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1939 Hwy 801S' A�Q2 flaviP Rniinty IJ(:' TaY Parcel RPnnrt 1ArPrinPcrrav CPn4Pmhcr 7R 9MR v*rF Davie County, NC Parcel Information °r't,t Parcel Number: G8050A0005 Township: Shady Grove NCPIN Number: 5880213372 Municipality: Account Number: 66292000 Census Tract: 37059-804 Listed Owner 1: SIDES DAVID LEWIS Voting Precinct: EAST SHADY GROVE Mailing Address 1: 1939 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1 LOT HWY 801 Fire Response District: ADVANCE Assessed Acreage: 1.13 Elementary School Zone: SHADY GROVE Deed Date: 8/1987 Middle School Zone: WILLIAM ELLIS Deed Book/ Page: 001390621 Soil Types: PcB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 46080.00 Outbuilding & Extra 370.00 Freatures Value: Land Value: 31250.00 Total Market Value: 77700.00 Total Assessed Value: 77700.00 v*rF Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie 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 °r't,t causes of action due to or arising out of the use or inability to use the GIS data provided by this website. -fit % iJ 4dL-- DAVIE COUNTY HEALTH DEPARTMENT 6-o 2IMPROVEMENTS 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 •� `� L- r�" B`3 rR' Name A + ? `> Date -� ' b N_ 2 ( 2) Location rt o AI �,y ;` 'o1 ! "t 3-1 IVC- //W L( �d 4�•._-e..%•�a..J. � ja� ?T��.� CJ Ai �R+��`SJe.^�'ar �\��� �.�',S�'+'�+��7 Subdivision' Name Lot No. Sec. or Block No. i_r I D V Lot Size Hous Mobile Home _ Business _— Speculation No. Bedrooms No: Baths —_ No. in Family Garbage Disposal., YES :[Z' NO E] � Specifications for System: Auto Dish Washer YES [D./ NO,,❑p 0 a % Auto Wash Machine YES [Ql N0 ,0 © Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. 5 I 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 S)�o ED ISo� 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. ' APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section .. __. R 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. / - Home Phone 1. Permit Requested By ��s .3 i C S Business Phone 2. Address �T .3 �D� �G /moi �i v.�„��,r /� G 3. Property Owner if Different than Above Address 4. Permit To: a) Install—i--/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 Bs Industry Other b) Number of people 6. ap If house or mobile home, state size of home and number of rooms. House Dimensions Bed Rooms 3 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 hours) 7. Number and type of water -using fixtures: commodes urinals D garbage disposal ,Z lavatory -z showers washing machine dishwasher sinks 8. a) Type water supply: Public Private ZZ Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions 11,4,--, b) Land area designated to building site 114 c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? A10 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: s �, ASO DCHD (6-82) C r� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. ' P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name �v �� S Q s Date Address S Lot Size � .A �Ar'Tnac ARFb 1 1 AREA\' l ARFA R APPA A 1) Topography/ Landscape Position S- PS S ('PS) �-' S PS S PS U U 2) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) PS � \> S PS S PS U U 3) Soil Structure (12-36 in.) Clayey Soils S. PSi S S PS S PS U U U 1) Soil Depth (inches)� ` ; S PS S PS PS U U U i) Soil Drainage: Internal P SS � PS S PS U U U U External pS� S PS S PS U U i) Restrictive Horizons -- Available Space PS' S � S PS S PS U U 1) Other (Specify) S PS S PS S PS S PS U U i) Site Classification S ) szn U—UNSUITABLE S—SUITAB—LE PS—Provisionally Suitable Recommendations/Comments: Described by �c� ` Title Date SITE DIAGRAM DCHD (6-82)