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166 Brockland Lot 540 Davie Countv, NC Tax Parr -.PI R ennrt Tuesdav, January 3, 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS 15 NOTA SURVEY Parcel Information H7020A0008 Township: 5769868844 Municipality: 82516419 Census Tract: DEITZ JOSEPH I Voting Precinct: 166 BROCKLAND DRIVE Planning Jurisdiction: ADVANCE Zoning Class: Land Value: Total Assessed Value: NC Zoning Overlay: 27006-7155 Voluntary Ag. District: LOT 54 GREEN BRIER Fire Response District: 4 91 v r� I 0.45 Elementary School Zone: 3/2001 Middle School Zone: 003620147 Soil Types: 0005 Flood Zone: 099 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: Shady Grove 37059-804 WEST SHADY GROVE Davie County DAVIE COUNTY R -A ADVANCE SHADY GROVE WILLIAM ELLIS EnB DAVIE COUNTY No 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, I implied warranties of merchantability or fitness for a particular use. All users of Davie Courdy's 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 NCor arising out of the use or inability to use the GIS data provided by this website. 1 a "IE COUNTY HEALTH DEPARTMENT" IMPROVEMENTS PERMIT. AND CERTIFICATE OF COMPLETION *NOTE; Issued in Compliance with G.S. of North Carolina Chapter 1.30 Article 13c -Sewage Treatment and iDisposal`Rules (10„NCAC 10A .1934-.1968) Permit. Number ' Name i�dr�S Date —�--'7 - F (;?r ' 3689"'-' Location F,At C"aka Subdivision Name " 6,f-A Lot No. Sec. or Block No li Lot. Size dZX 26 House Mobile Home Business Speculation No. Bedrooms 3 No. Baths No. in Family fe—_ Garbage Disposal YES ❑ NO' ©- . !' Specifications for System: 't o a � -.�R h o' q� . Y� Auto.Dish Washer YES p. 'N0 l' .r () L''a-t{.-" 2 too /3.X/dr ,PvG�' Auto Wash Machine YES [ NO '❑ Type Water Supply `This permit Void if sewage system described, below is.not installed 'within.36 months from date of'.issue. , . .• • �� iii. 1' • �• I l � I' 1� Improvements permit by _� .n-,N *Contact a repres erntative,;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 j fro`�✓y''— — — " •.II ' • IIF. If Certificate.of Completion L Date 4 'The signing of this.certificate shall 'indicate'that the systern,,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. ,. .. _ .- - , t +,-vr- -..-._«- - - ._r. �..- . ---- .. -----.,...,..� • _ _-�- n-w.,+,.-c:r'Kio+a�""'v'�.vd'-as• a.._�. _ - - --- - - - - 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 NUI11bef Name' .C',.✓e ! ,-?' Date 4831 Location A+R-,.e-6 !fi Subdivision Name S Lot Size No. Bedrooms —� Garbage Disposal Auto Dish Washer Auto Wash Machine Type Water Supply _ 'This permit Void if si Lot No. Sec. or Block No.- House o. House Mobile Home _ Business _ Speculation No. Baths c2 No. in Family 4� =S ❑ NO Specifications for System: S NO ❑ �� �I �it,���� -ST NO❑ e system described below is not installed within .36 months from date of issue.: 90 i, f I, 10 i`•• 06 jl Improvements permit by 'Contact a represeritative 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 D System Installed by go q 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 an' ,y given period of time. APPLICATION FOR SITE EVALUATION/ IMPROVEME IMPROVEMENTS S PERMIt . Davie County Health D,?partment Environmental Hoallh Section P O. Ek)x 665 Mocksville. N.C. 27028 CONSTRUCTION SMALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN IfsF► HII tome r4one 1. Permit Requested By Business Phone 2. Address,_ •- +���T—------- & Property Owner if Diftent than Above__—_--�— _. _ _ . Address 4. Permit To: a) Instattll:f'Atter Repeir b) Privy Conventional._ Other Type --- Ground Absorption c) Sub -Division _ Sec._ �_— Lot No. Z L3 re G?` y'I � S. System used to serve what type facility: House__-. Mobile Horne Elusine$s_ Industry_.— Other._. b) Number of people_ 8. a) It house or mobile home, state size of home and number of rooms. House Dimensions ._.Z/ X . %d - Bed Rooms Bath Rooms_. _ Dan w/Closet-_ .. b) If Business, Industry or Other, Stade: Number of persons served ---- What type business, - Estimate amount'of waste daily (2.4 hours)—__ _.—_.__ 7. Number anc(type of water -using fixtures: commAes --- urinals_-----__—__ garbage disposal lavatory showers washIn4 m=hIne_/ dishwasber sinks.--/_.___ & a) Type water supply. Public__ F'rivate---_— COlnlliitY-- b) Has the water supply system been approved? Yes_— No_..— ox 9. a) Property Dimensions- ------•--•-•— ""'" b) Land area designated to building sit:+ ---- c) Sewage Disposal Contractor _ �?'' �'' R—�✓��-- — 10. Do you anticipate any additions or expansions of the facility th.iS sewage rystem is intended to serve? What type? — -- —�------- — -- __.M—_ -- --- This is to cortify that the. information is corr the my knowledge. Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANT E WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: K DAVIL COUPTY HEALTH DEPART MIT ENVI?0I3101TAL HEALTH SECTION SOIL/SITE EVALUATIOII VAME/zo?' ,&e j40 -s DATE 3 /o ..F 2 - ADDRESS ADDRESS LOCATION LOT SIZE /po ,Y?0-6 TOPOGRAPHY: � SOIL TEZTURE s /P.5 SOIL STRUCTURE: IP5 DEPTH: ee-2 � � RESTRICTIVE HOF•.IZOIIS o PERCOLATION PATE: 1. 2. 3. 4p .07r- �vi Presoak Ilark & time D Time Rate/ Rin. Inch '- 'CLASSIF'ICATIOI1�Suitable _rovisionally Sui a Unsuitable C012,01T S a yc' �!/��, y,i.. -- Sys-/- rid �� t f�i w Z • s <dt/.u. �,Q•�x�.7`.rr�s-. SANITARIAN fq// SITE DIAGRAM t