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290 Lakeview Road Section 2 Lot 23Davie County, NC 0 Tax Parcel Report Tuesday, January 17,2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: WA"IING: THIN IN INUTA NUKVEY Parcel Information 1614OA0027 Township: Shady Grove 6758834959 Municipality: 70845250 Census Tract: 37059-804 STEELE ROBERT ALLEN Voting Precinct: WEST SHADY GROVE 290 LAKEVIEW ROAD Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R-20 City: MOCKSVILLE State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: NC Zoning Overlay: 27028-0000 Voluntary Ag. District: No LOT 23 HICKORY HILL SECTION 2 Fire Response District: CORNATZER - DULIN 0.69 Elementary School Zone: CORNATZER 12/1993 Middle School Zone: WILLIAM ELLIS 001710743 Soil Types: GnC2,GaD,WATER 0005 Flood Zone: .027 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: Davie County, All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the knpried warranties of merchantability or fitness for a particular use. All users of Davie County's GIS websfte shall hold harmless the NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to the Inability to the GIS data by this websfte. or arising out of use or use provided DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Z.hapter 130 Article 1,3c Sewage Treatment and Disposal Rules (10 NCAQ 10A .1934-.1/968) Permit Number Name Date n Locatio 'Subdivision Name �1 Lot No. Sec. or Block No. Lot Size X�'(-A_ House—/--" Mobile Ho e Business Speculation 'No. Baths No. i No. Bedrooms, C_ 7 _n Family Garbage Disposal YES E] N 0 F�,? Specifications for System - Auto Dish Washer YES NO Auto Wash Machin& YES NO Water Supply Type 316 *This permit Void if sewage'system described below is not installed within 36 months from date of issue. S Improvements permit by *Contact a re'presentative 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 Co pletioh Date. *The signing of this certificate shall indicate that the system described above has been installed in complianc& with , the standards set forth. in the* above reg6lation, but s hall 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 R 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1. Permit Reques Home Phone Business Phone 2. Address 3. Property Owner if Different than Above Address 4. Permit To: a) Install 4-" Alter— Repair ---- b) Privy— Conventional— Other Type— Ground Absor tion c) Sub -Division AL - -/Z S e c. 052— Lot No. 5. System used to serve what type facility: House— Mobile Home— Business— b) Number of people- Industry— Other 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions -F '9 Den w/Closet Bed Rooms-_ Bath Rooms 2y - b) If Business, Industry or Other, State: Number of persons served What type business, etc Estimate amount of waste daily (24 hou 7. Number and t ype of water -using fixtures: commodes lavatory urinals showers dishwasher - sink 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 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 c z� 4% - '7 7/�/" Date / 1�'-"//O/y(ne'r/6ig OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE' WITH ALL STAT,"ND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) I - ---1 �" q 11 ( / / Name— Address I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Date Lot Size FACTORS ARFA 1 ARFA 9 ARFA.1 APPA A 1) Topography/ Landscape Position S q S (7 S PS U S PS U Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S K nPS AP) U S PS U S PS U 1) Soil Structure (12-36 in.) Clayey Soils S dpz> U S PS U S PS U Soil Depth (inches) IS5-) (E51 U U S PS U S PS U Soil Drainage: Internal S PS U S PS U External PS S S PS U Restrictive Horizons Available Space S ��S - U S P . �5 U S PS U S PS U Other (Specify) S PS U S PS U S PS U S PS U Site Classification I Z' U—UNSUITABLE S—SUITABLE Recommendations/Comments: Described by Title Date SITE DIAGRAM DCHD 16-82)