129 Goldman Ln Davie County,NC Tax Parcel Report Thursday, December 15, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K500000090 Township: Jerusalem
NCPIN Number: 5747414999 Municipality:
Account Number: 32640000 Census Tract: 37059-807
Listed Ownerl: _ ` HARE WALLACE JERRY,. Voting Precinct: JERUSALEM
Mailing Address.1: 374 DEADMON ROAD Planning Jurisdiction: Davie County
City: -- —_ - MOCKSVILLE- _ Zoning Class: DAVIE COUNTY R-A
State:`' NC Zoning Overlay:
Zip Code::-:- __._ 27028-0000 Voluntary Ag.District: No
Legal Description: 9.39 AC DEADMON RD Fire Response District: JERUSALEM
Assessed Acreage: 9.37 Elementary School Zone: CORNATZER
Deed Date: :: 7/1988 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001440482 Soil Types: PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
O tuvl�p All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�OUN4 NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY---HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
.__—Name �� C, Date N2 56
Location
Subdivision Name 4Wt of No. Sec. or Block No.
Lot Size w c S` ,. House Mobile Home _ Business Speculation
No. Bedrooms No. Baths `1 No. in Family
Garbage Disposal YES p NO Specifications for System
Auto Dish Washer: YES p-" NO
Auto Wash Machine YES 00,,� NO
Type Water Supply
'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 �
'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
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Certificate of Completion \ - � ' �� Date
"The signing of this certificate shall indicate that the system described ab a has bee installed in compliance with
the standards set forth in the above regulation, but shall in NO way be takas a guaran ee 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
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
/l Home Phone 6o39-32;26
1. Permit Requested By �' G• /� Business Phone
2. Address a, '7 )G6y 1yI Ado 0,A'S r/i'l/E,.v.C. 2-7 :1R
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. ay If house or mobile home, state size of home and number of rooms.
House Dimensions
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 X urinals garbage disposal
lavatory u showers A washing machine x
dishwasher X sinks x
8. a) Type water supply: Public Private—Community
b) Has the water supply system been approved? Yes Nom
9. a) Property Dimensions 4- C �S
b) Land area designated to building site (d
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.
2- 17- 7/ y .4.4 4 Q kA
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
`\ SOIL/SITE EVALUATION
Name Com- - Date
Address A r" Lot Size v �R
FACTORS A A 1 ARL2 AR3 ARE
1) Topography/Landscape Position S S
<=S c
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) P PS
U
3) Soil Structure (12-36 in.)
Clayey Soils PS ck= PS (tS
U U U
4) Soil Depth (inches)
PS PS �Ps PS
U
5) Soil Drainage: Internal S
PS PS �Ps
U U U
External S
A) P (�')
. U � U ly
6) Restrictive Horizons
7) Available Space S S S
PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U
9) Site Classification LQ;=a� S S S
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Title i:--� 4= ��— �-- Date - 3
SITE DIAGRAM
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