205 County Line RdDavie County, NC f Tax Parcel Report ! 1 D 3 � Tuesday, September 27, 2016
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v�v�c 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, NC 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
°° e� causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
�-
area Informal
Parcel Number:'II
1100000010
Township:
Calahaln
NCPIN Number:
4798890445
Municipality:
Account Number:
54084000
Census Tract:
37059-801
Listed Owner 1:
NICHOLSON CONNIE ESTATE
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
i
C/O EVA L PHIFER SHARPE
Planning Jurisdiction:
Davie County
City:
HARMONY
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
28634-0000
Voluntary Ag. District:
No
Legal Description:
9 P
2.00 AC COUNTY LINE RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
1.41
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
1/1991
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
1991 E0192
Soil Types:
PcC2,CeB2
Plat Book:
I'
Flood Zone:
x
Plat Page: ;'
Watershed Overlay:
WS -III -BW
Building Value: i!
0.00
Outbuilding & Extra
4500.00
Freatures Value:
Land Value:
23460.00
Total Market Value:
(
27960.00
Total Assessed Value:
27960.00
v�v�c 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, NC 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
°° e� causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
-AUTHORIZWf'16Nv NO J%DAVIE COUNTY HEALTH DEPARTMENT
--. Environmental Health Section PROPERTY INFORMATION
Permittee s i� ' P.O. Box 848
Name: l Mocksville, NC 27028 Subdivision Name:
CPL
(� 1 Phone # 336-751-8760
Directigns to property: t Section: Lot:
�_`� •,� J AUTHORIZATION FOR
WASTEWATER Tax Off e PN:#
SYSTEM CONSTRUCTION r -
Road Name: Zip::
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building -Permits. This Form/Authorization Number should be presented to the Davie County.Building Inspections
Office when applying for Building Permits..
(In compliance with Article] I of Q.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
7''.
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
' 'IS VAL1D FOR A PERIOD OF FIVE YEARS.
ENVIR0NM9'NtLALTH SPECyUC0ST:' DA E ISSUED .
� J 1 ^ti �'► j �'' 1 ,r � . � + ri. IY�"i• r J 1''�4'i � . i,:'i �`�Z'`C'a.P .-„{"' � ,art•.="� ?4 'i: fi;.:jw .I 'd M �v ° 4-,j
,.. • ' DAVIE COUNTY HEALTPA
H DEI T '
p"t w IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
, Name: " •- Subdivision Name:
'Directions to property: .' i c Section: ! Lot:
v f 11)� IMPROVEMENT
� -� a:�' t �_ 1 . r d PERMIT: Tax Office PIN:#
LI
Road Name: '" Zip: i
**NOTE** This Improvement Permit DOES NOT authorize the construction or 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 Ct S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
/ " Ai C PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL�iEAi'TH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
�--•r > , INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS `7 # BATHS # OCCUPANTS.'21 : GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPIEl�1CII.FICASSTION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
��
LOT SIZE' TYPE WATER SUPPLY `^' DESIGN WASTEWATER FLOW (GPD) NEW SITE � REPAIR SITE '
SYSTEM SPECIFICATIONS: 'TANK SIZE GAL. , PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH �/� LINEAR FT: /� r
OTHER ' �1 Y-160710 '�)C
REQUIRED SITE MODIFICATIONS/CONDITIONS: �N `fit Qu
**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 # IS (8"Mm8M&
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
' y
DCHD 05/96 (Revised) jj
, yS G'l9"`-t��;�Wt''�'y`.r �. i�' .;�4' '�i ��:i'+.'tltiFti.`"i;= !*.'t+ •e.' s""` -�-:• a y , Y:,* _ _ f
T
,,..> DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Ivam'e i { i r
is Subdivision Name:
1
Directions to property: k. 1' Section: Lot:
`Z,, IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name.` «. < zip:
**NOTE**
1�
**NOTE** This Improvement Permit DOES NOT authorize the construction or 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.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ti
***NOTICE*** THLS PERMIT IS SUBJECT TO REVOCATION IF SITE
47, PLANS PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL.HEALTH5PECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE `'r # BEDROOMS ',L # BATHS # OCCUPANTS "f GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT, ASEA'P5 INDUSTRIAL WASTE: Yes or No
LOT SIZE ` TYPE WATER SUPPLY J' U .t DESIGN WASTEWATER FLOW (GPD) j ('' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH S , ROCK DEPTH LINEAR FT./e, r
OTHER ~�' � '. 1 lli t tl 0� kx ;
REQUIREDSITE MODIFICATIONS/CONDITION S: �, �i�r �L C^a f.t;P��iy�r7
\.
IMPROVEMENT PERMITLAYOUT*APPRE)IJED EFFLL04T FILTER* *R1SER(5) IF 61'' BEL011 FINIS14ED GRADE* .
�t
N1 �. fit, C i`'C �`� L.-tr
**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 # IS 0" g-UM0
(336)751-13760
SYSTEM INSTALLED BY: _
r
y1
7
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION -PERMIT SHALL INDICATE THAT THE SYSTEM RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised) o
"_'-
J�'V �'.1v-t-t DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
.APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
.�
NAMEy N lV 1C/14,SPHONE NUMBER �'� -7c6 f
/tbr .✓ sd)a✓fcd
ADDRESS �%-�� y �-� SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
N d c!-e..�-
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED /
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING �-e t -Jr -
DATE REQUESTED 4/ / / n /°-71- 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
Rev. 1193
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
a s t
e �I
Nam.r �' f �'- �� . Date .^�-,� .. � t G i 9
Location
Z
Subdivision Name Lot No. Sec. or Block No.
Lot Size %= House Mobile Home _ - Business Speculation
No. Bedrooms No. Baths ! No. in Family—
.. j
Garbage Disposal YES p NO [].,- Specifications for System:
Auto Dish Washer YES NO p
Auto Wash Machine YES NO ,p
Type Water Supply
`This permit Void if sewage system described below is not installed within 36 -/months from date of issue.
*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
Certificate of Completion � /--------- Date/ _—
"The signing of this certificate shall indicate that the system described above has been instatf'ed (W'- p lance 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
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN (ISSUED.
�orme
Phone
1. Permit Re uested By 3_6 ^ 14. 4, Ads 0h Business Phone
2. Address -1. 1 d ox i b y l3 Ham 4,, idle_ .)7ea6
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 Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 10, X nk
Bed Rooms t2 Bath Roomy f 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 garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public Private L--' Community
b) Has the water supply system been approved? Yes V 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.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: 4;,1�
yo-/
DCHD (6-82)
444
lv Sri'
i
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 .�' ,a' , Date✓'
Location
Subdivision Name- Lot No. - Sec. or Block No.
Lot Size �•'�'`'` House Mobile Home _. Business Speculation
No. Bedrooms No. Bafhs // No. in Family --f--
Garbage Disposal YES p ,NO Specifications for System:
Auto Dish Washer YES/ p NO p
Auto Wash Machine YES P NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36'months from date of issue.
0
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
1
Certificate,of Completion Dat�,
*The signing of this certificate shall indicate that the system described above has been instal (ed'iri 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.
�r
0
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
1
Certificate,of Completion Dat�,
*The signing of this certificate shall indicate that the system described above has been instal (ed'iri 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.
Davie County, North Carolina Spatial Data Explorer
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Parcel Data
Find Adjoining Parcels
• Parcel ID: 1100000010
• Account Number.000054084000
• P/N:4798890445
• Legal 1:2.0 OAC SR 1138
• Owner Name: NICHOLSON CONNIE M ESTATE
• OwnerlAddress 1: NICHOLSON CONNIE M ESTATE
• Owner/Address 2:
• OwnerlAddress 3:205 COUNTY LINE RD
• City,State Zip: HARMONY ,NC 28634 - 0000
• Assessed Acres. 1.42
• Deed Book/Page:
• Deed Date: 00/00/00
• Sales Price: $0.00
• Property Address:
205 COUNTY LINE RD
• County Zoning R -A
• Census Code:
• City Code:
• Fire District. COUNTY LINE
• Flood Zone:
• Flood Community:
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME
J a ,J
PHONE NUMBER
ADDRESS__
� D - S
G�
�-G^or e—
SUBDIVISION NAME
a ry (/ W C-- LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
r
DATE REQUESTED INFORMATION TAKEN BY
This is to car* 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
Rev. 1193