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242 No Creek Rd Davie County,NC ` i Tax Parcel Report � ��o�b Wednesday, October 5, 2016 ! � � ---- t� � �� ,� �t � �� , � _ � �� 242 -- �� '. t �� '�� , 2�s-- � , _� ' _._ �,� � ,, ,� - � ----------,_ _ ____ _ _ _ _ _ __ _-t __ � _ ___ _ WARNING: TffiS IS NOT A SURVEY Parcel Information Parcel Number: J70000000702 Township: Fulton NCPIN Number: 5768317330 Municipality: Account Number: 8302426 Census Tract: 37059-804 Listed Owner 1: CARTER DUSTIN Voting Precinct: FULTON Mailing Address 1: 242 NO CREEK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 1.139 AC NO CREEK RD Fire Response District: FORK Assessed Acreage: 0.96 Elementary School Zone: CORNATZER Deed Date: 7/2013 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009330043 Soil Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 27340.00 Outbuiiding 8 Extra 0.00 Freatures Value: Land Value: 20620.00 Total Market Value: 47960.00 Total Assessed Value: 47960.00 9 LLµ/�, All data is proWded as Is without wartanty or guarantee af any kind efther expreased or Implied Including but not limked to the Davie County� Implted warraMies ot merchaMability or Mness Tor a particular usa All users of Davle County's GIS website ahall hold harmiess the County of Davie,North Carolina,lts ageMs,consulhMs,contradors or employees hom any end ap daims or causes o(actlon dua to �o�ty�� NC or arising out of lfie use or Inabllity to use the GIS dat�prodded 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 Name ,�/{�N;�t�r,; �/�c ;�,nr — Date � � Z t . �.`_'� r;,. �~f f;.;� Location f� `f �� ,-;,� ;_. ,.> l�1v c�/��r ,�_ ,��.:a. '��,t.,., c: K �.� ;- .�!= :a�►�c F. o2�z- itl�C��,2� :'->1J .�4 �_ i. - -- 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 0 NO [.�- Specifications for System:,�(�dCl��N ��.� Auto Dish Washer YES NO ❑ , „ � Auto Wash Machine YES �j NO � .z�.d��X 3 � /x SfOr✓� Type Water Supply t ��fr.,, � --- �,,g�iC d� �'4�C f z.�t,c *This permit Void if sewage system described below is not installed within 36 months from date of issue. __.._�--- --- ^ �t-��'�., ._, ______�......._...---- ��- � t. T .....,_..._-�-_ ._�..,._.,�.�.._t.�.-� � 1..:'t i�._..`t 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 " �"- �� r t��%=��F� ��!"f� .�'ct,F/ i J Z• 2&.! � �� !�'L� '_'�- ( �r�N�f ;- - - 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 Environmental Heaith Section P. O. Box 665 Mocksville, N.C. 27028 � SOIL/SITE EVALUATION Name [./'rwrL2"rrG� I�/G7�ic� Date 2"22 -� � Address RT' � � '� Lot Size �� acKSti/i c..cr� n(G- Z7a"�— FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position m �� S S PS PS 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 U 3) Soil Structure (12-36 in.) S S S S Clayey Soils � '4�� PS PS � U U U 4) Soil Depth (inches) � S S S �' PS PS � U U U 5) Soil Drainage: Internal S S S S � ,�. PS PS � U U U External � -� PS PS � U U U 6) Restrictive Horizons 7) Available Space S S S S PS PS PS PS U U U U 8) Other (Specify) S S S S PS PS PS PS � U U U 9) Site Classification S � U—UNSUITABLE S—SUITABLE PS—Pro isionaliy Suitable Recommendations/Comments: Described by ��''"'"' Title -�'''J`Q'�L`'�'v Date Z�ZZ"' , SITE DIAGRAM DCHD(6-82) . , Z.Zo-g'f ' 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. Home Phone—��"�-�y"� 1. Permit Re uested By , �. � Business Phone ��U'- ��'� 2. Address 3a �C. 1 � ! t 3. Property Owner if Different than Above ^ Address 0 � c� D 4. Permit To: a) Install�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 ��?�v�� 1�51�0 `�utu'� �'c�J 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 hours) 7. Number and type of water-using fixtures: commodes urinals �`� garbage disposal � lavatory � showers � washing machine 1 � dishwasher ' sinks ` 8. a) Type water supply: Public�—Private Community b) Has the water supply system been approved? Yes�No 9. a) Property Dimensions A� �A�ct�. 'R� W E 'nF.F.�--� h ts aC�.C�:�Q� C� \lp ''A�.-f�S, 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. c�l� � �, ' � Date Owner Signature � � OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE ANC�t�LAV� Allow 5 days for processing Directions to property: �n �N� C�� Mv�,�1� �w� f�� .,�-� �� 1oc�Y�`1�,� I�.��-� �r� �. �i� C��y� � y� �^s„ `� c�� , �� --n Co hS�C'�c.��r� 5�-� . � DCHD(6-82) . • y •� • DAVIE; COtJNTY HEALTH DEPART:TETJT SITE EVALUATIOPd COi�SEIdT FORM INSTRUCTIOTTS/P12EREOUISTES 1. Cam�ple�e 'r.hs farm b�low and return it ro the Davie Ca. Health D�partment. 2. Along with rhe f�rrn, remit the amount due as shown �n enclosed stata�en�. 3. Carefully fallaw the procedures as autlined in zhe 2nclosed "Informaicien Bulletin". 4. YJotify Healich Department up�n c�mplerion af i�c�m nur.ibar 3. IdOTE: ALL THE ABOVE S�lUST BE DO.JE BEFORE A SANIT�RIAP1 5r7ILL BE ABLE TO l3EGIP1 THE REQUESTED EVALUATTOi7. DETACH HERE AND R�TURtd TO THE(DAVIE COUcd'!'Y HEALTH DEPAR�I�IE�tT,P.O. E30X 57) • (t40CKSVILLE, Y1.C. 27028) DAVIE COUNTY HEALTH DEPARTMENT , SITE EVALUATIOtd COYdSENT FO?2P1 LOCATIOiV OF PROP�;RTY: ,�, ,+ ��1 �� ' DATE RECI:IVED 1 1•^' •-t ana ��a�a �o� -� �.�:-�-� ��-t co�f�a� u�� only) 1<1��,�,o� �'�l\ .� tSo Gce�K �— � ,,c� � �,' � -� � U.Z �es nor (1.) I am iche own�r of the abova describ?a property. --�-� �� , yas no (2.) I �m not �he awn�r of i�ha ab�ve describ2d proper"y, however, I � ' certify that I have cons�nt fr�r:��;,�y �►-� ,owner to �� awn�r's narae obtain a site evalua�3on by tha fieali:h Department for the purposa cf determin3ng the suitability fcr a graund absarptian sewage disposal syster:,. yes no (3.) I hareby giva c�nsent zo the author�zad reprosentative o£ the �� , navie Counicy H�altn Dapartr.«nt to sntzr up�n ths above dascribed l..__ : property and conduct all tie5cing prccedures necessary tc de��rmine its suitability for a gr�und absar,ption sewsge disposal system. � —/� – �'�f - c.� � �.� DATE GNATtJRS (4.) I hereby authorize th� Davie County Fi2alth DepartmenL to release sic� avaluation results from tns abav� described propErty to the fo2lcwing: �, Ownar Only � Owner's designa�ed repr�santative �-��- �� (� Anyans requ�sting resulzs DATE [„`1 Only thase Iisted below ��1'tM/QP ` D L ��.I� �L�� _ SIGNATURE