297 Lakeview Road Section 2 Lot 39Davie County, NC '
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Tax Parcel R ennrf
Tuesday, January 17, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
State:
WARNING: THIS IS NOT A SURVEY
Parcel Information
16140A0011 Township: Shady Grove
5758831954 Municipality:
30251250 Census Tract: 37059-804
GRAYSON JOHN R Voting Precinct: WEST SHADY GROVE
297 LAKEVIEW ROAD Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
Zip Code: 27028-7367 Voluntary Ag. District:
Legal Description: LOT 39 HICKORY HILL SECTION 2 Fire Response District:
Assessed Acreage: 0.75 Elementary School Zone:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
611997 Middle School Zone:
001950461 Soil Types:
0005 Flood Zone:
027 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
No
CORNATZER - DULIN
CORNATZER
WILLIAM ELLIS
Gn132
DAVIE COUNTY
Q
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Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shag 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
NCor 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
*NOTE: Issued in Compliance withl!G.S. of North 'Carolina Chapter 130 Article 13c
,Seu age'Treatment and Disposal Rules -(10 NCAC 10A .1"934-1968)
Permit,,
Number
Date
' Name; , _'' 9 9.
Location
.Subdivision Name ,if% �i,1� Lot No. c�G� Sec. or Block No.
. r
Lot Size. House (/'/ Mobile',Home. __ Business __ Speculation
No. Bedrooms No. Baths
No. in Family qtr_ •
Garbage Disposal YES ❑ NO
Specifications for System: ,
Auto Dish Washer YES NO❑ ��-�
Auto Wash Machine YES NO 0 j
Type WaterSupply. ---
'This permit Void if sewage system described below: is not installed within 36 months from date of issue.
it
1. {
F, ��
it
1; 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: ' I; System Installed by
Q
- � ” ' ,tit i • " . • . •
' ji .. ," fir. • • : - • ,
Certificate 'of, ,Completion ���� 9 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 *1 r-�
Davie County Health Department �Q�
Environmental Health Section 0
P. O. Box 665 R�C'
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By C Ar".< �(L.0 d&y• G Business Phone 99 V- 7 r
2. Address � � 3 %moo G,�Sv � � Lc ,U_G�• � 7o z-
3. Property Owner if Different than Above /
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division yck"'2f X'[.[. QEZAec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
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 urinals
lavatory showers
dishwasher sinks
garbage disposal
washing machine
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
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.
44- ` G <le -e VH��-
Date Owner Signa ure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
u r. N /
T d N I_EFl %�
47-4,1' YD 0
DCHD (6.82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name �tl� c �y ��\ \� DO \4 Date /I� ) Li
Address S rM o Lot Size Lin y
FACTORS AREA 1 AREA 2 AREA 3 APPA A
1) Topography/ Landscape Position
PS
S
U
S
PS
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
S
C—P—S)PS
U
S
U
U
U
3) Soil Structure (12-36 in.)
Clayey Soils
4
S
a
S
PS
U
U
U
U
1) Soil Depth (inches)
Ns�
<ZAE;
ct6
S
PS
U
U
U
U
i) Soil Drainage: Internal
SS
P
PS
U
U
U
ExternalS
:Ps��PS
U
U
i) Restrictive Horizons
Available Space
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
1) Site Classification
U—UNSUITABLE S— SUITABLE PS —
,�rovisionaliy Suitable
Recommendations /Comments:
Described by %'� Title Date �-
SITE DIAGRAM
DCHD )6-82)
Davie Caz( ty Nealili De artment
and dame Nealtl Men
9 cy
210 HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
November 24, 1987
Hickory Hill Development Co.
Attn: W.L. Ward, Sr.
Rt. 3
Mocksville, NC 27028
Re: Site Evaluation
Section 2/Lot 39
Hickory Hill
Dear Sir:
On November 24, 1987, as you requested a representative from this
office visited your site and found the soil provisionally suitable for the
installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely,
Charles E. Little, R.S. -
Environmental Health
CL/wd
Enclosure