264 Farmland Road Lot 7Davie County, NC I Tax Parcel Report Wednesday, December 21, 2016
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 website &hall 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
101 NC or arising out of the use or Inability to use the GIS data provided by this websfte.
WARNE14G: THIS IS NOT A SURVEY
285
Parcel Information
Parcel Number.
H500000206
Township:
Mocksville
2'8 0
5739964522
Municipality:
Account Number.
75012500
Census Tract:
2bJ
Listed Owner 1:
VANNIMAN JOHN T
1z
MOCKSVILLE COUNTY
Mailing Address 1:
<
264
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
2702&4146
Voluntary Ag. District:
253 LL -
Legal Description: LOT 7 FARMLAND ACRES SECTION TWO
Fire Response District:
MOCKSVILLE
Assessed Acreage:
3.15
Elementary School Zone:
MOCKSVILLE
248
--------------
3/2006
Middle School Zone:
SOUTH DAVIE
----- --------------
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 website &hall 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
101 NC or arising out of the use or Inability to use the GIS data provided by this websfte.
WARNE14G: THIS IS NOT A SURVEY
Parcel Information
Parcel Number.
H500000206
Township:
Mocksville
NCPIN Number:
5739964522
Municipality:
Account Number.
75012500
Census Tract:
37059-806
Listed Owner 1:
VANNIMAN JOHN T
Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1:
264 FARMLAND ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
2702&4146
Voluntary Ag. District:
No
Legal Description: LOT 7 FARMLAND ACRES SECTION TWO
Fire Response District:
MOCKSVILLE
Assessed Acreage:
3.15
Elementary School Zone:
MOCKSVILLE
Deed Date:
3/2006
Middle School Zone:
SOUTH DAVIE
Deed Book I Page:
006531070
Soil Types: GnB2,GaD,MsC,ChAMsD
Plat Book:
0005
Flood Zone:
Plat Page:
041
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
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 website &hall 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
101 NC or arising out of the use or Inability to use the GIS data provided by this websfte.
DAVIE COUNTY HEALTH DEPARTMENT jo h ki i -be bb 1,,e
IMPROAMENTS PERMIT AND CERTIFICATE OF COMPLETION im,4to
* INV 00.
NOTE: Issued in Comphance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatm mt and Disposal R 1 (10 NCAC 10A,.1934-* 9R8) / Permit Number
Name Date 71--: A
Location
60 FA r,
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths--O� No. in Family
Garbage Disposal YES NO 0 1 Specifications for System:
Auto Dish Washer YES NO 0
Auto Wash.Machine YES I NO 0
Type Water Supply !;?!,f4D
.This permit Void if sewage system described below is not installed within 36 months from date of issue.
C:30 A.M. or 1:00-1
0
Final Installation Dia�
Improvements permit by
of the Davie County Health Department for final inspection of this sVtem between 8:30 -
on day of , completion. Telephone Number: 70.4-634-5985.
System Installed
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.
0
Lal
INk
�Y
C:30 A.M. or 1:00-1
0
Final Installation Dia�
Improvements permit by
of the Davie County Health Department for final inspection of this sVtem between 8:30 -
on day of , completion. Telephone Number: 70.4-634-5985.
System Installed
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.
0
Lal
INk
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
-�.i NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
4
Sewage Treatment and Disposal Rules (10,.NCAC 10A,.1934-.1968) Permit Number
Name Zate,
IJ 4
Location
Subdivision Name Z- /L1_1 ZZ-�/1 Lot No." Sec. or Block No.
Lot Size -House I-` 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 N 0
Type Water Supply -7
*This permit Void if sewage syste
0 �Y
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:
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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R 0. Box 665 RECEIVED APR 2 2 190
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
ot'L Home Phone 17
,_ tJ4 46
1. Permit Requested B It 4 A!, L. .4.194 At&wAwJ Business Phone
2. Address _Jft
3. Property Own r if Diff nt than Above
Address ' k - 7 5- /-"-L--
4. Permit To: a) Install_±: -___Alter_/' Repair
�_ -9- 'v 1) V�_
b) Privy— Conventional--ZOther Type—
Ground Absorption
c) Sub -Division FAR"h1AA1'j AcAQ Sec.— Lot No. '7
5. System used to serve what type facility: House_4��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 WACYC .36
Bed Rooms Bath Rooms
;)- Den w/Closet
b) If Business, Industry or Other,
What type business, etc. —
Number of persons served
In 17 1)
Estimate amount of waste daily (24 hours) -
7. Number and type of water -using fixtures:
commodes 3 — urinals
lavatory showers
dishwasher sinks
8. a) Type water supply: Public _6`� Private Community
b) Has the water supply system been approved? YesA No -
9. a) Property Dimensions
b) Land area designated to building site
garbage disposal
washing machine
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? ILIC'
What type?
This is to certify that the information is correct to the best of my knowledge.
P�:&
AX, o
V
Date Ow�er Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
OCHO (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: DATE RECEIVED
4 $1 ;r (office use only)
, -t 7 4 C A4 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. .
no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Departmentto enter upon the above described property and conductall
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 results from the above described property to the following:
— Owner only
— Owners designated representative
—!n --Anyone requesting results
— Only those listed below
DATE SIGNATURE
DCHD (11 /84)
Name—
Address
FACTORS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
AREA 1 ARFA 2 ARFA:3 ARFA A
1) Topography/ Landscape Position
S
S
S
PS
PS
PS
U
U
U
Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
S
PS
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
>
Available Space
S.
S
S
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
,.U- I
U
U
U
9) Site Classification
U—UNSUITABLE
Recommendations /Comments:
Described by —
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE ,2S—Provisionally Suitable
Title
Date