172 Fernwood Lane Lot 23Davie County. NC Tax Parcel Renort Tuesday. November 22, 2016
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:
Land Value:
Total Assessed Value:
WARNING: THIS IS N01' A SURVEY
Parcel Information
H4140A0008 Township: Mocksville
5739417421 Municipality:
Census Tract: 37059-806
Voting Precinct: NORTH MOCKSVILLE COUNTY
Planning Jurisdiction: MOCKSVILLE
Zoning Class: MOCKSVILLE GR
MOCKSVILLE
MOCKSVILLE
SOUTH DAVIE
Gn132,PcC2
MOCKSVILLE
151690.00
No
MM
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
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
F-a
NC or arising out of the use or Inability to use the GIS data provided by this website.
Zoning Overlay:
Voluntary Ag. District:
LOT 23 ANGELL PROPERTY
Fire Response District:
0.76
Elementary School Zone:
10/2013
Middle School Zone:
009420387
Soil Types:
Flood Zone:
Watershed Overlay:
126690.00
Outbuilding & Extra
Freatures Value:
25000.00
Total Market Value:
151690.00
MOCKSVILLE
MOCKSVILLE
SOUTH DAVIE
Gn132,PcC2
MOCKSVILLE
151690.00
No
MM
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
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
F-a
NC or arising out of the use or Inability to use the GIS data provided by this website.
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 t,. i' LUDate r' I _ r y `'' ,. r 2 i
N1
Location
retmW(20d
Subdivision Name r t - Lot No. �✓ Sec. or Block No.
Lot Size 1217 '} House ✓ Mobile Home _ Business Speculation
No. Bedrooms - No. Baths S No. in Family z-- —
Garbage Disposal YES ❑ NO ❑
Specifications for System: I c c' o ; :; n • 7 ft
Auto Dish Washer YES p` NO ❑ 'a
Auto Wash Machine YES NO ❑ -'` ` �� �, J'� ' ,�; ..
Type Water Supply t __—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
a
Improvements permit by —(11, i 11 "%–, 't_ .`,
*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
C'. IV
Certificate of Completion L'� 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.
r . 1%
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name I9- .c L,2owGLL ��. �35�- �9/Z Date /o- 23 - 8
Address ,�¢• ;��a' wl 2 Lot Size /kfS L z Z.s'
/J9aciL'Ju:/li /! C Z 70 2 y
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position
S
SS
Date
S
eq>
--Cfv
PS
PS
U
U
U
�) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
eE-
--<-E7K::)
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
I—=
PS
PS
U
U
U
U
I) Soil Depth (inches)
S
S
PS
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
S
SS
S
eE j
PS
PS
U
U
U
U
External
/®
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Available Space
S
S.
S
PS
S
PS
U
U
U
U
I) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
%
�f
U—UNSUITABLE
Recommendations/Comments:
S—SUITABLE /PS—Provisionally Suitable
Described by S�. r'`"
Title `
Date
SITE DIAGRAM
y
Gisek'A:-j
L
el
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT A
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 635/- 391=
1. Permit Requested By fS. C12ow e It 4 Business Phone 419 ZZLI&od
2. Address gf t, Kox 6o, W.cis u; ne- A) -e-.
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy ConventionalLZOther Type
Ground Absorption / 1 Sv jt4er)
c) Sub -Division �O� ty �A�+t-1 Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people Z
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions MA 211PC-2. SbrH)
Bed Rooms Q-3 Bath Rooms— Den w/Closet
b) If Business, Industry or Other, State: Number of persons served N &
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals .. garbage disposal CP —
lavatory. 3 showers Z' washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yesz No
9. a) Property Dimensions I BS -X 22.S7*"
b) Land area designated to building site•D�a
c) Sewage Disposal Contractor UIJK'
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 Own
r Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
6,01 Wo'A '% &"Ob y "we` 91
N� Z
s�'d Sb,te� �i 9 � 4- 24;44. 61
P
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DCHD (6-82)
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