2938 Hwy 64E �� > � . _ ,. . - �.
1�� ��;;� � DAVIE COUNTY HEALTH DEPARTMENT �I '3� �
� IMPROVEMENTS� PERMIT AND CERTIFICATE OF COMPLETION � �
. �
- '`NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a ' ° �
Sanitary Sewage Systems �J, Permit Number
Name G� :�,� �yl ` ?.>� -� � . � �� oate _�/.��%� N�' S��5
Locati � �: .� s�G �^���.✓ :..�''��� ��.�Y� ���r�,.,- �,_ ,iJ,/���->1
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Subdivision Name Lot Na Sec. or Block Na
L�t Size 7�7/ House �� Mobile Home _� Business Speculation
No. Bedrooms �-'�� No. Baths _.�_ No. in Family�_J
Garbage Disposal YES ❑ NO �' Specifications for System: ,
Auto�ish Washer . YES � NO ❑
Auto Wash Machine � YES NO p '���� ���, ,
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Type Water Supply � __— �
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation-i�-s+te-p�a�s..�the intended use change.
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Improvements permit by _�����
*Contact a�r�p'�esentative of the Davie County Health Department for final .inspection of this system between 8:30-
9:30 A.M. or 1�Oq�1:30 P.M. on day of�completion. Telephone Number: 704-634-5985.
Final Installation Diagram: Sys 2rr�•�I.Qgtalled by �t� ^� �`�°
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Certificate of Com letion � ������ Date � ! ( �' - I �
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'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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�.'+ I� (UAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
p�� DV� ':D` D� Davie County Health Department
e�� .+., ��/�l� Environmontal HoAlth Soction
`a� t� P. 0. Box 665
� ���/„� Mockaville, NC 27028
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l .- Application/Permit Requested By �
. Mailinq Address ,�� Zf ��.z/.� �r.�r.�� t?-C�. � �oo G
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Home Phone qg�-��//� b Busines� Phone
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: � General Evaluation �S/Tank Installation
5. System to Serve: House L Mobile Home � Business
'� Indu�try � Other � Unknown
6. If house, mobile home: Subdivision Sec. Lot�
No. of People � Dwelling Dimensions
No. of 6odroom� 5 � IIasement/l�lumbing
Na. of Bathrooms / � Basement/No Plumbiny
� Washing Machine r Uishwasher � Garbage Dispusal
7. If business, industry, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories Na. of Watar Coalars
No. of Showers
8. Type of water supply: �F�ubl�c 0 Private a Communir.y
9. Property Dimensions 7,�za�
10. Sewage Disposal Contractor
11 . Do you anticipate additions/expansions of the facility this system �.s
intended to servQ? � Yes �4"0 .
If yeg, what ty�e?
+NOTEs Improvementa Permlte 8hall .be valid for �t period ot 5
years from date issued. Improvements Permits are subject
to revocation, if eite plane or the intanded use change.
Effective October l, 1989.
This is to cer•tify that tne informatinr► pravided is correct ta tr�E_
best of my knowledge, and I understand I am rE:sponsibla far all
charges incurred from t}��is applicatian.
3- �9-�a ��
Uate Signature
Uir�ctiona ta PropQrty :
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DCHD (10-89)
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. _, ' DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section �
P. O. Box 665
Mocksville, N.C. 27028
- SOIL/SITE EVALUATION
Name � ,�f�"�'l Date
Address Lot Size ���
FACTOR$ AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position � � � �
P
U U U U
2) Soil Texture (12-36 in.) Sandy, - S S
Loamy, Clayey, (note 2:1 Clay)
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P
U U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils � � � �
U
4) Soil Depth (inches) � � - -_�
• '(� U
U U
5) Soii Drainage: Internal . � � � C�
P
U U U
External � C,� } , S P __�
. � ��(� `d'
U U
6) Restrictive Horizons
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7) Available Space f� �,v
�S PS PS PS
U � U U U
S) Other (Speciy) S S S S
ps PS PS PS
U U U U
9) Site Classification - � - • ' S •
U—UNSUITABLE S—SUITABLE �Provisionaliy Suitable
Recommendations/Comments:
Described by ��=`��� Title »'� Date ���
SITE DIAGRAM
. � �� x
3 ,
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UCHD(6-82) . .
Parcel#: J700000078 Page 1 of 1
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Parcei#:]700000078 Account#:8305585
Owner Information Tax Codes
RNETSKI JOANNE&SEARS MICHAEL ADVLTAX-COUNTY T
938 US HWY 64 E FIREADVITAX-FtRE TAX
MOCKSVILLE NC 27028
Pro e Information Townshi
nd(Units/Type): 13.450 AC FULTON
ddress: 2938 E US HWY 64
Deed Information Local 2onin
ate: 10/2015 Book: 01001 Page: 1034
lat Book: il Pa e: 339
Le al Descri tion PIN
14.54 AC HWY 64 13.450 AC 5767981263
Pro e Values
uildin : 104 51
BXF: 1 67
nd: 120 46
Market• 226 64
ssessed: 226 64
Deferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00028 0067 07 1924 WD Unqualifled Vacant 0
00148 0386 05 1989 WD Unqualified Vacant 0
00148 0389 05 1989 WD Unqualifled Vacant 0
00148 0416 04 1989 ED Unqualifted Vacant 0
00154 0448 05 1990 WD Unquallfled Vacant 0
00321 0289 12 1999 WD Unqualified Vacant 0
00832 0286 07 2010 WD Unqualiffed Improved 0
00967 0273 09 2014 WD Unqualified Ymproved 0
01001 1034 10 2015 WD Unqualified Improved 0
0 00744 0561 01 2008 WD ualified Im roved 240 000
View Prooertv Record for this Parcei View Ma�for this Parcel View Tax Bill Information
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All information on this site is prepared for the inventory of real property found within Davie County. All data is compfled from recorded deeds,
plats, and other pubilc records and data. Users of this data are hereby notifled that the aforementioned public information sources should be
consulted for verification of the(nformation. All information contained herein was created for the Davie County's internal use. Davie County,
its empioyees and agents make no warranty as to the correctness or accuracy of the informatfon set forth on this site whether express or
implied, in fact or in law, including without limitation the fmplied warranties of inerchantability and fitness for a particular use.
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.�ov/itsneWiew.asnx?prid=1482227 6/21/2016