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176 Brockland Drive Lot 1Davie County, NC % I q Tax Parcel Report Tuesday, January 3, 2017 rri Lr EK RD n I N 319 176 166 175 Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A No ADVANCE SHADY GROVE WILLIAM ELLIS EnB DAVIE COUNTY WARNING: THIS IS NOT A SURVEY Ail data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the i 01713 C4 Parcel Information Parcel Number: H703OA002801 Township: NCPIN Number: 5769867989 Municipality: Account Number: 15015000 Census Tract: Listed Owner 1: CHAVIS LEONORA W Voting Precinct: Mailing Address 1: 176 BROCKLAND DRIVE Planning Jurisdiction: City: ADVANCE Zoning Class: State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: Legal Description: 1 LOT BRIER CREEK RD Fire Response District: Assessed Acreage: 0.46 Elementary School Zone: Deed Date: 9/1990 Middle School Zone: Deed Book / Page: 001560296 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A No ADVANCE SHADY GROVE WILLIAM ELLIS EnB DAVIE COUNTY Davie County, Ail data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the i 01713 C4 / r NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and an claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION n".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 1014 4rrl P-��STf'/ . ��/F"✓�n'� f�1 Date /, zs 7' N2 Location Subdivision Name Lot No. _ Sec. or Block No. Lot Size House Mobile Home _ Business Speculation No. Bedrooms No. Baths - No. in Family_ Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ �� ��� Auto Wash Machine YES ❑ NO C] /Y/j I'D Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. L - Improvements permit by i *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 byr"�%��'��-''� 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 HEALTH DEPARTMENT -IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION _.N&TE:' Issued in Corrmpliance with G.S. of North Carolina Chapter 130 Article 13c ; Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.19/68) Permit Number Name-IZQr_ ��/S r°r �i'L'��li%V :e,- Date N2 Location) -- Subdivision Name Lot No Sec. or Block No. Lot Size House !-_MobileHome _ Business Speculation No. Bedrooms No. Baths_ No. in Family - — Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ , �� . Auto Wash Machine YES ❑ NO .❑ �� y�� Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. F_ Improvements permit bye lli *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 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. 4., �, s--�..•....-•� ""'^' f ;; � .i v.-iNa`�.a'ac• _-- � ,.,.a.•w,,,a,y .i.:.�O+cYSrWw!acsw.ns�P .r . r u.� . I� "'. _ - _ - - • ��� ii DAVIE COUNTY HEALTH DEPARTMENT .' ]PPROVEMENTS PERMIT AND ,CERTIFICATE; OF •COMPLETION '"NOTE: Issued in Compliance with G.S. of North Car'olmaXhapter 130 Article 13c ` 4.. : 'Sewagei Treatment, and Disposal Rules (10NCAC�0 1934-.1968)f, P@rimit' Number Name - I dC,�t VIP- � T 4 J� Location Subdivision Name ��//�, r -' , b��/ Lot Sec. or Block No. Eta- Lot Size • , f, House ' y Mobile Home _ Business ` Speculation No. Bedrooms No! Baths _ No.lin Family " N Garbage Disposal ;; YES ❑ NO, [� ',k +' I Specifications for, System: Auto Dish Washer YES NO ❑ 'j ! �Qw�•, • . ,Auto Wash Machine �li YES NOt. ❑- Type, Water _ Supply �. *This. permit Void if sewage system described below is not installed within'36 months from -date of issue. i,. i �II 1�rI`I L Improvements. permit by *Contact a -representative of the Davie County Health Department for final' inspection of this system between -8:307 9:30 A. M. or '1:00-1`:30 P.M. on day of completion. Telephone Number- 704-634-5985. Final'Installation:Diagram: i i1 System Installed by 13 � ! r !, Certificate of Completion �34 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'. ',j RECE'VED fW 3 0 APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 1986 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 1. Permit Reque d By Business Phone ,7y�2-1 ao 2. Address 3. Property Owner if Different than Above _ Address 4. Permit To: a) Install Alter Repair b) Privy Conventional v Other Type Ground Absorption c) Sub -Division Sef✓' Lot No._ J_Z _ L r-r-ry 5. System used to serve what type facility: House Mobile Home Business— oGKLHN'S Industry Other h N F C0 &4- b) Number of people 6. a) If house or mobile home, t to size gI home and number of rooms. House Dimensions Bed Rooms 3 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 -2-1 urinals ,� garbage disposal lavatory -1/ showers 2,�—_ washing machine dishwasher / sinks 8. a) Type water supply: Public P"'� Private Community b) Has the water supply system been approved? Yes ±f!'_ -'No 9. a) Property Dimensions /,0 d x Z ---y-1 b) Land area designated to building site e'a^-�a^-, c) Sewage Disposal Contractor Ce Nki T yz;� /- 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. Date Owrtr Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: e'er 0'�0','_ -- - - �a / YZ-, 0 AtoLaiI. IDCHD)(6-82) TI lo Zt A 74 ;.IF St: 7 I.Yi. ps - yp F9 Z 10, 160 19 N04 W 'Ri 0 s Fear 40 97 77 74 4IQ P. A 4 AW 111 9 A C', We 0:: -V41 jy /061 , � ME i0o" 'r-77' k4 Al cl 424 ILA CI IZI AP 03 15' v 45 r ?4e.80' 80-14' 9,9 i. 57' 44'W cs, ZI 7— ro Vit, IWAIN'14 T4, r IN, tz) -Tv h, OR 0 A. J jt if !if it �Jl 4 J oo if Ali it d J+ - J1, 'C it .11 i 1� ;� w : GO b D COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 -a ��� Mocksville, N.C. 27028 �( � SOIL/SITE EVALUATION Name Roy L. Potts tate Address P.O. Box 11 Lot Size 100' x 200' Advance, NC 27006 FACTORS AREA 1 AREA 2 AREA 3 AREA 4 Topography/ Landscape Position U U S PS U S PS U '.) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S U S PS U S PS U 1) Soil Structure (12-36 in.) Clayey Soils PS S K115 -s--) S PS U S PS U G) Soil Depth (inches) S 'l"b PS S PS U S PS U ) Soil Drainage: Internal S PS P U S PS U S PS U External S PS U U S PS U I) Restrictive Horizons Available Space PS U PS U S PS U S PS U I) Other (Specify) S PS U S PS U S PS U. S' PS U 1) Site Classification -- U—UNSUITABLE S—SUITABLE Recommendations/ Comments: PS—Provisionally Suitable Described by Title Sanitarian Date SITE DIAGRAM DCHD (6-82) r i Bavie (aunty Pealth Department unb Avme Xettlth Asenru P. O. BOX 665 �f casbille, �arth (garalina 27028 OFFICE OF THE DIRECTOR TELEPHONE 17041 634-5985 December 30, 1986 Mr. Roy Potts P.O. Box 11 Advance, N.C. 27006 Mr. Potts: On June 10, 1986 this office evaluated lot A-1 in Greenbriar. At the time of the evaluation the lot was classified as provisionally suitable. However, before a permit to install a sewage disposal system can be issued the proposed home must be staked off. Once this has been completed contact this office. Please advise should this office be of further assistance concerning this matter. Sincerely, f,," .? h1� Robert B. Hall, Jr., R.S. • APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT O �QQ.T 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— q!-7, 1. Permit Requested By Q_ "C Business Phone �^--- 2. Address 2 z, a Ct- c._ 2,700 4-- 3. Property Owner if Different than Above mJa_CPg-a P_V" Address .11) 2 -2 5i a ( c$ �ra 1%P 1.,JS 4. Permit To: a) Install__�/_Alter Repair SeP%` S Ys'frry b) Privy Conventional Other Type Ground Absorption c) Sub -Division Sec. Lot No. 4=1 5. System used to serve what type facility: Housed Mobile Home Business Industry Other b) Number of people 3 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions q 1 _ _ Bed Rooms .3 Bath Rooms 2-- Den w/Close � a Ae j v 05 ` u''iltj�S 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 a urinals © garbage disposal d lavatory. showers �! �✓�� washing machine 1 dishwasher n sinks 8. a) Type water supply: Public L--- Private Community—' b) Has the water supply system been approved? Yes No 9. a) Property Dimensions— b) imensions b) Land area designated to building site I box XXV c) Sewage Disposal Contractor ; 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? A✓b What type? This is to certify that the information is correct to the est of my kno ledge. 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) Dai ie County NealtI De artment and dome ✓rYealta len 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 September 24, 1990 Potts Realty Attn: Diane Potts P. 0. Box 11 Advance, NC 27006 Re: Sewage System Check Margie Lester — Owner Kenneth Lash/Lenora Chavis — Buyers Greenbriar — Lot Al Dear Realtor: As requested, a representative from this office visited the aforementioned site on September 21, 1990. The purpose of this visit was to determine the condition of the sewage disposal system. At the time of the visit, there was no evidence of any septic tank problems and everything appeared to be functioning properly. Please advise should this office be of further assistance. Sincerely, &a. 4%�"�) . Robert B. Hall, Jr., R. S. Environmental Health Section RH/wd Enclosure DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S.°of North Carolina Chapter. 130—Article 13c. Permit Number Name , /v Date•�G�' ,3p Location Subdivision Name Lot No. Sec. or Block No. Lot Size l��"-0d House Mobile Home _Business Speculation No. Bedrooms _S..� No. -Baths— No. in Family Garbage Disposal YES f:] NO p� Specifications,,for System Auto Dish Washer -YES NO p Auto Wash Machine YES NO Ej , C, Type Water Supply *This permit Void if sewage system descrlb@d elow is not'installed within 36 months from date of issue. d • - c S Improvements permit by *Contact a representative of the Davie. County Health Department for final ins 9:30 A.M..or 1:00-1:30 P.M. on day of completion. Telephone Number: 704 - Final Installation Diagram:' of this system between 8:30 - 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.