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151 Emily Dr Lot 21-22 Davie County,NC Tax Parcel Report Tuesday,November 22,2016 14 16 4 170 .13 3 f i r , I I I I I I I , I , I EMILY ILY DR I � I I i I � WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E6040B0014 Township: Farmington NCPIN Number: 5861172803 Municipality: Account Number. Census Tract: 37059-802 Listed Owner 1: Voting Precinct: SMITH GROVE Mailing Address 1: Planning Jurisdiction: Davie County City: Zoning Class: DAVIE COUNTY R-20 State: Zoning Overlay: DAVIE COUNTY QD Zip Code: Voluntary Ag.District: No Legal Description: LOT 21 COUNTRY COVE Fire Response District: SMITH GROVE Assessed Acreage: 0.50 Elementary School Zone: PINEBROOK Deed Date: 4/1987 Middle School Zone: NORTH DAVIE Deed Book/Page:, 001360800 Soil Types: EnB Plat Book: 0005 Flood Zone: Plat Page: 012 Watershed Overlay: DAVIE COUNTY Building Value: 130320.00 Outbuilding&Extra 1570.00 Freatures Value: Land Value: 30000.00 Total Market Value: 161890.00 Total Assessed Value: 161890.00 161 All data Is provided as is without warranty or guarantee of any Idnd 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 Countys 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. Davie County,NC Tax Parcel Report Tuesday,November 22, 2016 I +U 164 170 i f I i I F=k11LY DR i WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E6040B0015 Township: Farmington NCPIN Number: 5861173814 Municipality: Account Number: Census Tract: 37059-802 Listed Owner 1: Voting Precinct: SMITH GROVE Mailing Address 1: Planning Jurisdiction: Davie County City: Zoning Class: DAVIE COUNTY R-20 State: Zoning Overlay: DAVIE COUNTY QD Zip Code: Voluntary Ag.District: No Legal Description: LOT 20 COUNTRY COVE Fire Response District: SMITH GROVE Assessed Acreage: 0.50 Elementary School Zone: PINEBROOK Deed Date: 2/2009 Middle School Zone: NORTH DAVIE Deed Book I Page: 007810228 Soil Types: EnB Plat Book: 0005 Flood Zone: Plat Page: 012 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 9000.00 Total Market Value: 9000.00 Total Assessed Value: 9000.00 All data Is provided as Is without warranty or guarantee of any Idnd 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 webafte 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 �o N� NC or arising out of the use or Inability to use the GIS data provided by this websites 0411 DAVIE COUNTY HEALTH DEPARTMENT V IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION J'-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 /,: , Name7��t, ��r_ /1`,- `Z Date C < � J °4Ef�0 Location Subdivision Name Lot No. � Sec. or Block No. Lot Size`'� f House Mobile Home — Business Speculation No. Bedrooms �s No. Baths �� No. in Family — Garbage Disposal YES NO ❑ Specifications for S te Auto Dish Washer YES NO ❑ `' ysterp: y Auto Wash Machine YES NO ❑ ��lC, ��� Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. r 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 e 15 c Certificate of Completion �� / Date � S7 *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. '"`y• APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT 1 , Davie County Health Department p►V6 Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 9 9 �- tea. 1. Permit Requested By GA Business Phone a-'5.-7 2. Address ? d b te 3. Property Owner if Different than Above Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub-DivisionC � (2004-- Sec. Lot No. 5. System used to serve what type facility: House k" 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 11 -� � X R Bed Rooms—Bath Rooms 1 yaDen 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 3 urinals n garbage disposal r lavatory • showers 1 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 //d XADD b) Land area designated to building sit C) Sewage Disposal Contractor,� p 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. ,u /a Z2 '91 �-��J Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: /S�' &97� , d7u DCHD(6-82) " 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. 0. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: oZrnl. DATE RECEIVED Q-1-00e F:►-c D e p4. ,�,,, lu: (office use only) a0 1 (±e s 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 , 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. . Cs 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 ground absorption sewage treatment and disposal system. DATE SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation resu is from the above described property to the following: Owner only — Owners designated representative —Anyone requesting results AZOnly those listed below u DATE SIGNATURE DCHD(11/84) •�' , DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name Date Address Lot Size FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S S S S PS PS PS PS U U U U 2) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) PS PS PS PS U U U U 3) Soil Structure (12-36 in.) S S S S Clayey Soils PS PS PS PS U U U U 4) Soil Depth (inches) S S S S PS PS PS PS U U U U 5) Soil Drainage: Internal S S S S PS PS PS PS U U U U External _ S S S S PS PS PS PS U U U U 6) Restrictive Horizons 7) Available Space S S S S PS PS PS PS U U U U 8) Other (Specify) S S S S PS PS PS PS U U U U 9) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: Described by Title Date SITE DIAGRAM DCHD(6-82) DAVIE COUNTY HEALTH DEPARTMENT ¢ / Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name a�-,� li',.7`� -�a, Date -2 Z Address Lot Size //o FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position SS S S <:0 PS PS U U U U 2) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) 6!9> <1!P PS PS U U U U 3) Soil Structure (12-36 in.) S S S S Clayey Soils 4T§:> If- PS PS U U U U 4) Soil Depth (inches) S S S S ,) L�� dP PS PS 3� U 3 U U U 5) Soil Drainage: Internal S S S S ® ® PS PS U U U U External 4:V5, � S S PS PS U U U U 6) Restrictive Horizons 3 � 7) Available Space S S. S S PS PS U U 8) Other (Specify) S S S S PS PS PS PS U U U U 9) Site Classification U—UNSUITABLE S—SUITABLE S—Provisionally Suita Recommendations/Comments: r 64- Described by Q't`� -� Title �e �a Date -za4-y SITE DIAGRAM I I � I I ( o I DCHD(6-82) • 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. Home Phone 7G6— 79,'0 1. Permit Requested By lAy Business Phone 2. Address A 7,?P f Ae,-;reR z7oi z 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 6mi6 '�' Sec. Lot No. Z 5. System used to serve what type facility: House ✓Mobile Home Business IndustryOther b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions Bed Rooms 3 Bath Rooms Z 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 Z urinals garbage disposal lavatory 2 showers Z 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 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. J-/9-,Py Date OwgV, 6gnature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD(6-82) t 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name - Date Address Lot Size //o�Ys 99 FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S S S S PS PS U U U U 2) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) 2;L © S PS PS U U 3) Soil Structure (12-36 in.) S S S S Clayey Soils PS PS PS PS ev--> <M> U U 4) Soil Depth (inches) S S S S PS 2Z PS PS PS 2ID U U 5) Soil Drainage: Internal S S S S p > PS PS �j5 U U External SS S S PS PS PS U U 6) Restrictive Horizons, 7) Available Space S S- S S PS PS PS PS C:> U U 8) Other (Specify) S S S S PS PS PS PS U U U U 9) Site Classification l/f U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable _n Recommendations/Comments: Described by t'• Title � � Date SITE DIAGRAM I I M cum �o �b 1 DCHD(6-82) v APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ala' Davie County Health Department ,3 Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone -7 1-1-- 79P a 1. Permit Requested By /zTf� .,. Business Phone 2. Address P-7 /er*;re.e &°R.ve- 44,rel Rr1 L' en o-0 7o/Z 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 6124-d 6- Sec. Lot No.ZZ 5. System used to serve what type fa ility: Houses Mobile Home Business IndustryOther b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions Bed Rooms -3 Bath Rooms Z 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 Z urinals. garbage disposal lavatory 2_ 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 /tri""2� 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. 3 -194fe Date jOwKdr Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD(6-82) kl �APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ��� Davie County Health Department Environmental Health Section P. O. Box 665 J' Mocksville, N.C. 27028 9 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home PhoneQ�lSU_.L_v_vQ 1. Permit Reguested By O + Business Phone - 19 2. Address E, O 3. Property Owner if Different than Above G rPP uwo UAt1e,,z Address N- 02, 4. Permit To: a) Installer Alter Repair b) Privy ✓ Conventional Other Type Ground bsortion E�:)y ' C) Sub-Division U Sec.a)liKL Lot No.m—�.. ) 5. System used to serve what type_fac lity: Housed Mobile Home Business IndustryOther b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions�gX 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 urinals garbage disposal lavatory ( i showers `-��_ washing machine dishwasher sinks 8. a) Type water supply: Public°;"/y Private Community mmunity b) Has the water supply system been approved? Yes No 9. a) Property Dimensions AQ = 11 O x do(P 4-4 0,S 110 X b) Land area designated to building site p �-- c) Sewage Disposal Contractor_,Se i-N) +.1 A 7'e r 10. Do you anticipate any additions or expansions of the ffacility this sewage system is inte ded to serve? What type? -StJX *n G A�rao,2 _ lel-s°,t� 1�tak� tR rte_iNo-)LA P i N 41514 �i�st tom? This is to certify that the informationio rrt to the b st of y knowledge. qjr. I q I D Date wrier Sig nature OWNER IS SOLELY RESPONSIBLE FOR COMP IANCE W14 ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: �X66 15 4wm (NOX54le- +urjj N-� ��ree`� bQ �ore 01 DCHD(6.82) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section R 0. Box 665 J Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 998' 1. Permit Re nested By I��cIL 'e-wim A to Business Phone ��3 7 2. Address anx 04DA Abyntoc IV�_ a7/1D6, 3. Property Owner if Different.than Above R•J- WAP(CLAAJ Address 4. Permit To: a) Install_Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub-Division LUKEAq COIJ6 Sec. Lot No. SR 4 X q 5. System used to serve what type facility: House ✓Mobile Home Business Industry Other b) Number of people `{' 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions c27 X 37 Bed Rooms 3 Bath Rooms a 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 a washing machine dishwasher _f sinks 3 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yes �'No 9. a) Property Dimensions a0 x cp00' b) Land area designated to building site /0a' x /00' c) Sewage Disposal Contractor &AR\I ©GIBS UEN. CoN-RAQ-rtP_ 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? 13b What type? This is to certify that the information is col ect to the best of my knowledge. -aa-� Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR CO 'P ANCE WITH ALL STATE AND LOCAL LAWS Allow 5 day f r processing Directions to property: — 1 S8 Frz�m A\�cksv�ll e �e�} �n i�� Couni�f 4 wJ c U<u �V►1P�YL� JY-5J L ,J eoj-Je - Zc C DCHD(6-82) • �tti�iE (�uuu#g EMI#I� �e�ttr#mEu# - ttrt� �nmE EMI#� ��E2it�1 P. O. BOX 665 � lflackoville, �arth ( aralina 27028 OFFICE OF THE DIRECTOR - TELEPHONE April 1, 1987 17041 634.5985 Mrs. Pat Newman Rt. 4, Box 240-A Advance, NC 27006 Re: Lots 21 and 22/Country Cove Davie County Mrs. Newman: The aforementioned lots have been evaluated by this office. On June 20, 1986, Mr. Buck Hall of this office issued an Improve- ments Permit to you for a proposed home on these two lots. As I understand you are interested in selling this property. Should that be the case, please advise any buyer to contact this office and complete th a necessary application for an Improvements Permit. Although the permit for your home is nontransferable, I would forsee no problems in issuing another permit to someone else for this site. Please advise should you have any questions. ice!rely, (o,"" S.J MandR. S. Director of Environmental Health JM/wd