194 Pine Valley Road Section 1 Lots 7-8Davie County, NC r Tax Parcel Report Tuesday, January 24, 2017
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J6050A000401
Township:
Fulton
NCPIN Number:
5758914081
Municipality:
Account Number:
8306767
Census Tract:
37059-804
Listed Owner 1:
HEWITT DEAN NELSON
Voting Precinct:
FULTON
Mailing Address 1:
194 PINE VALLEY ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-12-S,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOTS 7-8 HICKORY HILL SECTION 1
Fire Response District:
FORK
Assessed Acreage:
0.91
Elementary School Zone:
CORNATZER
Deed Date:
8/2016
Middle School Zone:
WILLIAM ELLIS
Deed Book 1 Page:
010270592
Soil Types:
Gn132
Plat Book:
0004
Flood Zone:
Plat Page:
105
Watershed Overlay:
DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
F-a7l
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r ...
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) Permit Number
Name, :r s` 1�`: . rte,✓,% t` �.v;/ Date Lr.����%S4;'1.,10,i .
Location /r r i r / rte!"C__ r% 7l d/' i"� f•'
V,1464pide,
-
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 2' Specifications for System:
Auto Dish Washer. YES ❑ NO ❑
Auto Wash Machine YES 0 NO -❑�t�L
Type Water Supply ----- '�`
s
*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 n 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��
N (js
J ! 6
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 betaken as a.guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
• Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028 RECEIVED SEP 1
s 1%7.
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS SEEN ISSUEO.
Home Phone
1. Permit Requested By Howard Realtv Business Phone 634-3538
2. Address 330 S. Salisbury S t . Mocksvill e
3. Property Owner if Different than Above Ivan Hoyt Pope
Address 10 Mulberry Circle, Salisbury, N.C. 28144
4. Permit To: a) Install X Alter Repair
b) Privy Conventional Other Type—
Ground
ype Ground Absorption �,,M✓'
c) Sub -Division Hickory Hill Sec. I Lot No. A-4 Lots 7&8 0,
5. System used to serve what type facility: House_x Mobile Home Business_ , / ,d f�
Industry Other ' o- �"
b) Number of people
2-4 Z �'^
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms 3-4 Bath Rooms 3-4 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 3-4 urinals
lavatory 3-4
showers 3-4
dishwasher 1 sinks 1
8. a) Type water supply: Public x Private Community
b) Has the water supply system been approved? Yes x No
9. a) Property Dimensions 200 x 200
b) Land area designated to building site uptp02 00 sq, f * -
c) Sewage Disposal Contractor
garbage disposal no
w4shing machine maybe
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to ame? no
What type?
This is to cavity that the information is correct to the best of my knowledge.
9-16-87
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 day for processin
64 to second entrance to Hickory Hill to lots on rig9t just below the Cains
Directions to property:
This property will be used by executives from Jockey International and will not
be occupied at all times. The plans for a 3 or 4 bedroom house have not been
finalized at the present time. There will be no more than four bedrooms.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name—
PS
Date <�!
Date
S
PS
U
Address
Lot Size
c
9:A(:Tf)RC AREA i AREA 7 ARFA .1 ARFA A
Topography/ Landscape Position
PS
�
S
PS
U
S
PS
U
!) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
PS
S
PS
S
PS
U
U
U
1) Soil Structure (12-36 in.)
Clayey SoilsPS
S
PS
S
PS
U
U
U
Soil Depth (inches)
S
<�f
S
PS
U
S
PS
U
Soil Drainage: Internal
S
S
&
S
PS
S
PS
U
U
U
External
S
S
e -P -Z>
S
PS
U
S
PS
U
�) Restrictive Horizons
Available Space
S
<�
(t -S
S
U
U
S
PS
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Site Classification
_
U—UNSUITABLE
Recommendations/Comments:
S—SUITABLE PS—Provisionally Suitable
Described by l/// �'�� Title Date f
SITE DIAGRAM
"j ��
ve It
ZV �00
DCHD (6-82)
• Davie Counfy .7�ealiFr �e artmenf
n
and .dome .�lealtFr ye cy
210 HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
September 18, 1987
Connie Kowalske
Howard Realty
330 S. Salisbury St.
Mocksville, NC 27028
Ms. Kowalske:
On September 17, 1987, this office evaluated Lots 7 and 8/Section 1 in
Hickory Hill to determine the suitability of installing a septic tank
system.
The soil on said lot is provisionally suitable; however, before any
permits can be issued the proposed house must be staked off.
If you have any questions, feel free to call this office.
Sincerely,
A40; �',
Robert B. Hall, Jr., R.S.
Environmental Health
Enclosure
RH/wd