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184 Little John Drive Lot 19Davie County, NC Tax Parcel Report Thursday, December 29, 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: WARN IN T: THIS 1S NUT A SURVEY Parcel Information D701 OA0019 Township: 5862452301 Municipality: Farmington 82531754 Census Tract: 37059-802 CUNDIFF GLENN R Voting Precinct: SMITH GROVE 184 LITTLE JOHN DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: DAVIE COUNTY QD 27006-0000 Voluntary Ag. District: LOT 19 FOX MEADOW Fire Response District: 0.57 Elementary School Zone: 4/2010 Middle School Zone: 008240473 Soil Types: 0004 Flood Zone: 134 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: SMITH GROVE PINEBROOK NORTH DAVIE Gn132,GnC2 DAVIE COUNTY No All data Is provided as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Davie County, 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 npUtl� NC or arising out of the use or Inability to use the GIS data provided by this weba@e. 4 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Permit Number Name ,f J %% r� ,i �/ 4 •T /: ��-,, -�� /..<' ,�. :;;��.�� Date Location Subdivision Name �'�%-%`''%��' Lot No. �%� Sec. or Block No. Lot Size �&Y �L'f �� House !/ Mobile Home — Business Speculation No. Bedrooms '- F No. Baths r12 No. in Family Garbage Disposal YES p NO g,/ Specifications'. for System: „ Auto Dish Washer YES NO Auto Wash Machine YES NO Type Water Supply !-I- *This permit Void if sewage system described below is not installed within 36 months from date of issue. L'• 4;,'A, Improvements permit by — Z" "(.A, *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: Certificate of Completion Date f✓/G�MITI *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 Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone !21�1 1. Permit Requested By Business Phone 2. Address a V 6w- � e_21'�?r1� G 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 2ziL 44 Lec n"ec. Lot No. 5. System used to serve what type facility: House_Lz:=-_`Mobile Home Business IndustryOther b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions 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 Q- urinals lavatory `t dishwasher showers sinks 8. a) Type water supply: Public Private Community L— garbage disposal washing machine b) Has the water supply system been approved? Yes -L --No 9. a) Property Dimensions ✓ h :� 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? B What type? This is to certify that the information is correct to the best of my knowledge. 3 � �- X3 Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION r - AREA 1 AREA 2 Date Lot Size ZZAOJ��s'C — AREAS AREA 4 1)`'Topography/ Landscape Position S S�S --� S PS � PS U U U !) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S © S S S PS U U U 1) Soil Structure (12-36 in.) Clayey Soils S S ���' S U S PS U U 1) Soil Depth (inches)S S . PS PS PS U U U U i) Soil Drainage: Internal S S < S PS 'U U U U External S PS S S S PS S PS U U 1) Restrictive Horizons Available Space S PS S. 't7' S S US 1) Other (Specify) S PS S PS S PS S PS U U U U 1) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitabl Recommendations/ Comments: Described by �� Title �/✓ Date SITE DIAGRAM DCHD (6-82)