156 Homestead Ln Davie County,NC � � Tax Parcel Report 33 a� Thursday, September 29, 2016
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WARNING: THIS IS NOT A SURVEY
_,_ ._ ._ . .__ .. __ . _ Parcel Informa�.._ __ -__. _ _ _._.__. __ ._�. ., . _ ,
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Parcel Number: J70000007201 Tovmship: Fulton
NCPIN Number: 5767881175 Municipallty:
Account Number. 1082000 Census Tract: 37059-804
Listed Owner 7: ALLEN RICKY D Voting Precinct: FULTON
Mailing Address 1: 156 HOMESTEAD LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNN R-A,R-20
State: NC Zoning Overiay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 2.54 AC OFF HWY 64 Fire Response District FORK
Assessed Acreage: 2.53 Elementary School Zone: CORNATZER
Deed Date: 12/2003 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 005280177 Soil Types: Pc62,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Ove�lay: DAVIE COUNTY
Building Value: 83560.00 Outbuilding 8�Extra 8860.00
Freatures Value:
Land Value: 20910.00 Total Market Value: 113330.00
Total Assessed Value: 113330.00
9�,��, All data fs provlded u b wMhout warraMy or yuanntee oT any IdrM either e:pressed or Implled Including but not Umited to the
Davie County� Implled wartaMles of inerchaMabplty or flmess Tor a particular usa All useR oT Wvle County's GIS rrebstte ahall bold harmless the
CouMy o/Davie,NoM Grdina,its ayaKs,rnnsulta�Rs,caAractora or employees hom any and a9 dalms or cauaes d�ctlon due to
"O��y�S'* NC or arlsing out M the use or Inab0lty to use the GIS data provlded by thls websita
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� DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issu�d in Compliance with G.S. of North CaroHna Chapter 130 Article 13c �
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) P@I't111t NU111beY
Name �,�k ,, ����r•�� �i�:.�t� ?-.1:J��� Date —�- ,�-�'� �''��' a���
Location f,^4 E' ' ��J� � �t'r. ,.���♦ `> i_j•• i1i ' �;t�'� y D .i I � n.� (}� t� r`t.C.
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Subdivision Name Lot No. Sec. or Block Na
Lot Size House t--' Mobile Home _ Business Speculation
No. Bedrooms �� No. Baths � No. in Family �_
Garbage Disposal YES ❑ NO [�� Specifications for System: �on� ��t'.������
Auto Dish Washer YES ❑ NO p—
Auto Wash Machine YES �y� NO p �'��'`f ' �:i6"��` d�x�`" �`'`'�'�
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TYPe Water Supply �+-► 1.� _ S�i��i11.��� <,:.�*.. �, .�r�r��. .�1vi_ 3o E:c•l,�� �,W., r. �s.� ,
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by ��� - 1"��+^-���
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'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.
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Final Installation Diagram: System Installed by �.c^ , �
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Certificate of Completion ���� � � > Date 7� 2�O �3
"The signing of this certificate shall indicate that the system describe 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.
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' � DAVIE COUNTY HEALTH DEPARTMENT ,
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name d�tt,�, Glt� �.�ira.�r. /r�l� Date ��.5 ��3
Address Lot Size �-� -
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S
� �P PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S � S S
Loamy, Clayey, (note 2:1 Clay) �P� C�' US US
U
3) Soil Structure (12-36 in.) S � S S
Clayey Soils � PS PS
U U U
4) Soil Depth (inches) � � S S
S �F5) PS PS
� � U U
5) Soil Drainage: Internal S S
� � PS PS
� U U U
External S S S
�1, PS PS
� U U U
6) Restrictive Horizons _�,/,�;c �-�
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7) Available Space S �$� S S
� �GPS-� PS PS
U U U
8) Other (Specify) S S S S
pg PS PS PS
U U U U
9) Site Classification �
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments: -��� f�� °`- �°4� ��1
Described by •� Title Date � =f��3
SITE DIAGRAM ��E
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DCHD(6-82) "
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-`' � " APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ,q�3
� , � Davie County Health Department ,30�
� Environmental Health.Section �� � �
P. O. Box 665
Mocksville, N.C. 27028
� CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 634-�754
1. Permit Requested By Davi e Bui 1 ders, Inc. Business Phone 634-3538
2. Address ��n S�,th Sal ;chur.TStrPet, Mocksvi 11e� NC 27028 .
3. Property Owner if Different than Above Ri cky and Dawn A71 en
Address
4. Permit To: a) InstallX—Alter Repair
b) Privy Conventional X Other Type �
Ground Absorption
c) Sub-Division Sea Lot Na
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 4_?x31x42x31
Bed Rooms 3 Bath Rooms 1 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: � �� ��^�4-� ��
; commodes 1 urinals � garbage disposal
� lavatory 1 showers 1 washing machine 1
dishwasher sinks 1
8. a) Type water supply: Public Private—X—Community
b) Has the water supply system been approved? Yes No,
9. a) Property Dimensions
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. .
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` ' Date Owner Signatu �
' OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AN LOCAL LAWS
Allow 5 days for processing
' Directions to property:
Hwy. 64 East towards Lexington, past Deano`s BBQ, pass two houses on right. Dirt
road on r.ight, first lot on right down dirt road.
DCHD(6-82)
. ' DAVIE COUNTY HEALTH DEPARTN�ENT
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, � � SITE E`TALUATIOPI CONSENT FORNI
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IACATIOiV OF PROPERTY: Hwy. 64 East towards � naTE �c�zvED
Lex1ngton. Past Deano`s BBQ, past 2 houses on right (offiae use oniy)
Dirt road on right, First 1ot on right.
�� yes no+ (l.) I am the own�r of the abave describ�d progerty.
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y2s no (2.) I �n not �he awner of Lhe abave dPscribad propericy, however, I
. � �� cert�.fy that I have consent fram R;r � A11en ,awner to
� ^ � awn�r's nama
obtain a site �valuation by th2 fiealth Department fcr the purpose
af determining th� suitability for a ground absorp�ien aewaqe
disposal sys�csr�z. �
yes no (3.) I hareby qiv� consent to the �uthoriz�d representative of the
1 Davie County Hzaltin Departmant ta enzer upon the above dascribed
�_X L__. praperty and ccnduct all testing proceduras necessary te
det�rmine its suitability for a gr�und absorption sewage
d3sposal system.
6-29-83 �
bATE IGNAT
(4.) I hereby authorize tha Davie County H�alth De rtment ico release
si�c� evaluation results from the abovs descri.bed property to the
follewing:
�1 Owner Only
� Owner's designated repres�ntative
June 29, 1983 �j Anyons r�questing results
DATE Q Only thase listad below
S IGIdATURE