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266 Deerfield Dr Davie County,NC Tax Parcel Report Monday, September 26, 2016 127 ................. 266 /A J. WARNING: THIS IS NOT A SURVEY Parcel Information rma ion., Parcel Number: B60000001802 Township: Farmington NCPIN Number: 5853573865 Municipality: Account Number: 29162250 Census Tract: 37059-802 Listed Owner 1: GIFF DENNIS M Voting Precinct: FARMINGTON Mailing Address 1: 266 DEERFIELD DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-7629 Voluntary Ag.District: No Legal Description: 3.152 OFF ARROWHEAD RD Fire Response District: FARMINGTON Assessed Acreage: 3.24 Elementary School Zone: PINEBROOK Deed Date: 5/2000 Middle School Zone: NORTH DAVIE Deed Book/Page: 003270551 Sol[Types: GnB2,GnC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 252930.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 47440.00 Total Market Value: 300370.00 Total Assessed Value: 300370.00 All data Is provided as 13 without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness fora particular use.All users of Davis 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 161 NC or arising out of the use or Inability to use the GIS data provided by this website. CY •� �, ,*�_, .. ��_ y,� ,l DAVIE COUNTY HEALTH DEPARTMENT ���5 � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION - - NOT Idsued 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 /'�,���tJPy-yt`� �,ft`r7.+iysrJ� /�,� �jDate 1L � N2vc�7 Location y °,•� o2(eCp ' jeC (',6�� SubdivisionTlameCLot No. Sec. or Block Lot Size 4111, House !I- Mobile Home _ Business Speculation No. Bedrooms �-� No. Baths — No. in Family Garbage Disposal- YES p NO a Specifications for System: Auto Dish Washer YES NO fl 6ely-6wf Auto Wash Machine YES NO Type Water Supplyr 'This permit Void if sewage system described below is not installed within 36 months from date of issue. i r Y '" f Improvements permit by :22,i e �� '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 X& Z.?_ 4,4 �p 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. r APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 R� Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS 7PRMIT �)) ESN ISSUED. Ho�Pho e ,�19,R 1. Permit Requested By6,k 'W-:� —��'��' �1 2. Address 01 3. Property Owner if Different than Above r��,6 Address 4. Permit To: a) Install Alter Repair b) Privy Conventional �O ther Type Ground Absorption c) Sub-Division See Lot No. 5. System used to serve what type facility: House Mobile Home Business IndustryOther b) Number of people Z 6. a}If house or mobile home, state size of home and number of rooms. House Dimensions 22z2efK2 yy X y-z T Bed Rooms 3 Bath Rooms 3 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 urinals - garbage disposal 49)_ lavatory .3 showers 3 washing machine dishwasher / sinks 8. a) Type water supply: Public Private %el Community b) Has the water supply system been approved? Yes No 1-� 9. a) Property Dimensions 1815' 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. to Owner Signature,-*" OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: a.✓ �//,nom -pie `e� 9G 010V QJ i � �`TJ ,4-lo�y si�c� a� 9�...�-s-s o.� i•,rvE � � S / DCHD(6-82) I�c�2i7� /s' T pQP: y-x �,���� Qri�E •% 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 ;r/Z.7c-1' i8 •ys S,f1.w-cJ (office use only) yes no 1. I am the owner of the above described property. <79—SD no 2. 1 am not the owner of the above described property, however, I certify that I , have consent from ziP�id S"�/Tib , 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 Department to enter upon the above described property and conduct all 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: Owner only Qwners designated representative ✓Anyone requesting results — Only those listed below -;7 AT SIGNATYKE DCHD(11/84) T I.., .. i .,- t�.' F - 3 .l' . .- :.,�.--�- , - .., ,, -- . .". "I�, , I,"�. . �'---- � ,.- I -,'-,"-:.,—, , ,-�,� -.-I:— ":?", :,�, ': �,-.",��,- , - , r ., , . 1. � , v , , . -� , "-* ,,..", .,, .,. , � --� " .-�, � 1�11--71,. .-�� � I �, �� I�'.��- �',.,, ;�, , ,,, �� I �;. I-,-�I�,, �,, t.,--,:,-'-,'.�,.�I', E ` -, a, R ` l .•- _ ti'. r 0 � - s8 y 9 �. _ 1 �,Zn ��) 1 r V r i z r. .a -: { F L :. i _ - t J :firs .� t - .. . t '� - b1. t i,.. � I - ., -. , , , ,,4 , . �,:. ,�/," -�,,, * ��:�.--.,�,-,.-;-'.,, -, ' 6'�-, , ";, ," ",, , sou z E ;y ; r 4 `. t 1 + / 1. J r pl ;11-1 V x } fy y ; F- F' '; YAv .. w ,C id's:, ' ♦f' @ j ✓mo i (° x r P W A.1 ;.3 s a.. vas. ..:: .....,'t;s ..._ r. 4. a - .:�s+` .. .. ..� �. .�,r.,., ...>.�.. .•. „r... y. re-.x.r Mrw F k DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 Q SOIL/SITE EVALUATION Name 1X'\�� O ��l Date Address S A Ycc��P— Lot Size (0 FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S S S S P PS PS U U 2) Soil Texture (12-36 in.) Sandy, S S Loamy, Clayey, (note 2:1 Clay) (P / S PS PS U U 3) Soil Structure (12-36 in.) S S S Clayey Soils S PS PS U U 4) Soil Depth (inches) S S S PS S PS PS U U U 5) Soil Drainage: Internal S S S S PS PS `r U U External S S S S P PS PS U U 6) Restrictive Horizons 7) Available Space S S PS F S PS PS U L U U 8) Other (Specify) S S S PS S PS PS U U U 9) Site Classification -S. (/• U—UNSUITABLE S—SUITABLE PS Provisionally Suitable Recommendations/Comments: Described by �• Title Date SITE DIAGRAM © t DCHD(6-82) .�D r M12,1110 ~ A DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION 6011C)g-31 qv APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) NAME �4 PHONE NUMBER ADDRESS R0MC5V1k& NC s BDIION NAME LOT /, DIRECTIONS TO SITE `0 i 0 /N ` !` wit Fd Z ; /Z IVd1/ling-A1 /.2 1.e L h J, DATE SYSkiPTEM INSTALLED'�j,,_4q4 NAME SYSM INSTALLED UNDER 71id/_ (l� TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING e,r 5W /A1, W ('Nroulyd it ,e DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1/93 t _• ,'17-�.._ 1II::­�,?­ J, � DAVIE 'COUNTY HEALTH DEPARTMENT �' P�/Ir�GSr (f y IMPROVEMENTS-PERMIT ,AND CERTIFIC I�I2 �_.�_9 I.l,.1;�,',�,,"���_, ATE 'OF;COMPLETION - : }@ N� Issued in Compliance with G S of;North Carolina Chapter 130 Article 13c ��It!(1.� , t ewage Treatment and Di'sposal.Rules (10 NCQQC 10A 1934_.1 9.1 , ,� Permit 'Number JM- _ ... Name %'�' fV-y�t� ?'p<f ,�✓.rf.�rir' I�Date N� _ / o_ { Location �� gip. ,,�`�r � 1G /�'.` /fir .^ �/-O : -- . i,, 't""/✓` __ i i /�r>; 1,�P jT �,f^ �Sr�, < ---_ i/ / a, <: �­',,�I1I,��,i_'.,-,,1,,�,1,,.—�_,�I,,�I�,I"1'-,'",I-�--��I:,",,..,,1j.,,,,"�,..;. '1,.��,:,-;:L":�,I�,1I�:Jj.-I­��h1,�-�,�,,-',�,.��—I.4o 1!1I.r��I­I:,­_,,� Subdivision ame Lot No Sec or Block Lot;Size `� �� House� Mobile Home Business Speculation t No. Bedrooms No.-Baths -No m Family _ i . Garbage;Disposal E YES­0 NO Auto Dish Washer` YES { NO fl Specifications forSystern i Auto Wash Machine YES+;fll NQ,O• -4 . �� °Ir `'; �" , , T a ' 4, / ;� Type Water Supply z�l/,rte �­,P..,!!I:,'.­-,.��­r_.,­��­,,_I I;;I'.ez,I�.-'I��,-^-1 I�',.:�,��,'--'�__.-��,-I,,-�1!�I-�-�.-,,�-..'r-...I-._'",-.V I,',;;,'.-7P,-,-",..-,1",,:I4,..�_.,:,,1q;I��'1 1",;-..I_.-,�,,-I.,;�1I.11��,11:I,��-,��,171_-,,I.Ii,1,_-II.'I-,E���,I,.1I�.,,;-.,1,,1-_�',.I11I 1­2�.i I�I„;r I1,�.,_L:.I17�I,,,.,.:-:1_L:����,��1,-,�_"�.I-",��I.,I.,-��1�._.,,I-.,-,I,-­,6 I;-L,!�,��.�:".,I,;I,,,:,,I�,1�:�.:.I..I.-.�,_-,I,'�,�;.�:-I-1,L,,I I�I:1,.:��-­�.'-�!-_.,.,-,;:�._;;,c,.,4 1,:-".o�,-�;L,-_".I-1,-�1C;,--I�-_�"1I I�.1�,.�..1,I,,,,�,,._�_,�I I,"".:�I-,,,;�-,-_,,,1�-1��,i�.­�,I.��,I_��;I�,�",,­,I�.I.�­r—�;���.1.�,­r�I,,�;--I,-:.:,-I,­,,�,.,..L-'�.,:��.I:.I,�-,,_I]4-�:­,�_.�':I­�1z.,_�_-,1�!.I,�,�� *This permit Void if sewage systerm described below isnot installed within.36 months from date,.of issue ­. _. ._._ _ ' t ,; z 3 1. ! z i'r `1 .. , : . .. , a.. i - r _. _ _. y_ _.„• _- J d '.. t iS 5 f c, 4. f s W r n x ;� 4.w. 1 l z — "'”" Improvements permit by,_ %'' :.¢ r "Contact a representative;.of the Davie County Health Department for, anal:inspection„of.chis system.between 8:30 9:30 A:M:'or 1:00:1:30 P M .'on day, of'completion. Telephone-Number 704 634,59$5 _ ,-.,y. -.. . 4 ., Final Installation Diagram System Installed'by , u. . . - , -.._ -. - - - - . .. �, > _7r • elRR tiS 1 J i - M� . �` t. 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Certificate of Completion Dat;, ' g g „ ,., y : nstalled incompliance.with , The si nm of"this certificate shall indicate that:the s stem described above has been, i the standards set forth in,the•above regulation, but'shall ih NO;way be taken as a guarantee�that the system will•function satisfactorily fora',any given period of time. :,' 70 4 + niN a TMEMENE260".. 6087 ' ' I 26 3. 3�A 3992- s r W r x 400 x -