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76 CHESTNUT-TRL
172
204
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604
I data Is provided as Is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, Impuad winrandes of merchantability or fitness for a particular use. All users of Davie County'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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel
Information
Parcel Number:
1600000058
Township:
Shady Grove
NCPIN Number:
5758853991
Municipality:
Account Number:
11258000
Census Tract:
37059-804
Listed Owner 1:
BROWNLOW KEN
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
196 CHESTNUT TRAIL
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 22 CHESTNUT WAY
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
4.06
Elementary School Zone:
CORNATZER
Deed Date:
8/1985
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
001270761
Soil Types: EnB,GaD,MsC,MsD
Plat Book:
0004
Flood Zone:
Plat Page:
153
Watershed Overlay:
DAVIE COUNTY
Building Value:
122730.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
51260.00
Total Market Value:
173990.00
Total Assessed Value:
173990.00
I data Is provided as Is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the
Davie County, Impuad winrandes of merchantability or fitness for a particular use. All users of Davie County'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
NC or arising out of the use or Inability to use the GIS data provided by this website.
-
--x DAVIE COUNTY HEALTH DEPARTMENT /Q( MQs'h X( %rcA
I- optic Tank) Improvements Permit and Certificate of Completion
('6'!'bun-Absorpti, n�/Sewage Dis�osal System - G.S. Chapter 30 -Ar is a 13C)
OWNER OR CONTRACTOR _ f� .r',: DATE PERMIT
LOCATION�y N? 1983
r
S. R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE
1INK
BUSINESS
[r11
NO. BEDROOMS '-,j NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ —NO
AUTO. DISHWASHER YES P�OANO
0-
AUTO. WASH. MACHINE YES
SITE SUITABLEYES [3 NO
SIZE OF TANK gal.
■
■
NITRIFICATION FIELDsq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individuals ❑ Public
IMPROVEMENTS PERMIT BY �jlrr%J.
CERTIFICATE OF COMPLETION By�
(8/16/73) *Construction must comp
LOT AREA
X01
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom Hese 1000 Gal. 1200 Sq. Ft.
INSTALLED BY
4)60 tf Date do° e J !e o
with all other applicable State and local regulations
4)al �rP�
s
:l'�r!rr.v •r ., ..a.l. r.. :; r. ... r-.. ?'.v:crr ,e.. ... .,., r r i �� J—
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
MOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME /„i�,E - N DATE ISSUED n
AMOUNT DUE ,1 SANITARIAN
.PLEASE REMIT THE ABOVE AlIOU14T ON RECEIPT OF THIS STATEMENT.
sus
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT �2
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.
Home Phone—q
1. Permit Requested By S/'4FvF �Business Phone 91 (7– 996 - Z 4932
2. Address �73 3eX y23 I��L•i'l/�
3. Property Owner if Different than Above
Address
4. Permit To: a) Install 'Alter Repair
b) Privy Conventional her Type
Ground Absorption
c) Sub-DivisionC/�-�-1-It Sec. Lot No.
5. System used to serve what type facility: House M�ome 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 7 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
lavatory
showers
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
garbage disposal
washing machine
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.
z ZZ
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
Z /o 4s ay+
Address
FACTORS
I)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size/ —
' ARE -At AREA -2 -
AREA 1 "�- AREA -3
Topography/ Landscape Position
CAP
U
S4
'S<T
<P
!) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
P
PS
U
1) Soil Structure (12-36 in.)
S
S
S
rS
Clayey Soils
PS
/C17
U
G) Soil Depth (inches)
S
S
rS
PS
PS
S
) Soil Drainage: Internal
S
p
S
PS
S
P
PS
External
S
PS
S
PS
S
PS
S
PS
U
U
U
U
i) Restrictive Horizons
Available Space
S
PSI
S.
PS
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Site Classification
Z.S
'
Z/,, -
-
U—UNSUITABLE S—SUITABLE PS-�Provisionaliy Suitable ��p�-tom
Recommendations/ Comments:
Described by Title
SITE DIAGRAM
0
DCHD (6-82)
2
Date 6_
�2
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