148 Terrace LnDavie County, NC , T� Parcel Report Tuesday, October 1 l, 2016
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Parcel Information
Parcel Number: G600000037 Township: Farmington
NCPIN Number: 5860045667 Municipality:
Account Number: 13790000 Census Tract: 37059-803
Listed Owner 1: CARTER SCOTTY TILDON Voting Precinct: SMITH GROVE
Mailing Address 1: 148 TERRACE LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 2702&7832 Voluntary Ag. District: No
Legal Desctiption: 7.50 AC NOWARDTOWN CI Fire Response DisVict: CORNATZER - DULIN,SMITH GROVE
Assessed Acreage: 7.52 Elementary School Zone: CORNATZER,PINEBROOK
Deed Date: 8N988 Middle School Zone: NORTH DAVIE,WILLIAM EILIS
Deed Book / Page: 001450092 Soil Types: MnC2,Ce62
Plat Book: . Flood Zone:
Plat Page: Watershed Overlay:
Building Value: 51880.00 Outbuiiding 8� Extra
Freatures Value:
Land Value: 60590.0� Total Market Value:
Total Assessed Value: 112470.00
9" �'�' Davie County,
n�UN'�� NC
DAVIE COUNTY
112470.00
0.00
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;' ��� �--- — DAVIE COUNTY HEALTH DEPARTMENT �'' 3�
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�-,�;` ���"`, !I't .�, f IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�:i; ��`-NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
, i ' Sewage�Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) P@�mlt NU117b@I'
Name ' }- / `I � , . %r/ ,' . _ .�1 � =ti—�J t .
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Location /l�' �I �•.. _� � l!{i �/.,� i'�� � % �� �i i .�/ � � .!�" : f i , ���:,. `r' r� ,,
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Subdivision Name Lot No. Sec. or Block No.
Lot Size "%' �-�"�� ' House �r Mobile Home _ Business Speculation
No. Bedrooms % No. Baths ,� No. in Family �_
Garbage Disposal YES ❑ NO p Specifications for System:
Auto Dish Washer YES p NO �❑ ,„_�,� ,�
Auto Wash Machine YES [�jj NO �p ��°�" � �'!""` r�`�" �'
�; )'�� j � -� �' t!% y;.�-- f
Type Water Supply /�._.-,- =' _ _..-�'L'�� 1��ait/���-� �`" i
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*This permit Void if sewage system described belQ`w is not installed within 36 months from date of issue
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Improvements permit by __ �*j".r-���-�
*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 �0 �,'�_�w. �`���°r�r.-�.�^,.
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Certificate of Completi 'n � � �'`�'� '�-.� Date �� `J
"The signing of this certificate shall indicate that the system d�scribed above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO v�ayJ�E�fakeQ as a_guarantee that.S1� s sy_te_m will function
satisfactorily for any given period of time. �,� �� ;;>��,
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APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �� Z,i.
Davie County Health Department �Q l
Environmental Health Section C�
P. O. Box 665 R�iC`
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone �a7'��l �'
1. Permit Requested By �C��:—T�$�s b��+��. Business Phone
2. Address 19�e1� s-�- W�`�s-�„N- Sr��t�, �, C a7/D�-
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 ���P
6. a� If house or mobile home, state size of home and number of rooms.
House Dimensions �Ppok l0(�O s� �f
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
lavatory
showers
garbage disposal �
washing machine �
dishwasher / sinks a
8. a) Type water supply: Public Private_� Community
b) Has the water supply system been approved? Yes No�
9. a) Property Dimensions 4-a �e[�s
b) Land area designated to building site �I/ o-� ��e�.n�„
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.
E- a a-� g �8�r� ���,1�,.. CA„ �,�
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to proper
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Name—
Address
FACTORS
1) Topography/Landscape Position
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
3) Soil Structure (12-36 in.)
Clayey Soils
4) Soil Depth (inches)
5) Soil Drainage: Internal
External
6) Restrictive Horizons
7) Available Space
8) Other (Speciry)
9) Site Classification
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
U—UNSUITABLE
Recommendations/Comments:
AREA 1
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PS'
U
Cri�
U
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S
PS
U
S
PS
U
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S—SUITABLE
AREA 2
S
PS
U
S
PS
U
S
PS
U
S
PS
U
S
PS
U
S
US
S
PS
U
S
PS
U
Date ���l��"
Lot Size -lC��
AREA 3
S
PS
U
S
US
S
PS
U
S
US
S
PS
U
S
US
S
PS
U
S
PS
U
PS—Provisionaliy Suitable
AREA 4
S
PS
U
S
US
S
US
S
PS
U
S
PS
U
S
PS
U
S
PS
U
S
PS
U
Described by ��/ � Title /���'`� Date �2��_�
SITE DIAGRAM
UCHD (6�82)