130 Ellis LnDavie Countv. NC
Tax Parcel Renort +6� Thursday. Sentember 29.2016
WARNIN T: TH15151VUT A SURVEY
Parcel Information
Parcel Number:
C70000006302
Township:
Farmington
NCPIN Number:
5862573013
Municipality:
Account Number:
82530387
Census Tract:
37059-802
Listed Owner 1:
ELLIS JUDY
Voting Precinct:
SMITH GROVE
Mailing Address 1:
869 NC HIGHWAY 801 N
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
1.1224AC ELLIS LN LOT B
Fire Response District:
SMITH GROVE
Assessed Acreage:
1.21
Elementary School Zone:
PINEBROOK
Deed Date:
11/2008
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
007751056
Soil Types:
PcC2,CeB2
Plat Book:
0009
Flood Zone:
Plat Page:
317
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
4500.00
Land Value:
26050.00
Total Market Value:
30550.00
Total Assessed Value:
30550.00
101 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
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 .1934-1 8) Permit Number
Name Date �'' .O — =
Location
---�-04_-
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 p Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES p NO ❑
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:
r
System Installed byf'
:7
/, �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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEENgISSUED.
�{ Home Phone 9 I � - 1� 9 0
1. Permit Requested By Q -Y' `� 0—n 1 1 t S Business Phone
2. Address
3. Property Owner if Different than Above
AAArccc
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 Homes Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
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) %1a
7. Number and type of water -using fixtures:
commodes urinals
lavatory �- showers
dishwasher sinks
8. a) Type water supply: Public Private ✓ Community
b) Has the water supply system been approved? YesNo
9. a) Property Dimensions
b) Land area designated to buil
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? 1V a
What type?
garbage disposal
washing machine
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 _
Direction to prop rty:
VN
G
� o
DCHD (6-82)
w
r
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name
Date
Address Lot Size
rnrMOC AREA 1 ARFA 9 AREA 3 AREA 4
2)
3)
4)
Topography/ Landscape Position S S S
PS PS PS
U U U U
Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) ?U�1�
PS PS PS
U U U
Soil Structure (12-36 in.) S S S S
Clayey Soils PS PS PS
U U U U
Soil Depth (inches) /C -EPS S S
PS PS PS
U U U U
5) Soil Drainage: Internal S S S
PS PS PS
U
U U U
External S S S S
PS PS PS
U
U U U
h) Restrictive Horizons
') Available Space S S. S S
r^� PS PS PS
U U U
3) Other (Specify) S S S S
PS PS PS PS
U U U U
3) Site Classification
U—UNSUITABLE
Recommendations/ Comments:
S—SUITABLE PS—Provisionally Suitable
Described by Title
SITE DIAGRAM
DCHD (6-82)
Date 96&
U—UNSUITABLE
Recommendations/ Comments:
S—SUITABLE PS—Provisionally Suitable
Described by Title
SITE DIAGRAM
DCHD (6-82)
Date 96&