413 Lakeview Road Section 2 Lot 33-34Davie County. NC
Tax Panel R Pnnrt
Tuesday, January 17, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WARNMG: THIS 1S NOT A SURVEY
Parcel Information
16140A0016 Township: Shady Grove
5758942138 Municipality:
82523727 Census Tract: 37059-804
FOSTER PEGGY C Voting Precinct: WEST SHADY GROVE
413 LAKEVIEW ROAD Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27028-7369 Voluntary Ag. District:
LOTS 33-34 HICKORY HILL SECTION 2 Fire Response District:
2.00 Elementary School Zone:
11/2003 Middle School Zone:
2004E0005 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
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APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By 1'ow. {= es'7ey- Business Phone
2. Address AA%XQy%.e, kow.&l 52.. 3 'b -t qz yr.wy. cg�•.I%)
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 Nt.rNWilk Sec. y Lot No. 331-34
5. System used to serve what type facIility: House --Mobile Home Business
IndustryOther
b) Number of people L
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms 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
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
garbage disposal
washing machine
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?
7 -
This is to certify that the information is correct to the best of mykpowledge.
Z1_ QV
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
tzi
L
Ddi e County NealtFr Deparfinent
and dome NealtFr A n
9e cY
21 O HOSPITAL STREET / P.O. BOX 665
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-5985
December 16, 1987
Martin & VanHoy
Attn: Leslie Bradsher
P. 0. Drawer 1068
Mocksville, NC 27028
Re: Sewage System Installation
Hickory Hill II/Lot 33 & 34
Dear Ms. Bradsher:
The above referenced on-site sewage system was installed by Mr. Abb
Cornatzer on July 25, 1986. The system was inspected by a representative of
this office on the same date and the installation was approved.
Please advise should this office be of further assistance.
Si cerely,
Jo ando, R. S.
Dir for of Environmental Health
JM/wd