274 Lakeview Road Section 2 Lot 21Davie County, NC Tax Parcel Report Tuesday, January 17, 2017
Zip Code:
WARNING:
THIS IS NOT A SURVEY
No
Legal Description:
Parcel Information
Fire Response District:
Parcel Number:
1614OA0029
Township:
Shady Grove
NCPIN Number:
5758835726
Municipality:
Middle School Zone:
Account Number:
20029500
Census Tract:
37059--804
Listed Owner 1: DAVIDSON CARL B
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
274 LAKEVIEW ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Building Value:
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Freatures Value:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 21 HICKORY HILL SECTION 2
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
0.64
Elementary School Zone:
CORNATZER
Deed Date:
2/1996
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
001850697
Soil Types: GnB2,GnC2,GaD,WATER
Plat Book:
0005
Flood Zone:
Plat Page:
027
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any Idind either expressed or Implied Including but not limfte
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS webalte &hall hold = 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 CERTIFICATE OF COMPLETION
*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 41� t4
A J,?'dcf�-
te
N 2
Location
Subdivis':,
ion Name
Lot No.
Sec. or Block
No.
Lot Size House Mobile Home Business - Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES C] NO [T Specifications for System:
Auto Dish Washer YES NO
Auto Wash Machine YES NO
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
/J'y
ete
pw C. tie
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
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
IMPROVEMENTS PERMIT "AND CERTIFICATE OF COMPLETION
.-""NOTE: Issued I n Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and.,Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name N 2 iro
S�,
Location 2 za!,2
�A
7
Subdivision Name. Lot No. Sec. or Block No.
Lot Size I House Mobile Home Business - Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES :E] NO [3- Specifications for System:
Auto Dish Washer YES � NO
Auto Wash Machine YES NO
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
- - --------
I
(pt j PC
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
6:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by
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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Sectio.
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By Potts Realty, Inc. -Business Phone 998-2100
2. Address P.O. Box 11, Advance, N.C. 27006 ik
3. Property Owner if Different than Above jacK h. v
Address P.O. Box 38, Faith, N.C. 28041
4. Permit To: a) Install X Alter— Repair
b) Privy— Conventional _X Other Type
Ground Absorption
c)Sub- Division Hickory Hill Sec. 11 Lot No. 21
5. System used to serve what type facility: House x Mobile Home— Business—
Industry— Other—
b) Number of people &t
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 2200 sq ft
Bed Rooms 3 Bath Rooms 2 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 t ype of water -using fixtures:
commodes 3 urinals
lavatory 3 showers 2
dishwasher 1- sinks 1
8. a) Type water supply: Public X Private— Community
b) Has the water supply system been approved? Yes x No -
9. a) Property Dimensions 125X230.35Xl27.32X220.33
b) Land area designated to building site front center
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? no
What type? n/a
This is to certify that the information is c9rre9t to
11/29/88
knowledge.
Date 'Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processin9
Hwy 64 East; Cornatzer Rd L; Entrance on right; Lake 1Qt on right (sign
Directions to property:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P, 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name
P
(:t:>
U
Date
S
PS
U
S
PS
U
Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
Address
kk,
Lot Size
S
PS
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d
PA r. T r) R.Q AP6A 1-7-� A eCA 9�'� APFA.q APPA A
Topography/ Landscape Position
P
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U
PS
?—PS
U
S
PS
U
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PS
U
Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
.......... .....
S�
U
S
PS
U
S
PS
U
1) Soil Structure (12-36 in.)
Clayey Soils
(f�)
—1)
S
PS
U
S
PS
U
Soil Depth (inches)
S
S
PS
U
S
PS
U
Soil Drainage: Internal
S
PS
U
S
PS
U
External
S
PS
U
S
PS
U
i) Restrictive Horizons
Available Space
S
PS
U
S
PS
U
1) Other (Specify)
S
PS
S
PS
U
S
PS
U
S
PS
U
1) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments:
Described by Title Date
SITE DIAGRAM
DCHD (6-82)
PaVir (9ountU Pealt4 Pepartment
nub Pome ACUU4 '�Seuru
P. 0. BOX 665
calorkoville, Yart4 (garalina 27828
OFFICE OF THE DIRECTOR
December 8, 1988
Mr. Roy Potts
Potts Realty
P.O. Box 11
Advance, N.C. 27006
Re: Hickory Hill Lot # 21
Dear Mr. Potts:
On December 7, 1988 this office evaluated lot # 21, Hickory Hill II.
On that date the lot was classified provisionally suitable. However, it
must be noted that a pump may be required due to the topography found at
the site.
If you have any questions concerning'this matter please feel free to
contact this office.
11
Sincerely,
AWA46V jor,
Robert B. Hall, Jr., R.S.
Environmental Health
TELEPHONE
17041 G34-5985