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982 Daniel Road Lot 2Davie County, NG Tax Parcel Report Wednesday. December 14.2016 r , , r 964 1 xr r r I 974— 992 ar 982 994 rl 1006 1014 1024.1 582 592' I i 612 C b�lB WARNING: THIS IS NOT A SURVEY All data Is provided as is wilhoutwana,dy or guarantee of any Idnd either expressed or Implied Including but not Ilrotied to the Impliedm w esof merchantabNry or gtnescfor a particular use AN users of Gavle Courdy's GIS website shall hold harmless the ® Parcel Informatton^ as orcauses of action due to County of Davie North Carolina, Its agents, consultants, contractors oremployeas frorn any and alldrt Parcel Number: L40000004802 Township: Jerusalem NCPIN Number: 5736621851 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 2 DANIEL WEST 0.872AC Fire Response District: JERUSALEM Assessed Acreage: 0.87 Elementary School Zone: COOLEEMEE Deed Date: 311997 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: C b�lB Davie County, All data Is provided as is wilhoutwana,dy or guarantee of any Idnd either expressed or Implied Including but not Ilrotied to the Impliedm w esof merchantabNry or gtnescfor a particular use AN users of Gavle Courdy's GIS website shall hold harmless the ® !� as orcauses of action due to County of Davie North Carolina, Its agents, consultants, contractors oremployeas frorn any and alldrt nOG 4; NC orarising out ofthe use orinabtiityto use the GIS data provided by this website --t , r�r - Davie County Health Department Environmental Health Section C E I V E P.O. Box 848 2011 210 Hospital Street UG 7 Courier # : 09-40-06 1911 Mocksville, NC 27028 Phone: (336) - 753 - A ON-SITTvWASTEWATER CERTIFICATION Fax: (336) - 7531680 (Check One) Replacement Remodeling Reconnection Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: QZ FaUCe Type Of Facility: Date System Installed (Momh/Date/Year): Number Of Bedrooms:_a_Number Of People: Is The Facility Currently Vacant. Ye No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Type Of F; Pool Size: Requested (Signature) i Information About The NEW Facility: :r Of Bedrooms: Number of People_ Other: _Date Requested: 7 �\ For Environmental Health Office Use Only Environmental Health Specialist *The signing of this form by the Environmental Health Date: no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By: Account l►J Received By: p _Invoice #: Map Frame Pagel of 1 Davie County, NC - GIS/Mapping System Click Here To Start Over - - - - O ,� /, mr, -;�'✓, .n�• lq " - - -Quick Search: Active Layer. .❑Use Map Tips ID or Owner Ni �3 8 ®" 0 PARCELS (Map Tips Available)' v Ma Addrere , LOT A�IEL 0.893AC- J 100 �, ! 100 I 100 If J 9743_100 ! 9923.., — 994,y o - N y M ry b _ - -- .. 100 0 y (t - 9S - 100 -.. Oo3 R http://maps.co.davie.nc.us/GoMaps/map/mapframe.cfm?CFID=4129&CFTOKEN=616408... 8/18/2011 I , O L Davie County Health Department 4Z)Pe fc" Environmental Health Section �®9"� P.O. Box 848 �.W�,''s� 210 Hospital Street O U t1� AUG 1 7 2011 Courier # : 09-40-06 1911 Mocksville, NC 27028 Phone: (336) - 753- 6 80 ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 7531680 (Check One) Replacement Remodeling Reconnection `'�' Name: /1? ��]1 I ' JY� 'G�7Y-I �3 �(H >ci�1�L``I _/�- Vll II %T]']'�S Phone Number /� (Home) Mailing Address: %3.5- kfl.Ik-l/e IJIZ �/-7-�1.,r/ �31� ��" gfG% (work) ill e NL�1'10G�'/t�'y13 �t ELmailAjddreessss: jS/ / Detailed Directions To Site: 60 / J' �t«J 0 Diyfe ¢./1 f ii'(a �YZ'/1✓'& Property Address: 14t —019 Cl teed - Please Fill In The Following Information About The EXISTING Facility: / Name System Installed Under: oa Type Of Facility: Date System Installed (Montb/Date/Year): - Number Of Bedrooms:_,�&_Number Of People: - 'Is The Facility Currently Vacant? Ye / No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: - - - - - Please Fill In The C Followm Information About The NEW Facility: Type Of Facility: Jiy/!1 I"! -Number OfBedrooms. __NumberofPeople�_ Pool Size: - - Garage Size: Other: - - Requested By: t„%/(+' Date Requested: 11 (Signature) I- - - ' For Environmental Health Office Use Only Environmental Health Date: *The signing of this form by the Environmental Health Staff isfin no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: - Cash - Check Money Order # Amount:$ Date: - Paid By: - - Received By: - - Account #: - - - Invoice #: - ate- # �r •rF }3r mow 1"-77' a..' DAME GQUNTI( EAt I tpEP RTI1 N IMPROVfM_ENTS PERMIT AND _CERT.IFIC TE O'F COM.-EjTI'ON ' Issued rn Com fiance :with G:S-6f..North Ca:rolma'Cha ter, 130`4Pticle pp : s ` Sewage -Treatment and :Disposal Rules (1.0 NCAG 10A ~f1934 1fl968) rA. 4i Name' } ' Date �` y tvT S Subdivision-Name `� �S s Lot No. Sec. or. Block_.Nor '-=:. _ r� Lot Size House: Mobile Home Business Speculation No'13edrooms= No. Baths.-- No. in Family -- Garbage Disposal YES ❑ NO Ej Specifications` for System: Auto' Dish Washer YES ❑NO 0d x Auto Wash Machine YES E] NO f 1 Type 1%Vater Su' pljr c� v , __ *This permit Void if sewage system described belowis not insta 36 months from date of issue - e y y k iE Improvements permit by' *Contact a representative'of the Davie County Health Department for final inspection of this system between 8 3t7 f 9:30 A. M. or 1:00 1:30 P.M: on day of c.mpletion. Telephone Number 704.-634-5985 k- Final Installation Diagram: System Installed-by.� Z d � K'•"^(§rte= 7T k k,R'S iz Certificate=of Corripletion_ Date .,F_ .•'_ --, 5 -;.:. _ G �-- x• - � � s Thefsignmg of this certificate shall indicate".that the sys#em descnbed�above + as e n ans#alLed f _ ath' s#anda:rds set-fofth-in the above regulation, butshall in;NO uvay b ka en-a a ee gat s e i'c. i fa o y forany givgn period of time ° P ,oy 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 _Date - •'l,'!�'-)ti Location Subdivision Name Lot No. Sec. or Block No. Lot Size - House Mobile Home Business Speculation No. Bedrooms No. Baths No. in Family - Garbage Disposal YES 0 NO ❑ . Specifications for Auto Dish WasherYES E) NO.❑ Auto Wash Machine YES ❑ NO 0 Type Water Supply j —� c. `This permit Void if sewage system described below is not ink�wi 36 months frdm date of issue. . I F 4 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. v Final Installation Diagram: - - ,System Installed by t,1 0 Certificate of Completion - - '�-" Dater `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 DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION Issued in Compliance with G.S. of North Carolina Chapter 130 Atticle 13c Sewage Treatment and Disposal Rules .(10 NCAC 10A .1934-.1968)- Permit Number Name Date 11. (3 9 e , Location Subdivision Name et,�` ,Wt�� Lot No. Sec. or Block No. ' Lot Size ,7 House Mobile Home _t Business Speculation No. Bedrooms No. Baths �_- No. in Family Garbage Disposal YES {] NO E]„ Specifications for System: Auto Dish Washer YES ❑ NO ❑ /0,66 Auto Wash Machine YES ❑ NO Ci Type Water Supply C ,. v. , — !� OR *This permit Void if sewage system described below is not insta a -with' 36 months frdm 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: System Installed by \� it ti , A t , Certificate of Completion Date 5 - �? '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 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 0 MAR Environmental Health Section P. 0. Box 665 RLC Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED: 1. Permit Requested By rvorrE+ r 2. Address O'F 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 Ohulr-L WG s' Sec. —Lot No. 5. System used to serve what type facility: House— Mobile Homed Business— Industry— Other_ b) Number of people F_&LA 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions /�Ll'V G/) Bed Rooms:— Bath Rooms Den w/Closet Home Phone 9 fS -94 f� 5"i •;.t: Business Phone b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24't 7. Number and type of water -using fixtures:. commodes L lavatory showers dishwasher sinks — garbage disposal washing machine 8: a) Type water supply: Public ✓ Private Community b) Has the water supply system been approved? Yes_ZNO— 9. a) Property Dimensions 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. 3- 17- SD 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) Address DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION G� Date Lot Size FAr.Tr)RC ARFA 1 AREA 9 AREAS AREA A Topography/ Landscape PositionS 5) 6) S S PS PS PS U U U U !) Soil Texture (12-36 in.) Sandy, S S S Loamy, Clayey, (note 2:1 Clay) (1P PS PS PS U U U U 1) Soil Structure (12-36 in.) S S S Clayey Soils P PS PS PS U U U U q Soil Depth (inches) S S S PS PS PS U U U Soil Drainage: Internal S S S S PS PS PS U U U U External S S S (&�;:D % PS PS PS U U U U Restrictive Horizons ') Available Space S S. S S S PS PS PS U U U U 3) Other (Specify) S S S S PS PS PS PS U U U U �) Site Classification "? S U—UNSUITABLE Recommendations /Comments: Described by SITE DIAGRAM �b C0 � �Ady �I S( DCHD (6-62) S—SUITABLE PS—Provisionally Suitable Title Z0v uary � .• ��