391 Fernwood Lane Lot 19Davie County. NC
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Parcel Information
Parcel Number.
H414OA0012
Township:
Mocksville
NCPIN Number:
5739414953
Municipality:
Account Number:
25346000
Census Tract:
37059-806
Listed Owner 1:
FERGUSSON ROBIN F
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
C/O ROBIN F SNOW
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE GR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 19 COUNTRY LANE EST
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.92
Elementary School Zone:
MOCKSVILLE
Deed Date:
11/1989
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001510435
Soil Types:
GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
109570.00
Outbuilding & Extra
Freatures Value:
910.00
Land Value:
25000.00
Total Market Value:
135480.00
Total Assessed Value:
135480.00
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Davie County,
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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
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
"MOTE: 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
Namer1 �f ~ r -jf _ Date
Location
y F
Subdivision Name ,' %'✓ - `' -'f� y Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms j , — No. Baths �2 No. in Family
Garbage Disposal YES ± NO ❑ Specifications for System:
Auto Dish Washer YES NO�`r"�
Auto Wash Machine YES NO
Type Water Supply V
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
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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 k!Z'UCyt U"-
Certificate
"
Certificate of Completion Date �J _
"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.
t
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date Z&��
Address Lot Size Z'g
FArTnP.q ARFA 1 ARFA 9 AREA 3 ARFA A
Topography/ Landscape Position
S
S
S
S
PS
PS
PS
PS
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
bPs
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
PS
U
U
U
Soil Depth (inches)
S
S
S
PS'
PS
PS
PS
U
U
U
�) Soil Drainage: Internal
S
S
S
pS
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
PS
U
U
U
�) Restrictive Horizons
Available Space
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
1) Site Classification
U—UNSUITABLE
Recommendations/Comments:
Described by
SITE DIAGRAM
DCHD (6-82)
S—SU
Title
PS—Provisionally Suitable
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERM
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.
1. Permit Requested By
2. Address
3. Property Owner if Different than Above
Address
10 1986
Home Phone
Business Phone
4. Permit To: a) Install Alter Repair
b) Privy Conventional ✓ Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.Z
5. System used to serve what ty acility: House Mobile Home Business
Industry Other
b) Number of people p ---I - , "-
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 1`fS---'
Bed Rooms_7 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 of water -using fixtures:
commodes
lavatory
dishwasher
urinals
showers '2
sinks
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yes ✓No
9. a) Property Dimensions X / 7 y
b) Land area designated to building site
garbage disposal
washing machine
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.
O �
Date wner SignatZ7DLOCAL
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)