5707647505
Municipality:
Account Number:
12875000
Census Tract:
37059-801
Listed Owner 1:
CARLTON MICHAEL DAVID
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
884 RIDGE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-8342
Voluntary Ag. District:
No
Legal Description:
4.29 AC RIDGE RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
3.85 Elementary School Zone:
COOLEEMEE
Deed Date:
10/1987
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001400271
Soil Types:
GnB2,EnB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
38230.00
Outbuilding & Extra
Freatures Value:
11040.00
Land Value:
44510.00
Total Market Value:
93780.00
Total Assessed Value:
93780.00
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Davie County,
data is provided as is without warranty or guarantee of any kind 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
nCUN��
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.
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DAVIE COUNTY HEALTH DEPARTMENT
1 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION , I
`NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name �, > ;f i i�/)r /yr % �n i /,•
�---� •— ' Date _ u
Subdivision Name Lot No. Sec. or Block No.
Lot Size L '�2q House Mobile Home Business
No. Bedrooms —— No. Baths_ No. in Family
Garbage Disposal
YES ❑ NO [;�—
Auto Dish Washer
YES 4 NO ❑
Auto Wash Machine
YES[fj NO ❑
Type Water Supply
Speculation
Specifications for System:
,f
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit bY
:�11
"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:
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.
L
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section •� ��6 Q
P. O. Box 6651'
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
�G �/ %� ) Home Phone Sa " 7 11 V
1. Permit Re uested By -pe 6 r tl /� OoV, l.ld r / �� h Business Phone - 7 -��
2. Address - / 13 ax ao/S
3. Property Owner if Different than Above (1. IC( r c,-
Address 1 12 vk 3163 1*)') o -L ,r U1 /i2
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 HomeLe"Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms. V YIN SSC
% House Dimensions h o 1,t, (Z_
Bed Rooms 3 Bath Rooms_ ;- Den w/Closet 019 '
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours) A4 r nk h e)u S 2 /,(L
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 ci
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? /V U
What type?
This is to certify that the information is correct to the best of my knowledge.
47 —
Date ZdGKer Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to ro
Z�3
t_-7
DCHD (6-82)
of
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, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes 6 1. 1 am the owner of the above descrfil�e_Vproperty.
es no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from r_ /a ra- S —,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.
yes 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.
DATE U�>`SIGNATURE
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
DATE SIGNATURE
DCHD (11 /84)
c
Name—
Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
FAC.TOP.q ARFA 1 AREA 2 AREA 3 AREA 4
I) Topography/ Landscape Position
S
S
S
PS
PS
PS
U
U
U
�) Soil Texture (12-36 in.) Sandy,
S
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
S
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
SS
S
S
S
PS
PS
PS
U
U
U
External
S
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
—
Available Space
S
S
S
S
pg
PS
PS
PS
U
U
U
Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
-
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by _
SITE DIAGRAM
DCHD (6-82)
- / d
Title �/v - - Date Q