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131 McGee Court Lot 3Dav !016 [all WARNING: THIS IS NOT A SURVEY All data la provided as Is wltwamofhoutenty or guarantee any Idnd eltherexpressed or Implied Including but not Hor e t to the Implied wammles of merchantability or fltrreas fora particular use. All users of Davie Countys GIS mbalte shall hold harmless the County ofDavie, Norih Carolina, Its agents, consultants, contractors oremployees from any and all claims or causes of action due to or arising out ofthe use or Inability to ueethe GIS data provided by Iis webslte. Parcellnfotmatton Parcel Number: C713OA0003 Township: Farmington NCPIN Number. 5872064636 Municipality: Account Number: 68452700 Census Tract: 37059-802 Listed Owner 1: SMITH WILLIAM J Voting Precinct: FARMINGTON Mailing Address 1: 131 MCGEE COURT 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: LOT 3 BUTNER CENTURY PL Fire Response District: SMITH GROVE Assessed Acreage: 0.51 Elementary School Zone: PINEBROOK Deed Date: 911988 Middle School Zone: NORTH DAVIE Deed Book I Page: 001450207 Soil Types: PcB2 Plat Book: 0005 Flood Zone: Plat Page: 181 Watershed Overlay: DAVIE COUNTY Building Value: 118270.00 Outbuilding $ Extra 0.00 Freatures Value: Land Value: 30000.00 Total Market Value: 146270.00 Total Assessed Value: 148270.00 [all Davie County, NC - All data la provided as Is wltwamofhoutenty or guarantee any Idnd eltherexpressed or Implied Including but not Hor e t to the Implied wammles of merchantability or fltrreas fora particular use. All users of Davie Countys GIS mbalte shall hold harmless the County ofDavie, Norih Carolina, Its agents, consultants, contractors oremployees from any and all claims or causes of action due to or arising out ofthe use or Inability to ueethe GIS data provided by Iis webslte. � 1 DAVIE COUNTY HEALTH DEPARTMENT I �*, 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 .19r3-4,-.1968) Permit Number Name! -44 V I !,:22 : j 7,/,-! Date J u h Location f �' �FY✓ ���r� ,-:. /T=E �i �f `�F::y /iii• ��liF Subdivision Name /4i,1 Ui'V ice Lot No. Sec. or Block No. Lot Size �Ot� House Mobile Home No. Bedrooms No. Baths gck? No. in Family. Garbage Disposal YES ❑ NO p-' Auto Dish Washer YES 4 NO ❑ Auto Wash Machine YES [h NO •❑ Type Water Supply i *This permit Void if sewage Business Speculation Specifics ions for Syste : described below is not installed within 36 months from date of issue. 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: lied 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. DAVIE,COUNTY HEALTH DEPARTMENT 'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c 4 Sewage Tre�tment dd Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name,.��/%I�S/.- - r'/ �- �,... , Date - �` �7 �C % Location i'f �' /.Y i :r%r/ -,�� ✓.-, ..,.� ,c7f Subdivision Name Lot No. ly- Sec. or Block No. Lot Size A, .tL House Mobile Home II No. Bedrooms No. Baths= No. in Family_ Garbage Disposal YE11 S {] NO pr Auto Dish�Washer YES NO ❑ Auto Wash Machine YES NO I7 Type Water Supply _ i -• _— 'This Business Speculation I Void if sewage system described below is not installed within 36 months from date of issue. F Improvements permit by a. representative of the Davie County Health Department for final Inspection of this system between 8:30- 0U or 1:00-1:30. on day of completion. Telephone Number: 704-634-5985. I n Installation Diagram: II led by J �g(trAw1' D 'X Certificate of Completion Date 1'�/k x7 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. . 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. . 99 8-Ssz3 I Aa�y M`_G6� Home Phone 90.4- S99t2 Permit Requested By MSE �s�c� �'c� `� F"�C43z- Business Phone qj-,+_SR 9 2- 11-1 q = S-5 'a-3 2. ,Address 3. Property Owner if Different than Above Address 4. Permit To: a) Install ✓ Alter— Repair— b) Privy_ ConventionalZ Other Type_ Ground Absorption c) Sub- Divisiong-_ � NLot No. 3 5. System used to serve what type facility: Ho a Mobile Home— Business— Industry— Other— b) Number of people 4 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions 5o x p-(� Bed Rooms 3 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 Z urinals garbage disposal lavatory showers sT ) sif'--�washing machine dishwasher sinks 8. a) Type water supply: Public_k��P F4ateCommunity b) Has the water supply system been approved? Yes1/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 correA to the best of my kno j1ec®e. -- Da e ZZ�J Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: I 1 V DAVIE COUNTY HEALTH DEPARTMENT Recommendations/Comments: ® �d /✓/ --------- Described jby Z -k l / Title �A�✓ Date � SITE DIAGRAM DCHD (8.82) 2 P2 tnvironmemai rearm section. R O. Box 665 Mocksville, N.C. 27028 Vame SOIL/SITE EVALUATION Date I Lot Size '�v kddress FACTORS AREA 1 AREA 2 AREA 3 AREA 4 Ij Topog'rap'hy/ Landscape Position i PS. dS5 S PS S PS U U t) Soil Texture (12-36 in.) Sandy, Loamy; Clayey, (note 2:1 Clay) S PS P S PS S PS U U U 3) Soil Structure (12-36 in.) ClayeyJ' Soils S PS S PS U U U I) Soil Depth(inches) S PS S PS U U U U i) Soil Drainage: Internal / P,�' �4 S PS U S PS U External S PS P S US S US i i) Restrictive Horizons Availabiell' pace S S S PS S PS PS U U U U Other (Specify) I' S PS S PS S PS S PS U U U U I' 1) Site Classification , y U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: ® �d /✓/ --------- Described jby Z -k l / Title �A�✓ Date � SITE DIAGRAM DCHD (8.82) 2 P2 CONNIE L. STAFFORD, BA, MPH Health Director �ttbie �auu#� �ett1#1i �e�ttr#meu# nub game Pett1#4 '�geurg P. O. 80X 665 - �flUlarksUille, �dartll lQttralintt 27028' July 29, 1988 )704) 634-5985 (704) 634.5881 Ferrell Realty i Attn: Helen Ernest 2727 Reynolds Rd. Winston-Salem, NC 27106 I- Re: Sewage Disposal Installation Butner Century Place/Lot 3 McGee Court/M & E Construction Dear Realtor: The septic system was installed at the aforementioned address on October 20,1987• At the time of installation, the system met the requirements of the North Carolina sewage disposal laws. As of this date, the house has not been occupied. Therefore, the system can be expected to function as designed. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd