830 Richie RdDavie Countv, NC
Tax Parcel Report . 'I %S 4 Tuesday. September 27, 201 f
l v All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 X16 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
ulus
NC or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
_77
Parcel Number:
E300000041
Township:
Clarksville
NCPIN Number:
5821075561
Municipality:
Account Number:
82531399
Census Tract:
37059-801
Listed Owner 1:-
LANNING HAROLD DAVID JR
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
575 RICHIE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
.75 AC HWY 601
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
0.63 Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008140929
Soil Types:
MnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
20980.00
Outbuilding & Extra
Freatures Value:
13080.00
Land Value:
14280.00
Total Market Value:
48340.00
Total Assessed Value:
48340.00
l v All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 X16 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
ulus
NC or arising out of the use or inability to use the GIS data provided by this website.
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- DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Arti le I rof G.S. Ch pter 130a
W
S ni ary12 & age Systems bop?e? �/°,/f,' a All Permit Number
• Name LILDate � "��_ N2
.�. 7834
y.
Location
Subdivision Name Lot No. Sec. or Block No.
Lot. Size •L2d i House Mobile Home Business __ Industry
No. Bedrooms. No. Baths _ f No. in Family _ Public Assembly------Other-
Garbage
ssemblyOtherGarbage Disposal YES ❑ NO 0Specifications for System:
Auto Dish Washer YES ❑ NO [?r -
Au to
?r'Auto Wash Ma^hine 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 itsite plans or the intended use change.
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
s
j Certificate of Completion C - 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
..i . .. .^r tea.. `�':;., s-,r� v. i ." . Y , — ,...., s _a., _ ..k . .l e - "u . • .. �, .
DAVIE COUNTY HEALTH DEPARTMENT '
IMPROVEMENTS PERMITND CERTIFICATE OF COMPLETION j
=*NOTE: Issued in Compliance With Article 1r'of G.S. Ch pter 130a
Soni '= .'stems Systems W8?'d�° ,, c k'd Permit Number
t Name LIGr f�1�.�i c �' -Date 1- ,�? `�Y 0_
b4 �i ,r s ,�r�U�N 7834
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size ,Z2del House Mobile Home _ Business Industry
No. Bedrooms No. Baths No. in Family _ Public Assembly Other
Garbage Disposal YES ❑ NO p Specifications for System:
Auto Dish Washer YES ❑ NO []'
Auto Wash Ma shine YES ❑ NO [� �- --/ �-�40, C/
Type Water Supply ----
*This permit Void if sewage system described below isnot installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
F
Q
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by�� 1s�
r .
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.
'DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
4 W RKSHEET FOR SEPTIC SYS EM REPAIR PERMIT
�
NAME ! l-1 3-9s/ PHONE NUMBER
ADDRESS h e- SUBDIVISION NAME
A
SUBDIVISION�LOT #
DIRECTIONS TO SITE �.CNPf-- /jl/- "Il e e6z
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED /� �0�7 `�� INFORMATION TAKEN BY
DAVIE COUNTY HEALTH DEPARTMENT _
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION f UO
`NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC110A .1934-.1968) Permit Number
Name `a- 'c^� :� `- �ticttir: Date j - f{ •gyp, �►n
y ..2
Location } \ \, _ �,�' c ,
Subdivision Name Lot No. Sec. or Block No.
Lot Size i House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
—
Garbage Disposal YES ❑ NO ❑'• Specifications for System:
Auto Dish Washer YES ❑ NO p
Auto Wash Machine YES ❑ NO , � T �; A
Type Water Supply _--
*This permit Void if sewage system. described. below is not installed within 36 months from date of issue!!` ,'' �"'`;.
I
I
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
� v �
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.
i
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section /► O
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By � w � ^^'� Business Phone'70!� -
2. Address (2- 3 f v :In v 2-
3. Property Owner if Different than Above `
Address
4. Permit To: a) Install Alter Repair
b) Privy I Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: Housed Mobile Home Business
Industry Other
b) Number of people 1 0"" 2
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions I Aw& -,%) V" 111—
Bed Rooms —I— 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 inks
8. a) Type water supply: Public"ate�
P "R' �Community
b) Has the water supply system been approved? Yes I No
9. a) Property Dimensions • 2?
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? Al
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
�. _ a�- .�• ,,,:.. -z� cam,-.�ti �-Q-�.-� -�`' �^,�.� � �'
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IF.
a.
DCHo (6-92)
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY:��� DATE RECEIVED
7c,rrr,G (office use only)
L
yes ° no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conductall
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DTE SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
— Owners designated representative
Anyone requesting results
— Only those listed below
DATE SIGNATURE
DCHD (11 /84)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name (� ��+•� Date
Address Lot Size 679
FArT(1RC ARF(A 1 \ ARX� AREA 3 AREA A
c
1) Topography/ Landscape Position
j PSS
P&
U
S
PS
U
S
PS
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
U
S
PS
U
S
PS
U
3) Soil Structure (12-36 in.)
Clayey Soils
U
S
PS
U
S
PS
U
1) Soil Depth (inches)
U
U
S
PS
U
S
PS
U
i) Soil Drainage: Internal
U
U
S
PS
U
S
PS
U
External
SS
U
PS
U
S
PS
U
1) Restrictive Horizons
----------
----Available
Available Space
S
PS
S
PS
U
S
PS
U
1) Other (Specify)
S
PS
U
S
PS
S
PS
U
S
PS
U
i) Site Classification
U—UNSUITABLE
Recommendations/Comments:
ttfiA-i5L–E C�visionally Suitable
Described by �� �– Title Date "Z
SITE DIAGRAM
DCHD (6.82)
J