179 Aubrey Merrell Road Lot 11Davie County. NC
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WAKNING: "1Yi15151VU1' A SURVEY
Parcel Information
Parcel Number: J7080A0011 Township: Fulton
NCPIN Number. 5768300520 Municipality:
Account Number: 8300418 Census Tract: 37059-804
Listed Owner 1: WYATT DARRELL Voting Precinct: FULTON
Mailing Address 1: 179 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:
Legal Description:
LOT 11 HICKORY FIELD
Fire Response District:
Assessed Acreage:
0.66
Elementary School Zone:
Deed Date:
612011
Middle School Zone:
Deed Book / Page:
008610921
Soil Types:
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
No
FORK
CORNATZER
WILLIAM ELLIS
GnB2
DAVIE COUNTY
Davie County,
l data is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the
F -a
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 website.
a, DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF 'COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130, Article 13c t
Sewage Treatment and Disposal Rules (10 NCAC 10A :1934-.1968). Permit Number
Name �_. i'.d'.;r� — Date
) c r
k � /)
Location - .i dt`' t i t''✓ t." // ` k'.'i. !F w7, 'r ftE
W
Subdivision Name Lot No: Sec. or BFlock No.
Lot Size `sJl.=__ House -- Mobile Home __.__Business Speculation
No. Bedrooms }"__ No. Baths No. in Family i~u
Garbage Disposal YES ❑ NO 0' Specifications for System:
Auto Dish Washer. YES .Fj NO; ❑
Auto Wash Machine YES r0 , NO O
,m
Type Water Supply
This permit Void if sewage system described below is not installed within 36 months from date of issue.
t
Improvements permit by ---'- -r
*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.
y 1
Final Installation Diagram: System Installed by
r` S 110 (Uvo
,
Certificate o Completion f
-
*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 fw .
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone_c_111 /1`-3 15�, %�
1. Permit Requested By of ( ' "I Business Phone
2. Address /-�d
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventionaly Other Type
Ground Absorption
c) Sub -Division Se_ (;c__ __ Lot No.
5. System used to serve what type facility: House V Mobile Home Business
IndustryOther
b) Number of people 2-
6.
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 2- C y ,3 C
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 urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public f Private Community
b) Has the water supply system been approved? Yes ) No
9. a) Property Dimensions 1 0 X ;3 (I j
b) Land area designated to building site (G G )(.2B o
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? N D
What type?
This is to certify that the information is correct to the best of my knowledge.
L
14
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
4 b A -S f Tut- h L -e t r S tie r""a- fio
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DCHD (6-82)
s
Z 5 9
Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date !
Lot Size ! l- e)
Mer M00. AREA 1 AREA 9 ARFA 3 ARFA 4
Topography/ Landscape Position
S
S
S
PS
PS
PS
U
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
ck>
PS
PS
PS
U
U
U
U
i) Soil Depth (inches)
S
S
S
�S —
V
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
S
S
S
S
PS
PS
PS
U
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
') Available Space -
SS.
PS
S
PS
S
PS
U
U
U
U
3) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
t) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments:
Described by _
SITE DIAGRAM
DCHD (6-82)
Title
Date