823 Sain Road Lot 5 f
Davie County,NC Tax Parcel Report Monday,December 19, 2016
iJ 4d
�I
I----------------------
793 1539
801
i � 811
�---823 831
' 843
AINi
853
SAIN R!?
r � UJ L.1 i r I
l 1
794 LL
WARNING: THIS IS NOT A SURVEY
- parcel Information
Parcel Number: H6070A0005 Township: Mocksville
NCPIN Number: 5759133649 Municipality:
Account Number: 82528409 Census Tract: 37059-805
Listed Owner 1: BASHAM AMY D Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 823 SAIN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOT 5+DUTCHMAN ACRES Fin:Response District: MOCKSVILLE
Assessed Acreage: 0.84 Elementary School Zone: MOCKSVILLE
Deed Date: 7/2007 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 007200400 Soil Types: GnB2,MsD
Plat Book: 0006 Flood Zone:
Plat Page: 005 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
101 All 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 Countys 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 webste.
DAVIE COUNTY HEALTH DEPARTMENT -a 70
IMPROVEMENTS PERMIT* AND CERTIFICATE OF COMPLETION �p
OTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
pkk Sanitary Sewage Systems Permit Number
Name /7 L/�f Date N2 6042
Location �,9,,J -',�; /e" j.
Subdivision Name Lot No. Sec. or Block No.
Lot Size .4/0 K59/19 House Mobile Home _ Business Speculation
No." Bedrooms — No. Baths No. in Family 1L
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES NO x: ,
Auto Wash Machine YES � NO ❑
Type Nater 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.
r"
Improvements permit by
P --�
*Contact a representative of the Davie County Health Department f r fin I inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Nu ber 704-634-5985.
Final Installation Diagram: Syst m I sta led by
A
_ r+
el
G
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
P. 0. Box 665V
ZD
NC 27028 V�D JU
1 . Application/Permit Requested By
Mailing Address o q , Ma dvv ,, I
Home Phone Business Phone 311 - SC1 S
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: General Evaluation S/Tank Installation
5. System to Serve: 91House u Mobile Home 0 Business
0 Industry u Other 0 Unknown
6. If house, mobile home: Subdivision (DvAC1 MAex Ac-ie-S Sec. Lot#
No. of People. Dwelling Dimensions
No. of Bedrooms 3 Basement/Plumbing
No. of Bathrooms IP. Basement/No Plumbing
(a Washing Machine Dishwasher 0 Garbage Disposai
7. If business, industry, other: Specify type
No. of People Served No. of 'Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers
S. Type of water supply : Public 0 Private 0 Community
9. Property Dimensions _LQ x -I �
10. Sewage Disposal Contractor-
11 . Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes )rd No
If yes, what type?
*NOTE: Improvements Permits shall be valid for a period of 5
years from date issued. Improvements Permits are subject
to revocation, if site plans or the intended use change .
Effective. October 1, 1989.
This is to certify that the information provided is correct to tree
best of my knowledge, and I understand. I am responsible for all
charges incurred from this application.
6 Z2, I / 4?d Z07 ga2 LIOVI
Date Signature
Directions to Property :
DCHD (10-89)
■■■■■■■H■■■■■■.fel■■.■.■!7■■■■■■ ..■...1�►I.■....M....■..■..E..�ONE
■■■■■■.■■.■■■■■■r��a■.■■■■raw■■■■■■�■■■■■■■E■■■■■.■■■■■■■■■.■■■■■■■■
■.........■.....■....■......■■■■■...■■...■.■.....■ ■■..■■.■■■■■■I.
..................................................................
................................ ................................
......................................................... ........
..................................................................
..................................................................
■....■ ■■■.■■ ■.■.■. ■■■■.■ ■■MNON ■■■■■■ ■■■■■■ ■■■■■■
......................■.........�... ......■■� .. M■■■C■■...■■�
................................ ... ........ ............
ONE
................................................. .■■■■■MMMMEMM.IN
........................................................ ........
NEEM■.. ..■ ....... ■.■■.■..■.■■■.■......■.■.■.........■■■ .. ■■
■..■■■■■ ■..C.................................■........■.......�ME
........................................... ......................
................................ ....... ....................NONE
......................................... ........................
..................................................................
..................................................................
..................................................................
..................................................................
M/MEMNONMONSOON MOON�
DAVIE COUNTY HEALTH DEPARTMENT 1
Environmental Health Section 1
P. 0. Box 665
Mocksville, N.C. 27028
/ SOIL/SITE EVALUATION
Name &'U kLZ&) Date
Address Lot Size /M X 1
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position
PS PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) ( � P A
D
3) Soil Structure (12-36 in.) S S S,_
Clayey Soils P � � (� �
U t7
4) Soil Depth (inches) dD y� S) )
P
U U U U
5) Soil Drainage: Internal � S S-�
(CPQ',
U U
External � �
U
6) Restrictive Horizons --
7) Available Space � S � S�
U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U /U
9) Site Classification 2, � 7)r ' 1'� F
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: a
Described by TitleyQ n Date
SITE DIAGRAM
3
y
SID
UCHD(6.82)