134 Blackberry Ln Davie County,NC Tax Parcel Report 3 L 14 b Friday, September 23, 201 E
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G70000011704 Township: Shady Grove
NCPIN Number: 5769996599 Municipality:
Account Number: 8303991 Census Tract: 37059-804
Listed Owner 1: CUTSINGER THOMAS MICHAEL Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 134 BLACKBERRY LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: 1 AC OFF FORK BIXBY RD Fire Response District: ADVANCE
Assessed Acreage: 0.97 Elementary School Zone: SHADY GROVE
Deed Date: 8/2014 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009650971 Soil Types: GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 182470.00 Outbuilding&Extra 10740.00
Freatures Value:
Land Value: 19430.00 Total Market Value: 212640.00
Total Assessed Value: 212640.00
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All data Is provided as Is without warranty or guarantee of any kind 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
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County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
rOUly C� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT - dro
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION {
_ 'NOTE: Issued in Compliance with G.S.of North Carolina Chapter 130 Article 13c (�/
Sewage Trea dent an isposal Rles (10 NCAC 10A .1934-.19 8) Permit Number
Name- riHR:',/ Ott cAe?6n a Date 7 %€;48
Location -
Subdivision Name Lot No. Sec.or Block No.
Lot Size House ' Mobile Home_ Business Speculation
No. Bedrooms No. Baths _No. in Family `'��
Garbage Disposal YES NO ❑
Auto Dish Washer YES NO ❑ Specifications for System:
Auto Wash Machine YES �NCO ❑ ��(
Type Water Supply
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`This permit Void if sewage syst m described below is not installed within 36 months from date of issue.
Ga,Wd &5-gq hou4 Ph''"a' ¢�
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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 r-,4,, ',' ><��'f✓
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 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 " A ^
Date air 48
v
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size %. / House �� Mobile Home — Business Speculation
No. Bedrooms ;�'� No. Baths No. in Family
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer YES NO p /�;; r ;',•1. Ai
Auto Wash Machine YES NO {] vc 3�^z�'�
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue. (1
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Improvements permit by 'r�:
*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
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"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 �tyt
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 6&z4 -
Home Phone-
1.
hne1. Permit Requested B &ric' C. ae-auc," Business Phone
2. Address E+ I- of vc*Knee-; o t-, /3011 z 3 A
3. Property Owner if Different than Above
Address
4. Permit To: ajInstal Alter Repair
b) Privy nal Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Y Mobile Home Business
IndustryOther
b) Number of people y
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensionz-3,Q X R "Z
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 o7 urinals garbage disposal
lavatory tQ showers C9, washing machine j
dishwasher sinks f
8. a) Type water supply: Public_1 Private Community
b) Has the water supply system been approved? Yes V No
9. a) Property Dimensions 0-r—rR Q
b) Land area designated to building site
c) Sewage Disposal Contractor E 1
10. Do you anticipate any additions or expansions of the facility this sewage systemisintended to serve?
What type?
This is to certify that the information is correct.to the best of my knowledge.
7- 2d✓ gy
Date Owner Signature
r OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: o u6 e
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CtSc nr-t Ze r �aA��
DCHD(6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size��/��
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
• � PS PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS
U U U
3) Soil Structure (12-36 in.) S S S S
Clayey Soils PS PS PS
U U U
4) Soil Depth (inches) S S S
PS PS PS
Ui U U U
5) Soil Drainage: Internal S S S S
PS PS PS
U U U
External ol S S S
PS PS PS
U U •U
6) Restrictive Horizons
7) Available Space 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 U
9) Site Classification S
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title .� Date
SITE DIAGRAM
DCHD(6-82)