152 Brockland Drive Lot 56t t
Davie County. NC
Tax Parcel R ennrt
Tuesday, January 3, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS 1S NOTA SURVEY
Parcel Information
H702OA0010
Township:
5769868655
Municipality:
82526952
Census Tract:
BAKER DONALD V
Voting Precinct:
152 BROCKLAND DRIVE
Planning Jurisdiction:
ADVANCE
Zoning Class:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27006-0000 Voluntary Ag. District:
LOT 56 GREEN BRIER Fire Response District:
0.44 Elementary School Zone:
9/2006 Middle School Zone:
006790691 Soil Types:
0005 Flood Zone:
099 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
Shady Grove
37059-804
WEST SHADY GROVE
Davie County
DAVIE COUNTY R -A
ADVANCE
SHADY GROVE
WILLIAM ELLIS
EnB
DAVIE COUNTY
No
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
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•DAVIE COUNTY°HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE,,OF COMPLETION r
*NOTE: Issued•"in Compliance'with G.S. of North Carolina Chapter- 130 Article 13c ,
Sewage.-Treatment an&Disposal Rules (10 .NCAC 10A .1934.-.1.968) Permit Number
Name ` - 5 Date —!q 33
Location n ei rc �.
Subdivision Name +a r - Lot No. Sec. or Block No.-
%Lot. Size' House Mobile Home ✓ Business "'- Speculation'
No. Bedrooms No. Baths'. �" ' No. in Family _ ;
Garbage Disposal YES-E] NO [];l% ;
Specifications for System:-/Q 06 �r
Auto Dish Washer YES :2 NO E] • . ,�.�- .�o 'Y j Yrd''•`�'Uc✓C
Auto Wash Machine YES NO 0, �. /2� �rr�'��' .•,1 z,s' ,dc%w f>�.r�
'
Type.Water I
.Supr Y
---
*This permit Void if sewage'-system described below is not installed within 36,months from. date of issue.
_77-
Improvements permit byt �rtn a
-- U
V -
*Contact,a representative.'of'the Davie County Health Department for final' inspectiorn of this system between'8:30-'.,-..
9:30 A.M. or 1:0071:30 P-.M. on day of.completion. Telephone Number: 704-634-5985:,.
- Final Installation Diagram System Installed b
"- Certificate of Comletion '�
�ate�
The signing of this certificate shall.indicate that the .system described'above-has been •installed in compliance with
thestandards set forth in the above regulation .but•shall-in NO way be taken as;a guarm
guarantee that.the
satisfactorily for any given period`of time. '
I
APPUCATION FOR SITE EVALUATION/IMPROVEMENTS PERMIt
r- Davie County Health ,apartment
Environmental Hoalih Section
4. P. 0. 6crx 665
Mocksvills, N.C. 27023
CONSTRUCTION SMALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS SVFN =161101
• Dome Pgone
f. POVA Requested Byr__4_ _VQ, Nslness Phone
2 Aires.
S. Property Owner if Dfflwent than Above -- ---_-
Address
4. Permit To: a) Repa i r
b) Privy Conventionalther Type ---
Ground Absorption
c) Sub•Division r _ Sec.. /-_— Lot No. � -S� Z
b. System used to serve what type facility: House—__. Mobile Herne EI�e6s--
Industry_.— Othe:r__.
b) Number of people_—
8. a) it hose Or mobiis home, state size of home and number of rooms.
House Dimensions 5_.x. 7d
Ser! Rooms Bath Rooms_.— Dan w/Closet.-
,t? r e L--,� �- APj 1470-0—
b) M Business, Industry or Other, State: Number of persons sawed
What We business, etc..— —,.-------- --- _ -
Estimate amounivI waste dally (2.4 hours).___ _.—_.--
7. [dumber and; type of witer-using fixtures:
CornmAes garbage disposal _
lavatory — showers__ ��__ .washing machine—�_
dishwasber sinks
& a) Type water supply. Public_ Private___ Corn pity,
b) Has the water supply system been approved? Yes.—_ No_.. _
9. a) Property Dimenslons �ll D Xaa -------•_ — --
b) Land area designated to building sitar
c) Sewage a Dis al Contracts _
P�
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 corr the my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPUAN::E WITH ALL STATE AND LOCAL LAWS
Allow E, days for processing
Directions to property:
l
ccie 0 -ax /
1)
�y
DAVIE COMITY HEALTH DEPART IEI?T S�
EP?VIROP 1.0,TTAL HEALTH SECTION
SOIL/SITE EVALUATIOPT
I?AIS_/ DATE
ADDRESS
LOCATION
LOT SIZE
TOPOGRAPHY: t5 ?r:Ps• :�- �f-�" 8l��/�°"7
SOIL Tr,,-' TURE: l� Sa 6d • %G - r+''ro%y1�C'�� -- 3
W J
SOIL STRUCTURE:
DEPTH: 3 6 2r fdo'"
RESTRICTIVE HORIZOFSa 3,e'2 "
PERCOLATION PATE:
1.
2.
3.
Presoak I1ark & tine Drop Time Rate iiin. Inch
***CLASSIFICATIOP?:Suitaule r^v isionallyuabUnsuitable
C0101EP?TS : �tsiP.N .?Psa/�r c�ino %`/e
/19,9Xibt� �� �r�itl� S�sJ`T' /�U �h � T/lli7� 2 •.,i' ��/LUT�' �/dlL't,.� ���ic�G
SAiNITARIAI? 414,1/
SITE DIAGRAM