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537 Rainbow RdDavie- County, NC Tax Parcel Report s Friday, October 7, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D60000001804 Township: Farmington NCPIN Number: 5852707421 Municipality: Account Number: 82521745 Census Tract: 37059-802 Listed Owner 1: RANDOLPH TEDFORD M JR Voting Precinct: SMITH GROVE Mailing Address 1: 537 RAINBOW ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 4.375 RAINBOW & SPEAKS RD Fire Response District: SMITH GROVE Assessed Acreage: 3.76 Elementary School Zone: PINEBROOK Deed Date: 11/2003 Middle School Zone: NORTH DAVIE Deed Book / Page: 005210968 Soil Types: EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 135990.00 Outbuilding & Extra Freatures Value: 20340.00 Land Value: 55540.00 Total Market Value: 211870.00 Total Assessed Value: 211870.00 O!•d I�, 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 NC or arising out of the use or Inability to use the GIS data provided by this website. .,.�,-..,-....., ..-._ r.• -,...-v •: _.,__. ._,.. �,,.,�..-...«.z. .. :�<+__..�. -..-,. ,-.. .: ... .n...... .....:......._tet. �-.,.-..-... c, .. -,_ .. ..�n ..,. �..,.. _... .y �. .. .,. ._. _.. _. _� .. 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 ' 1 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 E] NO p Specifications for System: Auto Dish Washer YES El' NO Auto Wash Machine YES E] - NO .Q _ Type Water Supply 'This permit Void if sewage system described below is not installed within 36 months from date of issue. i i 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 r . 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. 4 APPLICATION FO SITE VALUATION/ IMPROVEMENTS. PERMIT ' )a, o Davie County Health Department Environmental Health Section R O. Box 665 W r: Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phon // q C%q� yZL 1. Permit Requested By F"` �- `'��%� usiness Pho eij`I v 2. Address Z67-24- S� 1 �"!-�� '� l� l�'/ r V L q 3. Property Owner if Different than Above O "d 0 CP 4/yi✓ 0 if 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. ap If house or mobile home, state size of home and number of rooms. House DimensionsS_ X S 7- r Bed Rooms Bath Rooms 2 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 9�— urinals lavatory r7 showers garbage disposal washing machine a dishwasher / sinks i 8. a) Type water supply: Public— Private Community i b) Has the water supply system been approved? Yes � No 9. a) Property Dimensions dez- *' 7 4" 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? A/1' What type? This is to certify that the information is correct to the best of my k owledge. � 7 — fi�� — �i' -Z -- fig_ Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) I 51� V—: - W ov" �� AVFPPPPP- DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: DATE RECEIVED Rainbow Road (office use only) yes no 1. 1 am the owner of the above described property. yes ,no 2. 1 am not the owner of the above described property, however, I certify that I have consent from Bowden Land Co. , owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a grow d absorption sewage treatment and disposal system. I 6-17-88 � DATE SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: — Owner only Owners designated representative Anyone requesting results X Only those listed below 6-17-88 DATE DCHD (11 /84) Henry E. Douthit SIGNATURE / xvi ., .iNnoO 31, ;� ''';y • �. � ��1''•• •Y r mil 1' � • • s. �'. is , ,•, . G .... .. .. c. • � • 1 , �` :car.,, ^�,•�: � / 1 av GG*3 �,:� ' . '` '1 "' :j 1 �$ (' 1.0 ,iJ IV 114 ..! • S • ', ,� of '+il I ,• '• .:1; � , ..i• u, ' ' ',. r � , cl �," � I. �.'� r,•` ' • Y ,` •'; ,'!:. ,. ;, :� ''•;• � '•� ''I. 1 • lel Ill 1. 1•' .. t • �1� + ► I•I,f.�i4 1. 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'1 /�f�1 y�}� ...:... _ ••.�:.•'-•-- 7 ....• r•-•�I,.il w•r..:..•w.,,..«.�.�..r —+,ti r.• mow- 1 . '► ' ,r .�.X.n•- - (��+j•,j (� +'k/'-- 'y L,:+1.IJ i'�'•�1q:,I \• �' Ir••IL 1 -Ir�W i' t '°I'/•.1'� • .'1 . ' ?, .1.►'SV CI, r 11,1+` �:. V,Q►I •+� 1 1 'J r1 ►'1 V 91v •;� •' 1; ' .. • •�: J �' 1 • `,r .., r .� '1• N . � 11` t � . ••'r 1.1 ` �� 1 Win • ,t . IA.I � • � � I I fT • ••1)'tr1• f , 'v I. i���` ..:�..�... �-,...— �t...J DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name S oy 1 Y� \ \ Date in .1 '3 ? u U U ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) Sj�j 4) U Address S PS U S, Lot Size F FAr'TnRc ARZ ARFk1 9 ARFA� ARFA 4 1) Topography/ Landscape Position S U S PS U U ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) Sj�j 4) U P S PS U 3) Soil Structure (12-36 in.) Clayey SoilsP S PS U U 1) Soil Depth (inches)S PS i� S PS U U U i) Soil Drainage: Internal S \P S PS U Uy ExternalS S S PS U U U�) U i) Restrictive Horizons c% Available Space S S PS S S PS U U U U 1) Other (Specify) S PS S PS S PS S PS U i) Site Classification S U—UNSUITABLE S—SUITABLE PS- sionally Suitable _ Recommendations/Comments: Described by Title cum Date b –� SITE DIAGRAM leo b Sb 0 4 DCHD (6-82)