289 Speaks RdDavie Countv, NC
r Tax Parcel Report 3 1I+o Thursday, October 6, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS 1S NOT A SURVEY
Parcel Information
D60000002301
Township:
5852508257
Municipality:
82530405
Census Tract:
KRENACH SUSAN
Voting Precinct:
289 SPEAKS ROAD
Planning Jurisdiction:
ADVANCE Zoning Class:
NC Zoning Overlay:
Land Value:
Total Assessed Value:
Farmington
37059-802
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
27006-0000 Voluntary Ag. District: No
21.96 AC SPEAKS RD Fire Response District: SMITH GROVE
21.60 Elementary School Zone: PINEBROOK
4/2008
Middle School Zone:
NORTH DAVIE
2008EO142
Soil Types:
ArA,MrB2,EnB,MsB
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
133850.00
Outbuilding 8r Extra
10400.00
Freatures Value:
203800.00
Total Market Value:
348050.00
348050.00
0 t1yp 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 fora particular use. All users of Davie County's GIS webaite 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 webslte.
DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
l� r//� JJ Permit Number
Name _�� L� kN Date _L�('��t/Z�.I [,1 # J 1"( 0
Location i0 (-P 41 _ � R . 14g0 hl`J us -e- iy 1`�-.T'i'
Subdivision Name / Lot No. Sec. or Block No.
Lot Size c9ff eOs House Mobile Home — Business —_ Speculation
No. Bedrooms No. Baths _.g? No. in Family
Garbage Disposal YES ❑ NO 2�- Specifications for System: loo v
Auto Dish Washer YES A NO ❑ I
Auto Wash Machine YES SO Cl1 6w" k R,un V& Pe, x D`Iry1'5
Type Water Supply p� itr� Q.WftiU_
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
FA
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: 704-634-55R85.
Final Installation Diagram: System Installed by
90 x 3k� �a
Certificate of Completion_Aabove
_Date �
/1 /o �
"The signing of this certificate shall indicate that the system describe been installed in complian e 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.
�DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
Location
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.
I j
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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name_ /,c��N //oa y�IL� �%y�, Date —
Address /�U /� 2 Lot Size
2s_ GtG2c'r
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position
C
2S5
S
S
PS
PS
PS
PS
U
U
U
U
�) Soil Texture (12-36 in.) Sandy,
« S-�
' f�
S
S
Loamy, Clayey, (note 2:1 Clay)
g -'JY" SPS)
PS
PS
U
U
3) Soil Structure (12-36 in.)
Clayey Soils
� �"
�
�•�""��
PS
PS
U
U
U
U
1) Soil Depth (inches)
S
S
S
S
PS
U
a �� PS
L U
PS
U
PS
U
i) Soil Drainage: Internal
S
S
S
S
C�
CM
PS
PS
U
U
U
U
External
rn:)
lza:>
S
S
PS
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Available Space
S
S
PS
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitabl�
Recommendations/ Comments: but %4 �roo,.i� SZc. X52 �a@S o.�- - S�lv� S',S-�•
Described by — CL Title gea 141 Date
SITE DIAGRAM
�2
DCHD (6-82)
41
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT `
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 614$ - 24"5
1. Permit Requested By —r CMIoAJ A A LL Business Phone
2. Address I Rmmu 1L'Z A SR, 1441 11A ry c_ - N. C. 2"7 c0
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 TWO
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions `Z—� 'L6 642'�� (?S S1• if, �d7AL Z$?r�i ��
Bed Rooms 2 Bath Rooms 2 Den w/ClosetI—
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 Z
dishwasher
urinals
showers
sinks
garbage disposal
washing machine 1
8. a) Type water supply: Public Private Y Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions 25 .4GiZES
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? IVa
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
Allow 5 days for processing
Directions to property:
Kr /5g
DCHD (6-82)