260 Ivy Lane Lot 22Davie County, NC i Tax Parcel Report Friday, November 18. 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H414OA0009 Township: Mocksville
NCPIN Number: 5739414373 Municipality:
Account Number: 8302522 Census Tract: 37059-806
Listed Owner 1: HENDRICKS JENNA E Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 260 IVY LANE Planning Jurisdiction: MOCKSVILLE
City: MOCKSVILLE Zoning Class: MOCKSVILLE GR
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
Legal Description:
LOT 22 COUNTRY LANE EST
Fire Response District:
Assessed Acreage:
0.89
Elementary School Zone:
Deed Date:
8/2013
Middle School Zone:
Deed Book / Pager
009360234
Soil Types:
Plat Book:
0005
Flood Zone:
Plat Page:
170
Watershed Overlay:
MOCKSVILLE
MOCKSVILLE
SOUTH DAME
GnB2,GnC2,PcC2
MOCKSVILLE
Building Value: 152120.00 Outbuilding & Extra 1130.00
Freatures Value:
Land Value: 25000.00 Total Market Value: 178250.00
Total Assessed Value: 178250.00
No
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County of Davie, North Carolina, Its agents, consultants, 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 website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance With Article II of G.S. Chapter 130aVJ04"L' y
S ita sewage Systems Permit Number
Name C_ %� X61_ Lr/ �i9f'�;�,4 Date/S'd / N2 7089
y'Y `/
Locatioa�•� � 66 "� Ou a Y'rr .Ciyi✓c l'itr�� J� it �.v %.v? '
O�74e 0 /.1/11 1AAlO
Subdivision Name
Lot No.
Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms 3 No. Baths '2 No. in Family _
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES NO ❑ t ��
Auto Wash Ma^hine YES NO ❑
Type Water Supply C1 Xy
YP PP Y ---�
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
3
% t%Pl %e C'
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.
A
Final Installation Diagram:
l e - t/ �
QUOle 41, kme e2
b
System Installed by -
k" I� u
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
l: 'IMPROVEMENTS PERMIT AND CERTIFICATE OF
"COMPLETION
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
§anita.ry Sewage Systems _ / Permit Number
Name y Date No 7089o
Locatio
Subdivision Name LGA %% �' " ' Lot No. Sec. or Block No.
Lot Size_ HouseMobile Home __ Business Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for,5ystem:
Auto Dish Washer YES NO ❑ &e �r �/y�
Auto Wash Ma^hine YES NO ❑
Type Water Suppiy __—
f
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by —_
z)
*Contact a representative of the Davie County Health Department for final inspection of 1'his system between 8:30-
9:30 A.M. or ;1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
System Installed by
Final Installation Diagram:
Lf_,� 1
f�% %Ole rrr /iDrY1� Qz
I-
t
Certificate of Completion f 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. '
•;i
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DAVIE COUNTY HEALTH DEPARTMENT
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)
Name Date
Location !>>/fir%' ii y /., ✓i.i!;� P if�lT �����i % ,,%�/i
Permit Number
k Ej 3 0
Subdivision Name Lot No. Sec. or Block No.
Lot Size �'%'' House / Mobile Home _ Business Speculation 1 =�
No. Bedrooms No. Baths No. in Family
v�
Garbage Disposal YES ❑ NO p�
Specifications for System:
Auto Dish Washer YES[1] NO p
Auto Wash Machine YES ITI NO ❑ �J �Cf
pXr I�
Type Water Supply
`This permit Void if se tem described below is not installed within 36 months from date of issue.
rAs
1 7 ZIA
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 -
ddlzol_�'_d /
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.
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DAVIE COUNTY HEALTH DEPARTMENT ti
---IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
' *NOPE: Issued in Compliance Mth_G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968)
Name /� �,f^ �_i Dated'"
Location
Permit Number...
$030
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 p NO ❑
Type Water Supply
'This permit Void if sewage -system described below is not installed within 36 months from date of issue.
J/1 -:_ alt
1d),
l
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
J
r --
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.
I
RECEIVED SEp 2 4 1986
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
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.
1. Permit Requested By
2. Address R�• ( k
3. Property Owner if Different than Above
Address
4. Permit To: a) Install V Alter Repair.
Home Phone 4V - 7453
Business Phone
b) Privy Conventional Other Type
Ground Absorption ,� Q,�
c) Sub -Division -! Sec. Lot No.
5. System used to serve what type fadility: House ✓ Mobile Home Business
Industry Other
b) Number of people I
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 1100 J a '
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
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions a✓h 0"."u-,
garbage disposal
washing machine
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 r ect to thebe of m k o 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)
Job pa,)f Ypwzy
Name—
Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date Z&ZZ&
Lot Size 'A�
1ZAr.Tf1RC AREA 1 ARFA 9 AREA 3 AREA 4
1) Topography/ Landscape Position
9)
S
S
S
PS
PS
PS
'CT
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
P�
PS
PS
PS
U
U
U
U
1) Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
Available Space
S
S
S
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
U—UNSUITABLE
Recommendations/Comments:
S—SUITABLE PS—F'rovisionaliy Suitable
Described by Title
Title
SITE DIAGRAM
DCHD (8-82)
ion