1862 Yadkin Valley Rdi
Davie Countv, NC
S
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Wednesdav, October 12, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAl�1VllV(T: "1'H15151VU1' A SUItVL+'Y
Parcel Information
C60000010701 Township: Farmington
5862199397 Municipality:
82526740 Census Tract: 37059-802
BECK ANDREW S Voting Precinct: FARMINGTON
1862 YADKIN VALLEY ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY QD
27006-0000 Voluntary Ag. District:
1,434 AC YADKIN VALLEY RD Fire Response District:
9"�'�' Davie County,
�o��,�� NC
1.44 Elementary School Zone:
7/2006 Middle School Zone:
006720447 Soil Types:
Flood 2one:
Watershed Overlay:
103590.00 Outbuilding 8 Extra
Freatures Value:
39820.00 Total Market Value:
154820.00
FARMINGTON
PINEBROOK
NORTH DAVIE
GnC2,CeB2
DAVIE COUNTY
11410.00
154820.00
No
� ar 29 12 0�38p Iriformation Services
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3387531880
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Davie County Health Departmcnt
��; 6Ic� � ' onmental Health Section
.- : �� �','�� P.C). Box Kd� � �� Q � -
� 2I0 Ho�pit�� Sa•ec� �
� (11�1;� �' �'la`( 1 p 2Q12 Coutier # : 0�-�1.0-Qti �� "i,'iy+1 I �� � � 1911
Mocksville, NC 2702fi �; (� � `���t,' 1 �
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t�honc: (33G) - 753 - s��� ON-S�� WAS�'EWAT -CER11�1CATION - -'- i'�: cy�6� -� 5,�-iu�o
(Check One) Replacement Remodel� - �teconnection .
Namc: �nc�ni,.� s l�P(' I� PhoncNumbcr�6 %y� -l1099 (k{omc)
Mailing Address: ��6� �n���n VS ��ty ��. �33�� 3� ~ Z�`�d (Work)
Ac��ync� NG �,7�06 LmailAddress: none
Detailed Dircctions To Site:
�,�� � �urn. ' � o� d�.
Property Address:
�.7vv�
neai4�� aa. qo �a .��
. _.._.
Pleuse Fill !n The Following Information About T �XISTING Facility:
Namc Systcm Installcd Undcr. 6'L OYZ�iCC7� Typc Of Fxcility: (1 c�v��
Datc Systcm In�tallcd (Montli/Dste/Year): / �l b0 Number OfBedrooms: 3 Number Of People: 5
[s Thc Facility Currcntly Vscsnt7 Ycs No If Ycy, For How Long? �
Any Known Problcros� Ycs No If YcB, Explain:
_ ._,��
plcasc Fill in Thc F llowiQ� Intormation About c N.EW Facility_
Typc Of Facility: � Numbcr Of Beclrooms: N�mber oFPcoplc
+ ��
['ool Size: Garage Size: 2� "' 0 Other:
Requested By: ��iYvLi•-^� ���� , Dnte ltcque�tcd; r._..._.. ----
(Signnturc)
..----�----�., For Environmenta! Nealth Of�ce Use Only
�pprovc;d �Disapprovcd
_/
Environmental Health Specialist
i�
'"The signing of this form by the Environmental Health Staff i in no way intcndcd, nor should be taken as a guarantee
(cxtended or limited) that the on-site wf►.stewater system w•ill function properly for any given period o,f time.
Payment; Cash Check Money O �# Amount:$_
Puid By: �'I NWt��w ��= ��- R�x:cived By:_
Arrnilttt f1� /, j /�/�jl in.rnirnlf•
./ �.J O aG.
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- � -- : DAVIE COUNTY HEALTH DEPARTMENT
,,a� "�. IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatme�t and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
` Name ' �.': � �-' r; Date , . . /�� - ' .
Location _ . � r{. � .,�' �% .�' _ i;� 6�6�
, , . � , , . . .
, __ ,, __
. . % �; i �' i,. ; - ,'
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Subdivision Name Lot No. _���- -' ' Sec. or Block No.
Lot Size `� ��%� �% House �nf , Mobile Home _ Business -- Speculation
No. Bedrooms ��— No. Baths _�!'_' No. in Family _
Garbage Disposal YES � NO ❑.= Specifications for System:
Auto Dish WasHer YES ❑ NO 0 t-
Auto Wash Machine YES ❑ NO ❑ � � ` ` �
,-- , . ,
Type Water Supply � � --- � - %� �' .
"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.
�� r .�' -
Final Installation Diagram:
System Installed
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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.
S
•+'�' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
�` � Davie County Health Department
a Environmental Health Section
P. O. Box 665 ��C,�6��� d"l�i� � Q j��
Mocksville, N.C. 27028 �
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone �3`�- 5 3►0
1. Permit Requested By �lasap�. Sr..: ��. Business Phone
2. Address 31'1 w•,�Ye,�,U„ S�• vK��ra„���c
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 a Bath Rooms ��rz- Den w/Closet
b) If Business, Industry or Other, State: fVumber 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 `�
dishwasher Y sinks
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yes `� No
9. a) Property Dimensions 1'•�1� Iess L� 2- �•�.-
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.
I
S- z� -� 6
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
1 S-�- �2 .�.��SL ��- �
old
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OCHD (6-82)
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May 20, 1986
To Whom It May Concern:
This is to certify that the house on our property located on
Yadkin Valley Church Road ( Tax Map C-6, Parcel Number 107.01)
is not and will not be used for rental purposes as long as we
both shall live.
�
.
� ,��,� , � 2,
Joseph H. Smith
��� .�2�r' � . L , ���'I,c��
Geneva C. Smith
NORTH CAROLINA
DAVIE COUNTY
I, Pamela S. Purvis, a Notary Public for said County and
State, do hereby certify that Joseph H. Smith and Geneva C. Smith
personally appeared before me this day and acknowledge the due
execution of the foregoing instrument.
Wit:zess my hand and official seal, this the 20 day of
MaX, ?986.
_ G.�JLo- � . `� L�7 �
� ' Notary Public
My coTM►.;►issz.on expires June 25, 1990.
DAVIE COUNTY HEA�TH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
- SOIL/SITE EVALUATION
Name ,e ��1�°�/• c-S Date ��lj_.T��
Address Lot Size
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 (Specify)
9) Site Classification
U—UNSUITABLE
Recommendations/Comments:
AREA 1
�`�U
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SS
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�
�
S
�
S
�
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PS
U
S
PS
U
S—SUITABLE
Described by "����,L Title
SITE DIAGRAM
DCHD (6-62)
l..r�../
U
PS
S
S
._._��
SC�rJ�
U�
�
AREA 3
S
US
S
PS
U
S
US
S
PS
U
S
PS
U
S
PS
U
� S
PS PS
U U
S S
PS PS
U U
/PS—Provisionaliy Suitable
C
Date
AREA 4
S
US
S
PS
U
S
PS
U
S
PS
U
S
PS
U
S
US
PS
U
S
PS
U