135 Lakeview Road Section 2 Lot 1-ADavie County, NC Tax Parcel Report Tuesday. January 17. 2017
WARNING: THIN IS NUT A SURVEY
Parcel Information
Parcel Number:
1614OA0050
Township:
NCPIN Number:
5758742190
Municipality:
Account Number:
76846000
Census Tract:
Listed Owner 1:
WARD JEFFREY A
Voting Precinct:
Mailing Address 1:
135 LAKEVIEW ROAD
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
Legal Description:
1.23 AC LAKEVIEW ROAD
Fire Response District:
Assessed Acreage:
1.20
Elementary School Zone:
Deed Date:
1/1989
Middle School Zone:
Deed Book / Page:
001460876
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
GnB2
DAVIE COUNTY
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Davie County,
All 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 County's GIS website shall hold harmless the
NCor
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
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11
k DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Name
Location
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Date
Subdivision Name Lot No. — Sec. or Block No.
Lot Size _.— House Mobile Home ---- Business —_ Speculation — —.
No. Bedrooms __ No. Baths —_-- No. in Family _
Garbage Disposal YES ❑ NO ❑. Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is 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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
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
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By E`F A- 161,1',K- D Business Phone
2. Address �%� / f!Dc%9�yCG, N&, :2- aG
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
y
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.
lavatory _
dishwasher
urinal
showers
sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions
garbage disposal
washing machine
b) Land area designated to building site
c) Sewage Disposal Contractor
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 to the best of my knowledge.
Date Owner Sig ature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
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SITE DIAGRAM
DCHD (6.82)