137 White Oak LnDavie Countv. NC
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Tax Parcel Report 4 u � Monday, October 10, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E60000001501 Township:
NCPIN Number: 5851627200 Municipality:
Farmington
Account Number: 2742500 Census Tract: 37059-802
Listed Owner 1: ATKINSON THOMAS KELLY Voting Precinct: SMITH GROVE
Mailing Address 1: 137 WHITE OAK LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-M,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code:
27028-7850
Voluntary Ag. District:
Legal Description:
2.00 AC OFF BOGER RD
Fire Response District:
SMITH GROVE
Assessed Acreage:
1.98
Elementary School Zone:
PINEBROOK
Deed Date:
3/1999
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
002100088
Soil Types:
MsC,MsB,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
7670.00
Freatures Value:
Land Value:
25450.00
Total Market Value:
33120.00
Total Assessed Value:
33120.00
No
101
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
NC 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.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NATE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatmentt and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
J /l�/f
Name �/1� Z - Date
Location
J
--- 1817
Subdivision Name
Lot No
Sec. or Block No.
Lot SizeHouse Mobile Home _� Business __ Speculation
No. Bedrooms_ No. Baths — No. in Family 3
Garbage Disposal YES ❑ NO ❑ Specifications r S ste
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Z
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
/' �i ��� L ��� •�' `ice
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.
_mow, "*&
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.
1. Permit Re ueste By/ l
2. Address 4- 66 c 2
3. Property Owner if Different than Above
Address
hC
Home Phone' gW SG 9
Business Phone
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 3
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 7 O x/q-
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 -2urinals
lavatory
dishwasher
showers
sinks
garbage disposal
washing machine
j
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions I oc.cres
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? yes
What type? )- b-Pdroor, I/ -F h A b o Se -
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:
�o 66(j�ef fidt I.A i C 61
DCHD (6-82)
F
Address
X
FAr.T(1RC
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section,
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
ARFA i ARFA 9
Date
Lot Size��-
AREA 3 ARFA d
1) Topography/ Landscape Position
S
iPa
(FrS)
S
PS
U
S
PS
U
2) Soil Texture (12-36 in.) Sandy,S
Loamy, Clayey, (note 2:1 Clay)
S
PS
U
S
PS
U
3) Soil Structure (12-36 in.)�_
Clayey Soils
S
(PSS
`LST
S
PS
U
S
PS
1
U
t) Soil Depth (inches)
S
S
PS
U
S
PS
U
i) Soil Drainage: Internal
S
p
�
S
PS
U
S
PS
U
External
S
S
PS
U
U
S
PS
U
i) Restrictive Horizons
Available SpaceS
S
PS
PS
S
PS
U
U
U
U
Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
Site Classification
`
U—UNSUITABLE
Recommendations/Comments:
Described by _
SITE DIAGRAM
S—SUITABLE /PS—Provisionall.cSuiah� fie_
Title `�� Date
i
DCHD (6 82) I_o,