1939 Farmington Rd _ _
�avie Counry, NC Tax Parcel Report 1 1���� Friday, September 30, 201f ��'
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WARNING: THIS IS NOT A SURVEY
Parcel Information
, Parcel Number: C500000034 Township: Farmington
NCPIN Number: 5842685487 Municipality:
Account Number: 82532255 Census Tract: 37059-802 �I
Listed Owner 1: FARMINGTON UMC INC. Voting Precinct: FARMINGTON ,
Mailing Address 1: 1939 FARMINGTON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag. District: No
Legal Description: 2.00 AC FARMINGTON RD Fire Response District: FARMINGTON
Assessed Acreage: 1.75 Elementary School Zone: PINEBROOK
Deed Date: 9/2010 Middle School Zone: NORTH DAVIE
Deed Book/Page: 008370401 Soil Types: MrB2
Plat Book: Flood Zone: I
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 305300.00 Outbuilding &Extra 1200.00
Freatures Value:
Land Value: 29900.00 Total Market Value: 336400.00
Total Assessed Value: 336400.00
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��I All data fs provided as is without warranty ar guarentee of any kind either expressed or implied includmg but not limited to the
��� Davie County implied warranties of inerchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
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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
�0����S NC � or arising out of the use or inability to use the GIS data provided by this website. I
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_.�F° . UAVIE bOUNTY HEALTH DEPARTMENT
j� %�`'� � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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' :NOTE�. I�:sued�in Compliance wi�h G.S. of North Carolina Chapter 130 Ar�icle 13c
. � Sewage Treatment antl Disposal Rules (10 NCAC 10A .7934-.1968) PBfmit Numbe�
Name �iI}-,�.:.�.:17n.,1/J�i9'�.,n�ri/�/.,��_ oaie -�%S'��'�l' ^Su 470�
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L>ocation J
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Subdivision Name Lo� No: Sec. or Block No
Lot Size House Mobile Home $usiness __ Speculation �
No. Betlrooms f��� No. Balhs —� No. in Family �%i/�
Garbage Disposal YES ❑ NO p Specifications for System:
A��o.o�snwasne� YES ❑ No p /DG�.' r ��"��
Auto'Wash Machine YES ❑ NO 6 /•
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Type Water Supply /h. __
'This permit Void if sewage syslem described�below is not iristalled within 36 monlhs from tlale of issue.
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Impiovemems permi( by _ � an'-ry
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'Contact a represenlative of the Davie Coun�y Health Depa«menl for finai inspection of this syslem belween 8:30-
9:30 A.M. or 1:00-1:30 P:M. on day of completion. Telephone Number: 704-634-5985.
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Final Installation Diagram: System Installed by '-' �'� ���� j"���
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�Gertificate of Completion �G�!/ Date ��/�/`�
'The signing of this certificate shell indicate Ihat ihe system described above has been installed in compliance with
the�stantlards setdorth.in ihe�aboveaegulation, but shall in NO way be taken as a guarantee thai the system will function
satisfactorilylor any given period of time. `
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..�1` - DAVIE COUNTY HEALTH DEPARTMENT
1� � "�`r�'� �. IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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�- :NOTE: Issued�in 6ompliance with G.S. oi North Carolina Chapter 130 Anicle 73c
- � �Syewage Treatment and Dispo/s,al Rules (10 NCAC 10A .1934-.1968) Permit Number
NamefYl ,n. nTj/J:J�� ��,/T. �% ��,�� Da�e -.�/S�S�' �J °iu (;760
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Loca�ion __
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Subdivision Name � Lot No. Sec. or Block No.
Lot Size _ House Mobile Home __ Business Speculation �
Na.Bedrooms f��� No. Baths _-� No. in Family ���f'�
Garbage Disposal YES ❑ NO �
Specifications for System:
Auto Dish Washer YES ❑ NO � / J
Auto Wash Machine YES ❑ NO � /C^ ' r'� ) /
Type Water Supply � �/�D/�jX��/ u�'"�`
'Thispermit Void if sewage sys�em described below is no� iristalled wi�hin 36 months hom date ot issue.
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Improvemenis permit by '� �+/�'-�-�
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'Contac[ a represenlative of (he Davie Counry Neallh Departmen� foi final inspection of ihis system 6etween 8:30-
9'30 A.M, or 1:00-130 P.M. on. day of completion. Telephone Number: 704-634-5985.
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Final Installation Diagram: Sys�em Ins�alled by 'T- � �/ %A
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�Genificate of 6ompletion !`��' _ Date ��/�%���
'The signing.of this certificate shall indicate ifiaf the system tlescribed above has been installed in compliance wiih
the standards set forih in the above regulation, but shall in�NO way betaken as a guarantee that the system will function
satisfactorily forany given period of time. -
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�` � APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Q��'�
, Davie County Health Department G`�(LO P
Environmental Health Section Gv
P. 0. Box 665 ��
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By F��`�sTr��'�'�'aF-�' 11�7•'Te.,+'� �e1��a�1iF,� Business Phone
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2. Address �% a- /I���',�' �,!-'.'/1� f✓.t{. 2 ,% .n �;!
3. Property Owner if Different than Above
Address
4. Permit To: a) Install�Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business .
Industry �Other +�—
b) Number of people �d�
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: fVumber of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes � urinals / garbage disposal
lavatory � showers washing machine
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 Y I6�� ,
b) Land area designated to building site `���6�� �Y �'� �y��
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 kn wledge.
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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) � �
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• ' '� • DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
S IL/SITE EVALUATION - •
,--;
Name �� � Date � '�' .��
Address Lot Size ! ����
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
� PS PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS PS
� U U U
3) Soil Structure (12-36 in.) S S S S
Clayey Soils PS PS PS PS
U U U
4) Soil Depth (inches) S S S S
p PS PS PS
U U U
5) Soil Drainage: Internal g S S S
pg PS PS PS
� U U U
External S S S
CpS� PS PS PS
J[' U U U
6) Restrictive Horizons � ���
7j Available Space S S S S
PS PS PS PS
� � U U U
8) Other (Specify) U S S S
PS PS PS PS
� U U . U
9) Site Classification .
U—UNSUIT BLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments: ��� ��r✓ � �'
�v�Y ��,d� Date '�
Described by.���� Title
SITE DIAGRAM
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DCHD(6-82)