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1115 Hwy 801SDavie CouNty, NC 1 Tax Parcel Report '3111 Wednesday, September 28, 2016 141 Davie County, NC WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: F800000067 Township: Shady Grove NCPIN Number. 5871815294 Municipality: Account Number: 8305490 Census Tract: 37059-803 Listed Owner 1: BROOKS NANCY M & VERNON LEE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 427 BROOKS CIRCLE Planning Jurisdiction: Davie County City: LEXINGTON Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27295 Voluntary Ag. District: No Legal Description: 1.80 AC HWY 801 LOTS 5-6 Fire Response District: ADVANCE Assessed Acreage: 1.66 Elementary School Zone: SHADY GROVE Deed Date: 8/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 2014EO826 Soil Types: GnB2,GnC2,EnC Plat Book: 0004 Flood Zone: X Plat Page: 044 Watershed Overlay: - Building Value: 109270.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 38150.00 Total Market Value: 147420.00 Total Assessed Value: 147420.00 141 Davie County, NC All data is provided as is without warranty or guarantee of any kind 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 hannless the 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. -r..- mAVIE COUNTY IHEALTR 'DEPARTMENT 00 IMPROVEMENTS PERMIT -AND CERTIFICATE'l OF COMPLETION 'Note9lssued'in,.Compliance,with-G'S of Noah Carolina Chapter 130—Atticle,l3c: Permit, Number' Name._ r.lm.r� ,A. o -:-,.h... -- _ -(Date -k'73 �1.l� 3194 Location IS- 9 ---f-. ZI. lol i� .,99—J - 2uo -. 4uo ,,.,,A 1., Cne _.Te^ utal ?., -..._ Vin. CUn to Ft) Subdivision, Name ',LotlNo,, Sec_or:8lock,No: Lot Size -/Iumi -House. ✓ MobileiHomes_ 'Business _ Speculation No. Bedrooms No: Baths, No. '.in Family- Z - - Garbage Disposal YES p NO Q- Specifications foo -(System: looc Com. Te„�L AutolDish•Wasfier YES El- NO, ❑ Auto �WashiMa11 ch N01 'Type'. Water; Supine - ,.Ply- (E. �o�__ - _ _ S�;Sr Y- no �yrPt, -iVa ,. 2.�,be1QG�J 'This permit Voidkiftsewage;system"described°below is not :installeo l within 36 months,from date oPissue --- Improvementslpermil by 'Z\ •v'1'��-<<), U _ ,Contactia reptesentahve�jof the,Davie County°Health Department for final inspection of this system between 8:30= 9 30,�A M' or 1:00-1:30 'PIM. om day�of completion. TelephonelNumoer. 704-634-5985:: - Final;InstallationlDiagrami - System Installed by J -b- SyJ�I.. �cw•,,...,,.-- �_>f„.L 1, t.. all r �_ -LG-YS Oertiticate of'Completlon Ylln.Jii Date L ate .that the,system� described above, has�beenrinstalled im,compliance!.wfth latioC[5ut shallhImNO. waY be tak"e`n as is guarantee that the system,will function DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name w+ S M . fy-k j 27 el Date 2 - S Address PLY. 2 9`/ 337 Lot Size n c4r- 2 7c o t, GAr'TnMQ AREA 1 APPA 7 ARFA R ARFA 4 1) Topography/ Landscape Position 67> S S PS PS PS PS U U U U ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S S S PS S PS U U U U S) Soil Structure (12-36 in.) Clayey Soils S S j S PS S PS U U U U I) Soil Depth (inches)itS 714C�� �� S 3a � S PS S PS U U U U i) Soil Drainage: Internal S S () S PS S PS U U U U External SS S PS S PS U U U U i) Restrictive Horizons 5,� G ��`- �� Available Space S el�P S S PS S PS U(7 U U U 1) Other (Specify) S PS S PS S PS S PS U U U U 1) Site Classification S f S U—UNSUITABLE Recommendations/ Comments: S—SUITABLE Described by � Title Com. iccLW LWrkvJZZ1_ Date a -• SITE DIAGRAM DCHD (6-82) 42 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 Business Phone 2. Address JIV pl- /y r 7 i1,1 /' 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 2 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions .2 !K) X --o' Bed Rooms Bath Rooms, -V-- 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 Private Community b) Has the water supply system been approved? Yes �No 9. a) Property Dimensions^__ ,A 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 Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS .� k low 5 days.for processing .,t 4 -� 2 {M /.�I✓li `k _-r.-/1;61%i i- .3.c__R-, t- /� -4 �ti//�it_ /tom,- }4>s Directions to property: �J3�G� DCHD (6-82) 10010cine — f As7- lA2 N-te,L•—