2862 Hwy 64W 3avie County, NC Tax Parcel Report Tuesday, September 27, 201 t
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WARNING: THIS IS NOT A SURVEY
Parcellnformation
Parcel Number: H2O000001603A Township: Calahaln
NCPIN Number: 5709945206 Municipality:
Account Number:. 82527404 Census Tract: 37059-801
Listed Owner 1: MHC LAKE MYERS LLC ' Voting Precinct: NORTH CALAHALN
Mailing Address 1: PO BOX 06115 Planning Jurisdiction: Davie County
City: CHICAGO Zoning Class: DAVIE COUNTY R-20
State: IL Zoning Overlay:
Zip Code: - 60606-0000 Voluntary Ag.District: No
Legal Description: 74.026 AC CAMPGROUND AREA Fire Response District: CENTER
Assessed Acreage: 72.76 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 12/2006 - Middle School Zone: NORTH DAVIE
Deed Book/Page: 006930020 Soil Types: PaD,WeC,PcC2,RnD,ChA,CeB2,WATER
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 188150.00 Outbuilding&Extra 1828170.00
Freatures Value:
Land Value: 25000.00 Total Market Value: 2041320.00
Total Assessed Value: 2041320.00
t v 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
County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
rCUN�� NC or arising out of the use or Inability to use the GIS data provided by this website.
fPermittees „�; , >��f ;, ti 4 DAVIE COUNTY HEALTH DEPARTMENT
N? e: , .I � 'ti' 1.. -Lt . '- Environmental Health Section PROPERTY INFORMATION
1 P.O. Box 848
Directions to property: 11 i"D ! Mocksville,NC 27028 Subdivision Name:
/�.L' Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
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LEA
WASTEWATER
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` ,� SYSTEM CONSTRUCTION Tax Office PIN:#
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AUTHORIZATION NO: 2 4 A Road Name "r{ ,.; V flwy4 ip
**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.1.1 of G.S.ghapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
j ENVIRONINENTAL H AU�TH SPECIAL''IST
�_- -.. -
RESIDENTIAL SPECIFICATION:BUILDING TYPEd_l 3�11 #BEDROOMS #BATHS 52- #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY / ft—R DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE a
SYSTEM SPECIFICATIONS: TANK SIZE X0GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 12- LINEAR FT. � 7�
� , '1 tit.)fl
. OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: ��! t�1i 4 r � �. :M f ?(" 0zT nre- 4.�,.� )`*'S�=
IMPROVEMENT PERMIT LAYOUT .
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-145
"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 (336)751-8760.
OPERATION PERMITi.�
SYSTEM INSTALLED BY:
AUTHORIZATION NO. 254 OPERATION PERM Y: DATE: 0`1
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STEM DESCRIBED A VE 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 02X12(Revised) a C
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Permiaee s {. .' t R D E COUNTY HEALTH DEP_"RTMENT (PE
- -� PRTY INF RM� `�'14 L Environmental Health SectionINFORMATION
�•� P.O. Box 848 "
Directions to properly: Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION t
AUTHORIZATION NO: 2*371 Road Name: (-°' , Zip: f t
**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�Arti'cle-l.) of 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.
ENV iRONMENTAL``HEALT -SPECIALIST DATE SSUjED
RESIDENTIAL SPECIFICATION:BUILDING TYPE q - #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE 4�t�I � PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes of N
LOT SIZE TYPE WATER SUPPLY�Wf al y DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE r
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH Y ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: �, ��,. '^*
IMPROVEMENT PERMIT LAYOUT
7
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4Vt
**CONTACT A REPRESENTATIVE OF THE DAVIE CO L� RTMENT 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 (336)751;8760.
OPERATION PER 70 SYSTEM INSTALLED BY: kri t uua
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AUTHORIZATION NO. OPERATION PERMIT B f DATE: /V ^/rXI
1
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT T M 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.
ncilp 02102(Revised) � � � � `1��a 3"
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` DAVIE COUNTY HEALTH DEPARTMENT
"V IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIO '� /,l '" '
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name�AIJ� I` ;e i1�T%eSwx iil�, % DaaaIe /�,7� -�%'•1� N2 7002
Location -- '�'��/ "' 1:,, rs /" i✓ -�. ' �Y %_f' i >
Subdivision Name Lot No. Sec. or Block No.
r/IA Aa r;
Lot Size House Mobile Home _ Business __ Speculation
No. Bedrooms %/ .No. Baths e No. in Family
Garbage Disposal YES p NO' Specifications for System:
A9Y,Dish Washer YES p N0,
Auto.Wash Ma.hine. ,;,,YES p NO:
Type Water Supply -
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
IV
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: S stem Installed by
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S�
Certificate of Completion :� Date
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'The signing of this certificate shall indicate that the system described above has been installed in complian„e with
the standards set forth in the above reguiation, but sha!i in NO wa;t^taken as a guarantee that the system wi!' function
satisfactorily for any given period of time.