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245 Burton RdDavie County, NC v - 6691 Tax Parcel Report 4153 0735 Tuesday, September 27, 2016 OD N `1 LP Parcel Number: 190000000403 NCPIN Number: 5788990591 Account Number: 20377690 Listed Owner 1: DAVIS DALE RAY Mailing Address 1: 245 BURTON ROAD City: ADVANCE State: NC Zip Code: 27006-0000 Legal Description: 3.46 AC BURTON RD Assessed Acreage: 3.45 Deed Date: 11/1987 Deed Book / Pane: 001400824 Plat Book: Plat Page: Building Value: 46140.00 Outbuilding & Extra 2580.00 Freatures Value: Land Value: 45110.00 Total Market Value: 93830.00 Total Assessed Value: 93830.00 oral` I Davie County, NC � 0o U N'� WARNING: THIS IS NOT A SURVEY Parcel Information Township: Shady Grove Municipality: Census Tract: 37059-804 Voting Precinct: EAST SHADY GROVE Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: Voluntary Ag. District: No Fire Response District: ADVANCE Elementary School Zone: SHADY GROVE Middle School Zone: WILLIAM ELLIS Soil Types: PcB2,PcC2,RnD Flood Zone: X Watershed Overlay: WS -IV -P cc L; 7 All data is provided as is without warranty or guarantee of any kind 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 harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or i causes of action due to or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT �A 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 Date .:. Location �- l %; , �, ,� ��;. T , �f ; r / , . rr ;�,✓L Subdivision Name // Lot No. Sec. or Block No. Lot Size _/ House Mobile Home Business Speculation No, Bedrooms No. Baths _ Com% No. in Family !Z_ Garbage Disposal YES ❑ NO 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. -- 7 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 _ 0 r) Date 'The signing of this certificate shall indicate that the system described above has leen 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. Name— Address FA r.Tr1 RR DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION AREA 1 ARFA 2 Date & Lot Size—2 AREA 3 ARFA d 5) 1) Topography/ Landscape Position S S S S PS PS PS U U ?) Soil Texture (12-36 in.) Sandy, S S S Loamy, Clayey, (note 2:1 Clay) PS S PS PS U U U 1) Soil Structure (12-36 in.) S S S Clayey Soils (ID PS PS PS U U U U �) Soil Depth (inches) S S S pS S PS PS U U Soil Drainage: Internal S S PS S PS PS U U External S S PS' S PS PS U U � 8) ) Restrictive Horizons Available Space S S S S PS PS U U U Other (Specify) S S S PS S PS PS U U U 9) Site Classification �..e , U—UNSUITABLE Recommendations/Comments: Described by _ SITE DIAGRAM DCHD (6.82) S—SUITABLE PS—Provisionally Suitable Title Date U—UNSUITABLE Recommendations/Comments: Described by _ SITE DIAGRAM DCHD (6.82) S—SUITABLE PS—Provisionally Suitable Title Date r � , 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 Requ sted B A' 2. Address 3. Property Owner if Different than Above Address .-Y 4. Permit To: a) Install v Alter Repair b) Privy Conventional f!_'�Other Type Ground Absorption Home Phone Business Phone c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home Business IndustryOther b) Number of people 41 6. a) If house or mobile home, state size of h me and number of rooms. House Dimensions OD 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 2 urinals garbage disposal lavatory showers 2! washing machine dishwasher sinks f 8. a) Type water supply: Public Private Comunity b) Has the water supply system b en approved? Yes 60 No 9. a) Property Dimensions— b) imensions b) Land area designated to building site/ N77_?9_t_ c) Sewage Disposal Contractor 4/GfZ b P-- 10. 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? X10 What type? This is to certify that the information is corr th est f nowledge. /d Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: