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266 Lakeview Road Section 2 Lot 20Davie County, NC Tax Parcel Report Tuesday, January 17, 2017 WARNING:'17HIS IS INOT A SURVEY Parcel Information Parcel Number. 16140A0030 Township: Shady Grove NCPIN Number: 5758835664 Municipality: Voluntary Ag. District: No Account Number: 25361300 Census Tract: 37059-804 Listed Owner 1: FETTERS DENISE S Voting Precinct: WEST SHADY GROVE Mailing Address 1: 266 LAKEVIEW ROAD 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 20 HICKORY HILL SECTION 2 Fire Response District: CORNATZER - DULIN Assessed Acreage: 0.67 Elementary School Zone: CORNATZER Deed Date: 6/1998 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 002030216 Soil Types: GnB2,GnC2,GaD,WATER Plat Book: 0005 Flood Zone: Plat Page: 027 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Davie County, All data 13 provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the NCor County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to arising out of the use or Inability to use the GIS data provided by this webske. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *N6TE: Issued jn Compliance with G.S.* of North Carolina Chapter 130 Article 13c I Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number a e Name 27L D t N2 Location , , //, I-) -TA.XrAQP-*50 _v, - Subdivision Name. Lot No. Sec. or Block No. Lot Size House Mobile Home Business - Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES NO E:] Specifications for System'. Auto Dish Washer YES NO Auto Wash Machine YES NO -E] Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date o _2f,�ssue. /,v I—) / e -0 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 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 PERMITjk,�� Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUEI�,,,,/ 9a J1 Home Phone A/ 9A 1. Permit Requested B be "L J "..Hj Business Phone f- - I _ I" y �'j _:� Je_ 2. Address , M Ao k�j y; / 3. Property Owner if Different than Above Address 4. Permit To: a) lnstall_r_,'� Alter— Repair b) Privy— Conventional— Other Type— Ground Absorption c) Sub -Division L'r ke e Y AU Sec. Lot No. 90 5. System used to serve what type fa6lity: House P-- Mobile Home— Busines Industry— Other— b) Number of people 0 6. a� If house or mobile home, state size of home and number of rooms. House Dimensions zq 7s. ,,, Y,/- 19 / Bed Rooms 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 urinal showers 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 knowledg Date Owner Siai�g ure OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Directions to property: OCHO (6-82) Allow 5 days for processing E ry m btO t"'T PAW; A, LT., CE R -,A- -IMPLETV R, AM, -A EN JK[D� T I F IS . "T E GF C 11MOR6MEME T W �NOTE: Issued in Comoliance ith. 8. of North, Carolina' Chapter 130 Article 13c N 0 r Sewa Treatment and, Disposal Rules- (10 NCAC fOA .1934-.19 ge 68) Name _445 - Date Location -A Subdivision Name -'41- 161��l Lot No. Sec. -or Block.,Nb., Speculation Lot Size House Mobile Home Business No. in Farn No. Bedrooms No. Baths i'ly Garbage Disposal YES :0 NO 2,' ystem: Specifications for S -Auto Dish Washer YES NO Auto Wash Machine YES NO IV U T'pe Water Supply y *This permit Void if sewaqe system described below is not installed within 36 months from date of: issue. is� Improvements permit by* Contact a representative of the Davie County Health DepartmiOnt f or final inspection of this system­:Ublwi�On 8.30 9-30 A.M. or 1:00-1:30 P.M. on day of completion. Tel,ephone Number: 704-634�5985. Final Installation Diagram: System. Installed by Certificate of Corn, pletibn Qate..' *The sighting of this certificate'shall indicate that i,hb-.-,�,.y,§tEim.��des'cr.iibied--,a�bOve has, b-pp,n, Ins al e -d' the, stan-dods',:set forth in the abovQ, regulation, but�z�rialil wr --t k:e n, as c, yu c, ma�* qq�'Y46 satisfactorily for' nyLgiven period of time. L'w APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT 40 -16'4 Davie County Health Department Environmental Health Section I -lee P. 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 1. Permit Requested By Business Phone 2. Address P to 3. Property Owner if Different than Above Address 4. Permit To: a) lnstall_��Alter_ Repair b) Privy— Conventional -Z Other Type Ground Absorption c) Sub -Division p,'L4coj-�t i4i'll Sec. Lot No. A 0 5. System used to serve what type facility: House obile Home— Business— b) Number of people J_" Industry— Other 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions A 00v ff- Bed Rooms,3 Bath Rooms/ 2- 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 urinals lavatory showers dishwasher ' I sinks 8. a) Type water supply: Public Private— Community b) Has the water supply system been approved? Yes_ZNo garbage disposal washing machine - 9. a) Property Dimensions b) Land area designated to building site 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 corr the ,�f my knowledge. Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (J82) 0,, r o vr, to ir- rf� I PC,& " � (�Alfil U Q N C,Y u O qt1 ° N 4ti �r M b M, m a F1 s9d \�ti� 0ry ham. 99 1 r Omob° °'er M ben DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name— Date Address 0,4 Lot Size PAr'Tf)QQ APFA I ARFA 9 AREA 3 ARFA 4 A Topography/ Landscape Position S S S AD PS PS PS U U U U Soil Texture (12-36 in.) Sandy, S S S Loamy, Clayey, (note 2:1 Clay) PS PS PS U U U U 1) Soil Structure (12-36 in.) S S S Clayey Soils & PS PS PS U U U U Soil Depth (inches) S S S S PS PS PS U U U Soil Drainage: Internal S S S S Q PS PS PS --FM> U U U U External 'PS S S S PS PS PS U U U U Restrictive Horizons Available Space S S S PS PS PS U U U 1) Other (Specify) S PS S PS S PS S PS U U U U Site Classification U—UNSUITABLE Recommendations/ Comments: --- — ( PS—)yrovisionally Suitable s—suiTASEE Described by Title Dates� SITE DIAGRAM DCHD 16-82)