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405 Farmland Road Lot 17Davie County, NC I Tax Parcel Report Wednesday, December 21, 2016 WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: G500000146 Township: Mocksville NCPIN Number: 5739987046 Municipality: Account Number: 8302372 Census Tract: 37059-806 Listed Owner 1: FIELDS STEPHANIE Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 405 FARMLAND ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAME COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOT 17 FARMLAND ACRES SECTION FOUR Fire Response District: MOCKSVILLE Assessed Acreage: 5.47 Elementary School Zone: MOCKSVILLE Deed Date: 7/2013 Middle School Zone: SOUTH DAVIE Deed Book / Page: 009300782 Soil Types: SeB,EnB,EnC,MsD Plat Book: 0005 Flood Zone: Plat Page: 201 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 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, consukants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or inability to use the GIS data provided by this website. . _ J)AVIE ; COUNTY HEALTH DEPARTMENT %j IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION `NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c S wage Tr tment and Disposal Rules (10 NCA.Q_10A .1934-.1968) Permit Number Name �� 7 ', % Z i` Date _— N0 Location ' /Z - l ✓'� ��.% , r - .,,i , } " - - Subdivision Name f '. i%�` Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business Speculation No. Bedrooms No. Baths_ No. in Family_ - Garbage Disposal YES NO ❑ Sp if'c ions r Sy tem�j Auto Dish Washer YES NO ❑ 4. Auto Wash Machine YES O ❑ �Q�1/J� :'.����/i. Type Water Supply 'This permit Void if sewage system described below is not installed within 36 months from date of issue. l 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 A 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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter-130Article 13c Sewage Tr��eatment and Disposal Rules (10 NC, PP -10A .1934-.1968) Permit Number Name/ ULC,N _�c,72 >�3`%fv%rc ' {Z�s- %% j/% Date �1' i�,- N2 4 4.1 Location _ �f ,,�,j;i., r�" �` e CZ �,41 /r Subdivision Name Lot No. / �f Sec. or Block No. Lot Size `%� ' House Mobile Home _ Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES : NO ❑ Auto Dish Washer YES NO Specifications for System: Vj Auto Wash Machine YES NO ❑ ct , Type Water Supply *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: System Installed by 'jyr .�.�...�,... _ c;���'° _...Gtr►� c� ��o--�.�;n -- � 611i"Zo ll 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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1. Permit Requested By 1404 RVA) d 2. Address R� 3 �o),o Sly 3 3. Property Owner if Different than Above Address 4. Permit To: a) Install J' Alter Repair b) Privy Conventional �f Other Type Ground Absorption AdRosf J ea 7c.ee7 Twc.S c) Sub -Division Sec. 'rj Lot No. -/7 NFKl FA,eklff^/i Ac - 5. System used to serve what type facility: House_X Mobile Home Business Industry Other b) Number of people -3 6. ai If house or mobile home, state size of home and number of rooms. House Dimensi ns X30,1) Bed Rooms Bath Rooms Den w/Closet b) If Business, Industry or Other, State: Number of persons served Home Phone f?R'•285 ef Business Phone L34f- 012'il/ What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes 3 urinals garbage disposal 4P lavatory S showers % washing machine dishwasher % sinks a 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yes,k— No 9. a) Property Dimensions -67 ,� / X452 y 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? Ala What type? This is to certify that the information is correct to of my knowledge. Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-62) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name Date Address Lot Size ,.)&a FAr:Tf1RC APPA 1 APPA 9 ARFA 3 AREA A 1) Topography/ Landscape Position 9) S SSS S U ?) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) P PS PPS U 3) Soil Structure (12-36 in.) Clayey Soils S S PS S S PS 1) Soil Depth (inches) S S S S PS PS d25" PS 197 PS efq? ) Soil Drainage: Internal S S S S PS PS External (b S (9� U U �) Restrictive Horizons Z; CPO Available Space �� PS cp PS PS PS U U U U 1) Other (Specify) PS PS 0 PS 6P PS U U Site Classification �,1, -� QU �JU U—UNSUITABLE Recommendations/Comments: &-tc2� S—SUITABLE ,F�= Provisionally Suitable Described by Title _,� Date SITE DIAGRAM DCHD (6-82)