116 Lakeview RoadDavie County, NC r Tax Parcel Report Tuesday, January 17, 2017
511
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
138
A -_L--_ __ -- _1_
WARNING: THIS IS NOT A SURVEY
Parcel Information
1614OA0051
Township:
5758649250
Municipality:
8304748
Census Tract:
STEWART GABRIEL L
Voting Precinct:
116 LAKEVIEW ROAD
Planning Jurisdiction:
Mocksville
Zoning Class:
NC
Zoning Overlay:
27028
Voluntary Ag. District:
1.210 AC LAKEVIEW RD
Fire Response District:
1.07
Elementary School Zone:
Land Value:
Total Assessed Value:
2/2015 Middle School Zone:
009800399 Soil Types:
Flood Zone:
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
135
Shady Grove
37059-804
WEST SHADY GROVE
Davie County
DAVIE COUNTY R-20
CORNATZER - DULIN
CORNATZER
WILLIAM ELLIS
GnB2,GnC2
DAVIE COUNTY
No
All data Is provided as Is without warranty or guarantee of any Idnd 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
NC or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT 'AND CERTIFICATES OF COMPLETION,
*NOTE: Isgui ed in Compliance With Article I I of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name AqJ,;5rVy Ile Date
NO 6146
Location
ey
iec4j
Subdivision Name. '011_1�411__If 01i/%rLot No. Rpr nr Rlnnk Nn 4%�7
Lot Size' House y Mobile Home'
Business
No. Bedrooms 'No. Baths " 4V& No. in Family
Garbage Disposal YES ❑ NO
Specifications for System:
Auto.Dish Washer YES NO
Auto Wash Machine YES NO
J I
Type Water Supply,
*This permit Void if -sewage system describbigtMJP;d 4ilAin 5 years from date
I
This permit is subject to revocation if site plans o he Intended-u'sr6-6hVr1"g6.--
Speculation
of, issue.
:6 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 InstallePbyV_,e�_l
Certificate of Completion Date
'The signing of this certificate shall indicate that'thO 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. 0. Box 665
Mocksville, NC 27028
1. Application/ Permit Requested By ` Gid 0. (1C� lir nolo . �—
Mailing Address I )i QK -6 -D
Home Phone Q/9- �`7 �' O(7� Business Phone
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: 0 General Evaluation X91's/Tank Installation
5. System•to Serve: 5 -House a Mobile Home
0 Industry u Other
6. If house, mobile home: Subdivision
0 Business
Unknown
Sec. Lots
No. of People Dwelling Dimensions
No. of Bedrooms Basement/Plumbing
No. of Bathrooms QVC ` Basement/No Plumbing
Washing Machine dishwasher 0 Garbage Disposal
7. If business, industry, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
8. Type of water supply:Public 0 Private 0 Community
9. Property Dimensions /, /Circ
10. Sewage Disposal Contractor
=ZP�ZA
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes -t' o
If yes, what type?
*NOTE: Improvements Permits shall be valid for a period of 5
years from date issued. Improvements Permits are subject
to revocation, if site plans or the intended use change.
Effective October 1, 1989.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
Date Signature
Directions to Property:
o�
)4;���K
U p v- ('310
1 G19-1
10-89)
5 APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davio County Health Department .
Environmental Health Section JUN
1 Z9
P. O. Box 665 ROSM
Mocksville, N.C. 27028
�� ����
/.
CON TRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Req ested o 2 Business Phone
2. Address _ ` ;?d 6a
3. Property Owner if Different than Above _
Address
4. Permit To: a) Install d Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub-DivisionRid� Soc. Lot No.—Z"-12
5. System used to serve what typeflfacility: House Mobile Home Business
Industry Other
b) Number of people
6. a) If house or mobile home, state s(z of home and number of rooms.
House Dimensions��D D
Bed Rooms 3 Bath RoomsDen 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-Osing fixtures:
commodes urinals garbage disposal
lavatory showers / washing machine
dishwasher � sinks
8. a) Type water supply: Public Private Com unity
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions �/ �� �!� �"D__—_Z 6-V
b) Land area designated to building site r % C'c-►, ��
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expahsions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correc the best m knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
4;y
DCHD (6-62)
Address
FACTORS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
AREA 1 AREA 2
Date��!, g
Lot Size 1,4 -
AREAS
AREA3 AREA A
1) Topography/ Landscape Position
3)
4)
5)
6)
7)
8)
9.
S
S
S
CU
?) Soil Texture (12-36 in.) Sandy,
S
Loamy, Clayey, (note 2:1 Clay)
S
S
S
Soil Structure (12-36 in.)
Clayey Soils
F S
S
S
Soil Depth (inches)
S
S
S
U
Soil Drainage: Internal
S
S
S
S
/>
External
S
F S
S
Restrictive Horizons
Available Space
S
S
S
U
Other (Specify)
S
S
S
pup
S
PS
. ........................... .
U
) Site Classification
U"s
0.
PS,
U—UNSUITABLE S—SUITABLE
,,% PS—Provisionally Suitable
Recommendations/Comments:
Described by ,/ ��f / Title J yj Date
SITE DIAGRAM
A�q e
'HD (6.82)
Davie County Nealtl Department
o e Naltfi M en
and . m e y cy
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634.5985
June 22, 1989
Potts Realty
P. 0. box 11
Advance, NC 27006
Re: Site Evaluation
Hickory Hill II (1 Acre)
Dear Realtor:
On June 19, 1989, as you requested a representative from this office
visited the above mentioned site. The soil was found provisionally suitable
for the installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
RH/wd
Enclosure
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
a