150 Herons Ln Davie County,NC Tax Parcel Report Thursday, September 29, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C600000072 Township: Farmington
NCPIN Number: 5852892580 Municipality:
Account Number: 69586000 Census Tract: 37059-802
Listed Owner 1: SPARKS WILSON W JR Voting Precinct: FARMINGTON
Mailing Address 1: 150 HERONS LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-6766 Voluntary Ag.District: No
Legal Description: 18.812 AC HWY 801 Fire Response District: FARMINGTON
Assessed Acreage: 18.58 Elementary School Zone: PINEBROOK
Deed Date: 2/2016 Middle School Zone: NORTH DAVIE
Deed Book/Page: 010101165 Soil Types: EnB,RnD,MsC,WATER,MsD
Plat Book: 0009 Flood Zone:
Plat Page: 088 Watershed Overlay: DAVIE COUNTY
Building Value: 284990.00 Outbuilding&Extra 15260.00
Freatures Value:
Land Value: 190440.00 Total Market Value: 490690.00
Total Assessed Value: 490690.00
All data Is provided as Is without warranty or guarantee of any Idnd 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
NCor arising out of the use or Inability to use the GIS data provided by this webstte.
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AUTI-i411ZATION NO: DAVIE COUNTY HEALTH DEPARTMENT
*'r . 1� Environmental Health Section PROPERTY INFORMATION
PermitteeZs .- P.O.Box 848
Name: �� Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760 '
Directions to property: % � .� 7 Section: Lot:
�r r� AUTHORIZATION FOR
WASTEWATER .-a
SYSTEM CONSTRUCTION Tax Office PIN:# s 5'..� - !
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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
fir. �i is fr
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
< 1 b6 UG' DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permitteq's�
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Name: ^r-!�".'�' _�t;~ "t Subdivision Name:
Directions to property: = % Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name r^ Zip x
**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)
r ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
z—/'„� ,✓"f 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:BUILDING TYPE #BEDROOMS �-9 #BATHS -f). #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY I'll DESIGN WASTEWATER FLOW(GPD) C9YO NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 240 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. r�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
S0 7
Ve
r
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPART NT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTA L.T ION.TELEPHONE#IS(704)634-8760.
OPERATION PERMIT
SY 1 INSTALLED B /
/la 70
AUTHORIZATION NO._& OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee?s
Name:' Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
�r f f' .• PERMIT Tax Office PIN:#-
Road Name/ r----Zip:
**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)
PLANS R THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 'P SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS r- #BATHS _) #OCCUPANTS c' GARBAGE DISPOSAL:Yes or No.
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS_ INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY PI✓P11 DESIGN WASTEWATER FLOW(GPD) C'/ h NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE :1L,") GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH `% LINEAR FT. /
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
s
IMPROVEMENT PERMIT LAYOUT
�.`�',I i 11.1 C� � � ��(' f•''r�� .,
r
I�-
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTPENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF,Ti(4TL'LIIcTION.TELEPHONE#IS(704)634-8760.
a
K '
OPERATION PERMIT
SYSTEMINSTALLED B /moi:ss71 lLY'-'fit
Sof/
,r
AUTHORIZATION NO. OPERATION PERMIT BY: / y DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT &ATC
t Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed W1150 C44 � Contact Person
Mailing Address '12 eo o V ,-1 Home Phone % � '��i� -- ��SY l'1
City/State/Zip W1 r— SAL 4LW C �.1 D Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip _
3. Application For: [ ]Site Evaluation Improvement Permit&ATC All�?1AVE Bo h Z-V tv e d
4. System to Serve: House [ ]Mobile Home [ J Business [ ]Industry [ J Other
5. If Residence: #People #Bedrooms--2 #Bathrooms 1 KDishwasher tkGarbage Disposal
PQ Washing Machine DQ Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other: Specify type #People #Sinks #Commodes
—
#Showers #Urinals #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: [ 1 County/City `KWell [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [V�No
If yes,what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED:***IMPORTANT**kA*WX OF THE PROPERTY MUST BE
_ SUBMITTED WITH THIS APPLICATION.
Property Dimensions: l�* 14C 'WRITE DIRECTIONS(from Mocksville)TO PROPERTY.
Tax Office PIN: I# - - � ��4C) �'IZ I'Z
1 �
Property Address: Road lame
city/zip
If in Subdivision provide information,as follows:
Name: ;
Section: Lot#:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized
Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned
by o conduct all testing procedures as necessary to determine the site suitability.
DATE �� �"` SIGNATURE
Revised DCHD(06-96)
THIS AREA MAY 13E USEI) fOR bRAWINC YOUR SITE PLAN:
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