114 Greenhill RdDavie County, NC I. I Tax Parcel Report 6 66�, Wednesday, September 28, 2016
5372
u -- --
6 �/>10
\` J
� ,`'` ,i \x`59~• _ 1`~ '`_
A
Davie County, NC
WARNING: THIS IS NOT A SURVEY
1430
o
„ _
,,moo
60
Parcel Number:
130000003503
A
141
Davie County, NC
WARNING: THIS IS NOT A SURVEY
...?.. ParoelInfonriation
Parcel Number:
130000003503
Township:
Calahaln
NCPIN Number.
5728281430
Municipality:
Account Number:
8305504
Census Tract:
37059-801
Listed Owner 1:
BOOZE ERIC B
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
114 GREENHILL ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY H-B,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.77 AC GREENHILL RD
Fire Response District:
CENTER
Assessed Acreage:
1.78
Elementary School Zone:
MOCKSVILLE
Deed Date:
9/2015
Middle School Zone:
SOUTH DAVIE
Deed Book f Page:
010000263
Soil Types:
CeB2
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-,WS-III-BW
Building Value:
151420.00
Outbuilding & Extra
1840.00
Freatures Value:
Land Value:
26040.00
Total Market Value:
179300.00
Total Assessed Value:
179300.00
141
Davie County, NC
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 shalt 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 or arising out of the use or inability to use the GIS data provided by this website.
---t1ri..,'.,jc-- .'�._ a...,✓.. -. ": r' A., ..alt
E ., f .��'" .._s `Et .= .., �,�r•: i. .�r.- RQ �t'�Se�• i_ _
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`NOTE: Issued_iniCompliance with G.S. of North Carolina Chapter 130 Article 13c
' Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.11968) Permit Number
Name,�7-ia ��=:rr i���;��' �i� -` %./dDate _/^� N2 J J r
i � 6
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size Zc �Wffl House Mobile Home _ Business Speculation
No. Bedrooms No. Baths C2 1 No. in Family _
Garbage Disposal YESNO C]i Specifications for System:
Auto Dish Washer YES NO ❑ �D D �S �e ✓-
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.
Improvements permit by //'v/ /
"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 Aq of lcompletion. Telephone Number: 704-634-5985.
Final Installation Diagram: ( I I System Installed by
Certificate of Completion-/t"=-�----- 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.
i
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section 0 1
Moc svi�lle, N.C. 7028 RE,C -1' MAY
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 76Y 5127- 5/05
1. Permit Requested By Ke1W-7714 5COT`I 9299' ,T Business Phone
2. Address jzf 9 T3M 142-1-A MOCILSVIttG7 /JC 7.7072
)
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 Home Business
Industry Other
b) Number of people Z-
6. ar If house or mobile home, state size of home and number of rooms.
House Dimensions ± Z3W dWFT'
Bed Rooms y Bath Rooms Zyi Den w/Closet Z (UviNCr W&ate=�}MIIY )
b) If Business, Industry or Other, State: Number of persons served
What type business, eta
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes 3 urinals '8' garbage disposal
lavatory 3 showers I washing machine I
dishwasher I sinks 'DOLyz Urrcmer)
8. a) Type water supply: Public Private ✓ Community
b) Has the water supply system been approved? Yes No ✓
9. a) Property Dimensions 2-50•00 x 310.15 SQ
b) Land area designated to building site -rOrAL 1.-1-19 ACtztlS
c) Sewage Disposal Contractor
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.
hegtL Z(o , i 989 S.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
C�RE�T1 FIILI tzD LV NIt"AY ib 4
ON -
To NA0Gr-SV1L.Lc
7b
A
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
(g,I eJ 4ILL RD OP 1416NWAY (W (office use only)
es 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.
y zs a9
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)
T
_ DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size,/, %C
w
91
FAr:TOP.Q ARFA 1 AREA 2 AREA 3 AREA d
1) Topography/ Landscape Position
PS
PS
S
PS
U
U
U
U
') Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
�
U
3) Soil Structure (12-36 in.)
Clayey Soils%(F1
S
S
S
S
q Soil Depth (inches)
�g
U
I
i) Soil Drainage: Internal
S
(P
S
PS
U
External
S
PS
S
PS
U
U
U
U
i) Restrictive Horizons
Available Space
S
PS
PS
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Site Classification
-
U—UNSUITABLE
Recommendations/ Comments:
S—SUITABLE PS—Provisionally Suitable
Described by Titleham" Date
d.
SITE DIAGRAM
DCHD (8-82)