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113 Aubrey Merrell Road Lot 2Davie County, STC Tax Parcel Report Thursday. January 12. 2017 ---------------------- Fr. IJ I� 113 � �w -------------------------,� I�- �U .m ,a 109 1 WARNING: THIS IS NOT A SURVEY All data Is provided as Is without warranty or guarudee of any Mnd either expressed or Implied Including but not limited to the Implied warranties of merchantability orMness for a particular use. All users of Davie Countys GIS website shall hold harmless thCounty . _ Parcel Information of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to GIS by this Parcel Number: J7080A0002 Township: Fulton NCPIN Number: 5767296730 Municipality: Account Number: 82532254 Census Tract: 37059-804 Listed Owner 1: GOINS DEBORAH KAY Voting Precinct: FULTON Mailing Address 1: 113 AUBREY MERRELL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 2 HICKORY FIELD Fire Response District: FORK Assessed Acreage: 0.44 Elementary School Zone: CORNATZER Deed Date: 9/2010 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008370344 Soil Types: GnB2 Plat Book: 0005 Flood Zone: Plat Page: 124 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Davie County, All data Is provided as Is without warranty or guarudee of any Mnd either expressed or Implied Including but not limited to the Implied warranties of merchantability orMness for a particular use. All users of Davie Countys GIS website shall hold harmless thCounty 161 NC of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to GIS by this or arising out of the use or Inability to use the data provided website. Subdivision Name Lot Size House Mobile Home _ Business Speculation No. Bedrooms c No. Baths �j No. in Family GarbageDisposal YES ❑ NO Qom' Specifications for System: Auto Dish Washer YES T NO, ❑�, Auto Wash Machine YES NO'p, AT t �( Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended.use change. ;. CX o �y Lot No. Sec. or Block No 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 V 1J . V 'CertificateofCompletion C ' �� Date / 7 w The signing of this certificate shall indicate that the system'described above has been installed in compliance with the standards set forth irt`'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;4lssued in Compliance With Article I I of G.S. Chapter 130a _ Sanitary Sewage Systems Permit Number Name— r�� �� 41i"- ;r-' AL' kL'Z 14 Date _ —2 N2 G-224 Location �`. f Y t✓'rh%✓ F.� :=1y -- ".�a,Tir:r i`' _ Subdivision Name Lot Size House Mobile Home _ Business Speculation No. Bedrooms c No. Baths �j No. in Family GarbageDisposal YES ❑ NO Qom' Specifications for System: Auto Dish Washer YES T NO, ❑�, Auto Wash Machine YES NO'p, AT t �( Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended.use change. ;. CX o �y Lot No. Sec. or Block No 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 V 1J . V 'CertificateofCompletion C ' �� Date / 7 w The signing of this certificate shall indicate that the system'described above has been installed in compliance with the standards set forth irt`'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. Name— Address DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Date Lot Size rnr-rnoc AREA 1 APPA 9 AREA 3 AREA 4 2) Topography/ Landscape Position S S S PS PS PS PS U U U Soil Texture (12-36 in.) Sandy, SS S S S Loamy, Clayey, (note 2:1 Clay) (f PS PS PS U U U U 3) Soil Structure (12-36 in.) S S S S Clayey Soils PS PS PS U U U Soil Depth (inches) S S S S PS PS PS U U U U 5) Soil Drainage: Internal SS S S S PS PS PS U U U U External S S S PS PS PS PS U U U h) Restrictive Horizons ►) Available Space S S. S S PS PS PS U U U 3) Other (Specify) S PS PS PS PS U�' U U U �) Site Classification O �. U—UNSUITABLE Recommendations/ Comments: Described by ` SITE DIAGRAM pot DCHD (6-62) S—SUITABLE PS—Provisionally Suitable Title .� —� Date U—UNSUITABLE Recommendations/ Comments: Described by ` SITE DIAGRAM pot DCHD (6-62) S—SUITABLE PS—Provisionally Suitable Title .� —� Date A, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �Davie County Health Department ' Environmental Health Section P. 0. Sox 665 -11A95--e-We) Mockaville, NC 27028 1. Application/Permit Requested By 1jaR �s Mailing Address, 4 L L- DD Home Phone G%9�—..34-5 Business Phone 2. Name on Permit if Different than Above ZpR PoTr5 3. Property Owner if Different than Above 4. Application/Permit For: general Evaluation S/Tank Installation 5. System to Serve: use U Mobile Home (] Business Industry u Other / 0 Unknown 6. If house, mobile home: SubdivisionSec.Lot# o� No. of People Dwelling Dimensions No. of Bedrooms Basement/Plumbing tJ No. of Bathrooms ( Basement/No Plumbing Washing Machine J Dishwasher 0 Garbage Disposal 7. If business, industry, other: No. of People Served No. of Commodes No. of Lavatories No. of Showers 8. Type of water supply: &-Public Specify type , 9. Property Dimensions /DD' X 2-30 10. Sewage Disposal Contractor No. of Sinks No. of Urinals No. of Water Coolers 0 Private 0 Community 11. Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes G --No If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. /I- 26 9d . - — A--& Date Signature Directions to Property: DCHD (10-89)