172 Linda Lane Lot 8Davie County, NC Tax Parcel Report Wednesday, November 9, 2016
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All data Is provided as Is wlthoutwammy or guarantee of any kind eltherexpressed or Implied Including but not limited to the
Davie County, Implied wanandes of merchantabllttyorglnessfor a pardeularuse. All usersof Davie Courdy'sGlSwebslte shall hold harmless the
County or Davie, North Carolina, hs agents, consultants, con1mcton or employees from any and all claims or causes of action due to
NC orarlsing out 0 the use or Inability to use the GIS data provided by this webalte
WARNING: THIS IS NOT A SURVEY
_
_ 1
Parcel Number:
1616OA0008
Township:
Mocksville
NCPIN Number:
5768141282
Municipality:
Account Number:
81560000
Census Tract:
37059-805
Listed Owner 1:
YOUNG KIM ERWIN
Voting Precinct: NORTH MOCKSVILLE COUNT
Mailing Address 1:
172 LINDA LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNT R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description: LOT 8 CAROLINA HOME PLACESECTION ONE
Fire Response District
MOCKSVILLE
Assessed Acreage:
0.60
Elementary School Zone:
CORNATZER
Deed Date:
8/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
002050406
Soil Types:
GnB2,GnC2
Plat Book;
0005
Flood Zone:
Plat Page:
196
Watershed Overlay:
DAVIE COUNT
Building Value:
145220.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:.
20000.00
Total Market Value:
165220.00
Total Assessed Value:
165220.00
[all
All data Is provided as Is wlthoutwammy or guarantee of any kind eltherexpressed or Implied Including but not limited to the
Davie County, Implied wanandes of merchantabllttyorglnessfor a pardeularuse. All usersof Davie Courdy'sGlSwebslte shall hold harmless the
County or Davie, North Carolina, hs agents, consultants, con1mcton or employees from any and all claims or causes of action due to
NC orarlsing out 0 the use or Inability to use the GIS data provided by this webalte
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
..C'Yp I�Q b /.1Nt. AW— 1-01• ..
*NOTE:_ Issued in l!0Ap Tce with G.S. of North Carolina Chapter 130 Article 13c .
Sewage Treatmen n p jAules (10 NCAC 10A .1934-.1968) Permit Number
.Name' q, /!�"� iiJi� �;;. �.. Date ii �i� h':�%191
7 Al
Location /Sig/ ••Y / ,l-%=
v � e — Subdivision Name - �/i�� t t-/ Lot No. Sec. or Block No.
Lot. Size ���,;%l House r--' Mobile Home Business Speculation —
No. Bedrooms No. Baths No. in. Family
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer YES NO ❑ ,U
Auto Wash Machine YES NO ❑
Type Water Supply --- �Ti�,%X/�% i.
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by�G
'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
./r,VAM4
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.
A
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section S
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
c . Home Phone. M7, 7.i,r' 377S
1. Permit Requested By� Business Phone NTNG
2. Address iii/, 1IziL.,_in. rs!C,� 6r3`.�r��,.✓�Aby/�P.L�_�t/�1 obi/%i �,:
3. Property Owner if Different than Above -LJ ' '
Address
4. Permit To: a) Install Alter— Repair_
b) Privy— Conve do — Other Type—
round Absorptlo
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: Housef� 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 DimensionsV_ ':9'!Z
Bed Rooms % 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 urinals
lavatory showers
dishwasher sinks —
garbage disposal
washing machine
8. a) Type water supply: Public Private - Community
b) Has the water supply system been approved? Yesc No_
9. a) Property Dimensions Z 12 y 245 X 14-3 k A.---,4
b) Land area designated to building site
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 knowledge.
9-274?
?
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
:;u
DCHD (6-62)
L
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, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
d
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 a ground 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 property and conductall
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DATE SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
�27��7
� DATE/
DCHD (11 /84)
— Owner only
— Owners designated representative
—Anyone requesting results
— Only those listed below
r i
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— Date
Address Lot Size i'Q(Z
FACT(1RC
AREA 1 APPA 9 AREA 3 ARFA d
Ij Topography/Landscape Position
S
S
S
S
PS
PS
PS
U
U
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
U
3) Soil Structure (12-36 in.)
S
S
S
S
Clayey SoilsPS
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
S
S
PS
PS
PS
U
U
U
U
i) Soil Drainage:, Internal
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
Available Space
S
S
S
PS
PS
PS
PS
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
,
Recommendations/Comments:
S—SUITABLE Q. PS—Provisionally Suitable
Described by l� TitleDate /D/I
SITE DIAGRAM R
f ' I
DCHO 1682)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name-��®//,./S,Q Date 42��a��
Address / "_�/ �J - Lot Size-WXrgx1-4,9 5�s
FACTORS - AREA 1 AREA 2 AREA 3 AREA d
I)
Topography/ Landscape Position
(P$
S
PS
U
S
PS
U
S
PS
U
t) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
�j
PS
S
PS
U
S
PS
U
t) Soil Structure (12-36 in.)
Clayey Soils
(PS/
`fI
S
PS
U
S
PS
U
I) Soil Depth (inches)
PS
PS
S
PS
U
S
PS
U
i) Soil Drainage: Internal
Lys
�
S
PS
U
S
PS
U
External
U
S
PS
U
S
PS
U
I) Restrictive Horizons
Available Space
U
S
U
S
PS
U
S
PS
U
1) Other (Specity)
S
PS
U
S
PS
U
S
PS
U
S
PS
U
Q Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: oAooZ .Ale
Described by ,0�& Title
SITE DIAGRAM
)aD
OCHD (6.82(
NO
Date ,V;)