1022 Dulin RdDavie Countv, NC:
Tov An,-..c,l T?nr,l.r4
Wednesdav, October 12, 2016
VV H1t1V llr l7: 1 iYl.� l.� 1� V 1 Ei .7 U i� V L' Y
Parcel Information
Parcel Number: G60000007701 Township:
NCPIN Number: 5759774900 Municipality:
Shady Grove
Account Number: 68354250 Census Tract: 37059-803
Listed Owner 1: SMITH VIRGINIA C Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 1022 DULIN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 1 LOT DULIN RD Fire Response District:
Assessed Acreage: 0.67 Elementary School Zone:
Deed Date:
Deed Book I Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
°��°'F Davie County,
`'�ux�c" NC
8/1989 Middle School Zone:
001500247 Soil Types:
Flood Zone:
Watcrshed Overlay:
152330.00 Outbuilding & Extra
Freatures Value:
20760.00 Total Market Value:
174000.00
CORNATZER - DULIN
CORNATZER
WILLIAM ELLIS
We6
DAVIE COUNTY
910.00
174000.00
No
All data is provided as Is without warranty or guaranteo of any kind eithor expressed or Implled Including but not limlted to the
Implied warrantles ot merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davfe, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arlsing out of tha use or inability to usc the GIS data provlded by this website.
,--_•;�_' _-` __.___Rr - --.,.�' _� -w.r-���•.+�..`.-_�`.yT ' __,._•_.�yT�"„_,-. . _ '�--„ .r..y'•�„v��..�..--.-�-
' 1 . �.��. ���
.�'t�ennieta�a-7 � . '� DAVIE COUNTY HEALTH DEPARTMENT •
�ame:t� � t i � .� �7 � � Envirnnmental Health Section' PROPERTY INFORMATION
� � ,,,� , /� P}O�!Box 84�
' .����ProP�Y.:���lel�� '���' '����"'Mocks4ille.NC 27028• Subdivision N�ame:
�% �.'�' •'+ !1`���/rA �- ��.r�Phone•#:336-751=8760. • . , .
Section: Lot•
r ,.,.. ' AUTHORIZATION FOR ' � •�
�-� •�,.y �,c?�� . ' ' ' �WA,STEWA7'ER Tax Office PIN:#. - -
. . SYSTF.M CONSTItU•,CTION .
AUTHORIZATION NO: � ���4 3 A �.• � � Road Name: ` Zip:
**N01'E**This Authcrriz.�tion for Wastewater System Conswction MUST BE ISSUED by the Davie Counry Env.ironmental Health Section prior
to issuance of any Building Pertnitc.This�Fdnn/Authbrizs�tion Number should be presented to the Davie County Building lnspections
. OfFee•when applying for Building Pertnitc. � '
' (]n oompliance with Artide 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Tr�eatment and Disposat Systems)
! . r
c�' ��`.��} �!**NOTICE*••TH1S AUTHnWZATION FOR WASTEWATER CONSTRUC710N
i�.Y/ � �� • __���� . :�• IS VALN FOR A PEWOD OF FIVE YEARS. � �,
ENVIltONMENTAL HEALTH SPECIALI DATE ISSUED . , . • ' � . � . • •
' : � . '. . . .:::_.,,•, � .� ;. . .• .. „ . • �: ; • .. . . . . . • , ', . . . . ,
RESIDEN7IAL SPECIFICA770N:BUIL.DING TYPE� 8 BEDROOMS�G N BATHS�N OCCUPANTS�GARBAGE DiSPOSAL:Ya a No
C01�1�liCIAL SP&CIFICATION: FACILI'IY 1YPE ' •PEOPLE N PEOPL•FJSHIFf �SEATS INDUSIRIAL WAS1E:Ye��No
LOT 31ZE TYPE WATBR SUPPLY •DESIGN WASTEWATER FLOW(GPD)�Y� NEW SI'!E_ REPAiIi S1TE �
. ' �� �y�� .
�� SYS7'BM SPECIFICATlONS: TANK SIZE. • GAL'. PUMP TANK� GAL. TRENCH WIDTH S� ROCK DEPTH /0 LINEAR F!'. ���
. . ... �. � ---� � �- . `S. ,�/'�.�i�.�� ,�1�C7 ���/
: . . �o�� 1�/lo d �e� ,n.e .
REQUIRED SITE MODIF[CATIONS/COND1170NS: • • � • �
IIMPROVEA�MP PERMIT LAYOUT• • � .
_ . . . . � � . � �, �re �
r,�p.�/��
. � .�/v . G .
. � . . � ��� .
.. � .� .� � . . .. � � �i��1 �� � ,��'�.
. . . . . � wI.1�.�r��
�� . � . � � � . � L .
. . . y _ .
, •"CONTACI'A REPItESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT.FOR F1NAL 1NSPF.C.TION OF THIS SYSTEM
BEf WEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLA710N.'IELEPHONE#�IS(336)7S 1-8760. � .
� • . � . .
�
OP�tATlON PBRMIT . . •` ,•, �, x �..,` .
' • . ' �:SYSTEM�INSTAL:LEDBY: G -^V�J�
. , • • . . � �.�a' . . � • i . .
l • . . , � ` . .
! . � .
�. . • • . � �
. ;. . .
� • . . . � . . .
� ' ' / .� • �
� . � t v,/� , • � •
J /�
. . � .� �a _M..� "`�� � � =4 . � • . . .
. . y, � .. ,� � . . .
� . � .
. .� � . � � : ���� . � � . � � � �
. ��..� . __�
AITI'EiOR1ZATION NO PE1tATION PERMIT BY: ��il� DATE: �' :�� ,
•"'Tf�13SUANCE OF THIS OPERATION PERNIIT SHALL DVDICATE THAT THfi SYSIEM DESCRIBED�AHpVE HAS BfiEN IIVSTALLFD IIV COMPLIANCE
' W1TH ARITCLE 110F G.S.CHAPTER 130A,SECfION.1900"SEWAGE TRFATNffN'f AND DISPOSAL SYSTEMS",BUT'SHALL IIV NO WAY BE TAKEN�S A
� GUARANTSB THAT THE SYSTBM WII.L'FUNCTION SAT[SFAC'1'ORII.Y FOR ANY GIVEN PERIOD OF TII�lE. '
, °°�°�� . . , � . . . G��',�. 3.� 3�
� . . ., . , . :. . � J.�. �8'�8�
� . � .. . . ���..
'�`�� , DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
ONE NUMBEF� �'�'��` ����
DATE SYSTEM INSTALLE NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED I
�
TYPE WATER SUPPLY �D SPECIFY PROBLEM OCCURRING
�
DATE REQUESTED �� INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93