129 Hide A Way Ln 1 �
Davie-County,NC -Tax_Parcel.Report Wednesday, December 28, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel;Information
Parcel Number:'t- ca_F80000013909 Township: Shady Grove
NCPIN Number: 5880398696 Municipality:
Account Number: ;:82519055 Census Tract: 37059-803 -
Listed Owner.1PIAZZA_GEORGE'S Voting Precinct: EAST SHADY GROVE
Mailing Address 1: ".;r 129 HIDE A WAY.LANE;.f Planning Jurisdiction: Davie County
City: ADVANCES _-=- Zoning Class: DAVIE COUNTY R-A
State: _ n r._; `,-_--„: NC Zoning Overlay:
Zip Code.: 27006-7550 Voluntary Ag.District: No
Legal Description:=--_ •16.937 AC W OFF UNDERPASS Fire Response District: ADVANCE
-- Assessed Acreage----:.. -_ 16.89 Elementary School Zone: SHADY GROVE
Deed Date: - a .__6/2002 : Middle School Zone: WILLIAM ELLIS
Deed Book/Page: - - 004250944 Soil Types: PaD,PcB2,PcC2,ChA,WATER
Plat Book:- Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value: .
Land Value: Total Market Value:
Total Assessed Value:
O uK�A All data is provided as Is 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 for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�OUty4 NC - or arising out of the use or Inability to use the GIS data provided by this website.
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
Name1 Date4012
Location T;
kaml;xx)
Subdivision Name Lot No. Sec. or Block No.
Lot Size '%v House Mobile Home — Business Speculation
No. Bedrooms %' No. Baths ' No. in Family s.
Garbage Disposal YES ❑ (NO;❑ } f Specifications for System:
Auto Dish Washer' YES ❑ NO ❑
Auto Wash Machine YES '❑ NO ❑
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Type Water Supply
`This permit Void if sewage system described below is not installed within 36 months from date hof 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 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.
' 1 DAVIE COUNTY HEALTH DEPARTMENT P�,tiG
z �
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
i *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 Q-2- 5-- Date 4 013
Location
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 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 b
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 Date �%�/i�:a /i '� J 13
Location %
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business Speculation
No. Bedrooms ; �%r_ No. Baths _ _ No. in Family —
Garbage Disposal YES ❑'1�1 NO ❑ Specifications for System:
Auto Dish Washer YES p NO ❑ r
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.
i'
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Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8130-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number:704-634-5985.
i
Final Installation Diagram: System Installed by -�
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
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S
&�) I)EM PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS
U U
3) Soil Structure (12-36 in.) -S. S S
Clayey Soils PS PS
U �Tl U U
4) Soil Depth (inches) /S--�", S S
PS PS PS
U U U
5) Soil Drainage: Internal �5.� SS
j PS PS
U U U
External S S S
PS PS
U U U U
6) Restrictive Horizons
7) Available Space S S
PS PS PS
U U U U
8) Other (Specify), S S S S
PS PS PS PS
nU U U U
9) Site Classification !! C
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title Date
SITE DIAGRAM
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DCHD(6-82)
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS ERMIT ,l-7 0 -'��9G "
Davie County Health Department l,--Cf'tq 8
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By J_V J_ 1 V 5 C. 15M,7-9 Zff—_ Business Phone
2. Address P10. Be x / 0 92 C kE Af Alp ISS . N c 7 0/ 2-
3.
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—It--Mobile Home - Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions L 350' 54. F7'
Bed Rooms 3 Bath Rooms Z Den w/Closet
b) If Business, Industry or Other, State: Number of persons served A "`��s
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes urinals garbage disposal
lavatory Z' showers Z washing machine J
dishwasher J sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No t�
9. a) Property Dimensions
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..
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD(6-82)