170 Mortgage Hill Way Davie Cotcnty, NC Tax Parcel Report �'���... Friday, September 30, 2016
.�-- -- — --
I � � � �
� �! �(
, '�
� � i ;
f �
t
i �bz-,. � �)
�...i
3
3' ��
�� i
3� �
' \ f I ,
'., � _ � �
..�., ,
_ -�,��'�.'� 17 0 ` � �;
,�,� , ;� � il
s�
; '
�.'�� �"W".,=�,.� +�r`�`i � i
,rr ���,��.:���I„w�,4!�- j�.
_,,,_
�
. .
'"^-», -_,.r ! �
%� �.._� ..ri... �� . �./'
, .
......._
_ .
� . .
. ! ..W,..-.... � t
.�� .-......,,,_...—.......*-.-.._.._
, .-.-_.w,�,. .---....__
, ...._,....,., ---.......
..�� . � ..._.,,,,,,, ---,........
, .......� .--..._....
, � ........�. ---....._.
,............ ---•,.......
I
i ij, �
f E i
;
. ._.._..._.._ _.____. .____ ___. __ L_�__- __..___ __�___.__—._-..__-_ __..L____._.-__ ___.__ _. .. .. �
WAI2NING: THIS IS NOT A SURVEY
_ . _ ..
Parcel Information
Parcel Number: 6300000046 Township: Clarksville
NCPIN Number: 5823363041 Municipality:
Account Number: 59460000 Census Tract: 37059-801
Listed Owner 1: RATLEDGE KERMAN R Voting Precinct: CLARKSVILLE
Mailing Address 1: 170 MORTGAGE HILL WAY Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-6229 Voluntary Ag.District: No
Legal Description: .55 AC OFF COURTNEY RD Fire Response District: COURTNEY
Assessed Acreage: 0.57 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 7/1975 Middle School Zone: NORTH DAVIE
Deed Book I Page: 000960127 Soil Types: MnC2,En6
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 13270.00
Freatures Value:
Land Value: 10820.00 Total Market Value: 24090.00
Total Assessed Value: 24090.00
9 AX'i�, All daW Is provided as Is without warranty or guarantee of any kind either expressed or implied tncluding but not limited to the
Davie County� Implied vrarranties of inerchantability orfitness(or a particular use.All usen of Davle County's GIS website shall hold harmless the
County of Davle,NoRh Carolina,Its agents,consulWnts,contractors or employees Trom any and all claims or causes of action due to
no�N.�"� NC or arising out of the use or Inability to use the GIS data provided by this website,
:,.,
--� � _*
` ' DAVIE COUNTY HEALTH DEPARTMENT
. t _.�
,,, ,
• IMPROVEMENTS PERMIT AND 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 � r.�; -� �� _ �� � _ = Y:o
Location . , _f .. �`;.�`j_ f ; �_ � .
- " _ f - -- /2 � �O1"�S��,��� �(
Subdivision Name Lot No. Sec. or Block No.
Lot Size�`� � % House _ Mobile Home _;:_ - Business __ Speculation
No. Bedrooms _ No. Baths ��f�' No. in Family ' t _.
Garbage Disposal YES p NO 0 Specifications for System:
Auto Dish Washer YES ❑ NO � ,���',,
� . . _ _
Auto Wash Machine YES 0 NO 0
, ,, �-, ,
Type Water Supply � � __ � �ii� '.-'/���,j�;'
`This permit Void if;sewage system described below is not installed within 36 months from date of issue.
� i` ,�
` � `
_ _.
!
. i, _ _
:I;i , ' , � '
. � � . / -� ^ _ '�'�'\i
... ^.; � � .. � ti ��
��1' ,` 1
, - ' j
i �
f� ' t
, f, t, .� � ;
i � __..____._
,
, , ;
: . ._ _ _ ;
, , _ _.._. __ __-
I ; ._
i ` , "
Improvements �ermit by —_"-.'_� ''J �
"'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 In_stalled by � �`� ���°��`'�%'i`�> � ������"�"'��%''
'%�'""....�----�'..,�'"—�._....�,�-�
l� ��:�.
; �� � _� _ �T
7 i �-�
; _----
,
,�_ ��
�L�
,
�._____-_______ _��1
�
�
i
_------�--
__�
__�----:� ,;,- i i <,,��
i^%���i-�' �l;�,; , ;r=• •
Certificate of Completion ' l'`�' �"" Date /`�"`J�' �` 1�
�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.
� � . �2�� ,, r
, �/�r .
t�„�,. � � �f y `Ci /`�/�jl� [
, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ����1��
Davie County Health Department
Environmental Health Section
P. O. Box 665 �e�
Mocksville, N.C. 27028 ����j�.-�i�,�r/er..�_,
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone ���- 33-? �'
1. Permit Requested By �ptl-�'r�Oir? I�G.�� r/�'��= Business Phone
2. Address �f s ���-�'��'�-�+ , h ��
3. Properry Owner if Different than Above �' �� �'� �o%' •
Address
4. Permit To: a) Install '� Alter Repair
b) Privy Conventiona) 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. a) If house or mobile home, state size of home and number of rooms. �
House Dimensions l`f X 70
Bed Rooms.�—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 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 No
9. a) Property Dimensions ���� " /SO`
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 correct to the best of my knowledge.
.�- ��'- ��O ,,/f c�?/lii��Gtn-� �G��C��:/�LE'�
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
��C�l lV 'Ta �D( - � diV.,/2�f o �il o�, �'�'� -Q c�r� C''h�'a �'�z� .�o�d.
1 tJ
�� � �/Z G-(.�CZ �'� 7`�'LQ. �Q..G!� �' �.D ,r0 y��G�- QaC/, _
(/ -�v
_ , " �l����•�j��u.e�G� /-�'�U �-�j
� � �L,U :�c� � � V
� .� _ �� .� �� fi
�
�
� �
��������✓
, ��..����.� �
� DCHD(6-82)
, �
. ,
�'' • � DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Kerman Ratled�e Date
Address Rt. 5, Lot Size 125' x 150'
Mocksville, NC 27028
FACTOR$ AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
� PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S S
Loamy, Clayey, (note 2:1 Clay) PS J�-�'S� PS PS
`tT U U
3) Soil Structure (12-36 in.) S S S S
Clayey Soils � �- - -� PS PS
U U
4) Soil Depth (inches) �S .�--� S S
PS �.__..._C,ry�.iC PS PS
U U U
5) Soil Drainage: Internal S S
(���S �� PS PS
`Tj �Q� U U
External S S S
�PS � PS PS
U U
6) Restrictive Horizons
7) Available Space � S S S
PS S PS PS
U � U U U
8) Other (Specify) S S S S
pg PS PS PS
� U U U
9) Site Classification � � • �
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title Sanitarian Date
SITE DIAGRAM �__--------�
�._.__
� ����-�
�
_ _ ._ __ _ _ __.____
�� 1
DCHD(6�82) �