479 Underpass Rd Davie.County,NC Tax Parcel Report Tuesday, October 18, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel InformationM
Parcel Number: G80000007603 Township: Shady Grove
NCPIN Number: 5880444685 Municipality:
Account Number: _ Census Tract: 37059-804
- --Listed Owner 1: :! Voting Precinct: EAST SHADY GROVE
Mailing Address 1: Planning Jurisdiction: Davie County
_ City: Zoning Class: DAVIE COUNTY R-A
State: Zoning Overlay:
Zip Code: Voluntary Ag.District: No
Legal Description: - Fire Response District: ADVANCE
Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE
Deed Date: / Middle School Zone: WILLIAM ELLIS
Deed Book/Page: Soil Types: Pc62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any kind 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 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
�oU�C� 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: IsgUed 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 Date �'� - U ' 1 N2 5526
Location N�
r/ \ �++ ti.ra=]� -rte. 3-s�--t_ `'�:'a_ t Q� T�r•S w. j.J Y�'�..
Subdivision Name o. Sec. or Block No.
Lot Size n
�. `f Q ° House Mobile Home _� Business Speculation
No. Bedrooms No. Baths ..No., in Family t`
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES'[}' NO ❑ f p��� c,f >�st`-fiJ ��:
Auto Wash Machine ;YES p� NO Cf
Type Water Supply _ �C
*This permit Void if sewage system described below isnot installed within 36 months from date of issue.
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
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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.
I&
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department 3
(� Environmental Health Section ApR
P. 0. Box 665
1r� Mocksville, N.C. 27028 R
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CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
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OHome Phone
1. Permit Re uAsted By ///�L s ��� Business Phone gg/o&
2. Address T / �7�-� r'` i' ,�l v�►A-!LE A- e
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair--
b) Privy Conventional Of Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home !/Business Pr&_74 •� '
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 154 �7D
Bed Rooms -3. Bath Rooms -,�k" 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-bsing fixtures:
commodes urinals garbage disposal
lavatory showers fi washing machine -1
dishwasher sinks /
8. a) Type water supply: Public Private ` Community
b) Has the water supply system been approved? Yes Al No
9. a) Property Dimensions �� D x
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expdnsions of the facility this sewage system is intended to serve?
What type? -
This is to certify that the information is corre to the b 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:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section,
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
NameDate DU -
Address Lot Size 5S,0
FACTORS AR 1 A A 2 ARE 3 AREA
1) Topography/Landscape Position S S
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay) PS PS PS
U U
3) Soil Structure (12-36 in.)
Clayey Soils PS PS
U U U
4) Soil Depth (inches) S
PS
U
5) Soil Drainage: Internal "�
U
U
External S
U
U U
6) Restrictive Horizons
7) Available Space PS
S S S PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U
9) Site Classification Q���
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U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable _
Recommendations/Comments:
Described by �� TitleDate D.t3- !�
SITE DIAGRAM
UCHO(6.82)