213 Norma Ln ,
Davie County,NC � Tax Parcel Report �a Wednesday, October 5, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C7070A0006 Township: Farmington
NCPIN Number: 5863602377 Municipality:
Account Number: 45530400 Census Tract: 37059-802
Listed Owner 1: LEVAN RICHARD JAMES Voting Precinct: FARMINGTON
Mailing Address 1: 213 NORMA LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-7924 Voluntary Ag.District: No
Legal Description: END OFF NORMA LN Fire Response District: SMITH GROVE
Assessed Acreage: 1.45 Elementary School Zone: PINEBROOK
Deed Date: 5/1992 Middle School Zone: NORTH DAVIE
Deed Book i Page: 001630843 Soil Types: PaD,PcC2,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 103120.00 Outbuilding�Extra 4460.00
Freatures Value:
Land Value: 30000.00 Totai Marlcet Value: 137580.00
Totai Assessed Value: 137580.00
9�.��� All data is prodded as Is witbart wamrky or guanntee oT any Idnd efther exprcssed or implied Induding but not IlmRed to the
Davie County� implied warraMles of inercl�aMabilky or(itness fw a particular usa All uaen oT Davfe County's GIS websRe shail hold harmless the
Co�nty of DaNe,North Caroilna,lts agmts,consultarrts,contracton or employees Gom any and a9 claims or causes of action due to
�p�N�� NC or arlsing out oTthe use or Inability to use the GIS data prodded by th(s we6ske.
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, � DAVIE,COUNTY HEALTH DEPARTMENT � i
` - � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIONr !
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"". "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
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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 ❑
Auto Dish Washer YES ❑ NO ❑ Specifications for System: �o�o �� \t�.�� ��-
Auto Wash Machine YES ❑ NO � �' � `�'�r_ �` ' I �� j♦ f� z '�Jc�`
Type Water Supply P . --- �� ���r(v ��'�•,� ;;�,�' �;�f�, �, j=r�.<<_� `'� r ��_
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"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��,�,...�,�._,�
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`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.
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Final Installation Diagram: System Installed by_ ��%"�%'
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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.
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• ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksvitle, N.C. 27028
SOIL/SITE EVALUATION
Name w ��n ��'. �,,� A Date �- �-�3
Address /ud �G�:� - /Z�• � �c��sl�cE�) ���P���� Lot Size ����E
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
P PS � PS
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2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS LPSj PS
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3) Soil Structure (12-36 in.) S S S S
Clayey Soils PS PS � PS
� GTjT U U
4) Soil Depth (inches) S S S S
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�/ U U
5) Soil Drainage: Internal g S S S
PS PS � PS
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External S S S S
PS PS � PS
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6) Restrictive Horizons �a,v;,,,r.� �� �.n�"�' 7� (�,�``."�S f -
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7) Available Space S S S S
PS PS � PS
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8) Other (Specify) S S S S
PS PS PS PS
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9) Site Classification U!S S ��
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments: � -«"�"� �- �� �3
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Described by �•�� ' Title
SITE DIAGRAM rc
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DCHD(6-62)
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,- � ' 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��� ����
1. Permit Req sted By � Business Phone
2. Address �
3. Property Owner if Different than Above
Address
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
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 t washing machine
dishwasher sinks )
8. a) Type water supply: Public Private Community v
b) Has the water supply system been approved? Yes�No
9. a) Property Dimensions 1��� •
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.
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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)