121 McGee Court Lot 2r
Davie County, NC Tax Parcel Report Tuesday, November 8, 2016
5
t
131
WARNING: THIS IS NOT A SURVEY
--------------------
..128
I
Parcel Number:
C713OA0002
Township:
Farmington
NCPIN Number.
C-).
Municipality:
t�
Account Number:
23983500
Census Tract:
470-__
Listed Owner 1:
W
Voting Precinct:
FARMINGTON
Mailing Address 1:
W
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-20
I�
NC
0120
DAVIE COUNTY OD
121
I
27006-7913
g
No
Legal Description:
LOT BUTNER CENTURY
Fire Response District:
SMITH GROVE
I
i
0.51
Elementary School Zone:
PINEBROOK
Deed Date:
4/1998
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
,
Soil Types:
PcB2
t
,
Flood Zone:'
Plat Page:
181
Watershed Overlay:
DAVIE COUNTY
Building Value:
I
Outbuilding $ Extra
590.00
9bt'! All data Is provided "Is vMhou[wmM7l
aor guarantee of my MnM eitherexpressed wimphad Including but not limited to the
Sl^'Davie County, [mpg" wmtdles of metchamabllbywtlmeesfx,a padlcutaruse. All users a Davie Comdys GISumbsile a hell hold harmless the
a
CourdyDavie,North Camllna Ibagent,eonsuhants eoa don wemployeesfromanyandagdalmsorcausesaecuondueto
co 14, NC or arising out of the use or lnabllityto use the GIS data provided by thiswebsite.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
C713OA0002
Township:
Farmington
NCPIN Number.
5872064524
Municipality:
Account Number:
23983500
Census Tract:
37059-802
Listed Owner 1:
ELLIS CHRISTOPHER L
Voting Precinct:
FARMINGTON
Mailing Address 1:
121 MCGEE COURT
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:I
NC
Zoning Overlay:
DAVIE COUNTY OD
Zip Code:
27006-7913
Voluntary Ag. District:
No
Legal Description:
LOT BUTNER CENTURY
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.51
Elementary School Zone:
PINEBROOK
Deed Date:
4/1998
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
002010842
Soil Types:
PcB2
Plat Book:
0005
Flood Zone:'
Plat Page:
181
Watershed Overlay:
DAVIE COUNTY
Building Value:
141790.00
Outbuilding $ Extra
590.00
Freatures Value:
Land Value:
30000.00
Total Market Value:
172380.00
Total Assessed Value:
172380.00
9bt'! All data Is provided "Is vMhou[wmM7l
aor guarantee of my MnM eitherexpressed wimphad Including but not limited to the
Sl^'Davie County, [mpg" wmtdles of metchamabllbywtlmeesfx,a padlcutaruse. All users a Davie Comdys GISumbsile a hell hold harmless the
a
CourdyDavie,North Camllna Ibagent,eonsuhants eoa don wemployeesfromanyandagdalmsorcausesaecuondueto
co 14, NC or arising out of the use or lnabllityto use the GIS data provided by thiswebsite.
•:fir' �
e4
IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**NOTE#* This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater'
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION oust be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of S.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
nano
WE lartics \*4'p,\M �NS�\ PROPERTY ADDRESS I � ► me `�<e DATE 4-?-9�
LOCATION 1 J6 - h\ so
O" N
SUBDIVISION NAME LOT NUMBER �,_ SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE 6,0So. N BEDROOMS 3 M BATHS M OCCUPANTS 5 GARBAGE DISPOSAL:`Yes/No
COMMERCIAL'SPECIFICATION: FACIL}TY TAPE Y PEOPLE — M PEOPLE/SHIFT _ A SEATS _ INDUSTRIAL WASTE:Rs/No
.s„
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEIbt, GAL. PUMP TANK'' GAL. TRENCH WIDTH ROCK DEPTH $ �' LINEAR FTi bU
OTHER 1
REGUIRED SITE MODIFICATIONS/CDNDITIONS:" " v; Y
**#THIS PERMIT IS SUBJECT TO REVOCATION IF SITETLANG';OR THE INTENDED USE,CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
O0'
'. 0 D -
im
CJ1� oo.
IMPROVEMENT=PERMIT..-B,
y
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPART?IENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
6:30-9:30 A.M. OR 1:00-1:30 P. M. ON THE DAY OF'INS RLLATiON� TELEPHONE i IS (704) 634-8760.
OPERATION PERMIT - - 5 SY LEM�INSTALLED BY
AUTHORIZATION NO. O a$`�, OPERATION PERMIT BY
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 'SEW'AGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN A5 A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. iff
DCHD 10/95
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT 30--D)),
IMPROVEMENT PERMIT
*IMTE** This japrovem Tent permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system: ystim: AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation ofa-systev'or the issuance of a building permit.
in
compliance with Article It of B.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME \VX� PROPERTY ADDRESS
0-AVOODATE
LOCATION V\c
SUBDIVISION NAME q."c sz,- LOT NUMBER SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE 6o 0 SQ. # BEDROOMS 3 # BATHS :1 # OCCUPANTS rL GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE RgklR.,SITE
SYSTEM SPECIFICATIONS: TANK SIZER)OL, ex. W TAM GC TRENCH WIDTH ROCK DEPTH F
LINEAR FT. 460
I OTHER
REQUIRED SITE KODIFICATIONS/CDNDITIONS-.
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE, YOUR WASTERWATER SYSTEM CONTRACTOR. MUST
SEE TNI5 PERMIT BEFORE INSTALLING THE SYSTEM.
75�
IMPROVEMENT PERMIT
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
800-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION.;,, TELEPHONE # 19 (704) 634-8760.
OPERATION PERMIT
SYSTEM;INSTALLED BY
AUTHORIZATION NO. OPERATION PERMIT BY
DATE
1 VE- M
,-**THE.-ISMD
CE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED AM" HAS,B -D&Eff'COMPLIANCE ITH
ARTICLE 11 OF B.S. CHAPTER 1309, SECTION .1908 'SEWAGE TREATMENT AND DISPOSAL SYSTEM ' S', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORIV FOR ANY GIVEN PERIOD OFJIME,
DCHD 10/95
" Davie County Health Departaent
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665.
Mocksville, N.C. 27028
AIIMIIATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in coepliance with Article 11 of
G.S. Chapter 130A, Wastewater Systeis)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION Q
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)'� !�. -9/
NAME L1Am� ��� 1 Y�5 t PHONE NUMBER
ADDRESS �a i �G��CUu }{C{�/O�v-C9-- SUBDIVISION NAME Me-r-ce-)q
� �1 / LOT# /��(UV-'5re 00;
DIRECTIONS TOSIT��O/ . Z0I/V�
DATE SYSTEM INSTALLED �� .,�f/7Q. NAME SYSTEM INSTALLED UNDER SfIJN e
TYPE FACILITY /TO�CSE'- NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided Is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1fe3
3
h , DAVIE COUNTY HEALTH` DEPARTMENT
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 N"N �v Date \- �.' 5'�r19i32
ti
Location \-"A I-, -v\ C
N
Lot
Sec. or Block No.
Lot Size '_ ouse-1 G —Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family LA
Garbage Disposal YES ❑ NO l�v Specifications for System:
Auto Dish Washer YES IEr NO ❑ i> < c, ;_ ti. ��. — �'•. \=`, >�
Auto Wash Machine YES a NO ❑ o X X
Type Water Supply _
*This permit Void if sewage system described below is not. installed within 36 months from date of issue.
1.
�l<
---- -------
Improvements permit bye
i
*Contact a representative of the Davie Cou'n ty 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-,
P ^ 0 Stem Installed by
I_ U
Certificate of Completion \� Date
*The signing of this certificate shall indicate that the system described above has been installed incompliance 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.
Y
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
Mocksvi�lle, N.C. 7028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
t
E'. rn`'G�
4U,r,..,.s4Home Phone Q�g-SSZ-3
1. Permit Requested By _-M `F E Business Phone 4 S F! -55Z3
2. AddressRar`i t 1vl`Gw - -+lc t3� � CAS= "4V�s��ids� sad
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter— Repair—
b) Privy— Conventional Other Type—
Ground Absorptiioon1��
c) Sub -Division 6 : a �� Sac. Lot No. 2-
—
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 t $oo SrA_
Bed Rooms_ Bath Rooms 2NDen 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 9 urinals garbage disposal
lavatory showers I washing machine )
dishwasher Isinks I
8. a) Type water supply: Public Private—Community ✓ �a " C ""'� t w��`r
b) Has the water supply system been approved? Yes3 No -
9. a) Property Dimensions t S0 n 1-7 `r
b) Land area designated to building site '+ z , ���►�-� mac e.
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 knowle ge.
Date wner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (8-82)
i
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, Mo,cksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: �sr DATE RECEIVED
'Pza � L, � � �`� (office use only)
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 aground absorption sewage treatment and
disposal system. .
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Departmentto enter upon the above described propertyand conductall
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
Io -(5-s7
DATE 9IGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
Owner only
—JJwners 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
ry SOIL/SITE EVALUATION
Name Date
Address S to ems Lot Size �1
FACTORS ARE ARF ARFA 3 ARGd d
1) Topography/ Landscape Position
PSS
S
-(L—P95
U
S
PS
U
S
PS
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
�pS�
S
�S\ .
S
PS
U
S
PS
U
3) Soil Structure (12-36 in.)
Clayey Soils
PS
U
S
S
PS
U
S
PS
U
1) Soil Depth (inches)
pS
PS
U
S
PS
U
Is
PS
I U
i) Soil Drainage: Internal
PS
PS
U
S
PS
U
S
PS
U
External
U
PS
U
S
PS
U
S
PS
U
i) Restrictive Horizons
Available Space
U
U
S
PS
U
S
PS
U
i) Other (Specify)
S
PS
S
PS
S
PS
U
S
PS
U
Site Classification
U—UNSUITARLF S—SUITABLE
PS rowsionally Suitable -
o
SITE DIAGRAM
DOHD (6.62)
Daae County . A(ealtl D,7�qqieffiy
artment
and Nome NealtFr .'
210 HOSPITAL STREET I P.O. Box 885
MOCKSVILLE, N.C. 27028
PHONE: (704) 834.5985
Crowder Realty
Attn: Carolyn Johnson
P. 0. Box 1276
Clemmons, NC 27012
January 26, 1990
Re: Sewage System Installation
M & E Construction, Inc.
Permit #4982
Butner Place - Lot 2
Dear Realtor:
The septic tank system that serves this residence was designed,
inspected and approved by this office on March 9, 1987.
With proper maintenance and use it should function properly.
CL/wd
A
Sincerely,
Charles E. Little, R.S.
Environmental Health Section