178 Ivy Lane Lot 15Davie County, NC Tax Parcel Report Friday, November 18, 2016
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OAll 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. An users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this webske.
WARNING: THIS IS NOT A SURVEY
_
Parcel Information
Zoning Overlay:
Parcel Number:
H414OA0016
Township:
Mocksville
NCPIN Number:
5739412533
Municipality:
Fire Response District:
Account Number:
82531229
Census Tract:
37059-806
Listed Owner 1:
BARNEY THOMAS L
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
178 IVY LANE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE GR
OAll 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. An users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this webske.
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 15 COUNTRY LANE EST
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.99
Elementary School Zone:
MOCKSVILLE
Deed Date:
10/2009
Middle School Zone:
SOUTH DAME
Deed Book / Page:
008090033
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
166340.00
Outbuilding 8n Extra
Freatures Value:
730.00
Land Value:
25000.00
Total Market Value:
192070.00
Total Assessed Value:
192070.00
OAll 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. An users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultands, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this webske.
i
DAVIE COUNTY HEALTH DEPARTMENT i
llllll -',. IMPROVEMENTS 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
Name � /"� fi��i r" Date-%� �% t 4; iii
Location—
r
Subdivision Name Lot No. r�
Sec. or Block No. g -
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 ❑ fi ✓ '"
Auto Wash Machine YES [n NO ❑
Type Water Supply
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
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. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
lam— _---------�'
Certificate of Completion %�•%�� Date;:��'-'? r
"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 PERMIT p���'
Davie County Health Department
O
4 Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1. Permit Requested By ar
2. Address Kt . 2
3. Property Owner if Different than Above
Address
Home Phone &3+ 30?3 9
Business Phone 634—f3 -16D?
4. Permit To: a) Install V Alter Repair
b) Privy Conventional " Other Type
Ground Absorption
c) Sub -Division 1�c. Lot No. l- )
5. System used to serve what type acility: House "" Mobile Home "�"Business
Industry Other
b) Number of people kre�
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 3a X (0 5
Bed RoomsBath Rooms Den w/Closet 0
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 0 garbage disposal
lavatory 3 showers 3 washing machine
dishwasher ( sinks
8. a) Type water supply: PublicPrivate Community
b) Has the water supply system been approved? Yeses No
9. a) Property Dimensions n2d `7 F 0/2 D 150 R ay6 D
b) Land area designated to building site Int
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.
3111191
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
O I N. -� o
5 r54 Y- oad or)
Coun4y Lane. - +urn
ri�+` - 4urn 21h+ (So
DCHD (6-82)
Ck." c le, D rr.
f DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name_. 4r( Date
Address Lot Size J/le
FACTORS ARTA 1 AREA 9 ARFA 3 AREA A
1) Topography/ Landscape Position
3)
d)
5)
6)
7)
8)
9)
S
S
S
S
PS
PS
PS
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
,$%
PS
PS
PS
U
U
U
Soil Structure (12-36 in.)
S
S
S
Clayey Soils
P
PS
PS
PS
�j
U
U
U
Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
Soil Drainage: Internal
S
S
S
PS
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
Restrictive Horizons
Available Space
S
S
S
PS
PS
PS
U
U
U
Other (Specify)
Mpg
S
S
S
PS
PS
PS
U
U
U
U
Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: 4 y
Described by r/=�!1 Title Date :�.�
SITE DIAGRAM
DCHD (6.82)
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System G.S. Chapter 130 -Article 13C)
OWNER,OR CONTRACTOR
DATE q11 -21-T' PERMIT
1808
LOCATION 4 0,Q
iL <-.
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE 0- MOBILE HONE E3 BUSINESS 0
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES C3 NO Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES (P NO [3 Four Bedroom House 11000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES a3 NO [3
SITE SUITABLE YES Ep NO 0
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
x
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual 0 Public 0
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION By . 1-tfrll— I — Date 't
(8/16/73) *Construction must comply withal l/ other applicable State and loyal relations Ie
LOT AREA
'0A11
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
MOCKSVILLE, N. C. 27028 I�I�
(704) 634-5985 I
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME DATE ISSUED 11 7 g
ADDRESS �r��� �� � �f . PERMIT NO.
Explana
AMOUNT DUE /c SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.