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373 Lakeview Section 2 Road Lot 36Davie County, NC ' ITax Parcel Report Tuesday, January 17, 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: MOCKSVILLE State: WARNING: THI515 NUT A SURVEY Parcel Information 1614OA0014 Township: Shady Grove 5758941459 Municipality: 46903620 Census Tract: 37059-804 MANGAN JACK E Voting Precinct: WEST SHADY GROVE 373 LAKEVIEW ROAD Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R-20 NC, Zoning Overlay: Zip Code: 27028-7368 Voluntary Ag. District: Legal Description: LOT 36+ HICKORY HILL SECTION 2 Fire Response District: Assessed Acreage: 2.54 Elementary School Zone: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value, Land Value: Total Assessed Value: 11/1985 Middle School Zone: 001280815 Soil Types: 0005 Flood Zone: 027 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No CORNATZER - DULIN CORNATZER WILLIAM ELLIS EnB,MsC DAVIE COUNTY I v 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 Implied warranties of merchantability or fitness for s particular use. All users of Davie County's GIS website shall hold harmless the r'pU NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to N�4 or arising out of the use or Inability to use the GIS data provided by this websHe. I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name in A'ja,. , Date 12 -to -F r - Address 24 • 5 Lot Size Z. T M--y- FACTORS AREA 1 AREA 2 AREA 3 ARFA d F E Topography/ Landscape Position cf 5>S PS S PS PS U U U U '.) Soil Texture (12-36 in.) Sandy, S SS Loamy, Clayey, (note 2:1 Clay) 5 ' GP7 PS U U U' U 1) Soil Structure (12-36 in.) S S S S Clayey Soils �_� — PS U U U U G) Soil Depth (inches) S ____ � S PS U z"c a U h U U Soil Drainage: Internal S S S S � PS U U U U External S S S S sz> PS U U U U �) Restrictive Horizons r Z kk- ` 'Ul `, Available Space SS S S PS U U U U 1) Other (Specify) S S S S PS PS PS PS U U U U 1) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/ Comments: c R-• i y 6 t L- L Described bye--r"-L Title `� �-• �- i�-�"�` Date 1 2-r SITE DIAGRAM DCHD (6-82) 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. Home Phone 1. Permit Requested By &V'f) 46 1_1'r 14S __riye ' Business Phone 2. Address 4 ZO 409 92Z, /ilei ksv•GL6�, 41.(f, z7VO-J'"' _ 3. Property Owner if Different than Above %lmkcf �/ Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub -Division YX64 /11-4- Sec. 8- Lot No. 6 5. System used to serve what type fa ility: Housed Mobile Home Business IndustryOther b) Number of people EW49 6. a) If house or mobile home, state size of home and number of rooms. House Dimensio Bed Rooms— Bath Rooms Den w/Closet b) If Business, Industry or Other, a What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals garbage disposal lavatory �� showers washing machine dishwasher sinks 8. a) Type water supply: Publics Private Community b) Has the water supply system been approved? Yes N0 _ 9. a) Property Dimensions %3rr' J'; °o u T 9V s O��s' % - 9 e,+c kf D D ` 'G' ! 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. Date Owner Sig ature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) Tv R A! 4C F/- (:� o 7-19 7'o�,— DCHD (6-82)