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194 Hidden Creek Drive Lot 8Davie County, NC ITax Parcel Report Thursday, January 26, 2017 150 145 136 \711 ! 149 -- 124 ti � '� 127 166 O 174 165 - -_---218 -=-206 ! ,�' 177 --236 HIDDEN yr / CREEK DR —- `� 183' �y 189 9tuv: tiAil data is provided as Is without warranty or guarantee of any ldnd 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 Countys 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 �p6N'�4 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: E915OA0008 Township: Farmington NCPIN Number: 5871478642 Municipality: BERMUDA RUN Account Number: 28936000 Census Tract: 37059-803 Listed Owner 1: GARWOOD JONATHAN L Voting Precinct: HILLSDALE Mailing Address 1: 194 HIDDEN CREEK DRIVE Planning Jurisdiction: BERMUDA RUN City: ADVANCE Zoning Class: BERMUDA RUN, DAVIE COUNTY R-A,CR State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-8754 Voluntary Ag. District: No Legal Description: LOT 8 HIDDEN CREEK SECTION 1 Fire Response District: ADVANCE Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE Deed Date: 5/2005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006090236 Soil Types: GnB2 Plat Book: 0005 Flood Zone: Plat Page: 179 Watershed Overlay: BERMUDA RUN,DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9tuv: tiAil data is provided as Is without warranty or guarantee of any ldnd 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 Countys 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 �p6N'�4 NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street . Mocksville, NC 27028 Phone: (336)751-8760 e& -S % ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑ Name:% (� �� I t' (S j r' '�"' Phone Number: `/— - } 1 a / (Home) Mailing Address: l l /-4c ( r/ (Work) Detailed Directions To Site: Property Address: Please Fill In The Following Information About The Existing Dwelling. Name System Installed Under: P 1. e /-� 1 L. -, c 1,6_4 � Type Of Dwelling: - Date System Installed(Month/Day/Year): ? f�? 9'7 Number Of Bedrooms: Number Of People: a Is The Dwelling Currently Vacant? Yes 0 No er' u Yes, For How Long? Any Known Problems? Yes ❑ Noe If Yes, Explain: Please Fill In The Following Information About The New Dwelling. % Type Of Dwelling: �1 ��� �- S �-�`• Number Of Bedrooms: Number Of People: Requested By: Date Requested: (Signature) For Environmental Health Office Use Only Approved Disapproved ❑ j Comments: •',� �i%f_, ��/r7 -� CP, Environmental Health Specialist -7 'The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee(extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash ❑ Check g_j�oney Order ❑ # t f7 Amount: $ > J Date: 5?'- �;L S ' `? Paid By: �� . �) �� _ �_n Received By Account #: 6--, 1_17 G%' Invoice #: �1 , r - - - ­�,­�. '0` -,"'; ,,I -7 7p---T.,�­ _".�,�;--���, � % , , .-,, . , , - I , . , � _- � ��T,W­,­;��*� , ,z � ,'. ;­r,�:,*­ 'i, 3:,�,', - , " , �f_' , � , 1�, , , 7,­ � : , � .. ­ . 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I - - ,� ,�-.: `­ , , - ,- -,-,.� , �- - , _�. - � " k�q, : _:, �, � _� , . �, ," . � , , ., : ., , " .., , � . , , -,-�:�, *-, �'�--,.-�-� -:�,­, � - -t , .,� " , , � i I . � ­ " 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. Home Phone '7 Z 1. Permit Requested Qy \3Ra Tyr- Business Phone -7 2el-S/Oa 2. Address 1 i r%�3 0'w&)�aAe_ UN WI SZf0_-W- a `(h)k 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�Ark-irNOrV_ Sec. — Lot No. — 5. System used to serve what type facility: House Mobile Home Business Industry Other b) Number of people -1 6. a) If house or mobile home, state size of home and number of rooms. I House Dimensions a8 X 4d Bed Rooms Bath Rooms 7- `/z 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 3 urinals 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 a4? garbage disposal I washing machine A 1 c) Sewage Disposal Contractor Sep4e_ 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? +-�d What type? !ie -^6" This is to certify that the information is correct to the best of my knowledge. Date`'( nat OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WI ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: l�¢ b DCHD (6-82) _ Name— Address FACTOPR DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 �-, SOIL/SITE EVALUATION APPA 1 APPA 9 Date Z2 6 Lot Size � f ��a ARFA 3 ARFA d Topography/ Landscape Position 3) 4) 5) 6) 8) 9) S ts S PS S PS U U U !) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S ks) U S PS U S PS U Soil Structure (12-36 in.) Clayey Soils tus S S PS S PS U U �i Soil Depth (inches) ,41g SPS S S PS S PS U U U Soil Drainage: Internal pg U PS S PS U S PS U External PS t S PS S PS U U U Restrictive Horizons Available Space SS Com''CAP-S-)PS S PS U U U U Other (Specify) S PS U(' S PS U S PS U S PS U Site Classification . J - f , U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/ Comments: �a? �A�C Described by^tel/ Title �J ff'�✓ Date SITE DIAGRAM aye /Zb UCHD (6-82) + � . Davie County dlealti De artment and Moine . 71ealt/i 9en cy 210 HOSPITAL STREET / P.O. BOX 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-5985 January 5, 1988 Hubbard Realty 285 S. Stratford Rd. Winston-Salem, NC 27103 Re: Sewage System Installation Hidden Creek -Lot 8 Dear Realtor: The septic tank system that serves this residence was designed, inspected and approved by this office on October 28, 1987. With proper maintenance and use it should function properly. Sincerely, �� Robert B. Hall, Jr., R.S. Environmental Health RH/wd