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117 Lakeview RoadDavie County, IAC Tax Parcel Report Tuesday, January 17, 2017 WARNING: '17i1S 1S NUT A SURVEY Parcel Information Parcel Number: 1614OA0053 Township: NCPIN Number: 5758743301 Municipality: Account Number: 54732500 Census Tract: Listed Owner 1: POWELL CAROL OSEN Voting Precinct: Mailing Address 1: 117 LAKEVIEW ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 1.47 AC LAKEVIEW RD Fire Response District: Assessed Acreage: 1.40 Elementary School Zone: Deed Date: 1/1999 Middle School Zone: Deed Book / Page: 002080643 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R-20 CORNATZER - DULIN CORNATZER WILLIAM ELLIS Gn132 DAVIE COUNTY No 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, bnpued warranties of merchantability or fitness for a particular use. All users of Davie County's GIS webatte shall hold harmless the 1�7 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to MoD ty-S 1� C or arising out of the use or Inability to use the GIS data provided by this website. { DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary SewagetS�rstems, 1- Jr. Permit Number Name ))<avid Powe l 1 Advcarice, NC d`r 0Ut' Date Jam" �/ N2 7109 Location llickorr Ili 11 11 enl'rancc; Lot on left Uc,fcrc Is Boase on lr-Jft — ll7 ("'q ke Vie 6J J c Subdivision Name N. A. Lot No. Sec. or Block No. Lot Size 1'2, Or—rt` House Mobile Home —T Business -- Speculation No. Bedrooms .� No. Baths No. in Family ' — Garbage Disposal YES j NO ❑ Specifications for System: Auto Dish Washer YES p NO ❑ z Auto Wash Ma shine YES © NO ❑ -.t _ Type Water Supply full t i C *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. Improvements permit by -- *Contact a representative of the Davie Counfy' 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/ompletion. Telephone Number 704-634-5985. Final Installation Diagram: I`fD System Installed by �` ' qT% Certificate of Completion i'(� Date ,%✓1�'� '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. rl C� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P I ����1�/� Davie County Health Department Environmental Health Section P. O. Box 665 DEC 2 3 Mocksville, NC 27028 1. Application/Permit Requested By J Mailing Address yCnG� C �C, o Home Phone Business Phone 2. Name on Permit if Different than Above � n-, ) C—/- 3. Application/Permit for: 2<eneral Evaluation ❑ Septic Tank Installation 4. System to Serve: 2House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms-�,--F No. of Bathrooms 4 Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks No. of Urinals No. of Lavatories No. of Water Coolers. No. of Showers Water Usage Figures . 7. Type of water supply: Public ❑ Private 8. Property Dimensions Z V� lq6 Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If vcae what tvna9 ❑ Basement/Plumbing ❑ Basement/No Plumbing EI -Washing Machine 8 -Dishwasher Garbage Disposal ❑ Yes ❑ No ❑ Community *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. Directions to Property: � 0 '1" / f� H11 -1 - 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. �G%Z/ ,��3-�W DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12-90) ' QR DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation NAME e,&Z ADDRESS DATE EVALUATED /� 'c:?./) ' PROPERTY SIZE /l fc PROPOSED FACIILTY ,�1t- LOCATION OF SITE f Water Supply: On -Site Well Community Public C/ Evaluation By: Auger Boring J/ Pit Cut M FACTORS 1 2 3 4 Landscape position Sloe % — — — HORIZON I DEPTH -' Texture group -5-4- S_ Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure ,t- Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED BY: OTHER(S) PRESENT: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty clay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR-Very friable FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm Wet NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic Structure SC -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon- Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water' or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ' Davie County Nealtli De artment and dome NealtFr Y 9 �Y 210 HOSPITAL STREET/ P.O. BOX 665 MOCKSVILLE. N.C. 27026 PHONE: (704) 634-5985 December 30, 1992 David Powell c/o W. L. Ward, Jr. Rt. 1, Box 604 Advance, NC 27006 Re: Site. Evaluation Cornatzer Road Dear Mr. Powell: As requested, a representative from this office visited the aforementioned site on December 30, 1992. The site was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R. S. Environmental Health Section RH/wd Enclosure