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128 Redfield RdDavie Countv. NC Tax Parcel Report Thursday. October 6. 2016 WAlC1 IINU: IHIN 1J INUl A JUKVhY Parcel Information Parcel Number: B60000001101 Township: Farmington NCPIN Number: 5853471000 Municipality: Account Number: 82530306 Census Tract: 37059-802 Listed Owner 1: STUGART RICKY HOWARD Voting Precinct: FARMINGTON Mailing Address 1: 128 REDFIELD 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: 6.660 AC OFF ARROWHEAD RD Fire Response District: FARMINGTON Assessed Acreage: 6.90 Elementary School Zone: PINEBROOK Deed Date: 12/2008 Middle School Zone: NORTH DAVIE Deed Book / Page: 007760416 Soil Types: GnB2,GnC2,MsC,MsB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 299100.00 Outbuilding & Extra Freatures Value: 9040.00 Land Value: 75600.00 Total Market Value: 383740.00 Total Assessed Value: 383740.00 Davie County, 7�7 1\ C 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 causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. Type Water Supply 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. t� 1 Y • U V� 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 byPlod 17, Certificate of Completion f �f 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 DEPARTMENTc°�J "k, IMPROVEMENTS IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION,,. � "NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems ,, Permit Number Name,�r"l �,��% f,' ;e/' r/E is Date r/_:2/c'f7 N2 57 s"": , Location /r La --/,��;��%' P ;! ",/' ��- 1'' •�'/,1 / �r 'i ._�, ,"1, r; -; r-: �;> ',-✓ % / r 41/ �y / Q� /% ; 0 &Add Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business _— Speculation No. Bedrooms No. Baths _ No: in Family _ L _— Garbage Disposal YES ❑ NO p ' System: Auto Dish Washer YES . NO r-1Specificatio(ns'fo % Auto Wash Machine YES NO ❑ r '%" Type Water Supply 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. t� 1 Y • U V� 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 byPlod 17, Certificate of Completion f �f 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 DEC 2 Environmental Health Section P. 0. Box 665 R� Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1. Permit Requested By et- K. Ka 2. Address e?a 3 y IQ05gj l rtS. 3. Property Owner if Different than Above Address 4. Permit To: a) Install Alter Repair] b) Privy Conventional Other Type Ground Absorption Home Phone 219- 2911-797/ Business Phone glq- 7(0k -x/736 A16 a714-3 c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mome Business Industry Other b) Number of people 6. a} If house or mobile home, state size of home and number of rooms. House Dimensions 4ck n 2T a 5 ry 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 3 urinals garbage disposal ��- lavatory showers washing machine dishwasher sinks 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions b) Land area designated to buildin site c) Sewage Disposal Contractor`�`^'� 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? s10 What type? . This is to certify that the information is correct to the best of my knowledge. 7K42%. kl - 7�� 21C 4J..' Date J Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: .T - qo ea.s 86 / r7a 3.3 MJcc b4l ha..d �p.l,L rte- baa civ Part I Sr 1 m,ritik rc Y-� hea • �- �eica, ham. C Ay�J 4a4x, 14+ W Sf" . J � 011? �n 1 !i *NOTE: Improvembnts Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site.plans or the intended use change. Effective October 1, 1989. tM s s kn o l C u,ZL 5A4t c I"' l` *yC4 b w--- ndf -- tomtt s , DCHD (6-82) n DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health 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 RECEIVED q (office use only) S�'� 1�S 1 Qa*�.`�o�l ��` 1�0� � S i`IYY�U. �. (yes no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from , 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. 6;)no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE 4. 1 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 —Anyone requesting results Only those listed below "-,k ,Cee k. Fniklea , 4yN era -/o - AJ DATE SIGNATURE DCHD (11 /84) Name— Address DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Date /,&Ao Lot Size 6 AIV - FACTORS AREA 1 AREA 2 AREA 3 ARFA d 1) Topography/ Landscape Position 0 PS PS PS PS U U U U ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) A � PCS'' U U U U 3) Soil Structure (12-36 in.) Clayey Soils S 0S% I ® S CSS, U U l) Soil Depth (inches) b S ` U S U U i) Soil Drainage: Internal U �q �Uj moi' External P i) Restrictive Horizons Available Space PS PS PS PS U U U U 1) Other (Specify) S PS S PS S PS S PS U U U U 9) Site Classification U—UNSUITABLE Recommendations/ Comments: Described by _ SITE DIAGRAM DCHD (5.82) S—SUITABLE PS—Provisionally Suitable �- - Title �-�" Date 1-f