149 Main Church Rd t
Davie�County, NC Tax Parcel Report ���fl Friday, September 30, 2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: G50000002401 Township: Mocksville
NCPIN Number: 5749188334 Municipality:
Account Number: 26336000 Census Tract: 37059-806
Listed Owner 1: FOSTER GARY ANTHONY Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 149 MAIN CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: .86 AC MAIN CHURCH RD Fire Response District: MOCKSVILLE
Assessed Acreage: 0.76 Elementary School Zone: MOCKSVILLE
Deed Date: 9/1984 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001240386 Soil Types: We6
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 68490.00 Outbuilding&Extra 6720.00
Freatures Value:
Land Value: 19880.00 Total Market Value: 95090.00
Total Assessed Value: 95090.00
9 Ar�i�, All daW Is provided ae Ie without warranty or guarantee of any kind efther expressed or implled including but not Ilmited to the
Davie County� Imptied warranties oi merchantability or fitness for a particular use.All users of Davle County's GIS website shall hold harmlese the
�T County of Davle,North Carolina,its agents,eonsultants,eontractors or employees from any and all elalms or causes of aetion due to
n�L�N�� 1�� or arising out oT the use or Inability to use the GIS data p�ovlded by this website.
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�_'�� DAVIE COUNTY �HEALTH DEBARTMENT
� , IMFROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION,
- 'NOTE: Issuetl in�Cbmpliznce.witF G:S. o( Norih Carolioz.CFapter 130 Article 13c
_ _ - - Sewage TrealmeM�.and Disposal� Rules (70 NCAC 10A :1934�-.1968) PBfmit '�Numbef
Name ����r .roc7s2_ _= Date �-_z �'�' ✓ {'t9� 3E4�
Locatiom �-�� � Sf1Si LfiLT U� fytA�iN ��� /?J Loi UN
/s.�T �£Fonr Fiizs7 //���£ o',. Ls.F .—
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Subdivision'Name Cot�No. � ec.�or B16ck;No.
Lo4 Siie�s �� 2s D House '� Motiile'Home�— ;Business 'Speculation
1
No. Bedrooms � 3 -- No: Baths ��"'- No. in Family�__
Garbage Disposal YES [�] NO ❑ Specifications (or Sys�em: /OOJ Si���-- �-�
Auto Dish Wastiei YES p 'NO p � � � J ��
�Auto WasIi,Nlachine YES �] �NO� ❑ 3\00 h 3 X 2 'S�d '
Type��Water SuPPIY ,O!'�� . __ Y-3`� �»+ C�'h-c/2��rC _
. 'This,permit Void if�sewageisyslem;tlescribetl below is�nbD.installetl within 36 months�,lrom date oi�issue.
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" Improvementspermit by ��'�Y
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'Gontact a.represenlative o(,the Davie County Health. Department'for final ,inspection� of �this� system �between 8:30-
9�i30 A.M. or 1`.00-1:30 P:Mi on day of complelion. �Telephone Number: 704-634-5985.
. ,Final.InstallalionlDiagram:. .System Inslalled�by �/��� ���
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Certificate�of,Completion. Date
'The.sigriing of this certiticate 3hall indicate�thatdhe system tlescribetl above has tieen installed in 'compliaoce wilh
the�standards seC��.for�fi�in the��atiove iegulation�, bubshall in.NO way�be.taken a`sa`guaiantee tha��he sys�em�will��function
satis(actorilyTorany�given�periodoL.time. � � .
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, DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
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Name � ��� Date � �� �
T. � 3 /�'� X z.ro
Address Lot Size
�?2o�-lc.rd�ccE NG
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FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position '(_�� � S S
PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S� S S S
Loamy, Clayey, (note 2:1 Clay) � (`�S PS PS
� �CT U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils �P � PS PS
U U U
4) Soil Depth (inches) S S S S
PS PS
� U U
5) Soil Drainage: Internal S �� S S
g �( P,Sr PS PS
� U U
External S S S S
PS PS PS PS
� U U U
6) Restrictive Horizons "]�•k����
�°^�C'Q�
7) Available Space S S S S
pS PS PS PS
� U U U
8) Other (Specify) S S S S
PS PS PS PS
� U U U
9) Site Classification �
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments: �� � �� �''��� 6�'�'��
Described by ��� Title Date
SITE DIAGRAM
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DCHD(6-82)
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' � APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
� Davie County Health Department
Environmental Health Section �(�iQ� ��
P. O. Box 665
Mocksville, N.C. 27028 ��(�S'r
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. �/_ [�:Ot�
Home Phone � .�7 ����� '�f
1. Permit Requested By Business Phone �;3 � l
2. Address � � � � ' ' ��
3. Property Owner if Different than Above C 1� '�r��',� ���� �'}'" � --
Address �
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4. Permit To: a) Install Alter Repair
b) Privy Conventionat Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type tacility: 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.
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House Dimensions �C.��_ � � �—
Bed Rooms 3 Bath Rooms � � Den w/Closet f
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 � garbage disposal /
lavatory �- showers � washing machine�
dishwasher � sinks +�
8. a) Type water supply: Public Private Community
b) Has the water supply system beer�approved�Yes�No
9. a) Property Dimensions ��� ,�S'n
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 m�wledge.
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—� �te � 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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DCHO(6-82)