119 Drexel Ln (2) ' I
Davie County,NC Tax Parcel Report Wednesday, February 22, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K600000008 Township: Jerusalem
NCPIN Number: 5757052798 Municipality:
Account Number: 20584000 Census Tract: 37059-807
Listed Owner 1: DAVIS ROBERT C Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 119 DREXEL LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5201 Voluntary Ag.District: No
Legal Description: 20 AC TURRENTINE CHURCH Fire Response District: JERUSALEM
Assessed Acreage: 18.57 Elementary School Zone: CORNATZER
Deed Date: 4/1976 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 000980386 Soil Types: SeB,PcC2,CeB2,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 176940.00 Outbuilding&Extra 21200.00
Freatures Value:
Land Value: 114590.00 Total Market Value: 312730.00
Total Assessed Value: 219250.00
161
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
NCor 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
,5NOTE- 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 �L3I�l1 �U. /fwiy Date��,i�� �/�/ NO
_, Al 5466
Location ' - r' y' ; �. .,�' �" '�y''P/ ��r, i .r �' �2i',�--,/T
04
Subdivision Name �� 1 Lot No. __ Sec. or Block No.
Lot Size L��f � House Mobile Home _ Business Speculation
No. Bedrooms _ No. Baths cr! No. in Family C2 _
Garbage Disposal YES 13 NO ] Specifications for System:,
Auto Dish Washer YES NO ❑ /l�1��►�, „�
Auto Wash Machine YES NO p !�
Type Water Supply _
*This permit Void if se ge�s tem 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- r
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
r'
1;5elve 4?
/
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
f
satisfactorily.for any given.period of time.
1
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department ED 1 7
Environmental Health Section �CElV
P. O. Box 665 R
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone QgS '5 1 S-
1. Permit Requested By Roh2CI e• d Cl nd 1 C I;�iw Is Business Phone -74 S--
2. Address 60X mocy-so\ lve n C 02g
3. Property Owner if Different than Above
Address
4. Permit To: a) Install ✓ Alter Repair
b) Privy Conventional---LOther Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5 System used to serve what type facility: House -** Mobile Home Business
"^
IndustryOther
b) Number of people
a
6. a7 If house or mobile home, state size of home and number of rooms.
House Dimensions 4`l '4") X (Dq
Bed Rooms 3 Bath Rooms Den w/Closet—
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 r4Z urinals garbage disposal
lavatory C showers washing machine I
dishwasher ( sinks `
8. a) Type water supply: Public ✓ Private - Community
b) Has the water supply system been approved? Yes ✓ No
9. a) Property Dimensions 2 () 4)C-r2S5 \ X
b) Land area designated to building site 57:"
lip
l o..., � c ... +
c) Sewage Disposal Contractor X10 t �c_r"x��J c1-+ i , i,1
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 knowl dge.
al i I , U_A.::::)
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
q C S 101
e arv) 2
lrd, oyv
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nrD I�
DCHD(6-62)
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
�;P� 'iT P PS
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) ( � S S
U '[�
3) Soil Structure (12-36 in.) S
Clayey Soils �N) rl� PS
U U
4) Soil Depth (inches) S S S S
P
U
5) Soil Drainage: Internal S S
P ` Q
U
External S (�
`(1S
U
6) Restrictive Horizons
7) Available Space S
S PS S
U U U
8) Other (Specify) S S S
PS PSS PS
U U ,p U
9) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by ,�� Title e
SITE DIAGRAM
3
DCHD(6-82)
•- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME PHONE NUMBER
ADDRESS A' reYPi G�91✓2 SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY 1ure
—NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY C- 6 SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and tha4iunderstand I Arn responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93
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