994 Daniel Road Lot 4f
1
Davie County, NC
Tax Parcel Report
Wednesday, December 14, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. L40000004804 Township: Jerusalem
NCPIN Number: 5736623863 Municipality:
Account Number:
9319000
Census Tract:
37059-807
Listed Owner 1:
BOYCE NORA
Voting Precinct:
COOLEEMEE
Mailing Address 1:
160 RIVER DRIVE
Planning Jurisdiction:
Davie County
City: BERMUDA RUN
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 4 DANIEL WEST 0.484AC
Fire Response District:
JERUSALEM
_ Assessed Acreage:
0.49
Elementary School Zone:
COOLEEMEE
Deed Date:
3/1997
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
1997E0009
Soil Types:
WeB,EnB
Plat Book:
0005
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
Davie County,
Ali 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 harmles]dueto
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action
NC
or arising out of the use or Inability to use the GIS data provided by this website.
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AUT46RI2:Al ION NO :1 Ij�3 ' DAVIE OUNTY HEALTH DEPARTMENT, `
r * Environmental Health Section PROPERTY INFORMATION.
Permittee s� P.O.'Box 848 r
Name_T•Y i�41 `UDGI�e r Ivlocksvil]e,NC 27028 Subdivision Name:
� /j phone# 336-751 8760
Dtrect ns to property l�/i l �, i' Section Lot
n '-jp t AUTHORIZATION FOR
xgy�.WASTEWATER
Tax Offic 6 PIN:#
y �0� SYSTEM CONSTRUCTION
i oz' �I r ?. JO�t�✓. . '/ *j � Road Name: Zip: 10AZ:'
**NOTE**:This Authoriation for:Wastewiter System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building-Pertruts.This Form/Authorization Number should be presented to the Davie.County Building Inspects s'
—
Office.when applying for Building Permits
(In compliance.with Article'I I of G.S:Chapter 130A,Wastewater Systems;Section.1900Sewage Treatment.and Disposal Systems)
!**NOTICE***,THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�' ✓J_ �.I -IS VALID FOR A PERIOD OF FIVE YEARS. '
ENVIRONMENTAL HEALTH SPECIALIST,' DATE ISSUED . - .
DIM ons to property:
*NOTE** This Improvement Permit DOES NOT authorise fire construction or installation of a septic tank4siem or any wastewatedsystem. An
^:DCHD 05/96 (Revised)di
..
'9'rj�yA(6R.�W+i _. .. . ,,.,,. _ .. _ , r��..��:^. 5 :.�-.r....-y,+i«,k.'t ...' .-...:...... .. �, �.... _.. ,., , . •c_
U
DAVIE OUNTY HEALTH DEPARTMENT / 3
"^� A TMPRO EMENT AND OPERATION PERMITS PROPERTY INFORMATION
PernuItee-s
Subdivision Name:
Direc�ons to property: /� '� t�t (;', Section: % Lot:/
IMPROVEMENT
;,Y!'" PERMIT Tax Office PIN:#
Road Name: ofJ?/�$' C Zip:`/!'le`..'r
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 1'1 of G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THIN INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED - . SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE M # BEDROOMS — BATHS _�� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAr'SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFr.. # SEATS._ INDUSTRIAL WASTE: Yes or No
LOT SIZE- TYPE WATER SUPPLY �O DESIGN WASTEWATER FLOW (GPD) 3c d NEW SITE REPAIR SITE
� ���� p
'SYSTEM SPECIFICATIONS: TANK SIZE - GAL. PUMP TANK GAL. TRENCH Wry IDTH � ROCK DEPTH �`-L LINEAR FT. p
OTHER
- REQUIRED SITE MODIFICATIONS/CONDITIONS:
,1
IMPROVEMENT PERMIT LAYOUT
s,
i
**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 THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT
olvl'res '
N w
IeFTvh l-•»�s
SYSTEM I TALLED Bx: 114WD\/
AUTHORIZATION NO. -533 OPERATION PERMIT BY: M DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE i
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 SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
:DCHD 05196 (Revised) - _i
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
�' ..�\ cJ, - �.,..ly_c..,:,:aaYT:r jr;h'N"-.i��ry.riv i4: Fk,��ii' fe i'M1, :�•z .-iC2•'r-t- :.,�...,�.w�.�.<. 7/
4 f DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND.CERTIFICATE OF COMPLETION
*NOTE:'Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name.-JrCf� VC/B�' ,kly / �i/. Date 497 /10 r`
Location ��/�� 6 �i4hJi�/I / �•t /%�� ��7— `
Subdivision Name /690/YPI wis d Lot No. ------ Sec. or Block No.
Lot Size House Mobile Home _ 1 Business Speculation
No. Bedrooms No. Baths c> No. in Family f}
Garbage Disposal YES. ❑ NO ❑ Specifications for System:
Auto Dish /
Auto Wash Washer
YES ❑ NO ❑ ' ' �' l� /t
Type Water Supply _
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This:permit is subject to revocation if site plans or the intended use change.
Improvements permit by -^
*Contact a representative of the Davie County Health Department for final inspection of this system between 830-.
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
A
Final Installation Diagram:
System Installed by
I
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.
i
DAVIE COUNTY HEALTH DEPARTMENT a
IMPROVEMENTS PERMIT AND,.CERTIFICATE OF COMPLETION A
*NOTE -sued in Compliance With Article I I of G.S. Chapter 130a
X Sanitary Sewage Systems Permit Number
Name3L //E11`�� D/a�te —,�>/Z �%% NO o .. 4
�01r-- /,q" ���Y/fl�vP /,)$YIJA�J � /,•1%t om r `' O r
Location
/fir
or Block
Lot Size House Mobile Home _ Business
No. Bedrooms, No. Baths —V No. in Family
Garba a Dis o 1 YES NO
g p sa ❑ ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^hine YES ❑ NO ❑ 1l% x 6 L�+
Type Water Supply
Speculation
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This.permit is subject to revocation if site plans or the intended use change.
0
E::::::J7
~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 704-634-598 .
Final InstallatiomDm iagram: �.Syst Installed f�y' '�
• �.L i
Certificate of Completion " �f _ Date a
*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. -
5 * DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
' SewagI5 Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number.
Name^i!f��!\ rr/cl( l/Fi//%� Date 'l /�i��� ;� �3%
Location
/<f
Subdivision NameA nr(j(I,
�VO,i
t tI
i
Lot No. Sec. or Block No.
Lot Size
House
Mobile Home _` Business Speculation
No. Bedrooms �F2_ No.
Baths
No. in Family 4ZZ
Garbage Disposal YES,
❑ NO
pi
Auto Dish Washer YES
NO
Specifications for System:
❑
Auto Wash Machine YES
Vj NO
❑
_ y
U���1/1
Type Water Supply
_—
`This permit Void if sewage system described below is not installed within 36 months from date of issue..
I
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 'J 0"'b
L -
LACertificate 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.
' 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.
1. Permit Requested By
2. Address
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Iter— Repair
Home Phone 199f-aab
Business Phone 43q-33443
b) Privy— Conventional ✓ Other Type—
Ground Absorption
c) Sub -Division O! 10- L.)XAZ Sec. Lot No.
5. System used to serve what type facility: House— Mobile Home ✓ Business—
Industry— Other—
b) Number of people A&6. a) 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.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals
lavatory showers
dishwasher sinks
8. a) Type water supply: Public Private CoJnmunity
b) Has the water supply system been approved? Yes—� No -
9. a) Property
b) Land area designated to buil
c) Sewage Disposal Contractor
garbage disposal
washing machine
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 corre t t the best of my knowledge
6-7-9(.
Date Owner Signatuii
OWNER IS SOLELY RESPONSIBLE FOR COMPLIA CE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-e2)
,
l t DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name
Adrlraec
FACTORS AREA 1
AREA 2
Date
Lot Size
AREA 3 AREA 4
Topography/ Landscape Position' `
4)
5)
6)
8)
9)
S
PS
S
PS
U
U
U
!) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
�S
r Pp
`
S
PS
S
PS
U
U�
�
U
U
1) Soil Structure (12-36 in.)
Clayey
S
S
Soils
PS
PS
PS
U
U
U
Soil Depth (inches)
—T�
S
PS
S
PS
U
U
Soil Drainage: Internal
S
S
PS
S
PS
U
U
External
S
S
PS
PS
PS
U
U
Restrictive Horizons
Available Space
S
S
pg
PS
PS
PS
U
U
U
U
Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
Site Classification
U—UNSUITABLE S—SUITABLE PS—Provis(onall Su'
Recommendations/ Comments:
Described by Title, Date
SITE DIAGRAM
DCHD (6.82)
Address
FAr.Tf1RS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date -Zy�Tr
Lot Size 1444an2
AREA 1 AREA 2 AREA 3 AREA 4
Topography/ Landscape Position
d)
5)
6)
S
S
S
PS
PS
PS
U
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
U
i) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
&
PS
PS
PS
U
U
U
U
Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
U
Soil Drainage: Internal
S
S
S
S
PS
PS
PS
—U
U
U
U
External
S
S
S
S
PS
PS
PS
U
U
U
Restrictive Horizons
Available Space
S
PS
S
PS
S
PS
U
U
U
U
3) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
�) Site Classification
U—UNSUITABLE S—SUITABLE/PS—P— yit blew,
Pnpnm menAatinne / r:nmmontw Y
Described by
,SITE DIAGRAM
c
i�
DCHD i6 -82i
Title ��� Date -2
MI