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155 River Road Lot 17Davie County, NC Tax Parcel Report Thursday, January 5, 2017 No Land Value: Total Market Value: Total Assessed Value: All data Is provided as is without warranty or guarantee of any Idnd 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 dalms or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. WARNING: TH151S NOTA SURVEY Parcel Information Parcel Number: E8060A000301 Township: Shady Grove NCPIN Number: 5871956804 Municipality: Account Number: 82521283 Census Tract: 37059-803 Listed Owner 1: BOOTH JOHN M Voting Precinct: EAST SHADY GROVE Mailing Address 1: 155 RIVER ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: Legal Description: LOT 17 GREENWOOD LAKE Fire Response District: ADVANCE Assessed Acreage: 1.35 Elementary School Zone: SHADY GROVE Deed Date: 8/2003 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005030417 Soil Types: GnB2,GnC2,GaD Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: No Land Value: Total Market Value: Total Assessed Value: All data Is provided as is without warranty or guarantee of any Idnd 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 dalms or causes of action due to NCor 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 .'NOTE: -Issued-in Compliance with G.S. of North Carol iria,Chapter 130 Article 13c •1 Sewage Treatment and LDisposal Rules (10 NCAC 10A.,1934-.1968) Permit Number Name 1r4 t r ^- c;�� �� Date Location �• �'/ ., a r .. .�1 _ { Subdivision Name tie.-.�R.-e `\ +� Lot No. "~---^ -Sec. or Block No. �- (�l ti , Lot Sze "i j;. House Mobile Home _ Business __ Speculation 5 - No. Bedrooms No. Baths, No. in Family Garbage Disposal YES (] NO A Specifications for System: Auto Dish Washer YES [ NO chine Y Auto Wash Ma ESi NO .0 Type Water.' Supply J.. i 'This permit, Void if sewage system described below is not installed within 36 months from date of issue. ;4 01 r. 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. elephone Number: 704-634-5985. �.: Final Installation Diagram: j System Installed by Som. -20 , o .. 7�J it •.. � `' Certificate of Completion ` - R$e.�.� .. Date �` ~ U •I 'The signing of this certificate shall indicate, that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in 'NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. 'APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERf1(��5��� Davie County Health Department � Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED►ti'- CLL�`- Q / Home Phone l S'. 1. Permit Requested By Z l�Jehae I jo C -V Business Phone S�(' 2. Address 3. Property Owner if Different than Above Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home Business Industry Other b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions Fox 3 9 Bed Rooms Bath Rooms a 1/2— Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes 3 urinals garbage disposal lavatory showers cl washing machine dishwasher ,� sinks y 8. a) Type water supply: PublicJ/_ Private Community b) Has the water supply system been approved? Yes ✓ No 9. a) Property Dimensions ,Z,& Qlffr P. b) Land area designated to building site 2t ak I? c) Sewage Disposal Contractor r_4r/ Sia ,, i a`- 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? hJ(�_ What type? This is to certify that the information is correct to the best of my knowledge. r Date Owner Sign tur OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: �0 fD blAd e,- n,45$ Rd q j- J, of olo R �e� Act oe,,,d &l,evdglv_ DCHD (6-62) DAVIE COUNTY HEALTH DEPARTMENT L Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name �� t> Q ©�(� P Date Address 3 \� h x Lot Size ' FAr..Tf1RS ARFC1 ARC2 AREA 3 AREA 4 Topography/ Landscape Position S S S S PS PS PS PS U U U U !) Soil Texture (12-36 in.) Sandy, PS S PS S PS Loamy, Clayey, (note 2:1 Clay) U U U U 1) Soil Structure (12-36 in.) S S S S Clayey Soils CM5 <:� PS PS U U U U 1) Soil Depth (inches) S S S < ' PS PS PS U U U U i) Soil Drainage: Internal SS S PS PS PS U U U External S S S PS PS U U U U 1) Restrictive Horizons Available Space PS PS S PS S PS U U U U 1) Other (Specify) S PS S PS S PS S PS U U U 1) Site Classification Q U—UNSUITABLE Recommendations/Comments: Described by Z. SITE DIAGRAM DCHD (6.82) S—SUITABLE (- PS—Provisionally Suitable Title � Date `� '�� �.� � � �� �4 V` 1 t r• +!'t' ;. � ... ��� �. � ��� r ... rDavie County Nealfii D artment nd Nome Nealtlf A a ,qency 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-5985 October 13, 1989 Michael Joyce Rt. 3, Box 423 Mocksville, NC 27028 Re: Sewage System Installation Greenwood Lakes/Lot 17 Dear Mr. Joyce: The septic tank system that serves this residence was designed, inspected and approved by this office on June 5, 1989. CL/wd With proper maintenance and use it should function properly. Sincerely, Charles E. Little, R.S. Environmental Health Section 1 Davie County, NC Tax Parcel Report Thursday, January 5, 2017 ••�� � r 1! ii + ! � i j 126 150 f` �.-4 �----179 138 126 r Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: ADVANCE State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: ` 171-- --155 71 _-155 139 �• 158 110 WARNING: THIS IS NOT A SURVEY Parcel Information E8060A000301 Township: 5871956804 Municipality: 82521283 Census Tract: BOOTH JOHN M Voting Precinct: 155 RIVER ROAD Planning Jurisdiction: Zoning Class: NC Zoning Overlay: 27006-0000 Voluntary Ag. District: LOT 17 GREENWOOD LAKE Fire Response District: 1.35 Elementary School Zone 8/2003 Middle School Zone: 005030417 Soil Types: 0003 Flood Zone: 053 Watershed Overlay: Outbuilding 8r Extra Freatures Value: Total Market Value: Shady Grove 37059-803 EAST SHADY GROVE Davie County DAVIE COUNTY R-20 No ADVANCE SHADY GROVE WILLIAM ELLIS GnB2,GnC2,GaD DAVIE COUNTY OI wl�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 Countys GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees nor, any and all claims or causes of action due to �OUt3� NC or arising out of the use or Inability to use the GIS data provided by this website. Q:II A &ATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT 0114i Davie County Health Department Environmental Health Section S6� S ' P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. S RUCTION SH L NOT BEGIN 1. Permit Requested By 2. Address 3. Property Owner if Different t Address Home Phone— !iBusiness Phone 4. Permit To: a) Install L"Alter Repair b) Privy Conventional ` Other Type Maj P �-p LT 0064 Ground Absorption �Wyl �C�� c) Sub -Division Sec. Lot No. 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 gome and number of rooms. House Dimensions Bed Rooms Bath Rooms(c" 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 ofter-using fixtures: commodes urinals lavatory showers �- dishwasher sinks 8. a) Type water supply: Public Private ' Community b) Has the water supply system be n approved? Yes �o 9 a) Property Dimensions -� AR✓ , .� If 911 vte 4 garbage disposal washing machine b) Land area designated to building site /` C&,V7- ed_,,oT lt� M *,00, 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 c e to th my knowledge. Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AWW,S Directions to property: t' J I`/' Al DCHD (6-82) /Odd 413- /c,/ o� Address • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Date Lot Size FACTORS ARFA 1 ARFA 9 ARFA 3 AREA d 1) Topography/ Landscape Position S S S PS PS U U ') Soil Texture (12-36 in.) Sandy,S 7 S S Loamy, Clayey, (note 2:1 Clay) PS PS S PS ` U U U 1) Soil Structure (12-36 in.) S '7 Sj S Clayey Soils PS PS PS L U U ���jjj U 1) Soil Depth (inches)S 1,IPS k S PS PS S PS /! U U U U i) Soil Drainage: Internal S S S PS PS S PS U U U External S S S PS PS PS PS U U U U i) Restrictive Horizons Available Space S S S S PS PS PS PS U U U U 1) Other (Specify) S S S S PS PS PS PS U U( U U 1) Site Classification S -- U—UNSUITABLE Recommendations/Comments: d Z--/1 S—SUITABLE S—Provisionali 1+able—_, Described by � lX- Title SITE DIAGRAM d Se y� DCHD (6.82) 0 OFFICE OF THE DIRECTOR Potts Realty P.O. Box 11 Advance, NC 27006 Mr. Potts: paltie (ganntg Pealth Ptpar#men# Unb Hume Health Agenrg P. O. BOX 665 Alacksbille, Yarth (Qttralina 27028 TELEPHONE August 4, 1986 17041 634-5985 On July 16, 1986 and on August 4, 1986 this office evaluated again the lot located on the corner of Glendale and River Road in Greenwood Lakes. The front portion of the lot is classified provisionally suit- able however a pump will probably need to be used in order to prevent the septic tank lines from beinginstalled at an unsuitable depth. If you have any questions, feel free to call. Sincerely, Robert B. 11all, Jr. R. S. Environmental Health