576 Baltimore Rd Davie County,NC Tax Parcel Report jt� 11150-Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E700000118 Township: Farmington
NCPIN Number: 5861820668 Municipality:
Account Number: 8303863 Census Tract: 37059-803
Listed Owner 1: BAILEY ANNA ALEXANDRA Voting Precinct: SMITH GROVE
Mailing Address 1: 576 BALTIMORE RD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: LOTS 36-39 B R ARMSWORTHY Fire Response District: SMITH GROVE
Assessed Acreage: 0.45 Elementary School Zone: SHADY GROVE,PINEBROOK
Deed Date: 7/2014 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS
Deed Book/Page: 009630236 Soil Types: MrB2,GnB2
Plat Book: 0003 Flood Zone:
Plat Page: 082 Watershed Overlay: DAVIE COUNTY
Building Value: 76040.00 Outbuilding&Extra 110.00
Freatures Value:
Land Value: 42500.00 Total Market Value: 118650.00
Total Assessed Value: 118650.00
161 All data is provided as Is without warranty or guarantee of any kind 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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AtTHiblZJZATION Na, 9 J 4ADAVIE COUNTY HEALTH DEPARTMENT
' E ironmental Health Section PROPERTY INFORMATION
Permit tee's' P.O.Box 848
Name: i f^— —� Mocksville,NC 27028 Subdivision Name:
,.,1p ' Phone# 336-751-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# -
' Road Name:!!r!LL— Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPetmits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applyingfor Building Permits. -
(In compliancew'th Article l l f G.S'.Chapten130A, astewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION .
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IS VALID FOR A PERIOD OF FIVE YEARS.
VIR M L H SP 11ST` D T SS ED
#DAVit.
COUNTY HEALTH DEPARTMENT . ..-- - ....
r f >. ✓ y.. --'� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
permittees . f -_, �� / _ Z
s•_ Tame:' =� Subdivision Name:
Directions toproperty: ) ' _ Section: Lot:
Y IMPROVEMENT
PERMIT
Tax Office PIN:#
Road Name: Ia..ht. l+I1�i_. - Zip: r7)
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**NOTE**This Improvement Permit DOES NOT authorize the constructionor installation of a septic tank system or any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.§—Qapter 130A;Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
}.%— PLANS OR THE INTENDED USE CHANGE.-YOUR WASTEWATER
�—ENVIRQNMN i AT (�AL'I"H SPEC IST D ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
4 r INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE BEDROOMS`� #BATHS — #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE �, #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOTS TYPE WATER SUPPLY" �`<< DESIGN WASTEWATER FLOW(GPD NEW SITE " REPAIR SITE
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. WRFi➢ H WIDTH ROCK DEPTH (g LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:�-� `1 r P 1 EST. M L►.� �--� l�� ` kc, -�F�0 LD(-3
IMPROVEMENT PERMIT LAYoU T*APPROVED EFFLUENT FILTER* *RISER(S), IF 611 BELOW FINISHES-D GRADE*
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**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 THE DAY OF INSTALLATION.TELEPHONE#ISPjVN X83*XW.
(336)'751-8760'
OPERATION PERMIT
SYSTEM INSTALLED BY: ^\ .iii 7 vet-' ta�•�`'�
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AUTHORIZATION NO. OPERATION PERMIT B DATE:
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STE C AB �HASUBEEN INSTALLS IN MPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYS HALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
• • L APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) Q l^
NAME coil- oc -yyt -} PHONE NUMBER q9 '2-2q ) v,.
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ADDRESS AL`rin�t0� 9Z) SUBDIVISION NAME
✓4,1 dLOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED �O S -NAME SYSTEM INSTALLED UNDER
TYPE FACILITY 900Se NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING—S e;tA)0616 &ePV_AN'kD
DATE REQUESTED l INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT c'
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