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150 Ashburton Drive Lot 4 Section 1Davie County, NG 4Tax Parcel Report Wednesday. January 11. 2017 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: WARNING: THIS IS NOT A SURVEY Parcel Information E8070B00l l Township: Shady Grove 5871951818 Municipality: 8302520 Census Tract: 37059-803 GEHRKE CHARLES KENNETH Voting Precinct: EAST SHADY GROVE 150 ASHBURTON DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: 27006 Voluntary Ag. District: LOT 4 GREENWOOD LAKE SECTION 1 Fire Response District: 1.01 Elementary School Zone 6/2003 Middle School Zone: 2003E0171 Soil Types: 0003 Flood Zone: 053 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No ADVANCE SHADY GROVE WILLIAM ELLIS GnB2,GnC2 DAVIE COUNTY Davie County, All data Is provided as is without warranty or guarantee of any ldnd either expressed or Implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the no NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to U p S� or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 /SOIL/SITE EVALUATION Name 5NVA&7H (-1--->RwjL-voP (-purl -*4 Date $" ZZ- - k r Address 1200 l-�UN, ��r�u� %i-�. Lot Size ZOlg x Z3-0 OC- FACTORS AREA 1 ARFA 2 ARFA 3 ARFA A 1) Topography/ Landscape Position j 9) © S S PS PS PS U U U U '.) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) (9 PS PS PS U U U U 1) Soil Structure (12-36 in.) S S S S Clayey Soils 0 PS PS PS U U U U i) Soil Depth (inches)S S S S PS PS PS U U U U Soil Drainage: Internal n S S S PS PS U U U U ExternalS� S S S PS P PS PS U U U U i) Restrictive Horizons Available Space S S S S PS PS PS PS U U U U 1) Other (Specify) S S S S PS PS PS PS U U U U Site Classification �S U—UNSUITABLE Recommendations/ Comments: Described by SITE blAGRA DCHD (6-82) S—SUITABLE PS—Provisionally Suitable 4sgglc a4z4'. '. 22 - ?t/ 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. i In 1. Permit Requested By 2. Address /;Z&a 3. Property Owner if Different than Above Address Home Phone' Business Phone 4. Permit To: a) Installer Alter Repair b) Privy— rivy Conventional Other Type Gro nd Absor do c) Sub-Divisio a Sc. Lot No.-# e k 5. System used to serve what type facility: House eMobile Home Business IndustryOther- 11 A4 ther b) Number of people 2- 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: commodesurinals garbage disposal i lavatory showers washing machine dishwasher r sinks 8. a) Type water supply: (Publicy Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions gY3� b) Land area designated to building site �a>*+� QS� 6//� c) Sewage Disposal Contractor 10. Do you anticipate anyl additions or expansions of the facility this sewage system is intended to serve? 714 What type? C 4-- Mo4k 0 This is to certify that the information is correct t th est of my knowledge. Date U' Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing V d lr (�rjj