429 Rainbow Rd Davie County, NC Tax Parcel Report "1� ( � Friday, October 7, 2016
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WARNING: THIS IS NOT A SURV�Y
. Parcel Information
Parcel Number: D60000001807 Township: Farmington
NCPIN Number: 5851797020 Municipality:
Account Number: 82529182 Census Tract: 37059-802
Listed Owner 1: EHNES KAI T Voting Precinct: SMITH GROVE
Mailing Address 1: 429 RAINBOW ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 4.754 AC RAINBOW RD Fire Response District: SMITH GROVE
Assessed Acreage: 4.59 Elementary School Zone: PINEBROOK
Deed Date: 1/2008 Middle School Zone: NORTH DAVIE
Deed Book/Page: 007440787 Soil Types: EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 160050.00 Outbuilding&Extra 2g180.00
Freatures Value:
Land Value: 61090.00 Total Market Value: 249320.00
Total Assessed Value: 249320.00
9�� All data is provld¢d ae Is without warranty or guarantee of any kind either expressed or Implied Including but not Ilmfted to the
Davie County� Implled warrantles of inerchantability or fitness for a particular use.All users of Davle County's GIS website shalt hold harmiesa the
County ot Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
Ino�N.�"� NC or arising out of the use or Inabiiity to use the GIS data provided by this website.
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� �"' " 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
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Name �„ Y�-1�-- �� � Date '-� - ; _ _. „ :i;
Location � � � � ' � ��';�: � � �, �1 , .
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Subdivision Name Lot No. _ Sec. or Block No.
Lot Size�� Ho�se Mobile Home _ Business _— Speculation
No. Bedrooms �_ No. Baths �— No. in Family�_
Garbage Disposal YES ❑ NO � S}ecifications for System: �
Auto Dish Washer YES � NO ❑ ` O QO �ah 1�, ���
Auto Wasfi Machine YES [�/' NO 0 � �� ��
Type Water Supply _ ______
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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 __ - � �
*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: � .� ystem Installed by ��,�.�d(,]vQi,��
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ompletion '�_ 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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� . - ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �' i � �� �
`" , Davie County Health Department
Environmental Health Section
Moc svOili e N c 2io2s ���EI��t� �P� a .�, �
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CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
, Home Phone �� � ` �
1. Permit Requested By
� /V ��/j,/�/ J� � ��� Business Phone �� ����
2. Address �? ��� ��12� ��X ��� �I�1�'J �i?!7/I/S> /�e • Z 71?�2.
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3. Property Owner if Different than Above �� � P N ���� �—�n
Address �pCfi�C��� I�e
4. Permit To: a) Install �Alter Repair
b) Privy Conventional � Other Type
Ground Absorption �����-�
c) Sub-Division Sec. Lot No.L,L4—
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, eta "�—�
Estimate amount of waste daily (24 hours) '�-----
7. Number and type of water-using fixtures:
commodes 7 urinals garbage disposal
lavatory �' showers � washing machine �
dishwasher � sinks r
8. a) Type water supply: Public �Private Community
b) Has the water supply syste been approved? Yes �No
9. a) Property Dimensions_�, I� �� d �T �zp'� ' ,��� ��I I E
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 corre t to the be of my knowledge.
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Date wner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: �I�-
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� DCHD(6-82) ' �
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� . ' DAVIE COUNTY HEALTH DEPARTMENT
`� . ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Hea�th Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
/LOCATION OF PROPERTY: DATE PECEIVED
+-��p (office use only)
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yes no 1. I am the owner of thE above described property.
yes no 2. I am not the owner of the above described property, however, I certify that I
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have consent from ����t.��'���'��� ' , owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
� disposal system.
yes no 3. I hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above describe�property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
3- -� � �-
DATE SIGNATURE
4. I hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
— Owner only
Owners designated representative
l�Anyone requesting results
— Only those listed below
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DATE SIGNATURE
DCHD(11/84)
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y � � pAVIE COUNTY HEALTH DEPARTMENT
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Environmental Health Section
' P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name � `�-��� \ Date � `� ��
Address Lot Size �� �
FACTORS AR 1 AREA2 ARE 3 AREA
1) Topography/Landscape Position S
PS � S PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) S F PS P
U U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils S PS PS �51
U � U �7J
4) Soil Depth (inches) S S -��
P P ��J
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U �� U
5) Soil Drainage: Internal S S S S
p PS �
„ C� U
External S S �—�1
PS S PS �P,�
V �l U
6) Restrictive Horizons
7) Available Space S
pS PS PS � 0_"
U �
8) Other (Specify) S S S S
pg PS PS PS
U U
9) Site Classification � , v
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments:
Described by � Title � Date � �
SITE DIAGRAM
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DCHD(6-82)