292 Tittle TrailDavie County, NC Tax Parcel Report Tuesday, October 1 l, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E300000130 Township:
NCPIN Number: 5811648259 Municipality:
Account Number: 73500000 Census Tract:
Listed Owner 1: TITTLE CHARLES W Voting Precinct:
Mailing Address 1: 292 TITTLE TRAIL Planning Jurisdiction:
City: MOCKSVILLE
State:
2oning Class:
NC Zoning Overlay:
Zip Code: 2702&0000 Voluntary Ag. District:
Legal Description: 4.709 AC OFF LIBERTY CHR Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book 1 Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Totat Assessed Value:
9"�'�' Davie County,
`'��N��' NC
4.71 Elementary School Zone
9/1987 Middle School Zone:
001390717 Soil Types:
Flood Zone:
Watershed Overlay:
14490.00 Outbuilding � Extra
Freatures Value:
31210.00 Total Market Value:
56140.00
Clarksville
37059-801
CLARKSVILLE
Davie County
DAVIE COUNTY R-A
WILLIAM R. DAVIE
. WILLIAM R DAVIE
NORTH DAVIE
MnC2,Mn62,MdE
DAVIE COUNTY
10440.00
56140.00
No
�. � ' �r�• , DAVIE COUNTY HEALTH DEPARTMENT
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�� r%� ' --.IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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. � `4'VOTE: 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 �'�-f—/� i�.������lf '/.. �•�.. . �D'ate 7����"�`l' �'� ���3
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' Location �/��.rr� - �T/� i� .� /: � .,i d:7 , _ '�r' � f ! /`'/I l �
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Subdivision Name Lot No. Sec. or Block No.
Lot Size ,������ " House � Mobile Home _ Business Speculation
No: Bedrooms � No. Baths_T No. in Family�_ �
� Garbage Disposal YES •p NO p�- Specifications for System:
Auto Dish Washer YES p NO ❑
Auto Wash Machine YES [f] NO •p �J(j'��.�jY/�� � S�i� ��'�
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 ��"���
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"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�s��i�y�'1
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� Certificate of Completion FpL�� 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
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satisfactorily for any given period of time.
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DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Compiete the form below and return to the Davie County Heaith 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
LOCATIO OF P OPE TY,p•,�% � DATE RECEIVED
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yes no 1. I am the owner of thE above described property.
es no
2. I 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. I hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above describe�i property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
�
DATE
��� � �� ' �
SIGNATURE
4. I hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
DATE
DCHD (11 /84)
_ Owner only
— Owners designated representative
_ Anyone requesting results
— Only those listed below
SIGNATURE
n
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone �---��� �
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1. Permit Requested By Business one
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2. Address
3. Property Owner if Different th n Above „�� �
Address
4. Permit To: a) Install�F�lter 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—T
6. a) 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: fVumber of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes v urinals
lavatory �� showers `—�
garbage disposal
washing machine
dishwasher sinks �----�
8. a) Type water supply: Public �'� Private Community
b) Has the water supply syste been approved? Yes 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 correct to the best of my knowledge.
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Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
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� � OLIVE R. CULLER
0.8. 50 PG.567
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O.B.47 PG.473 �q • F'.... �' '`�,\
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� AREA = 13. 9 ACRES � ��`
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JOHN H. BECK � � � � 0 ,P
D.B.33 PG. 475 "�� p ry0
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N e�• 39 :�•`Q1�f�,�T•�(�` I,GA�DY l TUT7ER01H.CFRTIFY Th�i UNGER
� ���2•• �/, ./�,'� MY O�RECPCN A�:O SUPfAV15�04.TM!S M�P
��?•. -�i SEAL '; - w�soR..v+,p•.�.nAr:a"'U��F�PIDSURVEY
�y _ � L,Z,27^! _ nI�DF 6Y TUTiER�iw SUR'+E7R7.^,CO. �
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Name ��
Address
FACTORS
1) Topography/Landscape Position
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
3) Soil Structure (12-36 in.)
Clayey Soils
4) Soil Depth (inches)
5) Soil Drainage: Internai .
External
6) Restrictive Horizons
7) Available Space
8) Other (Specify)
9) Site Classification
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date �/ /�
� '/
Lot Size ����
U—UNSUITABLE
Recommendations/Comments:
Described by _
SITE DIAGRAM
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AREA 1
P
U
�
'U
SS
�--rJ'
-- J'
�
/P
�
r
S
PS
U
S
PS
�
S—SUITABLE
AREA 2
S
PS
U
S
PS
U
S
PS
U
S
US
S
US
S
PS
U
PS
U
S
PS
U
AREA 3
S
PS
U
S
PS
U
S
PS
U
S
US
S
US
S
PS
U
PS
U
S
PS
U
PS—Provisionaliy Suitable
EA 4
S
PS
U
S
PS
U
S
PS
U
S
US
S
PS
U
S
PS
U
PS
U
S
PS
U
Title ��� Date � -
Y"
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,�'' � ` S �
��S C�u`�P
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UCHD �5�82)
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• �tt�ie (�ourtt� �$ettX#� �e�ttrfinen#
•_ �I2t� �r IIttIP ��iilt� ��PttC�1
P. O. BOX 665
� ��Hucksi�ille, �arth fl�ttrulintt z7Q28
CONNIE L. STAFFORD, BA, MPH TELEPHONE
HealihDirector August 25, 1987 ��py�6 q.5gg�
Davie Realty & Insurance Co.
Attn: Holland Chaffin
1481 N. Main St.
Mocksville, NC 27028
Dear Realtor:
The 13 acre tract of land evaluated by this office for Charles Tittle
off Libery Church Road was classified provisionally suitable for a septic
tank system.
Enclosure
RH/wd
Sincerely,
l�sali�"��✓�2� �f
Robert B. Hall, Jr., R.S.
Environmental Health