294 Farmland Road Lot 26 Davie County,NC Tax Parcel Report Wednesday,December 21, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. H500000216 Township: Mocksville
NCPIN Number: 5739964923 Municipality:
Account Number: 49789500 Census Tract: 37059-806
Listed Owner 1: MCKENZIE JOLENE H Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 294 FARMLAND ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-4146 Voluntary Ag.District: No
Legal Description: LOT 26 FARMLAND ACRES SECTION THREE Fire Response District: MOCKSVILLE
Assessed Acreage: 3.02 Elementary School Zone: MOCKSVILLE
Deed Date: 9/1999 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 003150048 Soil Types: GnB2,GaD,MsC,ChA MsD
Plat Book: 0005 Flood Zone:
Plat Page: 200 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding 8r Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9[ I� 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 shall hold harmless the
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
no C N C� NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
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 .1934-.1968) Permit Number
Name—, + Date
Location �' y %. ,:. 1 i, ;,;% , ,,�° -� :/ ,r% ,y , .
Subdivision Name Lot No. Sec. or Block No.
Lot Size /Y/,"� House L=` Mobile Home _1/ Business Speculation
No. Bedrooms g — No. Baths -r No. in Family_
Garbage Disposal YES , NO ❑ Specifications for System:
..
Auto Dish Washer YES NO ❑ s
Auto Wash Machine YES NO ❑
Type Water Supply __—
r
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
S
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
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Certificate of Completion ��C'� / 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
P. 0. Box 665 RECEIVED APR 0 3 687
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. p
Home Phone &-3`� -'3
1. Permit Requested By n� Business Phone
2. Address V 2-
3.
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 f9014,01 9e.ts Sec. Lot No.
5. System used to serve what type facility: House Mome Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions a M 4r f
Bed Rooms 3 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 ofwa r-using fixtures:
commodes urinals garbage disposal
lavatory showers washing machine
dishwasher / sinks
8. a) Type water supply: Public ✓ Private Corn unity
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions 2 o o x b k-s—
b)
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.
Date Owner Sig ture
OWNER IS SOLELY RESPONSIBLE FOR CO LIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD(6-82) Q 4 D
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27628
SOIL/SITE EVALUATION
Name Date /M /
Address Lot Size—
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S
P PS PS
U` U U
2) Soil Texture (12-36 in.) Sandy, S S S
Loamy, Clayey, (note 2:1 Clay) PS S PS PS
U U
3) Soil Structure (12-36 in.) S S
Clayey Soils S PS PS
U U
4) Soil Depth (inches) S S
l7 S PS PS
U U
5) Soil Drainage: Internal S S
pSF S PS PS
U U
External S S
pSF S PS PS
U U
6) Restrictive Horizons
7) Available Space S S
PS PS PS
U U U
8) Other (Specify) S S S
PS PS PS PS
U )U U U
9) Site Classification , V
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: AZ
Described by _� Title Date L
SITE DIAGRAM
S
DCHD(6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R 0. 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
P � PS PS
U U
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) PS S PS PS
U U
3) Soil Structure (12-36 in.) S S
Clayey Soils PS S PS PS
U U
4) Soil Depth (inches) S S
PS S PS PS
U U
5) Soil Drainage: Internal S S
PS S PS PS
U U
External S S
pS P PS PS
U U U
6) Restrictive Horizons
7) Available Space S S S S
PS PS PS
U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U U
9) Site Classification V j
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments: e7
Described by r � / Title Date
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SITE DIAGRAM
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DCHD(8.82)
Davie County A(ealtFr rDe arlmenf
and �lvme �lealtfr� Yyency
210 HOSPITAL STREET/P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE:(704)634-5985
April 19, 1988
Martin & VanHoy
P. 0. Drawer 1068
Mocksville, NC 27028
Re: Sewage System Check
Farmland Acres/Kent Renegar
Dear Attorney:
As per request, a .representative from this office visited the
aforementioned site on April 18, 1988. The purpose of this visit was to
determine the condition of the sewage disposal system. At the time of the
visit, there was no evidence of any problems and everything appeared to be
functioning properly.
Please advise should this office be of further assistance.
Sincerely,
Q!"� �I I� %S.
Charles E. Little, R.S.
Environmental Health
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Enclosure