378 Lakeview Road Section 2 Lot 26Davie County. NC
Tuesday, January 17, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
State:
WAHNUNG: '1'Hl, 1N 1VU'1' A hUKVLi' Y
Parcel Information
1614OA0024 Township: Shady Grove
5758847321 Municipality:
82521786 Census Tract: 37059-804
CRANFILL CECIL L Voting Precinct: WEST SHADY GROVE
378 LAKEVIEW ROAD Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 26 HICKORY HILL SECTION 2
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
1.44
Elementary School Zone:
CORNATZER
Deed Date:
11/2003
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
005230512
Soil Types: EnB,GaD,MsC,MsD
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:
O �I�, All data is provided as is without warranty or guarantee of any Idnd 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
�o tr N �a NC or arising out of the use or Inability to use the GtS data provided by this website.
U
l_ DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) , Permit Number
Name �lr',';� ,; f f� " Date �%�/,/�;'f N2
Location ,%. .r% Xi – ,'✓� i,, �/ y+ T
7dv roan A ,–
Subdivision Name -!� �'� f Lot No x �k � Sec. or Block No. -'
Lot Size X- " I'_ �`%'1X l22 *ZHouse ► ' Mobile Home _ Business Speculation
No. Bedrooms u1 No. Baths c-2 No. in Family
Garbage Disposal YES .0 NO ❑ Specifications for System:
Auto Dish Washer YES D NO
Auto Wash Machine YES NO ❑
Type Water Supply _—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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
�y�1JQ
Certificate of Completion— {� � Dater" Z�tf
*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
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By / ,97�_111x11P �/ ���r Business Phone
2. Address ;j am !01'14 - /�,- /Z/ /*,
3. Property Owner if Different than Above
Address
4. Permit To: a) Install A tl er Repair
b) Privy Conventional Other Type—
Ground
ype Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business—
Industry—
usiness 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 4- 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
urinals
showers
sinks
8. a) Type water supply: Public &-"' Private Community
b) Has the water supply system been approved? Yes-(_ZNo
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 correct to the best of my knowledge.
J 11
/1 'A0�'li
Date O ner Si ture
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
fir ,nirl�n,41;il w,e4
22u�' 3cc�tcr�
DAVIE COUNTY HEALTH DEPARTMENT
e�-
` Environmental Health Section
P. O. Box 665,,
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— 40--eg'- Date
Address{' 3, r3f F `f Lot Size
Int—
E
FA ARFA 1 AREA 9 ARFA .1 APPA d
1) Topography/ Landscape Position
S
S
S
S
'�
(ZZE--l"
PS
U
U
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)7�
S
S
PS
S
PS
U
U
U
U
3) Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
<:ffFr-->
4Z—pe-,
C=n>
PS
U
U
U
U
I) Soil Depth (inches)
S
�
�--�
PS
U
U
U
U
i) Soil Drainage: Internal
S
S.�
S
PS
U
U
U
U
External
�S�
C--�
S
PS
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Z Y
2K�
Available Space
S
/
S
S
PS
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE S—SUITABLE t--PS—Provisionally Suitable
Recommendations/Comments: !L
V, r-- - :4 1 L"
Described by� Titlel)-"- Date
SITE DIAGRAM
DCHD (6-82)