1644 Underpass Rd Lot 5Davie County, NC
Tax Parcel Report
Wednesday, January 11, 2017
f 1 ,rI 120
1672 7/
130_ �-
�`
1644
1626 {
166 9
1620
Y r,
............ ..
1647 --�
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 IS NOT A SURVEY
Parcel Information
E8110B0001 Township: Shady Grove
5871954125 Municipality:
8301718 Census Tract: 37059-803
BRYDGES MARK WILLIAM Voting Precinct: EAST SHADY GROVE
PO BOX 1123 Planning Jurisdiction: Davie County
CLEMMONS Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27012 Voluntary Ag. District:
LOT 5 GREENWOOD LAKES Fire Response District:
Land Value:
Total Assessed Value:
1.09 Elementary School Zone:
12/2012 Middle School Zone:
009120470 Soil Types:
0003 Flood Zone:
053 Watershed Overlay:
Outbuilding 8+ Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
Wel
9 by �� 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 claims or causes of action due to
r'p N,t
NC or arising out of the use or Inability to use the GIS data provided by this website.
` DAVIE COUNTY HEALTH -DEPARTMENT
IMROV.,EMENTS 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 .
Si. 0,Name : Date lcr i 3 7
Location' 1.1 i1.A h.0 A_.I �S ICS ci�� �'ShZi�� ni 11 +ti T4 IQ �cl �cr \SC.. rt+a IC -Y l" F1
4 ('n�.� r'�•. ut^1 �II t�fr", ��� Dei � �� L�t�' # �i��(:. V• P.v._1Zco
jIQ L��'�s I
Subdivision Name . �� � e'r,c� ��� Lot No. Sec. or Block No. I
Lot Size +SPP• 7cm it -0 -6 House -Mobile'Home _ i'1Business __ Speculation
No. Bedrooms 1 `� No. Baths -� J- No.' in Family"
Garbage Disposal YES. NO ❑ ' Specifications for System: 10c)o C J.
Auto Dish Washer YES. NO ❑
00
Auto.Wash Machine YES NO ❑ ` +
Type', Water Supply
*This permit Vold, if sewage ;system described below is not, installed within '36 months from date of issue.
j�. � • . f �. i �,��� III
• ,i� a i�. i
• 1 yl 4Y ,i
Improvements'permit by 11^-
*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 da of com letion. Telephone Number:; 04-634-5985.
Final Installation Diagram: Sys Installed by
l ,
Certificate of Completion r Date. r/
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.giwen period of time.
DAVIE COUNTY HEALTH DEPARTMENT G''Z�v
w``X ,`
• Environmental Health SectionatS'
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
3�
Name SArej, 5;,�.,� oI Ict - '7FY- 6 90 2 Date r� &
Address 9 S v,�j d e. Lot Size
W —S _ 'Z-'7 1 a
Ger'Tnac ARFA 1 ARFA 9 AREA 3 AREA 4
Topography/ Landscape Position
S
S
S
LPSj
'ZM
<2E>
S
U
U
U
!) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
S
<!T>
S
/ '
S
U
U
U
1) Soil Structure (12-36 in.)�
Clayey Soils
S
Cv-
S
--Ts)
Com''
U
U
U
U
Soil Depth (inches)
S
S
�
S
�
S
PS
U
U
i) Soil Drainage: Internal
S
SS
(257->
S
PS
U
U
U
External
S
®
S
efE�
S
4M)
S
PS
U
U
U
U
i) Restrictive Horizons
') Available SpaceS
PS
PS
PS
PS
U
U
U
U
3) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
f) Site Classification
U—UNSUITABLE S—SUITABLE � PS-fProvisionaliySuitable
Recommendations/ Comments: wI- eL-d-L , "'�•°Q- �Z AA -
Described by <:;�,-•Yy\" Title � �- Date 6 ��
SITE DIAGRAM
"1Aee r—
DCHD (6-82)
00 5(
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT .
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.
Industry—
Home Phone OUS
-123 -0010a
1. Permit Requested By JARAi� /v �JtJ`�1otJ
Business Phone
c1 lot--7A!S
-Ub9j
2. Address 9 9 6onE r- 17- ArJ'b to -
5a uin , C _ a ` bl j
3. Property Owner if Different than Above RA2- ) t�Lr
11"n Mmen it, 0-0
/
Address N(--- ,
C
4. Permit To: a) Install Alter Repair
b) Privy Conventional ✓ Other Type
Ground Absorption
c) Sub -Division (sREQ)tZmD kkE Se
Lot No.�L47
5. System used to serve what type facility: House .� Mobile
usiness
Home Business—
Industry Other
b) Number of people 9 --
6. a If house or mobile home, state size of home and number of roo s.
House Dimensions /fi P2,y agt�o SQ ��o
Bed Rooms Bath Rooms q 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 urinals garbage disposal f
lavatory I"I showers 4 washing machine
dishwasher sinks to V/
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions APP+&(3k X aQo'
b) Land area designated to building site AP OY, `10! V 35 ) MI17�lvE OF l -'�—%
c) Sewage Disposal Contractor oT S c - '!
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? O
What type?
'Q 4-- Loc'es
This is to certify that the information is correct to the best of my knowledge. �-e71 Lo Ll'.,'Jko�!
D to Owner Signature �y-
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAW , 1
Allow 5 days for processing
l9 .�
Directions to property:
C c -L- kkV"r__
8o i -t�> U&beePflss ROS
kEe-r ooJ 9�
auoe-
,� arr i5 h- I Esc c -OW) OP VP u.c-,y V l (-:") ; j SH04e1u'%)
E -.,- J-�"Lz�Y J,o�)
4�
oP 0&�
% L-1 �X
DCHD (6-82) i--�"� IA. 1 nS
L i� v
• Ddi e County Xealtk Depdrtment
and .7�ame Nealt§ .�1yency
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
October 22, 1987
Mr. Ted Molitoris
823 W. Sth St.
Winston-Salem, NC 27101
Re: Sewage Disposal System
Robert Simon/Valleyview Rd.
Greenwood Lakes
Dear Sir:
The sewage disposal system was installed for the aforementioned
location. It was inspected and met the approval of this office at the time
of installation on July 23, 1987.
Please feel free to contact this office, if we can be of further
assistance.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health
RH/wd