138 Courtney RdDavie County, NC Tax Parcel Report 011 Tuesday, September 27, 2016
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Davis County, NC
WARNING: THIS IS NOT A SURVEY
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causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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Parcel Number:
B300000064
Township:
Clarksville
NCPIN Number:'I
5823456833
Municipality:
Accoun-11—i-
78524000
Census Tract:
37059-801
Listed Owner 1:'I:
WHITE JOSEPH C
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
212 FOUR CORNERS ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-6214
Voluntary Ag. District:
No
Legal Description:
1.7 AC COURTNEY RD
Fire Response District:
COURTNEY
Zone:
WILLIAM R DAVIE
Assessed Acre.1ge:
1.32
Elementary School
Deed Date:
4/1983
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
001190221
Soil Types:
EnB
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
Building Value:
39530.00
Outbuilding & Extra
1670.00
Freatures Value.
Land Value:
22670.00
Total Market Value:
63870.00
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Total Assessed Value:
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63870.00
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Davis County, NC
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implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
harmless the Countyof Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
-1
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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AUTHORIZATION, NO: 0819 , ... DAVIE COUNTY HEALTH DEPARTMENT'
Environmental Health Section PROPERTY, INFORMATION. goo
Permittee's. - ,- - P.O. Box 848
Name 4, r Mocksville, "NC 27028 Subdivision Name:
j Phone #: 704-634-.8760 .
Directions to property: 0 Q�a.. ti's Section: Lot.-
AUTHORIZATION
ot:AUTHORIZATION FOR ;
c'a`r. c;tij .j,,n�su, WASTEWATER Tax Office PIN:# >. _
SYSTEM CONSTRUCTIONzr
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Road 3Name. Zip b.`
**NOTE** This Authorization for astewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Bu' ding Permits. This Form/Authorizatiori Number should be presented to the Davie County Building Inspections
Office when applyin for Building Permits.
(In comphance'with Article "11 o G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS ',
ENVIRONMENTAL HEAL H SPECIALIST_%, . DATE ISSUED s.
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DAVIE COUNTY HEALTH DEP&ItTr4EENT
. y IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATIONA, Pftu
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Name.:, Subdivision Name: -
` • 1?Srecrions to property:. :) Y) ',' Section: Lot: o r
## IMPROVEMENT
PERMIT Tax Office PIN:#�,
Road Name. Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater systeni ..An
AUTHORIZATION POR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(Incompliance with Article 11 of G.S. Chapter 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 ' ,
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE,
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION-�B�LDING TYPE # BEDROOMS �� # BATHS # OCCUPANTS S GARBAGE DISPOSAL: Yes o' N f `
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or Nof
LOT SIZFJ b �� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �'0 NEW SITE (REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR Fr.
OTHER
REQUIRED SITE MODIFICA'I'IQNS/CONDITIONS: r
fes,
IMPROVEMENT PERMIT LAYOUT
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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 # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: �+
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AUTHORIZATION NO. ) J OPERATION PERM BY: _ DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHAL INDICATE THAT THE YSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1 00 "SEWAGE TREA AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SA SFACTORILY FOR IVEN PERIOD OF TIME.
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DAVIE COUNTY HEALTH DEPARTMENTA-�-
-- f IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ' 0�
Pmt:-'
Subdivision Name:
Directions to property:OV, Section: Lot:
" i y IMPROVEMENT
t h`," :.� . • k `' PERMIT Tax Office PIN1-
., t Road Name. Zip:" f
b i
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TIRS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:'BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS Sr GARBAGE DISPOSAL: Yes N
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIM/ �'`TYPE WATER SUPPLY QA DESIGN WASTEWATER FLOW (GPD) � O NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP.TANK - GAL. TRENCH WIDTH T ROCK DEPTH' LINEAR FT.
OTHERS LrX f t s l tea,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
i
AUTHORIZATION O.( 15 I OPERATION PI
"THE ISSUANCE OF THIS OPERATION PERMIT SHA
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION
GUARANTEE THAT THE SYSTEM WILL FUNCTION
SYSTEM INSTALLED BY:
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[` BY:
/INDICATE THAT THE
)O "SEWAGE TREATi
ISFACTORILY FOR AN'
RZ5 DATE: 1
STEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
r AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GIVEN PERIOD OF TIME.
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
` I APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME I✓ W iti.-t c. PHONE NUMBER
ADDRESS A 3 g Ce, LA, vTre..a SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE lea'/ N - T. TZ - 8 a
S •�-Al� V^oma- Y1nu rva. ue,&�
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DATE SYSTEM INSTALLED] '-� a+ N rs• NAME SYSTEM INSTALLED UNDER
TYPE FACILITY H CNVS,, NUMBER BEDROOMS —3- NUMBER PEOPLE SERVED
TYPE WATER SUPPLY (!0' SPECIFY PROBLEM OCCURRING W a4e,-
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DATE REQUESTED INFORMATIONT BY
This is to certify that the information provided is correct to the best of my knowled e, and t I understand am responsi r a carred from this application.
/J
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193