477 Becktown Rd Davie County, NC Tax Parcel Report Monday, September 26, 2016
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Parcel Information
Parcel Number: M60000003401 Township: Jerusalem
NCPIN Number: 5755477075 Municipality:
Account Number: 82529705 Census Tract: 37059-807
Listed Owner 1: HELLER WILLIAM E JR Voting Precinct: JERUSALEM
Mailing Address 1: 477 BECKTOWN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 1.189AC LOT 2 HELLER S/D Fire Response District: JERUSALEM
Assessed Acreage: 1.18 Elementary School Zone: COOLEEMEE
Deed Date: 1/1987 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 1987EO173 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 46080.00 Outbuilding&Extra 1850.00
Freatures Value:
Land Value: 17490.00 Total Market Value: 65420.00
Total Assessed Value: 65420.00
r v All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
q 1° 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 webaite.
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DAVIE COUNTY HEALTH DEPARTMENT �`�
v�. "' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIO
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Splage Treatm nt and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
.
Name --� r
%'!" t `'`'� Date
Location
Subdivision Name ��wl/ltU/" Lot No. Sec. or Block No.
Lot Size =7/1/' House Mobile Home Business Speculation
No. Bedrooms S35 No. Baths _ No. in Family
Garbage Disposal YES ❑ NO [j, Specifications for ystem:
Auto Dish Washer YES E] NO -E]Auto Wash Machine YES //❑ NO E] .
Type Water Supply
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
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
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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.
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- 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.
Home Phone 9984984
1. Permit Requested By Carl Horton p.Aw 4,eTo,J Business Phone
2. Address Rt 4. Rox 289 1Mnr_k-3zillp v N.0.
3. Property Owner if Different than Above
Address
4. Permit To: a) Install X 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 Homed Business
Industry Other
b) Number of people 2
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions w1/1 8e A ax. tL XaB
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 type of water-using fixtures:
commodes urinals garbage disposal
lavatory showers 2 washing machine
dishwasher sinks 3
8. a) Type water supply: Public X Private Community
b) Has the water supply system been approved? Yes X No
9. a) Property Dimensions 2 acres (Aprx 150' X 630")
b) Land area designated to building site �
C) Sewage Disposal Contractor iLpAty 13ez? CL6 _244tie
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? No
What type?
This is to certify that the information is correct to the best of my knowledge.
edlt.
Date wner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
-. birections to property:
rtY:
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DCHD(6-82) � i
A e _
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 no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from , 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 al I
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
5Fy
ATE (/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
nyone requesting results
Only those listed below
DATE SIGNATURE
DCHD(11/84)
- DAVIE COUNTY HEALTH DEPARTMENT-
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size 42eft
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S
PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS
U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils cpes PS PS PS
U U U
4) Soil Depth (inches) S S S
PS PS PS
U U U
5) Soil Drainage: Internal S S S
PS PS PS PS
U U U
External S S S
PS PS PS PS
U U U
6) Restrictive Horizons
7) Available Space S S S S
PS PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U
9) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: o </
Described by Title �i�'N Date
SITE DIAGRAM
• I
DCHD(6-82)