681 Gladstone Rd Lot 2 1
Davie County,NC Tax Parcel Report Thursday,December 29, 2016
GLENVIEVV LN
I
441
i
I
i
r i
Q + I
� I
i
681" �
I
`120
687
4
;l
I
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: M404OA0002 Township: Jerusalem
NCPIN Number: 5736616304 Municipality:
Account Number: 69905500 Census Tract: 37059-807
Listed Owner 1: SPILLMAN JAMES MICHAEL Voting Precinct: COOLEEMEE
Mailing Address 1: PO BOX 1187 Planning Jurisdiction: Davie County
City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27014-1187 Voluntary Ag.District: No
Legal Description: LOT 2 GLADSTONE ESTATES SECTION ONE Fire Response District: JERUSALEM
Assessed Acreage: 0.47 Elementary School Zone: COOLEEMEE
Deed Date: 7/1992 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001640473 Soil Types: GnB2
Plat Book: 0006 Flood Zone:
Plat Page: 012 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding 8r Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
p�mlAAll data is provided as is without warranty or guarantee of any Idnd 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
�r
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�Obt3't4 NC or arising out of the use or Inability to use the GIS data provided by this websIte.
N
DAVIE COUNTY HEALTH DEPARTMENT �� D
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a �p�j (� 51�'lE � 541�l��i►'�
Sanitary Sewage Systems Permit Number at(
Name , ' � rvDate NO 8�;
Location
Subdivision Name. V7aW,5— Lot No. _ Sec. or Block No.
Lot Size A>rXZO House Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO [a..
Specifications for System:
Auto Dish Washer YESNO �'�p!)o.c;�„�, , `
Auto Wash Machine YES [� ❑NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
------------------------
1+�v
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
l
Certificate of Completion _ �� Date lq) _
"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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION /
Name /rll � Date10,
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position 0
PS PS PS P
U U U U
2) Soil Texture (12-36 in.) Sandy, S
Loamy, Clayey, (note 2:1 Clay)
U U U U
3) Soil Structure (12-36 in.) � S � ��
Clayey Soils (H)
U U U
� &��)
4) Soil Depth (inches) ( �p Z5>
U U U U
5) Soil Drainage: Internal SS
��_�,
-qp—
U U U
External S S
6) Restrictive Horizons
7) Available Space
PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U . U
9) Site Classification /'� �S� 4�7
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by 1 Titled Date �—
SITE DIAGRAM
II1
l�
DCHD(6-82)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028 RECEIVED JUN 13 S
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. ��-77
Home Phone �vq 97 z/r
1. Permit Requited By 'D W)Q In Business Phone
2. Address P. 0 •
3. Property Owner if Different than Above t V^C 015` J .e 0 Z
Address 8 f 7 v Cl-; t! l --
4. Permit To: a) Install A,*"Alter Repair
b) Privy Conventional Other Type
Ground Absorption t
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business—
Industry—
usiness Industry Other
b) Number of people
6. ay 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)_
7. Number and type of water-using fixtures:
commodes urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public_ Private Community
b) Has the water supply system been approved? Yes 41-11 No_
9. a) Property Dimensions
b) Land area designated to building site
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 corec o the best f m k owledge.
Date Ow er Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
CA
0.
pill"