203 Brentwood Dr Davie County,NC ' Tax Parcel Report Thursday, December 8, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: D702OA0014 Township: Farmington
NCPIN Number: 5862756341 Municipality:
Account Number: 8303013 Census Tract: 37059-802
Listed Owner 1: LEDFORD CHARLES GRAYSON Voting Precinct: SMITH GROVE
Mailing Address 1: 203 BRENTWOOD DRIVE 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: LOT 29 CREEKWOOD ESTATES SECTION TWO Fire Response District: SMITH GROVE
Assessed Acreage: 0.45 Elementary School Zone: PINEBROOK
Deed Date: 11/2014 Middle School Zone: NORTH DAVIE
Deed Book/Page: 009720750 Soil Types: GnB2,GnC2
Plat Book: 0005 Flood Zone:
Plat Page: 007 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding 8,Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9!• f� 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
/-r County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�UUN NC or arising out of the use or Inability to use the GIS data provided by this website.
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Permittee s j DAVIE COUNTY HEALTH DEPARTMENT
'Name: / Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 / U
Directops to property: Mocksville,NC 27028 Subdivision Name: �� 1��i=ti'G'G-'/�✓
Phone#: 336-751-8760
Section: � Lot: /
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - / -
AUTHORIZATION NO: 002612 A Road Name.
**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 Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of 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 HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS��''. #BATHS,—,�L#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE::Yes or No
LOT SIZE TYPE WATER SUPPLY (- DESIGN WASTEWATER FLOW(GPD)��� NEW SITE REPAIR SITE Y
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH !!�-/A LINEAR FT `-� '
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT ✓ � �_����ui'
.... fid,
FOR FINAL INSPECTION OF THIS SYSTEM ILEASE CALL B F99T- b )-30A.M.ON-THETAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. 1
OPERATION PERMIT r
.("AS P SYSTEM INSTALLED BY: JL. CL
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AUTHORIZATION N VZ OPERATION PERMIT BY: DA • �4�;
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 07/02(Revised)
•A 7(1 `
Permittee 'sof' " DAVIE COUNTY HEALTH DEPARTMENT
'Name;" Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 a
Directions to ro en ` � le r°.`"rt`` � I 27028
Subdivision Name.
P P y Mocksville,NC
Phone#: 336-751-8760 ' r
AUTHORIZATION FOR
Section: � Lot: c".`� '-
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - /' -
AUTHORIZATION NO: 2 1� Road Name '��J "�'7 Zi
P:._-�.�
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS#BATHS—9#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY �d DESIGN WASTEWATER FLOW(GPD) ln5o NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH" J/i LINEARFT.
OTHER ..
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
( , Al,
t �
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETW N8:30- H AY OF INSfAA LATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
YSTEM INSTALLED BY: DIS 'LL
JA e
. Per �,.
Av
6
AUTHORIZATION NO / OPERATION PERMIT BY: �� DATE v
**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 01102(Revised)
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DAVIE COUNTY ENVIRONM NTAL HEALTH SECTION De96!nA
A"e
/ / ,, `/ APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)NAME f"� l�-a� hCt,m PHONE NUMBER �V' d
ADDRESS Z.03 �rewl ojoad d`• &�U#ee- SUBDIVISION NAME
rr LOT
DIRECTIONS TO SITE Q Gr WO I W r1A -rr (L) rAl
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DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER tA
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY_Panlq SPECIFY PROBLEM OCCURRING
&WI-i'Lla if 6A) Qrdutt
DATE REQUESTEINFORMATION 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
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* DAVIE COUNTY HEALTH DEPARTMENT
" ~ (Septic Tank) Improvements Permit and Certificate of Completion ,s.
(Ground Absorptin Sewage isposa Sy tem - G.S. Chapte 130- rticle 13C)
OWNER OR CONTRACTOR '� DATE PERMIT
LOCATION �:�. ...�-, /r lr 1 1 U O
"e S.R. NO.
SUBDIVISION NAME LOT NO. _ SECTION OR BLOCK NO.
z
HOUSE LM MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BE ROOMS %� NO. BATHROOMS , Two Bedroom House 800 Gala Ft,
GARBAGE DISPOSAL UNIT YES NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES NO ❑ Four Bedroom House 1000 Gal. 1 q. 1*t.
AUTO. WASH. MACHINE YES NO ❑ ] ,� 7 )•
SITE SUITABLE YES NO E:1
SIZE OF TANK gal ilv s- /4�0 ?/X 11 C.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: �� t5 /ta0fX 3 � r f��� � ���,� �
WATER SUPPLY: Individual Public ❑ ��
IMPROVEMENTS PERMIT BY r / I STALLED BY
CERTIFICATE OF COMPLETION By �' ,�"" Date ""'r "
(8/16/73) *Construction must com y with all other applicable State and local regulations
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