143 Oak Grove Chuch Rd Davie County,NC . ' Tax Parcel Report �o� �� Wednesday, October 5, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. G50000013302 Township: Mocksville
NCPIN Number: 5749278779 Municipality:
Account Number: 82522285 Census Tract: 37059-805
Listed Owner 1: BEEDING SARAH W Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 143 OAK GROVE CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC 2oning Overlay: DAVIE COUNTY QD
Zip Code: 27028-4310 Voluntary Ag.Distrlct: No
Legal Description: 1.960 AC OAK GROVE CHURCH Fire Response District: MOCKSVILLE
Assessed Acreage: 1.85 Elementary School Zone: MOCKSVILLE
Deed Date: 3/2004 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 005370978 Soil Types: WeC,We6
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 105410.00 Outbuilding&Extra 22g00.00
Freatures Value:
Land Value: 33590.00 Total Market Value: 161800.00
Totai Assessed Value: 161800.00
q��I�, All data Is proNded u Is without vrarnMy or guanntee of any Idnd efther expressed or ImpUed includ(ng but not Ilmked to the
Davie County� Implied wamntles of inercharrtablliry w fkness for a particular usa All users oT Davie Count�s GIS website shall hold harmless the
�7/-r County of Davie,North Grolina,Its agmta,consultaMs,contractors or employees from any end all daims or causes of acdon due to
�'O�N�S� 1\l. or aris(ng out of the use or Inabflity to use the GIS daU provided 6y th(s webstta
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' DAVIE COUNTY HEALTH DEPARTMENT -
lMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G,S. of North Carolina Chapter 130—Article 13c.
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Name ;_ - . , , :z_._ Date � , ,
Location '•- � ��. , , ,
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Subdivision Name Lot No. _ _ Sec. or Block No.
Lot Size � '� �'`` House =� Mobile Home _ Business Speculation
No. Bedrooms -` No. Baths � No. in Family _
Garbage Disposal YES p NO ❑ Specifications for System: : � �- •
Auto Dish Washer YES ❑ NO � _ -
Auto Wash Machine YES ❑ NO � ��
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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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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_ '
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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.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
�`AN�. (.J+-t i-r a rF 2_
SOIL/SITE EVALUATION
Name_���Lliil,Q G`�L-. /�{a��S O�q-K �2c.��- Date 3' 7-�3
Address �v' � '3� Lot Size
/►'lac.k-i'�i«E J�/c- Z To2S'
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position � � S S
PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S S
Loamy, Clayey, (note 2:1 Clay) P� �S� PS PS
U U U U
3) Soil Structure (12-36 in.) S S S S
Clayey Soils � � PS PS
� U U U
4) Soit Depth (inches) g S S S
PS � PS PS
� U' U U
5) Soil Drainage: Internal S S S S
pS PS PS PS
� U U U
External S S S S
PS PS PS PS
� U U U
6) Restrictive Horizons
7) Available Space S S S S
PS PS PS PS
� U U U
8) Other (Specify) S S S S
pS PS PS PS
� U U U
9) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments:
Described by ��� Title �N''T�a-2�A^r Date 3-7- g3
SITE DIAGRAM
DCHD(6-82)
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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT � �1�
Davie County Health Department ��
Environmental Health Section
P. O. Box 665
Mocksville, N.G 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone .
1. Permit Requested By � "��l,a�� t•�• yvm �s Business Phone �3�— 2 z S z
2. Address _�e. ✓.�rx 3.�.-. /1I���.�s�;i/r. , /v! C.
3. Property Owner if Different than Above -T-��c� �.Jlt.t.�,C'�r
Address
4. Permit To: a) Install �Alter Repair
b) Privy Conventional 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
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions �-� X 4 `�
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 1
dishwasher I sinks �
8. a) Type water supply: Public_�Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions 3�y a� ��
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.
�—�— �;3 ���%1�... �_ �c5��%u��
� 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)