149 Griffey TrailDAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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'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 Date ' f` f/'1
Location %/.. = •: Nq de, le'a Lead _
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 [ NO ❑
Type Water Supply
"This permit Void if sewage system described below is not installed` within 36 months 'from date of issue.
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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
Certificate of Completion - l 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.
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APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1. Permit Requested By
2. Address .QL '2 ,
3. Property Owner if Different than Above
Address "-
4. Permit To: a) Installer 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
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: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hou
7. Number and type of water -using fixtures:
commodes
lavatory
urinal
showers
garbage disposal
WnOhinn mnnhinc
dishwasher sinks v
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions -2 _ 3 a- e re's
b) Land area designated to building site _ /
C) Sewage Disposal Contractor — (/ e LLIZ
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? `ti! -,D
What type?
This is to certify that the information is correct to the best of my knowledge.
a.Ly
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Date Owner Signatur
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOC LAWS
Allow 5 days for processing
Directions to property:
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r� Ve),IQ a-`e_n Q1 0-F We-
DCHD
(6-82)
Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
FACTORS AREA 1 AREA 2 AREA 3 ARFA 4
1) Topography/ Landscape Position
S
S
S
PS
PS
PS
PS
U
U
U
2) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
3) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
U
U
U
U
1) Soil Depth (inches)
S
S
S
S
cr
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
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
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE
Recommendations/ Comments:
Described by _
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE PS—Provisionally Suitable
Title ��n� Date
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Parcel #: F600000074
Davie County, NC - Basic Estate Search
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View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: F600000074 Account #:82523826
Owner Information
Tax Codes
C ADVLTAX - COUNTY TA
RIFFEY SHARON
149 GRIFFEY TRAIL
FIREADVLTAX - FIRE TAX
MOCKSVILLE NC 27028
2609
Market:
4511
Property Information
Township
Land (Units/Type): 2.150 AC
FARMINGTON
ddress: 149 GRIFFEY TR
Deed Information
Local Zoning
Date: 11/2004 Book: 2004E Page: 0312
Plat Book: age:
Legal Description
PIN
2.2 AC HWY 158 OFF
5850471316
Property Values
Building:
10,0201
BXF:
9,001
Land:
2609
Market:
4511
ssessed:
45
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 2004E 0312 11 2004 WL Unqualified Improved 0
View Property Record for this Parcel View Man for this Parcel View Tax Bill Information
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Davie County Web Site
All information on this site is prepared for the Inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
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If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsneWiew.aspx?prid=1521362 6/14/2016