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974 Daniel Road Lot 1Davie County, NC Tax Parcel Report Wednesday, December 14, 2016 , — , J+ f' DANIE�'RD ! 964 974-- 1141, 992 ; I • . I 982 994 1006.1 / 006 +r 1014 WARNING: THIS IS NOT A SURVEY Davie County, NC All data R provided as Is withoutwamMy or guarantee of any kind eltherexpressed or Implied Induding but not limited to Me Implledwmardles of merchantability orlitnessfor a parbcularuse.All users of Davie County's GIS website shall hold harmless the County of Davie, Nath Carolina, hs agents, consultands, contractors oremployera Ram anyandagclaimsorcausesofactiondueto or arising out ofthe use or InabnTdyto useMe GIS data provided by this website. ParcelInformation Parcel Number. L400000048 Township: Jerusalem NCPIN Number: 5736622826 Municipality: Account Number. 9319000 Census Tract: 37059-807 Listed Owner 1: BOYCE NORA Voting Precinct: COOLEEMEE Mailing Address 1: 160 RIVER DRIVE Planning Jurisdiction: Davie County City: BERMUDA RUN Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 1 DANIEL WEST 0.893AC Fire Response District JERUSALEM Assessed Acreage: 0.86 Elementary School Zone: COOLEEMEE Deed Date: 3/1997 Middle School Zone: SOUTH DAVIE Deed Book / Page: 1997E0009 Soil Types: WeB,EnB,MsC Plat Book: 10 Flood Zone: Plat Page: 376 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all Davie County, NC All data R provided as Is withoutwamMy or guarantee of any kind eltherexpressed or Implied Induding but not limited to Me Implledwmardles of merchantability orlitnessfor a parbcularuse.All users of Davie County's GIS website shall hold harmless the County of Davie, Nath Carolina, hs agents, consultands, contractors oremployera Ram anyandagclaimsorcausesofactiondueto or arising out ofthe use or InabnTdyto useMe GIS data provided by this website. 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 _Name' N n.rF. Date ) J (,7 .Y tt rel Location Subdivision Name Lot No. Lot Size- House Mobile Home —'- Business No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO _p Specifications for Auto Dish Washer YES 0 1\10,,1] '1 Auto Wash Machine YES ©/ NO Ij Type Water Supply No. *This permit Void if sewage system described below is not installed within 36 months from date of issue. 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:P 0 r System Installed.by Certificate of Completion Date *The signing of this certificate shall indicate that the system describ above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way betaken 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 Environmental Health Sectionc SIDR O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 914- go, AF'Eg3_f� 1. Permit Requested By 2. Address 3. Property Owner if Different than Above Address 4. Permit To: a) Installer Alter— Repair" b) Privy— Conventional/ Other Type— Ground Absorption c)Sub-Division u(s� f.%c-.srSec.— LotNo. 5. System used to serve what type facility: House— Mobile Homed Business— Industry— Other b) Number of people FOUR 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions lir V to, 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 lavatory urinals showers dishwasher sinks 8. a) Type water supply: Public ✓ Private Community b) Has the water supply system been approved? Yes_jZNo- 9. a) Property Dimensions b) Land area designated to building site c) Sewage Disposal Contractor Phone garbage disposal washing machine 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 bestt of my knowledge. 3- 17- S% D1Q -0- 0 Date Owner Signatur OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) Y , DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name Date Address Lot FACTORS AREA 1 AREA 2 AREA 3 AREA 4 Topography/ Landscape Position S S S S PS PS PS PS U U U. U ?) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) PS PS PS PS U U U U 1) Soil Structure (12-36 in.) S S S S Clayey Soils PS PS PS PS U U U U Soil Depth (inches) S S S S PS PS PS PS. U U U U i) Soil Drainage: Internal S S S S PS PS PS PS U U U U External S S S S PS PS PS, PS U U U U i) Restrictive Horizons Available Space S S S S PS PS PS PS U U U U i) Other (Specify) S S S S' PS PS PS PS U U U U I) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: Described by Title Date SITE DIAGRAM DCND (6-82) Address e DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Date Lot Size enrrrnoe APPA 1 AREA 9 ARFA 3 AREA d Topography/ Landscape PositionCi5 PS S PS S PS U U U U !) Soil Texture (12-36 2 Sandy, Loamy, Clayey, (note 2:1 Clay) S `/�yu�}�p'S� S_ S PS U S PS U 1) Soil Structure (12-36 in.) Clayey Soils S � S PS U S PS U Soil Depth (inches) S S PS S PS S PS U U i) Soil Drainage: Internal PS � S PS U S PS U External S S S PS U S PS U i) Restrictive Horizons el/ Available Space PS PS S PS S PS U U U U 1) Other (Specify) S PS S PS S PS S PS U( U U U 1) Site Classification U—UNSUITABLE Recommendations/ Comments: S—SUITABLE PS Provisionally Suita Described by / Title Date'9 SITE DIAGRAM e o � .p DCHD (6-82)