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178 Lakeview Road Section 2 Lot 10Davie County, NC Tax Parcel Report Wednesday, February 15, 2017 WARNING: THIS IS NOTA SURVEY Parcel Information Parcel Number: 16140A0040 Township: Shady Grove NCPIN Number: 5758733492 Municipality: Account Number: 82517908 Census Tract: 37059-804 Listed Owner 1: MILLER JOHNNY I Voting Precinct: WEST SHADY GROVE Mailing Address 1: 178 LAKEVIEW ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-12-S,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 10 HICKORY HILL SECTION 2 Fire Response District: CORNATZER - DULIN Assessed Acreage: 1.34 Elementary School Zone: CORNATZER Deed Date: 12/2001 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 004000936 Soil Types: GnC2,GaD,WATER Plat Book: 0005 Flood Zone: Plat Page: 026 Watershed Overlay: DAVIE COUNTY Building Value: 214060.00 Outbuilding & Extra 360.00 Freatures Value: Land Value: 31500.00 Total Market Value: 245920.00 Total Assessed Value: 245920.00 161 �T All data is provided as Is without warranty or guarantee of any kind 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 1\ C or arising out of the use or inability to use the GIS data provided by this website. P DAVIE COUNTY HEALTH DEPARTMENT l� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems _ Name `N, �,� �1 �; �' Date Location t,r� \,� �_`:• c-� , `_�> \��.,.��.. t - J 0 t , ('r0 Permit Number -% 1 590 Subdivision Name 1 �,�' " �� . Lot No. t' Sec. or Block No.�- Lot Size��-� �' House Mobile Home _ Business Speculation No. Bedrooms �1" No. Baths No. in Family -� Garbage Disposal YES Li NO ❑ Specifications for System: Auto Dish Washer YES p' NO ❑ j o:),., Auto Wash Machine YES ©ANO ❑ �..� ,` . L - Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. _ w dA v' t • /l 1 -01 'I • -L�. Com.... No `M1 -J 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 � x ?X a -�--o I1 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 any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. 0. Box 665 Mock+aville, NC 27028 1. Application/Perm Mailing Address Home Phone (o 15- Business Phone --1221) 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation &-S/Tank Installation 5. System to Serve: 2-9ouse u Mobile Home Business 0 Industry Other 0 Unknown 6. If house, mobile home: Subdivision Le, 6r\1 1,11 Sec. Lot# /6 No. of People 3 Dwelling Dimensions 63 x qg No. of Bedrooms 2;�I asement/Plumbing ac(ct Jo No. of Bathrooms ` Basement/No Plumbing dashing Machine �7ishwasher &-G-a rbage Disposal 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers 8. Type of water supply: &--15'ublic 0 Private p Community 9. Property Dimensions L17 X 3 7 9 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? P -Yes No 1 / If yes, what type? 60, 'k r-oo m in 0-,5e- Y e -a ` *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. -aa -5-D Date Signatur Directions to Property: DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name A� , J S o Date 3- a b - cf d Address's Lot Size ' 6 FArTOPR RY1 FA 1 ARRA 9 \ ARBA q\ AQFe(A J 1) Topography/ Landscape Position , ` a I. U U DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name A� , J S o Date 3- a b - cf d Address's Lot Size ' 6 FArTOPR RY1 FA 1 ARRA 9 \ ARBA q\ AQFe(A J 1) Topography/ Landscape Position (7k S <�� <:::�p U U U 2) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) P PS ` s U U U 3) Soil Structure (12-36 in.) Clayey Soils P U U U 1) Soil Depth (inches) �` PS P U U U U i) Soil Drainage: Internal pP U— PS � �S U External (:A(A <� qp�) U U U i) Restrictive Horizons Available Space PS PS PS �~ U U 1) Other (Specify) S PS S PS S PS S PS 1) Site Classification S S S U—UNSUITABLE S—SUITABLE PS—Provisionally Recommendations/Comments:�� 'zzz� t - Described by - - Title SITE DIAGRAM` W� DCHD (6-82) Date