412 Calahaln Rd Davie County,NC Tax Parcel Report Friday, September 23, 201E
WARNING: THIS IS NOT A SURVEY
Parcel Number: H2O000000302 Township: Calahaln
NCPIN Number: 5709676340 Municipality:
Account Number: 33494520 Census Tract: 37059-801
Listed Owner 1: HASS BRANT Voting Precinct: NORTH CALAHALN
Mailing Address 1: 412 CALAHALN 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: - 2 AC OFF CALAHAN RD Fire Response District: CENTER
Assessed Acreage: 2.00 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 3/2016 Middle School Zone: NORTH DAVIE
Deed Book/Page: 010130655 Soil Types: PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 172300.00 Outbuilding&Extra 9800.00
Freatures Value:
Land Value: 16420.00 Total Market Value: 198520.00
Total Assessed Value: 198520.00
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County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
�pUN Sy NC or arising out of the use or Inability to use the GIS data provided by this website.
r=4 DAVIE COUNTY HEALTH DEPARTMENT °
f IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 3
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Pei mit Number
Name2, Date I o I - G N2 57
Location 'C `f ADL==Z�� xv� 1- o a7:
Subdivision Name of No. Sec. or Block No.
Lot Size � IHouse Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family 3 �Z � (�h
Garbage Disposal YES p NO S ecifications for erste c�
Auto Dish Washer YES NO C] p Q n
Auto Wash Machine YES Q NO
Type Water Supply
*Tliis permit Void if sewage system described below is not installed within months from date of issue.
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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
_ a
d
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Certificate of Comple on ` ' ' Date s
, *The signing of this certificate shall indicate that a system eschbed above has been installed in compliancewith
the standards set forth in the abov regulation,pul shall in NOw way be taken as a'guarantee that the system will function
satisfactorily for any given period time.
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,w APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
d Davie County Health Department M��
Environmental Health Section IR--
Environmental L
v +� P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
/ Home Phone 7 / -5/:/
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1. Permit Req sted By � h Business Phone
2. Addres4 v G /JZ
3. Property Owner if Different than Above
Address
4. Permit To: a) Install 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 HomeJL Business
IndustryOther
b) Number of people
6. a}If house or mobile home, state size of home and number of rooms.
House Dimensions 1 170 )
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 Z urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public Private Cc munity
b) Has the water supply system been approved? Yes VNo
9. a) Property Dimensions 9/9 X
b) Land area designated to buildi ite
c) Sewage Disposal Contractor OE2Zder
10. Do you anticipate any additi ns o ex ansi s of the facility this sewage system is intended to serve? _'C�
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: / i / I, 1 Af � �'oy�'
DCHD(6-62)
DAVIE COUNTY HEALTH DEPARTMENT
j 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)
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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 all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DATE 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
Anyone requesting results
Only those listed below
DATE SIGNATURE
DCHD(11/84)
. r
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name G Date
Address Lot Size
FACTORS AR 1 AR6 2 AR 3 AREA 4
1) Topography/Landscape Position S --S-
--Ps (��ts
j (:A
2) Soil Texture (12-36 in.) Sandy, S _
Loamy, Clayey, (note 2:1 Clay) C PSS (-_PS) (�PSj _<–9
`U' U t7 U
3) Soil Structure (12-36 in.) S
Clayey SoilseU5
PS t PS
U U
4) Soil Depth (inches) --��
�S PS �eS�
U U U U
5) Soil Drainage: Internal S
��P��S�� PS CFS
��-U� U
External
PS PS PS PS
U
6) Restrictive Horizons
7) Available Space S S S
PS PS S PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U �U
9) Site Classificationas:) s S
U—UNSUITABLE S—SUITABLE PSS—Provisionally Suitable
Recommendations/Comments:
Described by Title Date
SITE DIAGRAM
\ -70
9
__DCrio(6.82)
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