152 Guy Gaither RdDavie County, NG" � Tax Parcel Report �ayWednesday, September 28, 2016
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141
Davie County, NCimplied
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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Parcel Number:
F10000004201
Township:
Calahain
NCPIN Number.
5800156945
Municipality:
Account Number:
43830000
Census Tract:
37059-801
Listed Owner 1:
LAGLE WILLIAM HUGH JR
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
152 GUY GAITHER ROAD
Planning Jurisdiction:
Davie County
City:
HARMONY
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
28634-8916
Voluntary Ag. District:
No
Legal Description:
4 AC OFF COUNTY LINE RD
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
3.96
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
3/1990
Middle School Zone:
NORTH DAVIE
Deed Book IPage:
001530612
Soil Types:
PaD,PcC2,RnD,CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -111 -BW
Building Value:
218750.00
Outbuilding & Extra
15520.00
Freatures Value:
Land Value:
23840.00
Total Market Value:
258110.00
Total Assessed Value:
258110.00
141
Davie County, NCimplied
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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 or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
/I
IMPROVEMENTS PERMITAND '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 t 'Q RS W �,�� S) 0 Date —� - �' � N2 5245
4 5
Location �� c�c,'�t (� �10.',j �,k� r, -P- \tel. �. �1 Ob (� .Y,:
Subdivision Name '",`� �,. ,�_,,- h:.,;t o No. S: or Block No,
Lot Size House Mobile Home �� Business Speculation
No. Bedrooms No. Baths No. in;Family
j
Garbage Disposal YES :p NOp
w Specifications for System'
Auto Dish Washer YES p, NO p , f 0- C) r, '
Auto' Wash Machine YES _❑ NO fl. < ♦� ' 1 ",, . i
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.'
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19
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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 Dia g a `;,System Irt'st Iled by
Q
Certificate of Completion Date - 0
'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
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone !3a 4767
1. Permit Requested By �Ye�R(� L��(�i 7 Business Phone 7a_�-09$1
2. Address 124,cf) _(_Q'2
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption r�r� o_ Z� VJQ::W.
c) Sub -Division Sep.
5. System used to serve what type facility: House 'j Mobile Homes
Industry Other—
b)
ther b) Number of people—�
6. ay If house or mobile home, state size of home and number of rooms.
House Dimensions 14 ed-,_ —Tf9
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 urinals garbage disposal
lavatory showers washing machine
dishwasher 4 sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No�L
9. a) Property Dimensions 12 '1 @ Q_CXe !S
b) Land area designated to building site Z Lom hi L 1
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
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:
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DCHD (6-82)
. , Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
m0CAZr--,0 t ( (.e„ — � Com' (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.
FS)
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.
AT SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
_J Owner only
Owners designated representative
— Anyone requesting results
— Only those listed below
g
AT SIGNATURE
DCHD (11 /84)