444 Farmland Road Lot 21Davie Countv, NC
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Wednesday, December 21, 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:
WARNING: THIS IS NOT A SURVEY
Parcel Information
G500000149 Township: Mocksville
5749084158 Municipality:
34160250 Census Tract: 37059-806
HEINTZMAN RANDY L Voting Precinct: NORTH MOCKSVILLE COUNTY
444 FARMLAND ROAD Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
NC Zoning Overlay: DAVIE COUNTY QD
27028-0000 Voluntary Ag. District: No
LOT 21 FARMLAND ACRES SECTION FOUR Fire Response District: MOCKSVILLE
1.11 Elementary School Zone: MOCKSVILLE
Land Value:
Total Assessed Value:
11/1996 Middle School Zone: SOUTH DAVIE
001910205 Soil Types: SeB,MsC,CeB2
0005 Flood Zone:
201 Watershed Overlay: DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
9�
Davie County,
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Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
�pUl1'S•1
NC
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this webstte.
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DAVIE COUNTY HEALTH DEPARTMENT
, IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ; I
*NOTE:. I0sued'in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-1968) —Permit Number
(Jame `?"-%'�', ,If,.ri �t/`rte J; ;�, Date /rN2v
Location
Subdivision Name :�f7r ��'�l Lot No. Sec. or Block No.
Lot Size _ House Mobile Home _ Business Speculation
No. Bedrooms No. Baths ' % No. in Family_
l
Garbage Disposa. YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine E ❑ NO ❑
Type Water Supply _
IID
,;`This permit Void if se g sy tem esc ibed bidj w 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 dao /ompletion. Telephone Number: 704-634-5985.
Final Installation Diagram:
00
System Installed by
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 `1
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 %OY (0-7 51-2 -3er
1. Permit Requested Orzo2►l7Ge jo / es Business Phone le
2. Address
r
3. Property Owner if Different than Above =L4J Z__
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Grou d Absorption
c) Sub -Division � fer Sec. �- Lot No. 2
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people
6. a7 If house or mobile home, state size of home and number of rooms.
House Dimensions yb "x �2� �� ' ol�� �.�-1L- .� I -
Bed Rooms -3 Bath Rooms Den w/Closet yhe- j Y-4
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
garbage disposal
washing machine
dishwasher sinks
8. a) Type water supply: Public Private Commmunity
b) Has the water supply system been approved? Yeses No
9. a) Property Dimensions Z /,L E ,mote_,
b) Land area designated to building site
c) Sewage Disposal Contractor fy ��n+
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 t e es know dge.
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)